11/7/2022 0 Comments Pes planus deformity![]() ![]() Heel cord stretching is another reasonable intervention to improve any discomfort. There is little information to support using one over the other. 2 Both OTC and hard custom orthotics have been shown to relieve pain without significant increase in the height of the arch. Orthotics can offer some relief, but for patients with shortened Achilles tendons, it potentially can cause more discomfort. For symptomatic patients with flexible flat feet, there is increased intrinsic muscle activity, which can result in soreness and achiness of the feet. ![]() Although many clinicians recommend orthotics, studies have shown that after years of wearing orthotics, the feet remain flat. 1įor the asymptomatic patient, no intervention is needed. Those symptoms may be limited to pain in the foot near the head of the talus, or can be complaints of knee, hip, or back pain. Patients with rigid flat feet or flexible flat feet with shortened Achilles tendon usually begin to complain of discomfort with activity in the second or third decade of life. ![]() This is crucial in predicting whether symptoms will emerge if they haven’t already. When the patient is supine, again note if the arch is present and check the degree of dorsiflexion and plantarflexion.ĭetermine whether the talus bone is straight or in a valgus position, and whether there is a shortened Achilles tendon. It is key to examine the patient while he or she is standing, to see if the arch is present and to gauge the orientation of the talus bone. There are more formal procedures using foot prints and x-rays, but practically speaking those are not necessary. Evaluating for flat feet in the clinic is usually limited to inspection in weight bearing and non-weight bearing. Given that the arch does not fully form until the end of the first decade of life, neither diagnosis nor treatment should be given until after that time. Flexible flat feet account for two-thirds of diagnosed cases. Flat feet are classified into three categories flexible flat feet, flexible flat feet with short Achilles tendon, and rigid flat feet. Because flexible flat feet usually are asymptomatic, some authorities have difficulty classifying it as abnormal. Francine PearceDetermining the incidence is complicated by the lack of classification of normal versus abnormal. ![]()
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