What to understand about flat feet before your first walk

Flat feet are not a sentence and not an automatic ban on long walks. Many people have low arches for years without pain. In that case, the task is simple: walk regularly, but do not turn every walk into an endurance test.

In practice, what matters most is not the shape of the arch itself, but three things: whether there is pain, whether the foot is changing over time, and whether it can handle your usual load. If your foot hurts along the inner edge, behind the inner ankle, in the heel, or quickly feels “packed up” after walking, that is no longer just cosmetic. It is a signal to adjust your shoes, distance, and recovery.

2–23%
prevalence estimate in adults
6 wks
common length of early exercise programs
≤3/10
guide for acceptable load pain

A good goal with flat feet is not to “create a perfect arch,” but to walk in a way that leaves your foot calm the next day.

Self-check: when walking fits, and when you need diagnosis

If your flatfoot is flexible — the arch appears when you stand on tiptoe or take weight off the foot — walking usually remains a good form of exercise. But if your foot has become flat recently, especially on one side, or the pain is increasing, it is better not to guess from the internet. In adults, this is sometimes linked to overload of the posterior tibial muscle and tendon, which help support the inner arch.

  • You can continue careful walking if the pain is mild, does not change your gait, and goes away after rest.
  • Reduce the load if pain increases during the walk, you start limping, or the foot is noticeably worse the next morning.
  • Book an appointment with a doctor, orthopedist, podiatrist, or physical therapist if pain persists, the foot swells, you feel weakness when rising onto your toes, or one foot has become noticeably flatter.
  • Do not tolerate numbness, burning, night pain, marked redness, or sharp pain after an injury.
Red flag

If you cannot rise onto your toes on one leg and the pain runs along the inner side of the ankle, postpone increasing your distance. This is a reason for an in-person exam: this kind of situation is better not treated by simply changing sneakers.

Clinical Biomechanics, 2004
Mechanics and control of the flat versus normal foot during the stance phase of walking
In a comparative study, people with pes planus showed differences in joint moments and muscle activity while walking, but the authors emphasized that the expected picture of “excessive movement everywhere” did not appear. Practical takeaway: you do not need to automatically consider every flat foot weak or dangerous — look at symptoms and load tolerance.

How to dose your steps: start from a tolerable distance

The most common mistake is starting from the “normal” number in an app instead of what your foot can handle. With flat feet, it is better to track not only steps, but also your body’s response: pain during walking, foot fatigue in the evening, and how things feel the next morning.

  1. Choose a baseline walk after which pain does not increase and your gait does not change.
  2. Walk in the same shoes and on a similar surface so you can understand what your foot is reacting to.
  3. If everything is calm the next morning, add a small section to the next walk instead of jumping to a new big goal.
  4. If the foot aches longer than usual, return to the previous distance and keep the pace easy.
  5. When things are calm again, increase only one parameter: either distance, pace, or terrain.
A simple diary rule

After a walk, write down three things: where you walked, which shoes you wore, and how your foot felt in the morning. After a couple of weeks, you will see what provokes pain: distance, speed, paving stones, sand, or one specific pair of shoes.

Pace: conversational walking beats a forced march

For most people with painful flat feet, the best starting point is a pace at which you can speak in phrases without getting short of breath. It is the same principle as in the talk test: the load is active enough, but it does not force the foot to suddenly change its step mechanics.

If speeding up immediately sends pain into your arch, heel, or inner ankle, do not fight it with willpower. Shorten your stride, keep your feet pointed forward as naturally as possible, and do not “press” the arch into the ground. Gentle, even, rhythmic walking is often tolerated better than rare but heroic outings.

SituationWhat to chooseWhy it is gentler for the foot
Starting after a breakA level route and easy paceFewer sudden balance corrections
Inner ankle hurtsA shorter stride and lower speedReduces the jolt in the push-off phase
You want progressLonger first, faster laterThe foot adapts more easily to one change
You need a step goalGradually raise your average daySharp jumps more often cause overload

Surfaces: where the foot has it easier, and where it tires faster

The best surfaces to start with are smooth asphalt, a rubber track, firm dirt without holes, a flat promenade, or a shopping mall in bad weather. They are predictable: your foot does not have to catch a slope, stone, or dip with every step.

