Is an abnormal condition (less than 3% of cases) and may indicate bone abnormality in the foot due to disease or injury. Flat feet that are inflexible and painful may result from a condition called tarsal coalition. Tarsal coalition occurs when two bones in the foot fuse together. This results in a highly inflexible foot and pain during walking, and shoes with arches may make the condition even worse. Children who exhibit flat feet and complain frequently of foot pain should be evaluated by a doctor, and normally undergo surgical treatment in their pre-teen years to correct the fusing.
Fortunately, living with flat feet is not the end of the world. For the rare cases of pes planus that cause patients great discomfort, treatment is fairly easy and inexpensive. For starters, stay away from athletic shoes that advertise an arch support system or advanced inner soles. Many times, these athletic shoes are driven more by marketing than actually working to improve your gait Additionally, orthotic sole inserts and shoes specifically designed for podiatric conditions are your best friends. These shoes cannot only improve the comfort in your step, but your flat foot condition will improve as well.
Along the different surfaces of the feet run the muscles, tendons, and ligaments which allow complex movements to maintain balance and perform activities such as running, walking, and jumping. The plantar fascia ligament which runs from the heel to the metatarsals at the bottom of the foot supports the arch. Fallen Arches If there is pain associated with the foot or if the arch does not develop with toe-standing, x-rays are necessary. If a tarsal coalition is suspected, a CT scan is often ordered. If a posterior tibial tendon injury is suspected, your health care provider may recommend an MRI Treatment
There is no cause for concern if your feet are flat and you have no pain. If you experience aches in your feet after walking long distances or standing for many hours, flat feet may be the cause. You may also feel pain in your lower legs and ankles. Your feet may feel stiff or numb, have calluses and possibly lean toward each other. When to See a Podiatrist Depending on the cause of your condition, you may have sustained pain and inflammation. The doctor might prescribe medication to reduce the discomfort from these symptoms. Nonsteroidal anti-inflammatory (NSAIDS) medications are typically used to relieve your swelling and pain. Foot Surgery
Unless your child has symptoms and her doctor has recommended that she avoid certain activities, there is no need to limit your child’s physical activity because of fallen arches. Physical activity will not worsen flatfoot, according to the American Academy of Family Physicians, and neither will walking barefoot or wearing a particular kind of shoe. Outlook Flat feet are often associated with excessive pronation , which is the action that causes the foot’s arch to descend down and inward (flattening) as the foot strikes the ground. Pronation is a normal and necessary foot motion. Overpronation, however, means that feet pronate to an excessive degree while standing, walking or running.
Flat feet may come from certain muscles and tendons that are tight in the lower leg that end up pulling on the lateral side of the foot (the outside edge). High arched feet (when serious enough to impair function) often comes from an underlying foot disorder, such as the malunion of fractures or shin splints. Flat feet are characterized by a a flattening the the medial longitudinal arch (inside foot arch). This causes the foot to roll in excessively in order for the boy to maintain stability. This excessive internal rotation occurs at the subtaler joint in the ankle and is known as over pronation.
Technique refers to correct form and/or body mechanics when performing a movement or sport. ‘Technique’ as it relates to plantar fasciitis applies more commonly to runners. Proper cadence, posture and leg action are important variables that when applied correctly can reduce the magnitude of pronation, impact stress and improve overall efficiency. Cadence refers to the number of steps taken in a given period of time, commonly one minute and an optimal cadence tends to be a higher cadence. The normal (or average) calcaneal inclination angle is between 18-22 degrees. For information, and graphics, regarding the calcaneal inclination angle, and other related radiographic angles of the human foot, click here