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lady grillo blog about contact you may have pes planus? 7/3/2017 overview flat feet and fallen arches are common conditions that are in most cases asymptomatic. however, in patients who do have symptoms, treatments are available that can help reduce pain and promote efficient movement. orthotic devices are well recognised as an excellent treatment and podiatrists can offer these different treatment modalities as individualised treatments for patients. causes there is a lack of normal arch development, probably due to inherent ligamentous laxity. around 20% of adults have pes planus. the majority have a flexible flat foot and no symptoms. however, if there is also heel cord contracture, there may be symptoms (see 'contributing factors', below). loss of support for the arch. dysfunction of the tibialis posterior tendon, a common and important cause. tear of the spring ligament (rare). tibialis anterior rupture (rare). a neuropathic foot, e.g from diabetes, polio, or other neuropathies. degenerative changes in foot and ankle joints. inflammatory arthropathy, eg rheumatoid arthritis. osteoarthritis. fractures. bony abnormalities, eg tarsal coalition. symptoms not everyone who has flat feet experiences symptoms. others, however, feel persistent pain in their feet and wearing shoes can prove additionally painful. others only feel symptoms when they walk more than normal, go jogging or participate in a sport that involves running or kicking. diagnosis if your child has flatfeet, his or her doctor will ask about any family history of flatfeet or inherited foot problems. in a person of any age, the doctor will ask about occupational and recreational activities, previous foot trauma or foot surgery and the type of shoes worn. the doctor will examine your shoes to check for signs of excessive wear. worn shoes often provide valuable clues to gait problems and poor bone alignment. the doctor will ask you to walk barefoot to evaluate the arches of the feet, to check for out-toeing and to look for other signs of poor foot mechanics. the doctor will examine your feet for foot flexibility and range of motion and feel for any tenderness or bony abnormalities. depending on the results of this physical examination, foot x-rays may be recommended. x-rays are always performed in a young child with rigid flatfeet and in an adult with acquired flatfeet due to trauma. pes planus radiology non surgical treatment the simplest form of treatment is the use of custom fitted orthotics. for this, it is best to see a podiatrist, who is a trained medical professional that assesses feet and gives you a prescription for the orthotic. if the orthotics do not work - or if the deformity is very severe - then surgical management may be needed. there is a very wide range of procedures available, with varying downtimes and complexity. the simplest procedure of all is a simple calf release. this can be done at the back of the knee or the calf, and has a very quick recovery. it is a day-surgery procedure, and the patient can walk immediately after the surgery without the need for a cast. recovery back to jogging can be as early as three weeks. the calf release stops the deforming force but obviously does not correct the arch itself. it is usually done in combination with some of the other procedures mentioned below. done by itself, the patient will probably still require orthotics but by releasing the calf, it allows the orthotics to be much more effective. the other end of the spectrum is a complete reconstruction of the arch with bone work and screws to fuse joints. surgical treatment in cases of flat feet that have progressed substantially or have failed to improve with non-surgical treatment, surgery may be required and in some advanced cases, surgery may be the only option. your foot and ankle surgeon will determine the best approach for you. all the things you should understand about heel pain and discomfort 6/29/2017 overview one of the most common foot problems seen by physicians is heel pain. heel pain that occurs in adult patients is most commonly caused by a condition known as plantar fasciitis. this condition is sometimes also known as a heel spur. heel pain can also be caused by other factors, such as stress fracture, tendinitis, arthritis, nerve entrapment, cyst in the heel bone. causes a sharp stabbing pain, like a nail going into the bottom of the heel when first stepping on the foot after getting out of bed or after sitting for period of time, is the most common description for plantar fasciitis or heel spur syndrome. typically the pain eases off as the day goes on but it may not go away completely. a thick ligament that attaches to the bottom of the heel and runs the length of the foot to the toes can become inflamed and swollen at the attachment site. this tends to be an overuse type of injury where poor foot structure is involved; also, wearing of shoe gear that lacks adequate support (ie: worn out shoes, boots and flip-flops) and prolonged standing or walking are often implicated. a throbbing pain that gets worse as the day goes on and can be worse at night when laying in bed is most often associated with an irritated or entrapped nerve on the inside of the ankle or heel. this is similar to carpel tunnel syndrome in the wrist and hand. approximately 7 / 10 patients with heel pain have a component of nerve entrapment as the cause of their heel pain. this is also one of the most common causes of chronic heel pain because it is often missed as a diagnosis. when nerve entrapment is considered to be a cause, painless neurosensory testing is performed with the pressure specified sensory device? (pssd) at the foot & ankle center, pc to determine the extent of compression. a less common cause of heel pain but a stress fracture is often considered in athletes, such as long distance runners, who have heel pain. posterior heel pain (retrocalcaneal) this is pain in the back of the heel that flares up when first starting an activity. it is often associated with a large bump that can be irritated by shoes. the achilles tendon attaches to the back of the heel and, like on the bottom, this attachment site can often become inflamed; a spur may or may not be present. another painful area is a sac of fluid (bursa) that sits between the tendon and bone to act as a cushion for the tendon. this bursa can become inflamed often leading to significant pain called retrocalcaneal bursitis. symptoms depending on the specific form of heel pain, symptoms may vary. pain stemming from plantar fasciitis or heel spurs is particularly acute following periods of rest, whether it is after getting out of bed in the morning, or getting up after a long period of sitting. in many cases, pain subsides during activity as injured tissue adjusts to damage, but can return again with prolonged activity or when excessive pressure is applied to the affected area. extended periods of activity and/or strain of the foot can increase pain and inflammation in the foot. in addition to pain, heel conditions can also generate swelling, bruising, and redness. the foot may also be hot to the touch, experience tingling, or numbness depending on the condition. diagnosis to arrive at a diagnosis, the foot and ankle surgeon will obtain your medical history and examine your foot. throughout this process the surgeon rules out all the possible causes for your heel pain other than plantar fasciitis. in addition, diagnostic imaging studies such as x-rays or other imaging modalities may be used to distinguish the different types of heel pain. sometimes heel spurs are found in patients with plantar fasciitis, but these are rarely a source of pain. when they are present, the condition may be diagnosed as plantar fasciitis/heel spur syndrome. non surgical treatment when consulting a doctor about heel pain, a patient can expect to be questioned about their level of pain, how long they?ve been experiencing it, and which activities aggravat
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Registrant Organisation: Weebly, Inc.
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