You really don’t need to do a thing if your toddler has flat feet, unless she is complaining of pain. You can let her run around barefoot at home, and you need only insist that she wear shoes when she is outside, in order to protect the feet from potential injury by contact with glass shards or nails, for example. Shoes do not “treat” flat feet. But to make your child more comfortable, choose shoes with good arch support. Should I file for Posterior tibial tendon dysfunction and plantar faciatis or will those all be part of the Pes Planus Surgical procedures for the correctionof mildly-severe, resistant cases of SPP include specialized implants insertedinto the rear-foot. These procedures are referred to as subtalar joint (rear-foot)arthroeresis and limit/reduce the amount of motion which occurs during ambulation.Various types of soft tissue and tendon procedures are used in more moderately-severe,resistant cases of SPP. Pronation and supination are commonly heard terms, often in association with fallen arches, high arches, flat feet etc. This article explains the meaning of these terms and looks in particular at the problem of over-pronation Furthermore, when the legs rotate inwards the pelvis is forced to tilt forward. This results in constant strain and stress on the lower back muscles. Years ago, children were routinely fitted with special shoes and sometimes even braces for foot problems. Parents who used these devices in childhood often worry that their children will need them, too. It is important to remember that the approach to foot problems in young children has changed dramatically over the past few decades. Braces and special shoes generally are not prescribed these days because flat-footedness is often considered short-term and benign. Over pronation can lead to excessive stress on the feet, triggering back problems, tendonitis etc. Wearing normal shoes can aggravate the condition, hence special shoes for flat feet or custom orthotic inserts are recommended. Orthotic is a branch of health that is involved with the designing of gadgets used to reinforce and restore the role of the limb. These gadgets are known as orthoses. They are meant for use by people with medical and physical abnormalities of their feet which give them pain and irritation when they are wearing ordinary shoes and standing for longer times. This footwear works by manipulating the ground-foot contact as the person walks or stands. Patients may be overweight. A typical scenario is a middle-aged person who suddenly increases their activity level. It is a common disorder in runners and hikers. It has been suggested that they can be caused by repeated pounding on hard surfaces suggesting that this can also weaken the foot’s arch. Howeverone has to counter this with the knowledge that running in properly designed and fitting shoes, the impacts that occur in running and walkingactually strengthen the body's skeletal structure helping to prevent osteoporosis. It may well be that by the simple addition of Custom orthotics your arches can be re-adjusted for the weight-bearing position of your feet resulting in correctingthe other symptoms that you may have suffered.