Do I Have Flat Feet?

  • Price:114.00 Dollar US$
  • Published date: October 31, 2015
    • Location: Bellthorpe, Ashta-Sehore, Bellthorpe

Most people have a natural arch in their foot, formed by bones, muscles and connective tissues. About one in four people in the United States has flat feet - pes planus" in medical terms, and also referred to as fallen arches or pronated feet (when one or both feet roll inward). Symptomatic flexible pes planovalgus that has failed extensive conservative management can be surgically treated with a calcaneal lengthening ostotomy as described by Evans.

In hypermobilty the thumbs and little fingers can be hyperextended onto the forearms, elbows and knees can be hyperextended beyond 10°, palms can be placed flat on the floor with knees straight. Start with your foot in a neutral position and raise up to your tiptoes, pressing down with your toes.

In addition to wearing an orthotic, it is recommended to wear supportive shoes with some degree of built-in ‘motion control'. Flat feet or pes planus to give the condition its proper name, is a problem which first becomes noticeable in early childhood. Everyone is born with flat feet, but as the body grows the arch of the foot lifts to give the foot its characteristic shape, with the arch lifting off the ground. This is not generally a problem, unless the Achilles tendon is tight, in which case the feet lose flexibility and are unable to deal with the normal forces generated from walking. Even when the foot arch forms normally during childhood, the arches can collapse. Symptoms of fallen arches include an inability to stand on tiptoes, foot arch pain, and premature fatigue of the feet during exercise. There is also commonly a lack of mobility in the feet.

More descriptions of presentations which fit the general pes planus description. But to me, a term describing the shape of the foot would make more sense non weight bearing. The shape of the foot on the ground is a position into which force can push the foot. So why If my foot is capable of being flat, would it be described as a flat foot. But I does strike me that if pes planus could mean anything from a foot which is rock solid fused flat on or off WB to a foot which returns to an "average" shape non weight bearing but conforms to whatever shape is placed on it (including flat clinic flooring), it is an exceedingly broad term indeed. Its definitely not precise, if it could mean anything from rigid to... very low stiffness and from some arch to no arch and tells nothing about what movements at what joints are making the foot flat. This may help to cause PP, or may contribute to symptoms such as foot pain when there is existing PP.

So last week I went back to the doctor, all indignant - this sore foot is still sore!! Even as he's trying to tell me the arch has fallen, I'm arguing that the pain is on top of my foot, not on the bottom. I put the darn things inside my shoes and notice that I can't feel the one in my right shoe at all but the one in my left shoe is definitely taking some pressure from my foot. But, on the bright side, I have to admit that today I've been so thankful that all I have to worry about is a fallen arch. Since last Novemeber I just wanted to chop the damn feet off. My feet tingle and ache even with the arch supports in, but a lot less. Who would think that something so simple would cause so much pain. I wait until I can't stand the pain before I go to the doc and then I too am angry with him. An orthopedic foot and ankle specialist should be consulted.

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