Flat Foot and PTTD

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Adult Flat Foot Treatment

One in four adults in the U.S. has flat feet or fallen arches. Some people are born with flat feet, while others acquire it as they get older. The foot may be flat all the time or it may lose its arch when the person stands (“flexible flatfoot”). Many people with flat feet don’t experience any symptoms. Others, however, suffer from heel or ankle pain, tired feet, bunions, arthritis in the foot or ankle, foot or ankle deformity, knee or back pain, or other problems that need professional treatment.

Adult Acquired Flat Foot begins during or after childhood and worsens over time. Causes include a tight Achilles tendon, obesity, “wear and tear” as a person ages, abnormalities higher up the leg, and rupture of a tendon or ligament in the foot. The most common and serious cause of flat foot is Posterior Tibial Tendon Dysfunction, where the main tendon that supports the arch gradually weakens.

Pediatric Flat Foot Treatment

Most children are born with flexible flat foot, where the arch of the foot flattens when the child stands. It’s normally a painless condition that fades as the soft tissues in the child’s feet strengthen. The arches often appear by about age five, although flexible flat foot can continue into adolescence and beyond. In some cases, flat feet can cause pain in a child’s feet, ankles or legs and may indicate a more serious underlying condition.

To ensure that your child’s flat feet aren’t associated with any other problems, the doctor will check for warning signs such as arch inflexibility, calluses, tight Achilles tendons, tarsal coalition (fusion of bones in the feet), pronation (leaning-in of the ankles), and pain or weakness in the feet or ankles. He or she will also examine the child’s shoes and ask whether there is a family history of flat feet or neurological or muscular disease.

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