Splayed, flat or skew feet can, for example, lead to a functional change in the muscles attached to them. If the tension in these muscles changes, back or neck pain occurs. At the same time, there is increased wear and tear on the joints and, if the weight is not optimally distributed, premature wear and tear of the cartilage. In other words, wear and tear of the joint (osteoarthritis) occurs earlier. Splayed & flat feet can lead to an oblique position in the lower leg, which distributes the pressure unevenly on the knee joint. This can lead to excessive wear and tear of the joint cartilage, especially in the outer (lateral) area of the knee. In addition, the malposition of the foot can impair some of the cushioning function of the foot and ankle joints, which in turn increases the wear and tear of the cartilage in the knee – and also the pain.

Malpositions of the foot manifest themselves in many different ways, but are unfortunately rarely recognised as such. They are often signalled by pain or discomfort, especially after exertion. However, this does not only mean pain directly in the feet or ankles, but also back or neck pain, knee problems or discomfort in the hips. The reason for this is that malpositions of the foot can change the tension on muscles, which in turn cause pain in completely different areas of the body. The pain is over faster than the cause can be discovered, and treatment does not seem necessary.

Special attention is needed to detect foot malpositions in children. As they are still growing, muscles and tendons adapt more easily to malpositions, which prevents pain at a young age, but can affect the person in later life. In children, for example, an unusual rolling behaviour when walking indicates a malposition. It is also worth taking a look at the soles of their shoes. If these are worn asymmetrically, there is a possibility of a malposition of the foot. If a malposition runs in the family, it should be checked in the child, even if the child does not complain of any restrictions. The earlier the expert recognises the malposition, the greater the success that therapy promises.