Larger drugstores often carry three-dimensional arch inserts at reasonable prices and these can help reduce plantar fascia pain. In addition, high-topped shoes or ankle boots can provide extra hindfoot support. Shoes having thick flexible soles, wide heels no more than 2 inches high, a wide toe box, and shoelaces that can be loosened to accommodate a high arch all help mitigate pain symptoms. The treatment of pes cavus has a lot to do with the cause and severity of the condition. X-rays may be ordered to look for signs of arch collapse or bone shifting. Your shoes may be examined for signs of excessive wear along the outer border. Your feet will be carefully examined to evaluate their structure as well as to look for tell-tale clues such as calluses or hammer and clawing toe deformities. Your doctor may observe you walking to look for signs of ankle instability. Your podiatrist will start by taking a comprehensive medical history and family history to determine if there are any possible neurologic conditions or hereditary factors at play. As such, they require more monitoring and pro-active treatment in order to prevent progressive foot deformity. In some cases, cavus is due to a tendon tear of the peroneal tendon which results in cavus deformity.Īlthough cavus feet, no matter what their origin, can be painful, those due to a neurologic cause tend to get worse faster.
Neurologic conditions causing cavus foot deformity include Charcot-Marie-Tooth disease (CMT accounts for 50% of the neurologic cases), cerebral palsy, clubfoot, post-stroke paralysis, spina bifida, muscular dystrophy, and, rarely, poliomyelitis.
However, in some patients, cavus foot can be due to neuromuscular diseases that cause muscle contractures that draw the ball of the foot closer to the heel. More often than not, a cavus foot is an inherited structural problem that has no link to any medical condition. In severe cases, cavus foot deformity can lead to ankle arthritis, frequent tripping, and falling due to ankle instability, stress fractures around the ankle, shin splints, or Achilles tendon pain. Knee, hip, and low back pain can result from your body’s effort to compensate for the muscle imbalance in your midfoot.Foot instability due to an ankle that tends to roll outward (known as supination, a foot posture that predisposes you to ankle sprains).Plantar fasciitis (pain along the plantar fascia tendon that runs between the heel and toes) associated with prolonged standing or walking.Callus formation on the ball, heel, or along the outer edge of the foot.Claw toes (toes that are claw under and appear clenched like a fist).Hammertoes (toes with the middle joint bending upward like a tent).
In addition, one or more of the following symptoms may occur: While not everyone with cavus feet has symptoms, over time, your metatarsals (the long bones between your ankle and toes) can start to shift, causing you to become symptomatic. To begin with, the arch of the foot will appear higher than usual.
0 kommentar(er)
