If you're experiencing arch pain related to flat feet and are desperately trying to release yourself from this kind of pain, then you would use an approach that would deal with that pain directly. Pes planus is a condition where the arch or instep of the foot collapses, coming in contact with the ground. This makes the foot much less flexible than normal when it is moving, and may cause undue stress on the foot resulting in pain and discomfort. When tarsal coalition exists and is causing significant problems the options include non-surgical or surgical treatment. The idea is to provide your flat feet with medial arch support to reduce creating foot strain. In simple terms, the back part of the foot can be made to flatten out due to arch problems - and vica versa for that matter. Dr. Blitz specifically identifies the cause of the flat foot as this will determine the best treatment plan, as each flat foot needs to be evaluated individually. These shoes are often marketed as metabolizing walking shoes. Several different factors can cause flat feet. A base physician could surgically remove the nail's part from your origin, leaving a toenail that will not mature in that area to you; releasing you from pain. Understand that finding shoes that provide padding and assistance may be the priority, while looking for shoes. For footwear that best suits individuals selected conditions may be recommended by podiatrists. I've never come across another Asian with Flat Feet in my life so far. Pretty sure race isn't a factor, most of my Asian friends and family don't have flat feet. I'm china and my foot arch is pretty much non-existant. My big toe is about the same length as my 2nd toe. Improperly fitting footwear can lead to additional foot problems. However, since the excessive rolling inward of the arches of the foot also make the leg and knee more turned inwards, children with flatfeet may also complain of pain in the low back, hip, knee, or leg due to the abnormal mechanics of the foot which is created by the flatfoot deformity. As mentioned above, the pediatric flatfoot deformity can be diagnosed at a very early age, but is unlikely to be properly diagnosed unless the doctor is a foot specialist, like a podiatrist, and is familiar with the intricacies of the structure and biomechanics of the foot. After speaking with the parent and child, the podiatrist will examine the foot both while the child is not bearing weight but also while the child is standing, walking or running. Often, the family history is also taken since the foot should be examined closely if the child has a close relative who had a painful flatfoot deformity as a child or adult. Motion-control walking shoes have more support for the mid-foot. In fact, I have turned that ankle, as a result, some 2 dozen times or more playing sports growing up. This flat footed UNDER-pronation has also caused knee problems in that knee; where there are no wear or knee problems with the othe foot. The only time I felt a notable difference and elimination of knee pain, was when a running store clerk gave me Brooks Dyad for flat feet.-NOT OVER-PRONATION- I could feel the difference in the step all the way through the leg in the first few steps in the store. The only thing I could assume, is being an athlete; maybe my foot over compensates to the outside of the foot to make up for it; I dont know. But I would definitely address your foot style, and not merely assume your running or step motion/style! And unfortunately, there are not many shoes specifically addressing UNDER-pronators.