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发布于:2016-2-19 11:58:57  访问:21 次 回复:0 篇
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Pes Cavus Foot Correction
Overview
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.
Causes
There are different causes of a high-arched foot. In many cases, the cause is unknown. In other cases, the cause is a nerve disease, clubfoot or injury. Treatment ranges from changes in shoewear to surgeries, depending on the amount of deformity and related problems.
Symptoms
Pain and stiffness of the medial arch or anywhere along the mid-portion Arthritis of the Foot and Ankle the foot. There may be associated discomfort within and near the ankle joint. The knees, hips, and lower back may be the primary source of discomfort. Pain in the ball of the foot, with or without calluses. Heel pain.
Diagnosis
It is critical to establish whether there is a neurological diagnosis and whether it is progressive or static. In the growing foot, the deformity may be progressive although the neurological impairment may be static. The history should cover the onset of foot problems and how they have progressed. Pain, instability, difficulty walking or running and problems with footwear are frequent complaints. Neurological symptoms, such as sensory changes, weakness and clumsiness should be sought. Back pain or headaches may signify a central cause. Family history may suggest a hereditary cause.
Non Surgical Treatment
Podiatric Care is usually very conservative at first with a modification in shoes or making orthotics. X-rays are commonly taken to evaluate the internal bone structure of your foot. If other neuromuscular causes are suspected of causing the foot deformity your podiatrist may refer you to a specialist to test the nerves or muscles.
Surgical Treatment
Surgery for cavus foot is complex. It often requires two operations performed two weeks apart. In the first operation, the doctor cuts and releases the tightest of the soft tissues in the arch. The rest of the tissues relax during the following two weeks. In the second operation, the doctor cuts and reshapes at least one bone using a bone graft , and moves several tendons to new locations on the foot to improve muscle balance.
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