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Ironworks

Flat Feet Treatment

Flat feet (fallen arches) treatment in Rolesville, NC. Custom orthotics, physical therapy, and tendon repair at Ironworks. Wake Forest area.

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Do You Have Any of These Symptoms?

If any of this sounds familiar, you’re in the right place. Call us or request an appointment online, and we’ll take a look.

Pain in the arch, heel, or inner ankle

Fatigue in the feet after standing or walking

Visible flattening of the arch when standing

Shoes that wear unevenly on the inside edge

Pain in the knees, hips, or lower back related to how you walk

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You’re Not Alone, and You Have Options

Flat feet that don’t hurt generally don’t need treatment at all.

Flat feet, also called fallen arches, are more common than you’d think. Many people with flat feet have no pain and need no treatment. But when flat feet cause heel pain, arch pain, ankle instability, or knee and back pain further up the chain, they need attention.

Treatment Options

Custom orthotics to support the arch

Physical therapy to strengthen the posterior tibial tendon

Bracing for adult-acquired flat foot deformity

Surgical reconstruction for severe or progressive cases

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What to Expect at Your First Visit

A flat foot visit assesses whether your arch flattening is causing your symptoms and what, if anything, should be done about it.

Plan on 45 to 60 minutes. Bring the shoes you wear most often and any existing orthotics.

History of when the flat feet started and what symptoms they cause

Physical exam, including standing and walking assessment

Tests to assess the posterior tibial tendon (common source of adult flat foot)

Digital X-ray or ultrasound in-office if needed

Custom orthotic prescription if indicated

Physical therapy referral for tendon and arch strengthening

Discussion of bracing or surgery only if significantly needed

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Why Choose Ironworks

Ironworks is Rolesville’s dedicated podiatry and advanced wound care practice, serving Wake Forest, Youngsville, and the surrounding communities with the specialized, personal care you shouldn’t have to travel to Raleigh or Durham to find.

Board-certified wound physician and podiatric surgeon with advanced training in foot and ankle medicine and surgery

In-office digital X-ray diagnosis and treatment in a single visit

Two specialties under one roof: foot and ankle care plus advanced wound healing

Same-day appointments for new patients with urgent issues

A local practice with small-practice attention: you'll see the same doctor each visit

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Frequently Asked Questions

Usually no. Painless flat feet in adults generally don’t require treatment.

Yes. Adult-acquired flat foot deformity (AAFD) is most commonly caused by progressive weakening of the posterior tibial tendon.

Most children do, a true adult arch develops by age 6–7 in most kids. If a child’s flat feet are painful, limit activity, or are associated with a tight Achilles tendon, evaluation is warranted.

No. Plenty of elite runners have flat feet.

Reconstructive flat-foot surgery can produce excellent results in appropriate candidates. It’s major surgery with a long recovery (3–6 months minimum), so it’s reserved for patients with significant pain and dysfunction who haven’t responded to conservative treatment.

Ready to get started?

New patients are welcome, and most major insurance is accepted. Call us, request an appointment online, or stop by our Rolesville office. We’ll take care of the rest.

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