If you have feet with a high arch or instep while standing, you have foot condition called pes cavus. The arch, or instep, runs from the toes to the heel on the bottom of your foot. Pes cavus is the opposite of flatfeet (pes planus). Pes cavus is less common than pes planus. Pes cavus usually occurs in both feet and at an early age. The sudden appearance of the pes cavus, or if it appears in one foot only, may be the result of trauma or a neuromuscular disease.
The exact cause of pes cavus is unknown. However, the medical community has settled on three likely scenarios that lead to pes cavus. Neuromuscular Condition. A neuromuscular condition may affect nerves and muscles that cause the hollowing of the foot. There are a number of neuromuscular conditions that could be the culprit, the most likely of which is Charcot-Marie Tooth disease. Congenital. Congenital causes may be derived from familial history of residual club foot as well as cases where the condition happens spontaneously. Trauma. As common sense would dictate, severe foot trauma could cause pes cavus through fractures, burns etc.
The symptoms of a high arch foot will vary depending on the severity of the arch height, the availability of joint motion in the foot pain after sitting, http://anthony6walls0.page.tl/, to help lower the arch and the activity levels or occupational demands placed on the high arched feet. Most people with high arches will have no pain or any other symptoms. Symptoms may vary from a mild problem with shoe fitting to significant disability.
Diagnosis of cavus foot includes a review of the patient?s family history. The foot and ankle surgeon examines the foot, looking for a high arch and possible calluses, hammertoes, and claw toes. The foot is tested for muscle strength, and the patient?s walking pattern and coordination are observed. If a neurologic condition appears to be present, the entire limb may be examined. The surgeon may also study the pattern of wear on the patient's shoes. X-rays are sometimes ordered to further assess the condition. In addition, the surgeon may refer the patient to a neurologist for a complete neurologic evaluation.
Non Surgical Treatment
The most important thing is basic foot care as outlined above (Can I do anything about it myself?). If you have difficulty getting shoes to fit, your GP or specialist can arrange for an orthotist to get you shoes with a bit more room. These usually look like ordinary shoes, just a bit bigger. The orthotist may also be able to help with insoles to relieve aching or to spread weight away from raw skin or calluses. If your foot tilts over a lot, especially if your heel tilts too, a splint, brace or caliper may make it more stable for walking.
There are many types of surgical procedures that can be performed to correct the cavus foot and restore function and muscle balance. The decision as to which surgery is done depends on the underlying deformity and the pattern of muscle loss and weakness.
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