Flat Foot (Pes Planus), A Simple Guide to The Condition, Treatment And Related Conditions
By Kenneth Kee
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About this ebook
Flat Foot (pes planus) is a common disorder of the foot characterized by the depression or loss of the medial longitudinal arch of the foot.
It is usually associated with valgus of the foot or eversion of the heel and abduction of the forefoot.
It is also associated with a tight Achilles tendon.
Flat foot is hereditary and associated with hyper mobility of the other joints
Symptoms:
1. Pain in the foot especially when standing for a prolonged period
2. Easy fatigability of the foot.
3. Certain weight bearing exercises like jogging or brisk walking makes the pain worse
Signs:
1. Absence of the medial arch is present
2. Hyper mobility of the foot is apparent
3. Mild genu valgum (knock knee) or internal tibial torsion is also present.
Diagnosis is by X-rays of the foot that usually show a loss of the normal arch and plantar flexion of the talus.
Conservative treatment:
1. No treatment is usually necessary if mild
2. Shoe correction may help temporarily
3. Exercises to stretch and loosen tight heel cords
4. Pain killers such as NSAID (non-steroidal anti-inflammatory drugs) for pain
5. Muscle relaxant to relax muscles especially the back
Surgery is usually not indicated in Flat Foot.
Rarely surgery is to tighten the muscles supporting the medial arch of the foot only for severe cases with symptoms of pain and to prevent complications.
Flat feet are not uncommon conditions in the world’s population.
However as they seldom give much problem except for the more severe ones; nothing is needed to do to treat the conditions.
Most people with flat feet adapt easily to their conditions shifting their feet if necessary and adjusting their movements accordingly.
My son and my brother in law are those with flat feet and although they have to serve their military national service, they had little problem with mobility.
There is no cure for flat foot but surgery may help in severe cases to prevent complications.
a. Excessive foot pronation (which usually occurs with PP) may contribute to the development of foot pain and foot problems such as:
c. Tibialis posterior dysfunction (because hyperpronation stretches this tendon).
d. Hallux valgus (because more weight is borne by the medial metatarsals when the foot hyperpronates).
c. Metatarsalgia (for the same reason)
d. Plantar fasciitis
e. Knee pain: one study found that off-the-shelf foot orthoses were beneficial for patellofemoral pain
f. Another study suggested that foot deformity may be linked to greater disability from knee osteoarthritis
g. PP may reduce the shock-absorbing features of the foot, potentially contributing to low back pain.
Prevention of complications with flat feet can be done by:
a. Avoid prolonged standing
b. Use shoes with medial arch correction pads
TABLE OF CONTENT
Introduction
Chapter 1 Flat Foot
Chapter 2 Interesting Facts about Flat Foot
Chapter 3 Treatment of Flat Foot
Chapter 4 Tibial nerve dysfunction
Chapter 5 Clubfoot
Chapter 6 Calcaneovalgus Foot
Chapter 7 Ankle Arthritis
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Flat Foot (Pes Planus), A Simple Guide to The Condition, Treatment And Related Conditions - Kenneth Kee
Flat Foot
(Pes Planus),
A
Simple
Guide
to
The Condition,
Treatment
And
Related Conditions
by
Dr Kenneth Kee
M.B., B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2014 Smashwords Edition
Published By Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
to my wife Dorothy
and my children
Carolyn, Grace
and Kelvin
This book describes the Flat Foot, its Treatment and Related Diseases such as Clubfeet. Tibeal Nerve dysfunction, Calcanaeovalgus Foot, Ankle Arthritis.
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
Ode to Flat Foot
Flat Feet are one of the most common feet Condition
It is associated with valgus of the foot or heel eversion
There is loss of the medial longitudinal arch of the foot.
It is also associated with a tight Achilles tendon pole
Pain occurs in the foot especially when standing
It is worse with weight bearing exercises like walking
Absence of the medial arch is present
Hyper mobility of the foot is apparent
X-rays of the foot usually show a loss of the normal arch
There is also plantar flexion and difficulty of feet to march
Strain occurs on the back with prolonged standing
A treatment of the flat foot is the heel cord stretching
A suitable insole can help to correct the deformity
It also help in the flat foot stability
There is seldom need for any surgery
Unless the ankle show severe instability
-An original poem by Kenneth Kee
Interesting Tips about the Flat Foot
A Healthy Lifestyle
1. Take a well Balanced Diet
2. Treatment of a Flat Foot:
a. No treatment is usually necessary if mild
b. Shoe correction may help temporarily
c. Exercises to stretch and loosen tight heel cords
d. Pain killers such as NSAID (non-steroidal anti-inflammatory drugs) for pain
e. Muscle relaxant to relax muscles especially the back
f. Surgery:
Surgery is usually not indicated in Flat Foot.
Rarely surgery is to tighten the muscles supporting the medial arch of the foot only for severe cases with symptoms of pain and to prevent complications.
3. Keep bones and body strong
Bone marrow produces our blood
Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.
Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.
Eat food rich in Vitamins B and C such as green vegetables and fruits
Zinc and other minerals are important to the body
4. Get enough rest and Sleep
Avoid stress and tension
5. Exercise and stay active.
It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.
One way to do this is to be active 30 minutes a day at least 5 days a week.
Begin slowly especially if a person has not been active.
6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.
Alcohol use also increases the chance of falling and breaking a bone.
7. Stop or do not begin