Does physiotherapy treat flat feet?

Flat feet describe a lower or less visible arch when standing. Some people have no difficulty, while others develop aching in the feet, ankles, shins, knees, or hips during activity. Assessment can look at walking, balance, ankle flexibility, footwear, and the way the knees and hips share load. Exercises may target the foot muscles, calf, ankle, and hip. Physiotherapy supports function and comfort; it may not change the shape of a longstanding arch.

Follow a personalised programme rather than forcing the arch into a position. Common options include controlled calf raises, balance practice, short-foot exercises, calf mobility, and hip strengthening when appropriate. Wear comfortable shoes for the activities that provoke symptoms and increase walking or sport in small steps. Insoles may be discussed as a comfort aid alongside exercise, not as a replacement for assessment. Explore [Flat Feet](/conditions/flat-feet/) and [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/).

Book an assessment for new or increasing foot pain, repeated ankle sprains, difficulty walking, or symptoms that limit school, work, or sport. Seek prompt medical care after a significant injury, or if the foot becomes hot, very swollen, numb, pale, or difficult to move. A rapidly changing arch or one-sided adult-onset change deserves clinical review.

Ask whether your symptoms come from the foot itself or from movement at the ankle, knee, or hip. Ask which exercises and footwear are suitable, whether an insole trial is reasonable, and what change should prompt reassessment.