Flatfoot can happen when the arches in your feet fail to develop during childhood. This condition occurs for many reasons but is often inherited. Sometimes people with normal arches experience flatfoot later in life because of an injury or normal wear and tear. Being overweight and participating in high-impact activities like running can cause pain on the inside or outside of your foot and ankle. If you have low arches that are getting worse, have recently developed low arches, or have foot or ankle pain that limits your mobility, flatfoot treatment can prevent further damage.
Flatfoot
Progressive Collapsing Foot Deformity
Most people with a flatfoot -- also known as a low arch -- have no symptoms and lead normal, active lives. When a flatfoot progresses, it can cause pain or limit your mobility. That’s when it’s time to see a foot and ankle specialist for a thorough evaluation. Left untreated, a flatfoot can lead to increased pain, loss of function, and arthritis. Duke foot and ankle specialists use the latest diagnostic tools, including standing CT, to assess your arches and the severity of your condition. We offer the full range of treatments, from physical therapy to flatfoot reconstruction, to ease your pain and restore your mobility.
About Flatfoot
Duke Health offers locations throughout the Triangle. Find one near you.
Tests for Flatfoot
Physical Exam
Doctors can usually diagnose progressive collapsing foot deformity by examining your feet and ankles as you sit, stand, and walk.
Imaging Tests
X-rays, MRIs, and other imaging tests show your doctor if your low arches are causing alignment problems, arthritis, or tissue damage. They also help to determine if and when surgery is necessary.
Standing CT
Duke is one of a few centers in North Carolina to offer standing CT scans. This advanced technology produces a detailed 3D image of your feet and ankles as they bear weight. It also uses less radiation than a traditional CT scan.
Where you receive your care matters. Duke University Hospital is proud of our team and the exceptional care they provide. They are why our orthopaedics program is nationally ranked, and the highest-ranked program in North Carolina, according to U.S. News & World Report for 2024–2025.
Why Choose Duke
Walk-In Orthopaedic Urgent Care
Our convenient orthopaedic urgent care clinic is open seven days a week. Get fast service with no long waits and no unnecessary exposure to illness. No appointment needed.
Extensive Experience
Duke foot-and-ankle specialists perform hundreds of surgical procedures each year. They are board-certified, and fellowship-trained in foot and ankle surgery.
Advanced Diagnostic Technology
We offer the most advanced technologies to accurately diagnose foot and ankle problems that affect your quality of life. We are one of a few centers in North Carolina to offer standing CT scans for foot, ankle, knee, and hip conditions.