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Pes Cavus (Arch Foot): Detailed Out By Your Podiatrist
Pes Cavus, Latin compound term for “hollow foot”, also stands for “Talipes Cavus”, “supinated foot” or “high instep”. This foot and ankle care condition signifies an arch that remains elevated and isn’t flattened out upon imposition of weight. Owing to high arch altitude against the ground, the ball and the heel of the foot are placed under excessive force while routine activities are performed.
Cavus foot may develop and pop up at any stage of life in either or both feet, irrespective of the gender involved. Approximately, 10-15% of the population suffers from this arch defect while several signs and symptoms are attributed to this condition, including pain, discomfort and foot instability.
Pes Cavus (Arch Foot): The Causative Factors
Although the real cause underlying Pes Cavus is yet to be established, medical researchers have been able to isolate certain physical and mental conditions that may produce or elevate the deformity.
- Neurological Issues producing foot debility
- Neuromuscular Disorders such as cerebral palsy, polio, spina bifida, stroke, muscular dystrophy or Charcot-Marie Tooth disease
- Genetically Inherited making it congenital, drawn from familial history
- Past Trauma giving rise to the condition via fractures, inflammation, etc.
Pes Cavus (Arch Foot): Symptoms To Reach Precise Diagnosis
- Painful Condition in the entire foot as a whole
- Instability in the affected foot region
- Pain while standing or walking
- Stiffness & Discomfort in the calf region and foot joints
- Foot Drop due to nerve compression in the leg
- Repetitive Ankle Sprains at the lateral side
- Painful Sensation in the metatarsal heads
- Claw Toes & Hammertoes wherein toes are either clenched or bent, respectively
- Sesamoid Pain in the big toe region, either under or just behind it
- Calluses developed on the underside ball, side or heel regions
- Heel that tilts inward, making the plantar region form a convex structure
Pes Cavus (Arch Foot): The Course Of Treatment
The Nonsurgical Method: This process may be carried out with the following options:
- Usage Of Appropriate Footwear such as getting it customized for it being high-topped to prop the ankle and broad-heeled for better balance and stability
- Customized Orthotic Devices placed within the footwear to provide comfort and stability through proper cushioning
- Bracing to manage foot and ankle stability as well as foot drop
- Physiotherapy to warm up and stretch out the stiffened lower leg and foot muscles
The Surgical Method: Your foot and ankle care surgeon would opt for Pes Cavus surgery when nonsurgical methods prove to be irresponsive and unsuccessful in getting the pain and stability issues subsided to a desirable extent. Surgery also contributes to fend off the overall weakness in the foot.
Selecting a particular procedure or a set of procedures to get around the problematic issue varies from one individual case to another. Wherein the condition stems from an underlying neurological anomaly, scheduled multiple surgeries may be attempted owing to recurrence of the structural abnormality.