Flatfoot Deformity
Being “flatfooted” is much more complex than it sounds. There are a wide array of symptoms and deformities associated with being flatfooted. Since there are so many contributing factors to low arch height, a proper evaluation is warranted. A flatfoot can be rigid or flexible, however, in this discussion, we will discuss only flexible flatfoot, since it seems to be the most common presentation.
Flexible flatfoot usually begins in childhood and progresses through adulthood. It often occurs in both feet and worsens with age. As the deformity progresses with age, the tendons and ligaments that hold up the arch with stretch and tear and become inflamed.
A flexible flatfoot means that your arch flat only with standing, but the arch returns with sitting.
Diagnosis of a flatfoot is made with clinical evaluation by Dr. Kory Williams or Dr. Eric Silvers. X-rays are normally ordered to see the bones and joints.
Conservative Treatment
1. Shoe modifications – wear supportive athletic shoes and avoid flip-flops and other shoes that have no arch support.
2. Activity Modifications – avoid situations in which you stand or walk for a prolonged time. Give your arches a rest.
3. Weight loss – if you are obese, try to lose some weight. Too much weight can aggravate your symptoms.
4. Orthotics – Custom orthotic devices (that go into your shoes) are the best conservative treatment available.
5. Immobilization – sometimes a walking cast or going keeping weight off the limb is the best option.
6. Medications – Anti-inflammatories
7. Physical Therapy – this can provide temporary relief.
When conservative therapy has been exhausted and every non-surgical attempt has been tried, then surgery can be performed.
Traditionally, flatfoot surgery is not performed in kids less than 12-13 years old. The type of flatfoot surgery varies from patient to patient. The type of flatfoot surgery depends on:
1. The amount of deformity present
2. The type of deformity present
3. Other health problems
4. Patient’s ability to responsible after the surgery
Dr. Kory Williams and Dr. Silvers are well versed and trained in the area of flatfoot surgery. If you or your child has a flatfoot deformity, please make an appointment at Advanced Foot & Ankle Center in McKinney, TX and Prosper, TX. Call 972-542-2155.
