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Pes Cavus In Children

Pes Cavus In Children

Overview
There are many different foot types that exist. Those that seem to have a higher arch are said to have a cavus foot type. Another term you may hear this condition called is Pes Cavus. It is important to remember that some people with a high arched foot have no problems at all.

Causes
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.Cavoid Foot

Symptoms
The arch of a cavus foot will appear high even when standing. In addition, one or more of the following symptoms may be present. Hammertoes (bent toes) or claw toes (toes clenched like a fist). Calluses on the ball, side, or heel of the foot. Pain when standing or walking. An unstable foot due to the heel tilting inward, which can lead to ankle sprains. Some people with cavus foot may also experience foot drop, a weakness of the muscles in the foot and ankle that results in dragging the foot when taking a step. Foot drop is usually a sign of an underlying neurologic condition.

Diagnosis
To diagnose cavus foot, your doctor will examine your foot and review your medical history. In most cases, your foot will undergo muscle testing and your walking pattern will be evaluated. To provide a more accurate diagnosis, x-rays may also be done in certain cases.

Non Surgical Treatment
Any fixed deformity must be accommodated, for example by cupping and supporting the varus heel and providing a small heel raise to compensate for forefoot plantaris. It has been shown that an orthosis that allows the first metatarsal to drop Can you lose weight by doing yoga? decrease calcaneal dorsiflexion, and that this coincides with a reduction in foot pain.

Surgical Treatment
Surgery to correct cavus foot may be necessary in situations where the symptoms are likely to get worse over time or when pain and instability cannot be corrected with external orthopedic devices. The main goals of surgery are:
*Correcting all the existing deformity of the toes, the high arch, the ankle and the muscle imbalance.
*Preserving as much motion as possible.
*Rebalancing the deforming muscle forces around the foot and ankle.
*Adding stability to the ankle.
*Preventing ankle arthritis from occurring as a result of the chronic deformity of the foot and the instability of the ankle.Talipes Cavus
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