![]() ![]() Hip (and trunk) weakness fails to hold the leg in a healthy, relatively outwardly rotated position and also fails to resist internal rotation. The leg usually de-rotates when compensating for a few covert issues.Īnkle and hip stiffness force the leg to find an alternate path to move. In short, the majority of flat feet are a consequence of this internal rotation of the leg. Similarly, if you let go and let your legs rotate inwards your arches will collapse. As you see the entire leg rotate out (feet still straight) your arches will pull up. Imagine you are screwing your legs into the ground. Next, without moving your feet try and rotate your knees out. ![]() Take off your shoes and socks and stand with your feet straight. And in order to understand how, try this: Interestingly these two photos were taken seconds apart. The above image highlights the difference between flattened arches (top) and correctly positioned arches (bottom). The arch itself runs from the base of the big toe to the heel. When referencing the arch of the foot we specifically refer to the inside (or medial) border. So let’s go through some simple things to know about why flat feet probably aren’t a foot problem at the end of the day. Something that needs to be addressed if you truly want to solve your foot dysfunction. It’s the result of a broader breakdown in your overall leg mechanics. It’s often a huge surprise to learn that most arch-related issues are not actually an arch issue in isolation. After all, arch-supportive shoes, orthotics, and arch taping are highly effective symptom relievers.īut this can distract us from the bigger picture. Victor Prisk suggests that “About 30 percent of people have a flat foot.” Furthermore, he states that “For every person who has a flat foot, one in 10 probably has some symptoms from it.”Īnd this is important to acknowledge because the more symptomatic flat feet there are, the more we tend to look at the foot for answers. Interestingly, flat feet are reaching epidemic proportions among modern-day humans. FusionĪt the final stages (stage 3 and stage 4) of adult flat foot, the fusion of joints needs to be considered in order to effectively eliminate pain.Take a moment to look at the arches of your feet.ĭo they sit low to the ground? Or can you literally see an arch? This does not affect the function of the toes and patients make a full recovery. A tendon is taken from one of the lesser toes, which is then transferred to run behind the medial malleolus. A tendon transferĪ tendon transfer is considered if the tibialis posterior tendon is severely damaged. At LFAC, we can sometimes, where appropriate, carry out this procedure in a minimally invasive way. Sometimes known as the ‘heel shift’, this procedure involves moving the calcaneam, the large bone at the back of the heel which is out of alignment, correctly re- positioning it and then securing the bone using screws. The following procedures may be considered: The calcaneal osteotomy Surgery is sometimes required if the condition is more severe. If you see a specialist at an early stage (stage one or two), it is normally possible to correct the way your walk and therefore resolve pain by simple steps, namely the use of insoles, orthotics, rest and sometimes physiotherapy. The arthritis has spread to the ankle joint. The condition is increasingly painful and has lead to stiffness and arthritis in the hind foot. The severity of the flat foot is increasingly evident but it is not stiff or arthritic. Diagnosis is made during a physical examination and confirmed by ultrasound or MRI. There is inflammation of the tendon but no obvious deformity. Problems related to flat feet are classified into different stages and these stages define what sort of treatment can be carried out. ![]() If you have flat feet and are experiencing knee pain, back pain or headaches, it is important to consider whether your foot structure is contributing to pain. It is important to remember that flat feet can cause pain elsewhere in your body, due to poor gait and your weight being loaded unevenly up through your body with each step. You are in pain (even if it is a small amount of pain).You should see your GP and ask for a referral to a foot and ankle specialist if: Minimally Invasive Stiff Big Toe Surgery.Minimally Invasive Foot and Ankle Surgery.HCA Chiswick Outpatient & Diagnostic Centre. ![]()
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