Do Flat Feet Make You Shorter? The Impact on Posture

Flat feet are a common condition where the arches on the inside of the feet are relatively flat, often causing the entire sole to touch the ground when standing. This article explores the relationship between flat feet and a person’s actual height, and how this foot structure can influence overall body alignment and perceived posture.

Flat Feet and Standing Height

Flat feet do not reduce a person’s actual skeletal height. Human height is determined by the length of the bones, particularly those in the legs and spine, not by the presence or absence of a foot arch. The foot’s structure includes the medial longitudinal arch, which runs along the inner side of the foot. This arch functions as a spring-like structure, absorbing shock and distributing body weight during movement.

When a person with flat feet stands, this arch collapses, leading to pronation. While this flattening causes the foot to make more contact with the ground, it does not shorten the bones that define one’s height. Some sources suggest that the collapse of the arch might lead to a very minor decrease in standing height, often described as fractions of an inch. However, scientific studies indicate no significant correlation between arch height and actual standing stature.

How Flat Feet Affect Overall Posture

While flat feet do not shorten skeletal height, they can influence overall body alignment and posture, making a person appear less upright. The body functions as a kinetic chain, meaning that misalignments in one area, such as the feet, can affect structures higher up the body. The feet serve as the foundation, and their positioning directly impacts the alignment of the ankles, knees, hips, and spine.

Excessive pronation, or the inward rolling of the ankles associated with flat feet, can initiate a cascade of postural adaptations. This can lead to the internal rotation of the lower leg, potentially causing the knees to turn inward (knock-knees). Misaligned knees then affect the hips, causing them to rotate internally or tilt forward, which impacts the pelvis and spinal alignment. These compensatory changes can include an increased curvature in the lower spine (lumbar lordosis) or a forward head posture. Such postural deviations can create the perception of reduced height or a less erect stance, even though bone length remains unchanged.