Flatfoot Reconstruction

Many cases of flat feet can be managed without surgery, especially when symptoms are mild to moderate. At Novant Health, we emphasize conservative, non-invasive care to reduce pain, improve arch support and help you stay active.

Your personalized treatment plan may include:

• Footwear modifications: supportive shoes with built-in arch support or a wider toe box to reduce strain
• Padding or orthotics: custom or over-the-counter inserts to improve alignment and cushioning
• Medication: nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, to reduce pain and inflammation
• Physical therapy: stretching and strengthening exercises to support arches and improve overall foot function
• Activity modification: guidance on pacing, low-impact exercises and supportive strategies

If conservative treatments no longer provide relief or your flat feet significantly affect your daily activities, surgery may be recommended. Our board-certified foot and ankle surgeons specialize in flatfoot reconstruction and arch repair procedures designed to restore arch height, relieve pain and improve foot alignment while supporting a smooth recovery.

Depending on your condition, your surgeon may recommend a minimally invasive or traditional open procedure.

Minimally invasive flatfoot reconstruction

Small incisions and specialized instruments are used to correct bone and soft tissue alignment. Benefits can include less postoperative discomfort, minimal scarring and faster recovery.

Open flatfoot surgery

Recommended for more severe or complex cases. This approach allows precise realignment of bones and tendons, restoration of arch support, and correction of joint misalignment through advanced arch repair techniques.

Both options are performed with careful attention and may be guided by advanced imaging for optimal results.

We create a tailored recovery plan to support healing and restore foot function:

• Weeks 1–6: protective boot or surgical shoe as swelling decreases and gentle motion exercises begin
• Weeks 6–12: gradual weight-bearing, with physical therapy focused on flexibility, strength and balance
• Return to activity: most patients resume normal footwear and daily activities within three to six months, depending on the procedure and individual needs

After recovery, your care team will guide you in using supportive footwear, orthotics and exercises to maintain arch support, reduce pain and prevent future problems after flatfoot reconstruction or arch repair.