Editing Cavus Foot
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Overview<br>When a person with a cavus foot stands, the middle of the foot seems to be raised higher off the ground than normal. The heel may be drawn in towards the inner side, and the toes may also be drawn inwards. Some people with cavus feet also have curled-up "claw" toes. Although the most obvious thing about a cavus foot is usually the high arch, this appearance is actually produced by other more basic deformities in the foot. In all cavus feet the front part of the foot is drawn downwards more than normal, and the part on the side of the big toe (first ray) is usually drawn down most of all. The result is to tip the arch upwards, and also to tip the foot onto its outer side. It is this combination that produces the appearance of a high arch and a large space under the foot.<br><br>Causes<br>There are different causes of a high-arched foot. In many cases, the cause is unknown. In other cases, the cause is a nerve disease, clubfoot or injury. Treatment ranges from changes in shoewear to surgeries, depending on the amount of deformity and related problems.<br><br>Symptoms<br>Some people complain that their ankles feel weak and they get ankle sprains easily. A few people who have reduced feeling in their feet as part of the condition that caused the cavus, find that their skin rubs raw in areas of high pressure. This is a strong reason to consult your doctor.<br><br>Diagnosis<br>Diagnosis of cavus foot includes a review of the patient?s family history. The foot and ankle surgeon examines the foot, looking for a high arch and possible calluses, hammertoes, and claw toes. The foot is tested for muscle strength, and the patient?s walking pattern and coordination are observed. If a neurologic condition appears to be present, the entire limb may be examined. The surgeon may also study the pattern of wear on the patient's shoes. X-rays are sometimes ordered to further assess the condition. In addition, the surgeon may refer the patient to a neurologist for a complete neurologic evaluation.<br><br>Non Surgical Treatment<br>Foot orthotic devices can provide support for stressed joints and soft tissues. They are often constructed to increase shock absorption. The redistribution of weight relieves stress on the metatarsals. Generally, custom-made semi-rigid or semi-flexible functional posted orthotics are most effective for this foot type. They often include shock absorbing material in the arch. These devices are prescribed based on a thorough biomechanical examination by a qualified podiatrist. Orthotic therapy is very effective for patients with this foot type. Over-the-counter arch supports may be helpful for mild cases, but they are often a poor fit for persons with this condition.<br><br>Surgical Treatment<br>Surgery may be needed. If the patient is a child sometimes the condition [http://ebooksopens4ya.mihanblog.com/post/1271 Can Pilates make you look taller?] be treated by releasing the tight structures causing the muscle imbalance. In other cases the tendons may need transferred or surgical reconstruction of the joints and bones needed. If the foot has become rigid there may be procedures called calcaneal or metatarsal osteotomies performed to help re-align the foot. These types of procedures are aimed at providing functional control and pain relief, not for cosmetic appearance.
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