Does My Baby Have Pes Cavus Foot

Overviewbr> br> Pes cavus foot occurs in about 8% to 15% of the population, but it does not get nearly as much attention in the medical literature as does its counterpart, pes planus. Sixty percent of individuals with cavus feet develop foot> br> br> br> Causesbr> br> In many people, we do not know the cause of their cavus foot. These people tend to have milder deformities and the foot appearance sometimes runs in the family. Many medical conditions which cause weakness or lack of co-ordination of muscles can result in a cavus foot. Examples of such conditions include spina bifida, muscular dystrophy and conditions in which the small nerves in the legs do not work properly. It What is the tendon at the back of your ankle? - thought that even when no definite medical condition can be found, cavus feet are probably due to very slight weakness of muscles in the legs and> br> br> br> Symptomsbr> br> Foot Drop. Inbalance/Instability of the foot region. Pain in the metatarsal heads. Frequent lateral ankle sprains. Hammertoes. Pain while walking. Pain while standing. Stiffness in the lower leg and foot joints. Overall foot pain. Claw Toes. Sesamoid> br> br> br> Diagnosisbr> br> Diagnostic testing often includes magnetic resonance imaging (MRI) if one suspects a peroneal tendon problem or ankle instability. Perform electromyography and nerve conduction velocity testing if you suspect Charcot Marie Tooth. If a high suspicion of muscular dystrophy is present, perform - a sural nerve> br> br> br> Non Surgical Treatmentbr> br> If a considerable part of the deformity is flexible, a corrective orthosis should be used. For example, in forefoot-driven cavovarus, the hindfoot is flexible, and so an orthotic shoe insert incorporating lateral forefoot posting (support) and recessing under the first metatarsal will allow the hindfoot to correct. For ankle instability, the lateral side of the hindfoot post can be built up as well as the lateral forefoot post, creating a pronatory moment on the forefoot that counteracts the excessive supinatory moment in the> br> br> br> Surgical Treatmentbr> br> Surgery may be needed. If the patient is a child sometimes the condition can be treated by releasing the tight structures causing the muscle imbalance. In other cases the tendons may need transferred or surgical reconstruction of the joints and bones needed. If the foot has become rigid there may be procedures called calcaneal or metatarsal osteotomies performed to help re-align the foot. These types of procedures are aimed at providing functional control and pain relief, not for cosmetic appearance.

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