Flat feet are a common condition. In infants and toddlers, the longitudinal arch is not developed and flat feet are normal. Most feet are flexible and an arch appears when the person stands on his or her toes. The arch develops in childhood, and by adulthood most people have developed normal arches.
Most flat feet usually do not cause pain or other problems. Flat feet may be associated with pronation, a leaning inward of the ankle bones toward the center line. Shoes of children who pronate, when placed side by side, will lean toward each other (after they have been worn long enough for the foot position to remodel their shape).
Foot pain, ankle pain or lower leg pain, especially in children, may be a result of flat feet and should be evaluated.
Painful progressive flatfoot, otherwise known as Tibialis Posterior Tendonitis, is caused by inflammation of the tendon of the tibialis posterior. The tendon then becomes inflamed, stretched or suffers a partial or total tear. If left untreated, this condition may lead to severe disability and chronic pain. Some people are predisposed to this condition if they have flatfeet or an abnormal attachment of the tendon to the bones in the midfoot.
Nonsteroidal anti-inflammatory medications, ice, physical therapy, supportive taping and bracing, or orthotic devices are the common ways of treating painful progressive flatfoot. Contact your physician before taking any medication. In some cases, a surgical operation may need to be performed to repair the torn or damaged tendon and restore normal function. To prevent reinjury, orthotic devices may be recommended. In severe cases, surgery on the midfoot bones may be necessary to treat the associated flatfoot condition.
Hyprocure
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Testimonial
November 25, 2008
Dear Dr. Dorfman:
Just to let you know how great it is not to have to wear orthotics in all my shoes and to be able to wear something pretty instead of tennis shoes ALL the time. Since having the sinus tarsi implant for hyperpronation even my yoga practice has improved.
The operation itself was simple and absolutely painless with very little recuperation. I think I was back in the gym in less than a week after the operation and back to my tennis in about three weeks. Although I imagine this implant could be done in your office, I would like to say how great the people at North Broward Medical Center were where the operation was done.
I had really feared that I eventually would have to give up tennis or at the least be in a heavy brace in order to stabilize my foot so when you handed me the information regarding the implant I knew almost immediately it was for me.
I have to admit, too, that part of what sold me on the operation was your confidence in your own work. I'll still be your patient, I just won't see you as often.
Thank you for keeping me active enough to indulge in my favorite sports: tennis, golf and racquet ball.
Sincerely
Dorothy Macksyn Conde
