Treatment For Pediatric Pes Planus Debated

  • Price:169.00 Dollar US$
  • Published date: October 26, 2015
    • Location: Epinal, Ashta-Sehore, Madhya Pradesh

If you have flat feet, a condition where the arches of the feet have collapsed, a lack of foot strength and flexibility can inundate you with physical symptoms, such as pain in the feet, low back and legs. High heels do more than sacrifice comfort for style, high heels have been linked to overworked leg muscles, injured leg muscles, osteoarthritis of the knee, lower back pain, ankle injuries and weakness in the legs.

The goal is to support the foot and prevent further stretching of lax ligaments and tendons. The inserts simply help the shoe better fit the foot and support the structures of the foot to prevent further deformity. Improving alignment can take tension off the soft tissue structures, reduce fatigue, and improve the biomechanics of standing and gait (walking). They may use ice, heat, ultrasound, or other electrical modalities on the bottom of the foot or along the lower leg to provide relief.

So as a parent, one must be observant as to the way a child's shoes wear down over time; paying special attention to the heel position. Pes Planus is a general term used to describe the flat-footed condition. It is also referred to as pesplanovalgus, fallen arches, and over pronation. There is a general consensus that pes planus is a common clinical finding; however, the incidence of pes planus is difficult to ascertain for a variety of factors not the least of which is a consensus on a grading or measureable definition. Foot posture has been correlated with factors such as age, presence of pathology, obesity and gender although the literature is inconclusive. The pathophysiology of pes planus is widely debated.

During the first decade of life, most people develop a longitudinal arch of the foot, but as ageing occurs, a mobile normal arched foot may become flat footed with ligamentous laxity. It is important to remember that a mobile flat foot will never become rigid unless there have been secondary causes such as trauma or arthritis. Similarly, a rigid flat foot will never become flexible, in time or after treatment. There probably is a reasonable appeal when the worker claims that working or walking on hard surfaces causes their pre-existing flat foot to become painful. It should be stressed that many people with pre-existing flat feet never have pain in their foot, and that people with normal arches in their foot also develop pain if they have to wear work boots or work and walk on hard surfaces. It is a simple clinical observation that the physician makes when he or she examines the patient on standing and walking.

Treatment is necessary if the patient is suffering any pain from the lower leg up to the foot or if the condition already affects the back and the knees. Treatment includes using orthoses like arch support, foot gymnastics or therapies required by the physician.

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