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Talipes Cavus Foot Type
OverviewThe term Pes cavus describes the deformity of a high arched, relatively stiff foot. It has a variety of neurological and other causes. Management depends on the aetiology, rapidity of progression and the severity of symptoms.
CausesThere are many causes for a high arch foot, known as cavus. In the United States, the most common cause for a high arch foot is a form of muscular dystrophy called hereditary sensorimotor neuropathy, more commonly known as Charcot Marie Tooth disease (CMT).
SymptomsThere are many symptoms believed to be related to the cavus foot. These include shoe-fitting problems, lateral ankle instability, lower limb stress fractures, knee pain, iliotibial band friction syndrome, back pain and tripping. Foot pain in people with pes cavus may result from abnormal plantar pressure loading because, structurally, the cavoid foot
What is the tendon at the back of your ankle? regarded as being rigid and non-shock absorbent and having reduced ground contact area. There have previously been reports of an association between excessive plantar pressure and foot pathology in people with pes cavus.
DiagnosisYou will be asked about your symptoms and medical history. A physical exam will be done. You will also be asked about your family medical history. Your foot will be examined closely. Your doctor may move it around to assess range of motion. You may be referred to a specialist. An orthopedist specializes in bones. Podiatrists specialize in feet. The condition may be caused by a nervous system condition. In this case your doctor may refer you to a neurologist. Images may need to be taken of your foot. This can be done with x-rays.
Non Surgical TreatmentDepending on the severity and presence of debilitation, non-surgical and surgical treatment options are extensively reviewed by your Weil foot and ankle physician. Non-surgical treatment options we provide include, but are not limited to: shoe gear modifications, bracing and/or strappings, custom-molded arch supports; all of which assist in positioning the foot properly and provide improved shock absorption.
Surgical TreatmentIf non-surgical treatment fails to adequately relieve pain, improve stability, and compensate for any muscular imbalance or weakness, your physican may advocate surgery, also considered for cases that are predicted to progress in nature. In these instances, the goal of surgery is to help reduce the severity of future problems. There are various surgical procedures available, some of which combine both bony and tendon reconstruction. Your physician will review and recommend a procedure based on the patient?s individual case.
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