Flatfoot, or pes planovalgus, occurs when the arch of the foot collapses, causing the heel to roll outward and the midfoot to flatten. This can lead to pain, swelling, instability, and difficulty walking. The condition may develop gradually from tendon weakness, injury, arthritis, or structural abnormalities.

When orthotics, physiotherapy, or supportive footwear no longer provide relief, flatfoot reconstruction surgery can realign the foot, restore its natural arch, and prevent further joint degeneration.

Mr. Turab Syed, a fellowship-trained consultant orthopaedic surgeon specialising in foot and ankle surgery, performs flatfoot reconstruction procedures at Kings Park Hospital in Stirling and The Lanarkshire Clinic in Hamilton. This page outlines the condition, surgical approach, recovery process, and what patients can expect under Mr. Syed’s expert care.

What is flatfoot reconstruction?

Flatfoot reconstruction aims to correct deformity, rebuild the arch, and restore the foot’s natural alignment. The procedure is tailored to each patient’s specific needs and the underlying cause of the deformity.

Common causes of adult-acquired flatfoot include:

• Posterior tibial tendon dysfunction (PTTD) – weakening of the main arch-supporting tendon.
• Arthritis in the midfoot or hindfoot joints.
• Previous injuries or fractures.
• Congenital flatfoot present from birth.

Without correction, the condition can progress, leading to joint stiffness, pain, and even deformity of the ankle and knee.

Who can benefit from flatfoot reconstruction?

You may benefit from surgery if you:

• Have persistent foot or ankle pain despite non-surgical treatments.
• Experience swelling or tenderness along the inside of the ankle.
• Notice a visible arch collapse or your foot rolling inward.
• Find walking, standing, or wearing shoes increasingly difficult.

Mr. Syed performs a detailed assessment, including weight-bearing X-rays or MRI scans, to determine the extent of deformity and identify the best treatment approach.

Flatfoot reconstruction in Stirling & Hamilton: The procedure

Pre-operative preparation

Before surgery, Mr. Syed and his team ensure you are fully prepared through:

• A detailed consultation and examination.
• Diagnostic imaging to map deformity and tendon condition.
• Pre-operative health checks and guidance on medication.
• Clear instructions on post-operative recovery and mobility aids.

The surgery itself

Flatfoot reconstruction typically combines several procedures to restore balance and stability. Depending on the individual case, Mr. Syed may perform:

• Tendon repair or transfer – restoring the strength of the posterior tibial tendon or using other tendons for support.
• Osteotomy – cutting and realigning bones (usually the heel or midfoot) to rebuild the arch.
• Ligament reconstruction – reinforcing soft tissues that stabilise the foot.
• Joint fusion (arthrodesis) – stabilising arthritic or severely deformed joints if needed.

The procedure is performed under general or spinal anaesthesia and usually takes 2–3 hours.

Mr. Syed operates at:

• Kings Park Hospital, Stirling (Polmaise Rd, FK7 9JH) – advanced orthopaedic facilities and post-operative care.
• The Lanarkshire Clinic, Hamilton (Cadzow Avenue, ML3 0FT) – modern, patient-focused private hospital setting.

Duration and post-op care

Following surgery, patients typically stay in hospital overnight. Early care focuses on:

• Immobilisation in a plaster cast or boot.
• Elevation to reduce swelling.
• Pain relief and careful wound management.
• Instructions for safe, non-weight-bearing movement with crutches.

Recovery and aftercare

Recovery after flatfoot reconstruction is gradual and structured:

• 0–6 weeks: Non-weight-bearing in cast or boot.
• 6–12 weeks: Gradual return to partial and then full weight-bearing as bones and soft tissues heal.
• 3–6 months: Physiotherapy begins to restore movement, balance, and strength.
• 6–12 months: Return to normal footwear and daily activities, with lasting pain relief and improved alignment.

Physiotherapy is crucial in restoring normal gait and long-term function.

Risks and complications

Like all surgical procedures, flatfoot reconstruction carries risks such as:

• Infection.
• Blood clots (DVT).
• Nerve irritation or numbness.
• Delayed bone healing or non-union.
• Persistent swelling or stiffness.

Mr. Syed uses meticulous surgical techniques, advanced imaging, and close follow-up care to minimise risks and ensure the best possible outcomes.

Why choose Mr. Turab Syed in Stirling & Hamilton?

• Specialist in foot and ankle reconstruction, with fellowship training and broad clinical experience.
• Comprehensive, personalised approach tailored to each patient’s anatomy and lifestyle.
• Modern surgical techniques to enhance recovery and outcomes.
• Convenient locations at Kings Park Hospital in Stirling and The Lanarkshire Clinic in Hamilton.

FAQs

Is flatfoot reconstruction painful?
Some discomfort is normal after surgery, but pain is effectively managed with medication.

How long does recovery take?
Most patients resume light activity by 3 months, with full recovery typically within 9–12 months.

Will my foot look normal again?
Yes, reconstruction restores a more natural arch and balanced foot shape.

Can the deformity come back?
With proper rehabilitation and footwear support, recurrence is rare.

Book your consultation

If you suffer from flatfoot pain or loss of arch that affects your mobility, flatfoot reconstruction with Mr. Turab Syed can help restore comfort and confidence.

Book a consultation today at Kings Park Hospital in Stirling or The Lanarkshire Clinic in Hamilton to explore your treatment options.