  • Tiles with uneven seams and cobblestones can tire the foot faster because of constant micro-corrections.
  • Soft sand is not a “gentle” beginner option: it demands more work from the foot and lower leg.
  • Grass feels pleasant, but only if the surface is level and visible; hidden dips are not a good fit when there is pain or instability.
  • Add hills, stairs, and long descents only after level walking no longer provokes symptoms.
Journal of Experimental Biology, 2013
Biomechanics and energetics of walking on uneven terrain
In an experiment, walking on an uneven surface increased step variability, joint work, and energy cost compared with a smooth path. For a person with painful flat feet, this explains a simple practice: start with level and predictable routes, then add parks, dirt paths, and terrain.

Shoes: support matters more than just a soft sole

With flat feet, shoes should not only cushion, but also help the foot avoid “rolling” inward if that is what triggers pain. A sole that is too soft can feel comfortable in the store, but on a long walk your foot works inside it as if on a mattress: nice for the first few minutes, tiring later.

  • The heel should sit securely: the heel counter should not fold easily under your fingers.
  • The sole should bend at the toes, but not twist like a rag along its whole length.
  • The toe box should be wide enough so your toes are not squeezed or searching for support at the side.
  • The insole should be removable: that makes it easier to add an orthotic or a more supportive insert.
  • Inner arch support should feel like support, not like a sharp bump under a bone.
  • After a walk, there should be no new blisters on the inner edge of the foot and no increase in knee or shin pain.
How to try shoes on

Try shoes on with the socks you actually walk in, and walk around the store not only back and forth, but also with turns. If the arch support immediately presses in one painful spot, do not hope it will “break in”: support should be noticeable, but not painful.

BMC Musculoskeletal Disorders, 2023
Foot orthoses for flexible flatfeet in children and adults: a systematic review and meta-analysis
A review and meta-analysis found that in adults with flexible flatfoot, orthoses may reduce walking pain more than control conditions, but the studies vary in design and quality. This supports a sensible approach: insoles are a tool for symptoms, not a mandatory purchase for everyone.

Insoles: when ready-made is enough, and when you need custom

If you do not have pain, insoles do not have to become part of your life. If pain appears while walking, you can start with a good-quality ready-made insole with moderate arch support and a stable heel. Give your foot time to adapt: first use it for short errands, then for a regular walk.

Custom insoles are more reasonable to discuss if ready-made ones do not help, your feet are noticeably different, there is a pronounced deformity, your work involves long periods of standing, or pain returns with every increase in load. In some cases, you need more than an insole — a higher orthosis or brace may be needed, especially if the tendon behind the inner ankle is affected.

Journal of Foot and Ankle Research, 2021
Evidence for foot orthoses for adults with flatfoot: a systematic review
A 2021 systematic review reached a cautious conclusion: evidence on orthoses for adults with flatfoot is mixed, so the same effect cannot be promised to everyone. This is important protection from marketing: evaluate not the price of the insoles, but pain, function, and walking tolerance.

Mini-exercises: the foot likes strength work too

An insole can reduce load, but it does not replace muscle work. With flexible flatfoot, exercises for the small muscles of the foot, calves, posterior tibial muscle, hips, and glutes often help. You do not need a complex routine: consistency and avoiding flare-ups matter more.

  1. Short foot: gently draw the base of your toes toward your heel without curling your toes like hooks.
  2. Slow calf raise: keep your weight through the big toe, but without collapsing inward.
  3. Use towel scrunches with your toes as a light warm-up, not as the main strength test.
  4. Add banded hip abduction if your knee drifts inward when you walk.
  5. Stretch your calf calmly, especially if your heel lifts early and your step becomes stiff.
European Journal of Physical and Rehabilitation Medicine, 2023
The combined effect of short foot exercises and orthosis in symptomatic flexible flatfoot
In a randomized study, participants with symptomatic flexible flatfoot performed short-foot exercises together with an insole. After the treatment program, the “exercise plus insole” group improved pain, function, and pressure measures more than the insole-only group. Practical takeaway: support and training work better as a team.

Signals that it is time to reduce the load

In short
  • Flat feet without pain do not require heroic treatment, but they do require comfortable shoes and a sensible load.
  • Start with a distance after which your foot is no worse the next morning than it was before the walk.
  • A level surface and conversational pace are the best start when the arch is painful.
  • Not everyone needs insoles; they are more useful when there is pain, fatigue, or the foot rolls inward in the shoe.
  • Add soft sand, cobblestones, hills, and long descents later, not in the first weeks.
  • If pain changes your gait, swelling appears, or rising onto your toes feels weak, go for an in-person exam.
Pain rule

During a walk, use tolerable pain up to 3/10 as your guide. If pain increases, changes your gait, or comes back stronger the next day, that is not “normal adaptation” — it is your foot asking you to reduce the load.

