Pes Cavus Vs Pes Planus

carp nevertheless - http://wonderfullexico21.hazblog.com/. Overview
Pes Cavus is a term used to describe a foot with an arch that is too high. A high-arched foot is painful because additional stress is placed on unnatural places on the foot. This type of foot typically requires therapeutic footwear that can be modified to accommodate the arch.

Causes
There are different causes of a high-arched foot. In many cases, the cause is unknown. In other cases, the cause is a nerve disease, clubfoot or injury. Treatment ranges from changes in shoewear to surgeries, depending on the amount of deformity and related problems.

Symptoms
One of the more obvious symptoms of a cavus foot is that the arch will appear rather high, even when you?re standing on it. Your toes may curl
inward like the fingers of a fist, a condition referred to as ?claw toes.? Or, the toes may be bent or crooked (aka ?hammertoes?).

Diagnosis
General examination may reveal features of neurological conditions such as ?champagne bottle legs? (Charcot-Marie-Tooth disease), scoliosis in Friedreich ataxia, or a naevus, dimple or patch of hair over the spine in spina bifida occulta. The neurological examination should include a search for signs of peripheral nervous disease, such as muscle wasting, weakness and sensory deficit, and signs of central nervous disease, such as pyramidal signs, cerebellar signs or cranial nerve abnormalities. Accurate serial recording of power in individual muscle groups will allow the clinician to follow the disease over time and detect neurological progression.

Non Surgical Treatment
The most important thing is basic foot care as outlined above (Can I do anything about it myself?). If you have difficulty getting shoes to fit, your GP or specialist can arrange for an orthotist to get you shoes with a bit more room. These usually look like ordinary shoes, just a bit bigger. The orthotist may also be able to help with insoles to relieve aching or to spread weight away from raw skin or calluses. If your foot tilts over a lot, especially if your heel tilts too, a splint, brace or caliper may make it more stable for walking.

Surgical Treatment
The surgeon will listen to your problems, examine you carefully and analyse the exact nature of your deformity and the problems it causes. Surgery for cavus foot is often quite major, especially if the deformity is severe or very stiff.