Flat Feet

The Reality About Adult Aquired FlatFoot (AAF)


Have you noticed the arch in your foot collapse over a fairly short period of time as an adult? Or Do you suffer from pain on the inside and sole of your arch? If it does, then you may be suffering from a condition known as adult acquired flat foot. As one of the main support structures of the foot?s arch, the tibilais posterior tendon, along with other muscles, tendons and ligaments, play a very important role in its mechanical function.Flat Foot


Rheumatoid arthritis This type of arthritis attacks the cartilage in the foot, leading to pain and flat feet. It is caused by auto-immune disease, where the body?s immune system attacks its own tissues. Diabetes. Having diabetes can cause nerve damage and affect the feeling in your feet and cause arch collapse. Bones can also fracture but some patients may not feel any pain due to the nerve damage. Obesity and/or hypertension (high blood pressure) This increases your risk of tendon damage and resulting flat foot.


The types of symptoms that may indicate Adult-Acquired Flat Foot Deformity include foot pain that worsens over time, loss of the arch, abnormal shoe wear (excessive wearing on the inner side of shoe from walking on the inner side of the foot) and an awkward appearance of the foot and ankle (when viewed from behind, heel and toes appear to go out to the side). It is important that we help individuals recognize the early symptoms of this condition, as there are many treatment options, depending upon the severity, the age of the patient, and the desired activity levels.


Starting from the knee down, check for any bowing of the tibia. A tibial varum will cause increased medial stress on the foot and ankle. This is essential to consider in surgical planning. Check the gastrocnemius muscle and Achilles complex via a straight and bent knee check for equinus. If the range of motion improves to at least neutral with bent knee testing of the Achilles complex, one may consider a gastrocnemius recession. If the Achilles complex is still tight with bent knee testing, an Achilles lengthening may be necessary. Check the posterior tibial muscle along its entire course. Palpate the muscle and observe the tendon for strength with a plantarflexion and inversion stress test. Check the flexor muscles for strength in order to see if an adequate transfer tendon is available. Check the anterior tibial tendon for size and strength.

Non surgical Treatment

Treatment will vary depending on the degree of your symptoms. Generally, we would use a combination of rest, immobilization, orthotics, braces, and physical therapy to start. The goal is to keep swelling and inflammation under control and limit the stress on the tendon while it heals. Avoidance of activities that stress the tendon will be necessary. Once the tendon heals and you resume activity, physical therapy will further strengthen the injured tendon and help restore flexibility. Surgery may be necessary if the tendon is torn or does not respond to these conservative treatment methods. Your posterior tibial tendon is vital for normal walking. When it is injured in any way, you risk losing independence and mobility. Keep your foot health a top priority and address any pain or problems quickly. Even minor symptoms could progress into chronic problems, so don?t ignore your foot pain.

Adult Acquired Flat Foot

Surgical Treatment

In cases of PTTD that have progressed substantially or have failed to improve with non-surgical treatment, surgery may be required. For some advanced cases, surgery may be the only option. Your foot and ankle surgeon will determine the best approach for you.


NW Foot & Ankle

Nowadays artificial plants are extensively used as home decor items for their outstanding features as compared to that of the live plants and grass. They have gained a massive popularity because of their minimal maintenance, long life and realistic look. They don’t need any kind of watering, picking up of dull leaves, putting of fertilizers, exposure to sunlight, etc. to make them look fresh and lovely. Neglecting your bedroom decor is an easy and common mistake to make. Unfortunately, it can also be a costly one. Studies reveal that an individual’s mood has much to do with the bedding, linen, and overall decor of their bedroom.

First of all the two ends are very different from each other. Although you may reckon that the single wheel will be the front of the skateboard, in reality it’s the back. The front of the sole skate is the two wheeled end. The rear of the sole skate is the single wheel. To get balance, you will need to align your foot along the center of the Sole Skate. This will likely balance your weight which will help prevent tipping the skate to either side. Once you’ve acquired your sweet spot on the deck of your sole skate and feel comfortable, then you’re all set to ride.flat feet insoles

For ages, feet are considered the body’s second heart as they support blood circulation. However, pretty feet seem to be forgotten. While sport training, skin care and hair care are paid great attention, not many people really take foot care into serious consideration. In fact, your feet need equal care. The following simple steps help you have healthy feet to be confidents wearing sandals or flippers during hot summer holidays. read more If this motion is unavailable, the foot will overpronate to make up for the limitation. By stretching the calf muscle properly, these forces acting on the foot can be reduced and can help to prevent lower extremity injuries.

Your shoes matter when it comes to exercise. Whether you are walking, running, doing aerobics or playing sports, you need to have proper equipment for your feet. You may think it’s as easy as choosing your size, but you’d be wrong. Choose a shoe based on your foot type and replace your athletic shoes every 500 miles, or every four to six months, and it will make a difference in how you feel after exercise. Here are some of the best athletic shoes for your feet in 2012. The document also establishes the procedure for medical examination and certification of those going through alternative civilian service and military training.

Do your feet roll inwards? Your feet are the foundation of your body, so when they are out of alignment, your entire skeletal structure feels the effects. Over-pronation, or flat feet, is a common biomechanical problem that occurs in the walking process when a person’s arch collapses upon weight bearing. This motion can cause extreme stress or inflammation on the plantar fascia, possibly causing severe discomfort and leading to other foot problems. About Over-Pronation and Flat Feet NEW YORK (Reuters Health) – Women who walk with flat feet are 50 percent more likely than those with normal or high arches to have low back pain, a new study suggests.