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31.12.2013

Fallen arch in foot,best heel pads for heel pain,best shoe inserts for heel spurs,does freezing a plantar wart work - PDF 2016

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Flexible flatfeet are considered normal in young children because babies are not born with a normal arch. Unlike a flexible flatfoot, a rigid flatfoot is often the result of a significant problem affecting the structure or alignment of the bones that make up the foot's arch. Congenital vertical talus — In this condition, there is no arch because the foot bones are not aligned properly.
Tarsal coalition (peroneal spastic flatfoot) — In this inherited condition, two or more of the foot bones are fused together, interfering with the flexibility of the foot and eliminating the normal arch.
Lateral subtalar dislocation — Sometimes called an acquired flatfoot, it occurs in someone who originally had a normal foot arch. Congenital vertical talus — The foot of a newborn with congenital vertical talus typically has a convex rocker-bottom shape. Tarsal coalition — Many people have no symptoms, and the condition is discovered only by chance when an X-ray of the foot is obtained for some other problem.
Lateral subtalar dislocation — Because this often is caused by a traumatic, high-impact injury, the foot may be significantly swollen and deformed. If your child has flatfeet, his or her doctor will ask about any family history of flatfeet or inherited foot problems. The doctor will examine your feet for foot flexibility and range of motion and feel for any tenderness or bony abnormalities.
Although infants are usually born with flexible flatfeet, most develop normal arches sometime between ages 7 and 10. If a child older than age 3 develops symptoms, the doctor may prescribe a therapeutic shoe insert made from a mold of the child's foot or a corrective shoe. Call your doctor for persistent or unexplained foot pain, whether or not you have flatfeet.


Call your pediatrician or family doctor if your child complains about foot pain or appears to be walking abnormally. Congenital vertical talus — Although surgery usually can correct poor alignment of foot bones, many children with congenital vertical talus have underlying disorders that cause muscle weakness or other problems that interfere with full recovery. The foot loses the gently curving arch on the inner side of the sole, just in front of the heel.
In some cases, there is a reverse curve (rocker-bottom foot, in which the shape is like the bottom rails of a rocking chair) in place of the normal arch. In a lateral subtalar dislocation, there is a dislocation of the talus bone, located within the arch of the foot. When symptoms occur, there is usually foot pain that begins at the outside rear of the foot. 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.
Even when children with flexible flatfeet are treated with arch supports and corrective shoes, there is little evidence that these devices prevent the condition from lasting into adulthood.
The foot is placed in a cast and the cast is changed frequently to reposition the foot gradually.
For milder cases, your doctor may recommend nonsurgical treatment with shoe inserts, wrapping of the foot with supportive straps or temporarily immobilizing the foot in a cast. Even if there are no foot symptoms, it is wise to check with your doctor periodically about your child's foot development just to be sure that everything is progressing as expected. When surgery is necessary, the prognosis depends on many factors, including which bones are fused, the specific type of surgery and whether there is any arthritis in the foot joints. In some cases, there is continuing stiffness in the area of the foot arch, but this does not necessarily cause pain or difficulty in walking.


If this arch is flattened only when standing and returns when the foot is lifted off the ground, the condition is called flexible pes planus or flexible flatfoot. The dislocated talus bone slips out of place, drops downward and sideways and collapses the arch.
The rare person who is diagnosed at an older age often has a "peg-leg" gait, poor balance and heavy calluses on the soles where the arch would normally be. 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. For more severe cases, surgery is necessary to relieve pain and improve the flexibility of the foot.
If a child with flexible flatfeet begins to have foot pain, conservative treatment with shoe modifications can usually relieve the discomfort, although it may not correct the problem permanently. If the arch disappears in both foot positions — standing and elevated — the condition is called rigid pes planus or rigid flatfoot. It usually occurs suddenly because of a high-impact injury related to a fall from a height, a motor vehicle accident or participation in sports, and it may be associated with fractures or other injuries. With any conservative, nonsurgical treatment, the goal is to relieve pain by supporting the arch and correcting any imbalance in the mechanics of the foot. In many adults who have had flexible flatfeet since childhood, the missing arch is an inherited condition related to a general looseness of ligaments.



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