Flat feet are a common finding in many groups of patients and can be related to both genetic factors or acquired through failure of supporting muscles, tendons and joints resulting a foot where the arch collapses. There are both flexible and varying degree of rigid flat feet depending on structural conformity of the feet and any degenerative changes.
Other flat foot characteristics include:
- Heel Valgus were the heel bends outwards from the midline of the body when standing. The achilles tendon functions in an incorrect alignment.
- Shortening of the achilles tendon and weakness with a resultant collapse of the arch and the foot function in an outwards manner often called “duck walking”
- Bunions and hammertoe deformities: both bunions and hammertoes are common deformities, but they can manifest as a secondary complaint from the Flat Foot.
Tibialis Posterior Tendon Dysfunction (PPTD):
This is the most common acquired reason for developing flat foot deformity as a result of the tibialis posterior tendon failure. This often seen in middle aged men and women causing pain on the inner side of the ankle as the first sign withs welling and gradual weakness of the foot with difficulty in performing heel raise.
An extensive array of examination are required with X-rays and MRI to assess this appropriately and should be managed aggressively to ensure that this does not result in life long disability.
Symptoms that may occur in some cases, include:
- Aching or fatigue in the foot / leg
Pain in the heel, arch, ankle, or the outside of the foot
Pain along the shin bone.
Over pronation (rolling in of the ankle)
Lower back, hip or knee pain
Non-surgical Flatfoot Treatment:
Conservative treatments are attempted in the first instance.
- Reduce activities that cause pain and avoid long walks or standing so that you can rest your arches.
- Reduce weight and modify activity.
- Specialise insoles to support arch with ankle brace.
- Aircast boot or cast immobilisation followed by Physio rehab
- short course of anti inflammatories and possible injections of steroid or PRP or Stem Cell therapy
- Flatfoot Surgery?
When conservative measures and treatments fail surgery might be the most appropriate option. There are many available surgical techniques that can be used to treat Flat Feet
Your Surgeon will consider a number of important factors when determining which surgical procedures are most appropriate for your case, including age, activity levels and results of Medical Imaging.
We use the Hyprocure flat foot implant
to treat flat feet in the young patients and those with reducible and flexible flat feet deformity.