Flatfoot
(Fallen Arches)
FLATFOOT
It is rare to find someone who walks with both feet in perfect alignment. Often we walk on the inside or outside of our feet, or with our toes or heels rotated inward. These typical walking patterns can cause many problems not just with the feet but also for the whole body as the alignment of the feet sets the foundation for the whole body’s alignment. One of the most common effects of improper alignment is known as flatfoot or fallen arches.
Also known as fallen arches, the condition of flatfoot is characterized by a lack of appropriate arch in the inner foot. It can be a genetic condition or the result of improper body mechanics. Often the whole of the foot will contact the ground. Because a healthy foot is structurally able to support the weight of the body thanks to the bone structure that comprises the arch, a flat foot often is unable to properly support this weight and will cause extreme pressure in the joints above, such as the ankles, knees, and hips.
If you have flatfoot, you may also experience pain throughout the lower body and into the lower back. Orthotics can be prescribed to create a system of support for the body and surgery can also offer a more permanent solution. Contact us today to discuss which treatment option may be right for you.
Posterior tibial tendon dysfunction (PTTD) - is the inflammation or overstretching of the posterior tibial tendon in the foot. The key function of the posterior tibial tendon is to support the arch in the foot. The tendon serves as a major supporting structure to assist the foot function while walking - however, if PTTD is present then the result is oftentimes an “adult-acquired flatfoot.”
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Generally, adult-acquired flat-foot occurs only in one foot but can be seen in both. This ailment is generally progressive, so if left untreated, the symptoms will continue to get worse. Symptoms generally occur after an activity that requires the use of the tendon such as running, walking, hiking, or climbing stairs. Symptoms of PTTD will change as the condition worsens but initially include:
-Pain
-Swelling
-Flattening of the arch
-An inward roll of the ankle
When PTTD initially develops, it begins with pain on the inside of the foot and ankle. The area may be red, warm, and swollen, as well. As the arch begins to flatten, there may still be pain on the inside of the foot and ankle, however, the foot and toes begin to turn outward and the ankle rolls inward. As it reaches its advanced stages, the arch continues to flatten and the pain often shifts to the outside of the foot, below the ankle. This indicates that the tendon has deteriorated considerably and arthritis is likely developing in the foot.