Pes Planus Causes, Indications And Therapies

Overview

Adult Acquired Flat Feet

A quarter of Americans have flat feet. While most people with flat feet don't have serious problems as a result, for some, flat feet can cause disabling foot pain as well as knee pain, shin splints, Achilles tendinitis, and plantar fasciitis. A person with foot or leg pain should pay particular attention to whether one foot is flatter than the other.




Causes

Over-pronation is a common biomechanical problem that occurs when the arches collapse while walking or standing. This condition hampers our natural walking pattern, causing an imbalance, and leading to wear and tear in other parts of the body with every step we take. Whether you suffer from over-pronation like most of the population, or you have a true flat foot, in both cases your poor walking pattern may contribute to a range of different complaints. As we age, poor aligment of the feet causes very common conditions such as heel pain or knee pain. Over-pronation has different causes. Obesity, pregnancy, age or repetitive pounding on a hard surface can weaken the arch, leading to over-pronation. Over-pronation is also very common with athletes, especially runners, who most of them nowadays use orthotics inside their shoes.




Symptoms

Feet tire easily and become painful and achy, especially around the arch, ankle and heel. Swelling on the inside bottom of your feet. Back and leg pain. Difficulty standing on toes.




Diagnosis

Diagnosis of flat feet or fallen arches can be made by your health practitioner and is based on the following. Clinical assessment involving visual gait assessment, as well as biomechanical assessment. A detailed family and medical history. A pain history assessment determining the location of painful symptoms. Physical palpation of the feet and painful areas. Imaging such as MRI or x-ray can be used by your practitioner to assist in the diagnosis.




Non Surgical Treatment

Most cases of fallen arches are not painful and need no form of treatment. However, common symptoms of fallen arches can include pain in your feet (particularly in the area of your heel or arch), pain in your feet that persists after long bouts of physical activity or standing up, achy feet, or arch pain when standing on the tips of your toes. Most cases of fallen arches are not preventable. Treatments for fallen arches include, rest, ice, compression, medication to relieve pain, orthotics, or in some cases surgery.




Surgical Treatment

Flat Foot

Feet that do not respond to the treatments above may need surgery. The surgery will help to create a supportive arch.




Prevention

Flat feet or Fallen Arches cannot be prevented due to congenital of nature or from underlying disease process; however, painful symptoms and future pathology from Flat Feet or Fallen Arches may be prevented by the following. Continue to wear your orthotics for work and exercise to provide stability and maintain function of your feet. Footwear. Continue to wear supportive shoes to maximise the function of your orthotic and prevent excessive movement of the joints in your feet.