Paediatric rigid flat foot

By |2023-06-14T10:44:39+10:00June 1st, 2023|Bunions, Flat feet, Foot pain, Post operative|

Blog's main page This 16-year-old had been struggling since he commenced walking – marked and multiple symptoms on the foot, including lateral midfoot and rearfoot pain, and bunion formation. However, his main symptoms were being experienced on the medial longitudinal arch. The non-weight-bearing image was taken on the day of his surgery, but, when he first [...]

Adult-acquired flat foot (PTTD)

By |2022-11-06T10:41:27+11:00August 4th, 2022|Flat feet, Foot pain, Heel pain|

Blog's main page This is a patient who presented with a severely debilitating right flat foot. This has been progressing for approximately two years; however, three months ago, the pain and disability markedly increased. He can no longer carry out weight-bearing exercises, work at his usual job or play with his kids as desired. Conservative care [...]

Is it posterior tibial tendon dysfunction?

By |2022-12-13T20:23:53+11:00May 5th, 2022|Flat feet, Tendonosis|

Blog's main page An astute podiatrist referred this patient to me recently with a history of treatment for supposed posterior tibial tendon dysfunction (PTTD). The patient has been symptomatic on the medial navicular region radiating slightly proximal. She had been treated for PTTD for many months, including rest, orthotics and physiotherapy with no poor results by [...]

Post-operative pes planus/flat feet/excess pronation

By |2022-11-06T10:45:35+11:00February 4th, 2022|Flat feet|

Blog's main page The images are of a recent patient who is 4 weeks post-op, following Hyprocure insertion. This patient had the typical signs and symptoms seen with pes planus and her symptoms could not be controlled with orthoses solely. Note the excellent alignment seen both anteriorly and posteriorly. On the anterior images, you can observe [...]

Pes planus

By |2022-09-08T15:04:08+10:00November 19th, 2021|Flat feet|

Blog's main page Flat feet and the plethora of symptoms associated must be one of the most commonly seen conditions in the office of a podiatrist. Typically with the help from orthoses, strengthening and stretching exercises, symptoms will resolve. The case below presented in my rooms this week. He has had marked recalcitrant symptoms in his [...]

Accessory navicular with pes planus

By |2022-09-08T15:15:08+10:00October 19th, 2021|Flat feet|

Blog's main page Approximately 2.5% of the population are born with an accessory navicular. There are three types of this condition with type 2 being the most commonly symptomatic. The fibrocartilagenous union between the ossicle and the navicular can be torn, particularly when it occurs in an excessively pronated foot type. The tibialis posterior tendon will [...]

Rigid flat feet

By |2022-09-08T15:02:44+10:00May 1st, 2020|Flat feet, Foot pain|

Blog's main page This post is about assessing patients with flat feet, particularly the paediatric foot. If the foot, particularly the rear foot, is fixed or rigid, something more complex may be present and further in-depth investigation should be carried out. In recent months I have had a few children present with markedly painful flat feet [...]

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