Please be advised that our office will remain open despite concern for COVID-19. We are taking precautions to protect our staff and patients, and ask that you notify us if you are not feeling well prior to coming to your appointment. There are some cases where we may advise you to keep your appointment despite feeling unwell. We will update this message if there are any changes.

Eureka Office - 3258 Timber Fall Court, Eureka, CA 95503, (707) 441-1112 (Main Office)

Arcata Office - 3798 Janes Rd. Suite 6, Arcata, CA 95521, 707-441-1112 (Satellite office used by Dr. Miller on Friday's only. Please contact the Eureka office for all inquiries.)

Wound Care Clinic - 3800 Janes Rd., Arcata, CA 95521 707-825-4930 (Dr. Alway and Dr. Miller practice at the Wound Care Clinic on Thursdays' and Fridays')

707-441-1112
Our team of specialists and staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive patient library covering an array of educational topics. Browse through these diagnoses and treatments to learn more about topics of interest to you. Or, for a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided.

As always, you can contact our office to answer any questions or concerns.


Flat feet are a common condition of the foot structure. In infants and toddlers, prior to walking, the longitudinal arch is not developed and flat feet are normal. Most feet are flexible and an arch appears when children begin standing on their toes. The arch continues to develop throughout childhood, and by adulthood most people have developed normal arches.

Flat feet are generally associated with pronation, a leaning inward of the ankle bones toward the center line. Shoes of children who pronate, when placed side by side, will lean toward each other (after they have been worn long enough for the foot position to remodel their shape).

Many people with flat feet do not experience pain or other problems. When pain in the foot, ankle, or lower leg does occur, especially in children, the feet should be evaluated.

Painful progressive flatfoot, otherwise known as tibialis posterior tendonitis or adult-acquired flatfoot, refers to inflammation of the tendon of the tibialis posterior. This condition arises when the tendon becomes inflamed, stretched, or torn. Left untreated, it may lead to severe disability and chronic pain. People are predisposed to tibialis posterior tendonitis if they have flat feet or an abnormal attachment of the tendon to the bones in the midfoot.

Nonsteroidal anti-inflammatory medications, icing, physical therapy, supportive taping, bracing, and orthotics are common treatments for painful progressive flatfoot. Note: Please consult your physician before taking any medications. In some cases, a surgery may need to be performed to repair a torn or damaged tendon and restore normal function. In the most severe cases, surgery on the midfoot bones may be necessary to treat the associated flatfoot condition.