![]() ![]() ![]() You will be advised on the best shoe for your problem. The correct size, width and depth of shoe are key with adequate support to hold the foot in position (laced up). The vast majority of patients find that they can control their symptoms with the use of non-surgical treatments. In certain cases, further investigations may be required such as X-ray, ultrasound, MRI or CT. The diagnosis is made following an examination of the foot. It cannot be manipulated into a straight position by hand. The foot remains in a poor position whether the person is weight bearing standing or not. It can be manipulated into a better position by hand. The foot is poorly aligned when a person is standing but when sitting with the weight off the foot the deformity usually corrects itself. Abnormal joining of two bones (coalition) resulting in a rigid flat foot.Tendon injuries, typically tibialis posterior (on the inside of the ankle). ![]() If the patient doesn’t respond to conservative treatment, then surgery might be considered. The majority of these cases respond well to a combination of muscle stretching exercises, orthoses (shoe inserts), braces and supportive footwear. These patients are considered to have a pathological flat foot. Surgical treatment is required in the severe cases when the poor alignment of the foot causes pain or fatigue or has a high chance of doing so. A foot that rolls in excessively with most of the weight passing over the inside border may be a cause for concern. A flat or low arched foot is not considered abnormal and the height of the arch does not have any bearing on how well a foot can function. ![]()
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