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Flat Feet (Pes Planus)
People with flat feet have either have very low arch or no arch in their feet. The condition may be congenital (occurs at birth) or acquired (developed over time with aging or traumatic injury). Flat feet needs medical attention when it is only causing any symptoms that bothers their routine life style. This condition can also occur either one side or both side of the feet depending on the causes.
Genetic factors, as flat feet can pass from parents to children in the genes
weak arches, meaning that the arch is visible when a person sits but the foot flattens onto the ground when they stand
foot or ankle injury
Damage, dysfunction, or rupture of the posterior tibial tendon
Nervous system or muscle diseases, such as cerebral palsy, muscular dystrophy, or spina bifida
Discomfort, usually in arch of the feet
Pain, usually in arch of the feet as activity time increases
Pain in ankles, knees and hips due to the abnormal stress from uneven weight distribution
limb length discrepancy
Diagnosis can be made with clinical findings, through gait examination, biomechanical examination, plain radiographs. Sometimes imaging studies such as CT, and MRI may be ordered in order to further assess the bony deformities.
Conservative treatment for flat feet includes supportive, well fitted shoes, orthotics with arch supports, ankle braces if occurs with tendonitis. These treatments only treat the current symptoms, may not provide long lasting relief.
Surgical treatments are available in order to eliminate any severe pain that is chronic and has not relieved by any conservative treatments.
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