South Coast Specialty is staying on the leading edge with the latest techniques for podiatry procedures for patients of all ages and body types. A flat foot, or pes planovalgus, is a deformity that involves the arch of the foot. Patients will often present with a flattening and collapsing of the arch of the one foot only on the involved side of tendon tear. There is too much motion in the joints of the foot (mainly the subtalar joint) leading to the foot collapsing over time. The motion in the joints that move the foot from a higher arch to a lower arch is called pronation. Those patients that have too much motion in the direction of the arch falling have too much pronation motion that leads to a flat foot. The heel bone (calcaneus) will rotate on the joint and point outwards (valgus).
Over time arthritis in the joints can develop due to the excessive motions and strain through the foot and ankle. Some patients have a fixed rigid flat foot that has no motion. These are more complicated and more painful situations.
Not all patients with flat feet have pain or dysfunction. Not all patients with flat feet need correction. It can occur in children and adults.
Most patients will complain about a general fatigue and discomfort in the foot and ankle after long periods of standing and use of the feet. Some patients will have pain along the course of theposterior tibial tendon as well as where the tendon connects to the arch of the foot. There may be an inability to walk without a great deal of pain. Most of the pain will be in the middle of the foot and along the joints that support the arch.
A thorough examination of the entire lower extremity and the foot and ankle will be performed to evaluate a flat foot. It is important to identify the area of the foot that the collapse is stemming from. The amount of flexibility to the deformity will be evaluated. The more rigid the deformity the more complex the treatment becomes. Gait analysis will be beneficial as well. X-rays will be taken to evaluate the location of the bones and the condition of the joints and the amount of collapse. MRI’s may be needed to examine the amount of damage to the tendons. (https://www.footankleinstitute.com)
If flat feet are a concern for you, schedule your complimentary consultation to determine which options are in your best interest by clicking free consultantion or calling 800-578-8521.