Cavus foot pain diagnosis - kelly7rowland0.snack.ws - refers to an abnormally high arch and because of this high arch structure, an excessive amount of weight is placed on the ball and heel of the foot when standing. Cavus foot can lead to a variety of signs and symptoms, particularly pain and instability and it can develop at any age, and can occur in one or both feet. People with high arches are often times vulnerable to overuse injuries during sports and exercise because their feet aren?t good shock absorbers, due to less surface contact with the ground.
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.
Pain and stiffness of the medial arch or anywhere along the mid-portion of 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.
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
Careful investigation is needed to rule out any neurological condition that is causing the high arched foot. This will depend on what is causing the pain, if anything. For instance, flexible high arches may not need any treatment. Wear shoes with a good cushioning, depth and arch support. Control body weight to decrease load on the feet. Over-the-counter arch supports may be helpful for mild cases of pes cavus, but they are often a poor fit for persons with severe pes cavus.
When there is limited deformity and rigidity, osteotomies are preferred to arthrodesis if possible, as they preserve motion. The first metatarsal is often treated with a dorsal closing wedge osteotomy, and the heel is lateralised with a sliding osteotomy. Even after a good correction with well-healed osteotomies, neurological progression may cause recurrent deformity, typically five to ten years later, necessitating arthrodesis.
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