f you stood on a big piece of paper with wet feet, would the impression leave only the heel and front of your foot? If so, then you have pes cavus, whose literal translation is ?hollow foot.? In everyday terms, pes cavus means your arch is much higher than normal. High arches don?t usually cause debilitating pain, though fatigue and foot aches are common. Your high arches might be a variation of what?s considered normal. The condition tends to run in families. But in many cases, a high arch, specially if it develops unexpectedly in one foot, ould highlight an underlying neurological problem.
Among the cases of neuromuscular pes cavus, 50% have been attributed to Charcot-Marie-Tooth disease, which is the most common type of inherited neuropathy with an incidence of 1 per 2,500 persons affected. Also known as Hereditary Motor and Sensory Neuropathy (HMSN), it is genetically heterogeneous and usually presents in the first decade of life with delayed motor milestones, distal muscle weakness, clumsiness and frequent falls. By adulthood, Charcot-Marie-Tooth disease can cause painful foot deformities such as pes cavus. Although it is a relatively common disorder affecting the foot and ankle, little is known about the distribution of muscle weakness, severity of orthopaedic deformities, or types of foot pain experienced. There are no cures or effective treatment to halt the progression of any form of Charcot-Marie-Tooth disease.
Common complaints generally associated with pes cavus include pain under the heads of the metatarsals and heel, frequent lateral ankle sprains and repeated footwear issues. There are a number of symptoms associated with pes cavus, however, one can not assume that they have pes cavus even if they experience each of the below listed symptoms. If you do experience any of the below symptoms however, please consult your doctor.
To diagnose cavus foot, your doctor will examine your foot and review your medical history. In most cases, your foot will undergo muscle testing and your walking pattern will be evaluated. To provide a more accurate diagnosis, x-rays may also be done in certain cases.
Non Surgical Treatment
Treatment for cavus foot varies depending on the severity of your condition. Mild cases of cavus foot can often be remedied with foot and ankle bracing, custom-made orthotics or wearing more comfortable shoes. If your condition remains unresponsive to the aforementioned treatment methods, surgical treatment may be necessary. Surgery for cavus foot aims to relieve pain and improve stability.
In severe cases of cavus, surgical intervention is often necessary. The main consideration for surgical planning is the cause of the cavus deformity. Consider whether it is a structural deformity or one caused by an underlying traumatic event such as a peroneal tendon tear or ankle instability. Furthermore, in either a structural or traumatic case, it is a foot corn painful (bethconcienne.weebly.com) important to consider if the cavus is from a plantarflexed first ray only, a calcaneal varus only or a combination of the two deformities together. After considering all the information, one can plan for surgery.
برچسب: foot pain child، foot pain gabapentin، foot pain evaluation،
+ نوشته شده: ۸ مرداد ۱۳۹۶ساعت: ۱۲:۱۳:۵۸ توسط:Jed Brumby موضوع: