Fallen arches, flat feet, or Plantar fasciitis can cause pain and discomfort in the legs, feet, ankles, Achilles tendon, hips, and low back. In this video, Ron Vaughn, a sports massage therapist, and Christie Powell, a physical therapist, explain how the feet become pronated (fallen arches) and how some simple at-home exercises can strengthen the arch muscles to allevaite pain and discomfort.
Abnormal development of the foot, producing Pes Planus, may be due to neurological problems, eg cerebral palsy, polio. Bony or ligamentous abnormalities, eg tarsal coalition (fusion of tarsal bones), accessory navicular bone. A small proportion of flexible flat feet do not correct with growth. Some of these may become rigid if the Pes Planus leads to bony changes.
The primary symptom of flatfeet is the absence of an arch upon standing. Additional signs of flatfeet include the following. Foot pain. Pain or weakness in the lower legs. Pain or swelling on the inside of the ankle. Uneven shoe wear. While most cases of flatfeet do not cause problems, complications can sometimes occur. Complications include the following, bunions and calluses, inability to walk or run normally, inflammation and pain in the bottom of the foot (plantar fasciitis), tendonitis in the Achilles heel and other ligaments, pain in the ankles, knees, and hips due to improper alignment, shin splints, stress fractures in the lower legs.
Flat feet are easy to identify while standing or walking. When someone with flat feet stands, their inner foot or arch flattens and their foot may roll over to the inner side. This is known as overpronation. To see whether your foot overpronates, stand on tiptoes or push your big toe back as far as possible. If the arch of your foot doesn't appear, your foot is likely to overpronate when you walk or run. It can be difficult to tell whether a child has flat feet because their arches may not fully develop until they're 10 years of age.
fallen arches exercises
Non Surgical Treatment
If your condition is bothersome, try elevating your feet and using ice on the arches to reduce swelling. Your podiatrist can recommend several orthotic aids and inserts to strengthen the tendons of your foot. He can also demonstrate stretching exercises or refer you to physical therapy to get those tendons back into shape. If the symptoms of fallen arches are painful and troubling, he may recommend a steroid injection to relieve inflammation and pain. And in some instances, he may determine that surgery is necessary.
Fallen arches may occur with deformities of the foot bones. Tarsal coalition is a congenital condition in which the bones of the foot do not separate from one another during development in the womb. A child with tarsal coalition exhibits a rigid flat foot, which can be painful, notes the patient information website eOrthopod. Surgery may prove necessary to separate the bones. Other foot and ankle conditions that cause fallen arches may also require surgery if noninvasive treatments fail to alleviate pain and restore normal function.
Time off work depends on the type of work as well as the surgical procedures performed. . A patient will be required to be non-weight bearing in a cast or splint and use crutches for four to twelve weeks. Usually a patient can return to work in one to two weeks if they are able to work while seated. If a person's job requires standing and walking, return to work may take several weeks. Complete recovery may take six months to a full year. Complications can occur as with all surgeries, but are minimized by strictly following your surgeon's post-operative instructions. The main complications include infection, bone that is slow to heal or does not heal, progression or reoccurrence of deformity, a stiff foot, and the need for further surgery. Many of the above complications can be avoided by only putting weight on the operative foot when allowed by your surgeon.
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