Pes Cavus New Treatments

Overview
Cavus foot is a condition in which the child has an excessively high arch. In many cases, the heel of the foot is turned inward, this is known as cavo-varus foot. The condition frequently affects both feet and is often progressive. Because the foot is not properly aligned, patients experience pain and develop calluses owing to uneven weight-bearing. Ankle sprains or even stress fractures may occur.

Causes
An inherited disorder called Charcot-Marie-Tooth disease (CMT) is the most common cause of cavus foot. But there is a long list of disorders that may cause the problem. Children who have muscular dystrophy (MD) Cavus foot can affect only one foot, too. Cavus foot in one foot is more common in children with injuries to the nerves in their legs or spinal cord or to the muscles in their legs. Other conditions that make it more likely a child will develop cavus foot are poliomyelitis, cerebral palsy and spinal cord tumor.

Symptoms
Symptoms vary depending on whether your high arches are inherited or stem from a neurological condition. With high arches, your heel (or heels if both feet are affected) will likely be tilted medially (toward the body?s midline) at the ankle. When weight is put on the foot, the arch does not flatten at all. Other symptoms include pain when standing, walking or running due to the extra stress on the metatarsals (bones at the top of the foot). Corns and calluses on the ball or side of the foot, or the heel. Arch inflexibility and stiffness. Ankle sprain due to instability of the foot. Very tight calf muscles at the lower leg.Pain when standing, walking or running due to the extra stress on the metatarsals (bones at the top of the foot)
Corns and calluses on the ball or side of the foot, or the heel
Arch inflexibility and stiffness
Ankle sprain due to instability of the foot
Very tight calf musclesat the lower legPain
CornsArch inflexibility
Ankle sprain
Very tight calf muscles

Diagnosis
Diagnosing the cause of the cavus foot position is essential prior to surgical planning. Usually, performing a laterally based calcaneal osteotomy and a distally based metatarsal osteotomy together or each procedure alone Can you stretch to get taller? help position the foot properly.

Non Surgical Treatment
Cavus foot sometimes may be treated without surgery. These options include orthotic devices that fit into the shoe to provide stability and cushioning. Shoes with high tops to support the ankle and wider heels for stability. Bracing to keep the foot and ankle stable.

Surgical Treatment
In cases of severe Charcot Marie Tooth, there may be rare instances of excessive weakness of the anterior tibial tendon and peroneal tendons, resulting in a relatively strong posterior tibial tendon adding to the cavovarus foot position. In such cases, it may be beneficial for the surgeon to perform a posterior tibial tendon transfer through the interosseous membrane between the tibia and fibula to the dorsum of the foot.