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Flatfoot or Fallen Arch This is a very complex disorder that a person is either born with or develops over time. A flatfoot typically causes pain in the arch area and also along the posterior tibial tendon. This tendon is responsible for holding up the arch, so when it can no longer do that, you start to experience discomfort at the location of the tendon. When someone develops a flatfoot, other conditions can also develop because of the way the foot is now functioning. These conditions include: Treatments available for flatfoot to help alleviate the discomfort include custom-molded orthotics, a period of immobilization, anti-inflammatory medications, and physical therapy. Surgical correction may be needed if the flatfoot has progressed to the point where non-surgical treatments are not helping take away the discomfort. These surgeries can involve different parts of the foot and vary based on the individual.