A foot deformity characterized by an elevated longitudinal arch, caused by fixed plantar flexion of the forefoot, may be seen in both pediatric and adult populations. 2/3 of patients have neurologic condition, when bilateral, often hereditary. deformity caused by contracted plantar fascia, weak tibialis anterior being over-powered by peroneous longus, table of foot deformity muscle imbalances.
Pes cavus may be hereditary or acquired, and the underlying cause may be neurological, orthopedic or neuromuscular. Pes cavus is sometimes, but not always connected through Hereditary Motor and Sensory Neuropathy Type 1 (Charcot-Marie-Tooth disease) and Friedreich's Ataxia; many other cases of pes cavus are natural.
Symptoms may vary from a mild problem with shoe fitting to significant disability such as difficulty finding proper fitting footwear because the shoes are not deep enough due to high arch and the clawed toes. Shortened foot length. Foot pain with walking, standing, and running. Metatarsalgia with pain in the forefoot/ ball of the foot (usually 1st and 5th metatarsal heads), with or without calluses/corns. Pain and stiffness of the medial arch or anywhere along the mid-portion of the foot. Morton's neuroma with pain in the ball of the foot and lesser toes. Pain in the heel and sole of the foot from plantar fasciitis. Stress fractures of the metatarsals and other foot pain child (testyseries4678.exteen.com) bones. Particularly in diabetics and those with compromised circulation, abnormal pressure may result in chromic ulcers of the heel and ball of the foot. Strain and early degenerative joint disease (osteoarthritis) of lower extremity joints. ?Pump bumps" (Haglund's deformity) on the back of the heel. Associated discomfort within and near the ankle joint. Ankle instability with frequent sprains. Tight Achilles tendons. The knees, hips, and lower back may be the primary source of discomfort. Chronic lower extremity pain my lead to inactivity and diminished well-being.
When your high arches are causing you pain, are making your ankle unstable, or if you notice the arches are getting higher over time, you definitely want to see your podiatrist about them. To diagnose your condition, your podiatrist may ask you about your family history.
Non Surgical Treatment
If a considerable part of the deformity is flexible, a corrective orthosis should be used. For example, in forefoot-driven cavovarus, the hindfoot is flexible, and so an orthotic shoe insert incorporating lateral forefoot posting (support) and recessing under the first metatarsal will allow the hindfoot to correct. For ankle instability, the lateral side of the hindfoot post can be built up as well as the lateral forefoot post, creating a pronatory moment on the forefoot that counteracts the excessive supinatory moment in the hindfoot.
As a rule, surgeons try to avoid performing a fusion (called an arthrodesis) of the foot if at all possible. In some severe deformities or in cases that involve significant arthritis, certain joints may need to be fused using plates, screws or pins to help decrease pain and correct the deformity. Unfortunately, this means that some motion in the foot and ankle will be lost permanently. Yet this does not necessarily compromise the patient?s ultimate function. Examples of joint fusion (called arthrodesis) procedures include ankle arthrodesis (which limits up and down motion of the foot) and triple arthrodesis (meaning that three separate joints of the hindfoot are fused together, limiting side to side motion).
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