The flat foot or hyperpronation is the loss of the leg arch and the ankles twisted when we look at the child standing behind.
This form of the foot is often inherited. Until 3-4 years, many children seem to have a flat foot, due to a fat distribution around the plantar arch and ankle, normal at this age. After 4 years, this "bubble" of fat must diminish, and the true flat feet become more obvious.
The flat foot can be manifested by pain at different levels of the lower limb, sometimes at a distance from the place of the disease.
Any of the following symptoms may be the result of the hyperpronated leg:
- foot pain, after prolonged walking or sports, sometimes during the night;
- ankle pain;
- aching heels or achilles tendons. Often the Achilles tendon is tight and tense;
- the mounts may appear as a result of the hyperpronated position of the foot;
- pains in the tibia, on the inner face of the calf (tibial periosteitis);
- anterior pain of the knee - pain of the patella;
- hip pain;
- spinal pain.
The flat foot may not be visible at rest and become obvious only when the limb is loaded, that is, when the child is standing or walking.
Sometimes the child cannot explain exactly what is bothering him, but some situations can be considered an "alarm signal":
- the child avoids or refuses the usual physical activities for the age - it is "kept aside";
- the child asks to be carried in the arms more frequently and more than others;
- the laces are very often pulled open - this is due to the position rolled inwards of the soles during walking;
- the child reports foot pain at bedtime or wakes up due to pain shortly after bedtime.
Although there may be other explanations for such manifestations, a visit to an orthopedic doctor can clarify the situation.
What can be done?
In some cases, orthopedic heels will be prescribed for the patient to wear in their shoes. It is recommended the orthopedic heels, made after the podoscopic examination, especially for the patient's sole. Serial heels, purchased directly from stores, are less efficient, sometimes even harmful.
The role of exercises or massages is uncertain and too little documented.
Other times, the optimal solution is a minimal surgery, which involves the insertion of a small implant between two of the bones of the foot, in order to limit their excessive mobility. In the ProVita clinic we use the "HyProCure" implant, with very good results.
In very advanced cases, more complex surgical procedures can be performed. This affection, apparently benign and sometimes subtle, can compromise the child's well-being and development. A visit to an orthopedic doctor followed by a solution, often simple, can bring a major benefit.
Dr. Andrei Ursache, primary orthopedics and traumatologist at ProVita Medical Center - Diagnosis and treatment
Address: Str. Alexandrina no. 20 - 22, sector 1, Bucharest
Software tel: 0219432
Tags Platfus children Baby foot affection