The Effect of Orthosis and Exercise in Pes Planus

This study is examining the effectiveness of orthotics (custom or prefabricated shoe inserts) combined with exercise therapy versus orthosis alone for treating pes planus (flat feet) in children. Pes planus is a condition where the arch of the foot collapses and the entire sole contacts the ground, which can sometimes cause pain, fatigue, and postural problems. Children are the primary focus because the foot is still developing during childhood, and early intervention may lead to better long-term outcomes. The study will measure changes in foot alignment, pain, and function over the course of treatment. You may be eligible if: - You are a child between 3 and 10 years old - You have been clinically diagnosed with pes planus (flat feet) - Your calcaneal pitch angle is less than 15 degrees (confirmed on imaging) You may NOT be eligible if: - You have peripheral neuropathy (nerve damage in the legs/feet) - You have an active infection in the foot or leg - You have rheumatoid arthritis - You have had previous foot or ankle surgery Talk to your doctor to see if this trial is right for you.