Q: I have flat feet and they hurt worse with my first few steps, what can I do?

February 19, 2016

A: You may have plantarfasciitis. It is often associated with flat feet (pes planus). Symptoms include pain in the arch of the foot, often more close to the heel, and pain when standing after sitting or lying for 20+ minutes. Pain in the ball of the foot may be metatarsalgia so it is important to have this condition examined by a health care professional. A heel spur is an incidental finding that is often caused by plantarfasciitis. Treatment may include stretching, night splints, orthotics, weight loss, massage, exercise and modalities (ultrasound, iontophoresis).