FAQ about flat feet

Can you walk 10 000 steps with flat feet?

Yes, if you are ready for it and your foot does not hurt. But the number itself is not more important than your body’s response. If your current comfortable level is lower, first build stable walks without feeling worse the next morning, and only then raise the goal. This guide on how to increase distance can help with gradual progress.

Does everyone with flat feet need orthotic insoles?

No. If there is no pain, your gait is fine, and your shoes are comfortable, mandatory insoles are usually not needed. If you have pain while walking, fatigue, or your shoes collapse inward, you can try insoles as a way to reduce load, ideally together with exercises.

Which shoes are better: stable or minimalist?

With painful flat feet, it is usually safer to start with a stable pair: a firm heel counter, a sole that does not twist, room for your toes, and space for an insole. Minimalist shoes should not be introduced suddenly for long walks: the foot needs time and strength.

Why do feet hurt faster on sand?

Sand is soft, but unstable. It takes away some of the step’s energy and makes the foot and lower leg work harder for push-off and balance. If you want to walk on the beach, start with a short section on the firmer wet strip, not a long walk through loose sand.

What if my heel hurts, not my arch?

Heel pain can have different causes, including the plantar fascia, Achilles tendon overload, and shoes. Reduce your volume, check your shoe support, and do not walk through worsening pain. If morning pain with the first steps persists, read the separate guide on walking with plantar fasciitis and contact a specialist.

Sources

  1. Banwell H.A., Mackintosh S., Thewlis D. Foot orthoses for adults with flexible pes planus: a systematic review. Journal of Foot and Ankle Research, 2014. DOI: 10.1186/1757-1146-7-23
  2. Hunt A.E., Smith R.M. Mechanics and control of the flat versus normal foot during the stance phase of walking. Clinical Biomechanics, 2004. DOI: 10.1016/j.clinbiomech.2003.12.010
  3. Herchenröder M., Wilfling D., Steinhäuser J. Evidence for foot orthoses for adults with flatfoot: a systematic review. Journal of Foot and Ankle Research, 2021. DOI: 10.1186/s13047-021-00499-z
  4. Oerlemans L.N.T. et al. Foot orthoses for flexible flatfeet in children and adults: a systematic review and meta-analysis of patient-reported outcomes. BMC Musculoskeletal Disorders, 2023. DOI: 10.1186/s12891-022-06044-8
  5. Jafarnezhadgero A. et al. Effects of foot orthoses application during walking on lower limb joint angles and moments in adults with flat feet: a systematic review with meta-analysis. Journal of Biomechanics, 2024. DOI: 10.1016/j.jbiomech.2024.112345
  6. Elsayed W. et al. The combined effect of short foot exercises and orthosis in symptomatic flexible flatfoot: a randomized controlled trial. European Journal of Physical and Rehabilitation Medicine, 2023. DOI: 10.23736/S1973-9087.23.07846-2
  7. A comprehensive exercise program improves foot alignment in people with flexible flat foot: a randomised trial. Journal of Physiotherapy, 2023. DOI: 10.1016/j.jphys.2022.11.011
  8. Voloshina A.S., Kuo A.D., Daley M.A., Ferris D.P. Biomechanics and energetics of walking on uneven terrain. Journal of Experimental Biology, 2013. DOI: 10.1242/jeb.081711
  9. Zamparo P. et al. The energy cost of walking or running on sand. European Journal of Applied Physiology and Occupational Physiology, 1992. DOI: 10.1007/BF00705078
  10. Silbernagel K.G. et al. Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy. The American Journal of Sports Medicine, 2007. DOI: 10.1177/0363546506298279
  11. Mayo Clinic. Flatfeet: diagnosis and treatment. Clinical overview of diagnosis, supportive footwear, orthoses, exercises, and signs that you need help. Mayo Clinic
  12. American Academy of Orthopaedic Surgeons. Orthotics. Patient guide to types of orthoses, foot support, and the risk of choosing the wrong insert. AAOS OrthoInfo

Read also

Qozgal

Count your steps with Qozgal

A free app that counts your steps, keeps your streak and motivates you to walk every day.

All blog articles