Category Archives: Pes Planus

Foot Abnormalities In Down Syndrome

First described in the orthopedic literature in 1969, posterior tibial tendon dysfunction (PTTD) can be caused by a partial or complete tear of the distal muscle tendon.1 Since the initial report, several authors have commented on the presentation and progressive nature of this pathology in regard to orthotic and/or surgical management.2-5 This pathology is more common in middle-aged and older individuals. The progression is insidious and often unnoticed until significant deformity is present. Though rare, PTTD has been described in young athletes.6 The mechanism of injury involves an excessive amount of stress placed on the tendon during rapid changes in direction, as in playing basketball or hockey.

Flat feet is a medical condition in which the arch of the foot has fallen. This condition is known as pes planus or fallen arches. As an athlete with flat feet, one of the most important things that you can know and take to heart is how to get comfortable in your shoes. With the wrong kind of shoe, the athlete stands to not only injure his foot, but also suffer from joint pain. While the diagnosis may be suspected on clinical grounds, diagnostic ultrasound or magnetic resonance imaging (MRI) should be done to better assess the condition of the tendon.

Many students have no symptoms associated with their flat feet. But others note some foot pain in the heel or arch area, difficulty standing on tiptoe or swelling along the inside of the ankle. Usually it is foot pain that will prompt a visit to your doctor, who will likely examine the foot, may order X-rays and could recommend meds for pain, and possiblly some sort of shoe insert. Rarely do you need to go further with treatment. There are fewer foot problems associated with individuals who have a rectus (average arch height) foot type vs. a cavus (higher arch height) or a planus (lower arch height) foot type.

Orthotics. Insoles placed inside the shoe are important conservative interventions that work by providing structural support to the flexible flatfoot. 8-10 Over the counter arch supports may be tried. Custom insoles prescribed by a physician may better balance the foot. There are specific modifications that can be added to the insole to address the collapse of the arch (such as medial flanges) and eversion of the heel (such as heel posts and skives). Spot cushioning is also very useful for areas of excessive pressure related to a flatfoot. With each step the patient takes, the inflamed nerve becomes compressed between the ground and the deep transverse metatarsal ligament.pes planus icd 9

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Other causes of shin splints are flat foot also known as Pes Planus , and it is a leading cause of medial tibial stress syndrome. The shape of a flat foot causes the other muscles of the medial shin area to over stretch and this weakens them significantly, giving way to inflammation. The stress of having to deal with this over and over again during walking causes more inflammation and eventual development of the shin splint. Pes planus is a condition in which the arch or instep of the foot collapses and comes in contact with the ground. In some individuals, this arch never develops while they are growing.

The problems podiatrists deal with include things like those resulting from bone and joint disorders for example arthritis and soft-tissue and muscular pathologies along with neurological and circulatory illnesses. Podiatrists can also diagnose and treat any kind of complications of the above that impact the lower limb, such as skin and nail disorders, corns, calluses and ingrown toenails. Foot injuries and infections gained as a result of sport or other activities are also diagnosed and treated by podiatrists. Private health insurance funds include podiatry services under their ancillary tables. Government-funded services may be found in some public hospitals, community health centres along with other publicly funded utilities.

In summary, this is a condition in which the foot doesn’t have a normal arch. The primary cause of flat feet is over-pronation; although another cause is a stiffening of the foot joints that fixes the foot in a position with a flattened arch. The anatomy of someone with flat feet is a deficiency in that the foot cannot ever achieve rigidity that a normal foot can. If you or your child is experiencing chronic pain in the arch of the foot, check with your doctor and perhaps even suggest a referral to a podiatrist. In most cases, minor treatments can provide great relief.

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