FLAT FEET DEFORMITIES (Pediatric and Adult)

Millions of children and adults have flat feet. Some can walk and function very well, but others have various degrees of discomfort and pain. Their ability to walk, run, stand, play and work is compromised by the severity of their foot problem.
Genetics are the blueprints of the body. Painful foot and ankle problems do run in families. When one or both of the parents have foot problems, the likelihood that their children will have foot problems dramatically increases. When a child inherits the worst genes from both parents, they may develop a flatfoot deformity that is far worse than either parent.
Examination of flat feet reveals abnormal alignment problems with the foot, the ankle, and the lower leg. Excessive flexibility with the joints in the foot accounts for the term flexible flatfoot. The foot may appear to have a normal arch lying in bed but the arch flattens whenever weight bearing occurs. The healthy foot must function as a stable tripod. If one were to draw a line from the heel to the big toe, from the big toe to the small toe and back to the heel, this would form the triangular weight-bearing surface of the tripod. The ankle and the leg balance on top of this tripod. A stable tripod allows the leg to remain vertical and the ankle joint to remain parallel to the ground. When the foot cannot support the ankle and the leg, stress develops in the knee, hip, and lower back.
Flatfoot Treatment has remarkably improved over the years.
Mild and moderate cases respond well to custom-made orthotic devices.  An orthotic is a custom designed shoe insert for the foot that is created from all three of the following: a non-weight-bearing, correct cast mold of each foot, a biomechanical examination of each foot, and a tailored orthotic prescription for each foot determines a well-made custom orthotic device. A properly made orthotic alleviates pain, realigns and stabilizes the foot, the ankle, the leg, the hip, and the back of children and adults. When orthotic control is not sufficient to stop the pain, then surgical options become necessary. In severe cases, patients are unable to work or play without pain in their foot and ankle. In extreme cases, merely walking across their bedroom floor brings tears to their eyes.
Many surgical procedures, over the last 100 years, emerged to address the flatfoot deformity. Unfortunately, each procedure initially viewed itself as the cure for all flatfoot problems. As a result, sometimes they worked, but many times they did not. The current high rate of success in treating flatfeet requires incorporating multiple flatfoot procedures together. Stabilizing each weakness or component ( ie; forefoot, mid-foot, rearfoot, and ankle) of the individual’s flatfoot deformity allows the stable tripod to emerge.

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