تعريف
Pes cavus is an abnormally high arched foot. People with this condition place too much weight and stress on the ball and heel of the foot when standing or walking. This condition can begin at any age.
أسباب
Pes cavus can be caused by an underlying disease, injury, or an inherited foot problem. Causes include:
- Polio
- Spinal cord tumor
- Charcot-Marie-Tooth disease
- Muscular dystrophy
- Cerebral palsy
- Friedreich ataxia
- حنف القدم
- Compartment syndrome
- Crush injury
- Structural abnormality
- Inherited condition
عوامل الخطر
Pes cavus has a tendency to run in families. If you have a family member with very high arches, then you may be at increased risk for developing pes cavus.
الأعراض
Symptoms associated with pes cavus include:
- Foot pain
- Stiff joints
- Pain when standing and/or walking
- أصابع المطرقة
- Claw toes
- Calluses
- Foot drop—the foot does not flex up
- عدم الاستقرار
التشخيص
Your doctor will ask about your symptoms and medical history. A physical exam will be done. You will also be asked about your family medical history. Your foot will be examined closely. Your doctor may move it around to assess range of motion.
You may be referred to a specialist. An orthopedist specializes in bones. Podiatrists specialize in feet. The condition may be caused by a nervous system condition. In this case your doctor may refer you to a neurologist.
Images may need to be taken of your foot. This can be done with x-rays.
العلاج
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Orthotic Devices
Orthotic devices are custom-made inserts placed into shoes. They can provide support, stability, and cushioning to the feet.
Changes to Shoes
In some cases, changing shoes is used to treat pes cavus. Soft soled shoes, wider shoes, and high-topped shoes may all be helpful in managing the symptoms.
Braces
Braces may also be used to position the foot or treat foot drop. In foot drop, the foot does not lift properly. This can interfere with normal walking.
Foot Care
If you have corns or calluses on your feet, your doctor will remove them. You may be given pads to cushion your feet so further corns and calluses don’t develop.
جراحة
In some cases, medical treatment is not effective, so surgery is considered. The type of surgery depends on what is causing the pes cavus. One type of surgery, called an osteotomy removes part of the bone to correct the deformity.
الوقاية
There are no known guidelines to prevent pes cavus from developing.