In common idiopathic flat foot, the condition is generally asymptomatic. An affected child's parents may note that the child's feet are flat, that gait is awkward, or that they wear their shoes badly. An adult with this condition may complain of 'foot strain'- aching feet after walking or standing.
On examination, obliteration of the medial arch is seen when the patient stands. The navicular bone is often prominent and it is not possible to pass fingers under the medial arch. The patient's feet are examined when sitting to look for sites of tenderness and to test the range of movement.
The individuals' shoes may exhibit excessive wear on the medial side of the sole and the outer side of the heal.
The knees, hips and spine should be examined.
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