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Flat Foot

Motion beyond the limits!

Flat foot is medically known as pes-planu-valgus where your foot doesn’t have the curve on the inner border of the foot. There are different types of flatfeet e.g structural flatfoot and/or functional flatfoot. Foot is made of 26 bones, arranged in a manner to provide sock absorbing aches/curves in our feet for active living.

In structural flatfoot, bones are mall-aligned and we can’t restore the arch with external forces. In addition to that, a person with structural flatfoot is not able to stand on his/her forefoot or toes.

However, in functional flatfoot we are able to get arch during the physical examination with the help of external forces. We can also witness the presence of arch in flexible flatfoot patients during tip toe walking. This is mostly due to hyper laxity or dysfunction of stabilizing muscles of medial arch.

Flatfoot remains painless until you start getting the complications. It includes foot/ankle pain and in advance cases you experience pain in the knee, hip and/or lower back. Often such pains are associated with limb length problem where on of your leg could be shorter then the other one. That can lead to pain on one side and could affect the muscles and joints of lower limb due to bio-mechanical dysfunction.

Causes of flatfeet are very much unknown. One of the reason could be hereditary or it could be acquired due to an injury or environmental factors such as flat flooring and shoes at early walking age could also lead to the flattening of your feet.

Many people believe that flatfoot is not an issue to fix unless it is painful and affecting the daily living of a person. In my point of view, it should be addressed as soon as you discover that you or your family member has flatfoot. The reason to fix it the earliest is to delay/ or absolute the complications to ensure the active and healthy living. It could also help us to avoid knee knocking and repeated fall in childhood.

Primarily flatfoot is managed by over the shelve or custom made inner soles to stabilize your foot and to ensure the proper weight and pressure distribution on your feet. This should be done under the supervision of qualified and experienced orthotics professional to ensure the maximum compliance.

If you need further information about flatfoot, please feel free to contact me!

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Why I should read?

In this blog we will discuss about the different physical problems/disabilities, their related biomechanics, prevention from re-injury/complications in at-risk conditions with their possible solution for quick recovery, rehabilitation and reintegration after an injury or disease.

I have almost 8 years experience in this field and worked in variety of settings including the academia, clinical and fabrication areas. I have earned cranial orthotic management certification from American Board to advance my professional capacity. I hope you will find my posts informative and helpful in your day to day life for healthy motion!

Most of my clinical experience is in pediatric and sports orthotic management. I have publications on clubfoot bracing and excellent hands on work experience in Ponseti club foot management and bracing program. My experience in foot and ankle orthotic treatment is helping me to treat patients without medicines/surgeries and helping them to resume their active life style with maximum freedom. Another area of my experiences includes the deformity management in cerebral palsy, scoliosis, post polio paralysis, post stroke rehabilitation, long term patient care.

If you have any questions, suggestions or recommendations or want to share your ideas, please feel free to contact me on my email address cpozeshan@gmail.com

High Arch Foot

High Arch foot is know as Pes Cavus in medical terminology. It is totally opposite to the flatfoot and characterized by high arch on inner border (medial) of the foot. The fingers of foot foot often have clawing due to excessive contraction of the foot floor muscles. Such high arch make foot more vulnerable to lateral ankle sprains.

Due to the very high medial arch the patient has less flexibility and shock absorption. It also has uneven distribution of weight and gravitational forces that can lead to ankle instability. High arch foot often present with corns and/or callosities under the foot fingers head due to excessive pressure and weight on them. They also experience nerve pains between the 2nd and 3rd finger of the foot due to morton’s neuroma. Stress fractures are also very common in high arch foot.

High arch foot is easy to identify with naked eye. You will see a very high arch on inner border of your foot and in relation to that front area of your foot (forefoot) would be internally rotated (adducted) and the heel will be twisted outward. Such people usually notice the reduction of their sole outer border thickness due to altered walking pattern. In some cases they feel pain on the upper part of the foot due to stress fractures or excessive pressure from shoes covers on it.

Since high arch foot is a wide and is bulky therefore you should consider your shoes type while buying new shoes for you. You should always check your shoes width at the store you are buying from to ensure the availability of required width in your shoes because it could cause morton’s neuroma and other problems in your foot.

To have a pain free walk and to avoid complications, you should use a nice insole with shock absorbing properties to support the foot function. It will allow your foot to avoid unnecessary stress and encourages better mobility. Should you want to talk about your feet? please feel free to contact me on cpozeshan@gmail.com

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