Brandt R. Gibson, DPM, MS is a foot and ankle specialist with special interest in keeping children active. He is located in American Fork, Utah. His goal is to educate people and help them “optimize what they were born with.” For further educational materials and recommended medical products, visit A free book on foot and ankle health can also be ordered at deformities w/ heel cord contracture in patients w/ CP will generally tend to have break down of mid-foot and longitudinal arch; Evans calcaneal lengthening procedure for spastic flexible flatfoot in 32 patients (46 feet) with a followup of 3 to 9 years.
Application of physical therapy – a physical therapist instructs the patient on how to perform a series of exercises to help stretch the plantar fascia and Achilles tendon to relieve plantar fasciitis, strengthen the lower leg muscles, and stabilize the ankle and heel. The therapist may also show the patient how to support the bottom of the foot by applying athletic taping. Foot pain, ankle pain, or lower leg pain (especially in children) may be a result of flat feet and should be evaluated by a health care provider. Symptoms in adults may include tired or achy feet after long periods of standing or playing sports. Signs and tests
Tendons are a fibrous tissue that connect the muscle to the bone. When they become inflamed you experience pain and aching. Tendinitis can occur in aging tendons or through overuse. The are many types of tendinitis that occur in places like the wrist, achilles, pateller and rotator cuff. Fortunately, there are some cures to relieve pain and get you back to enjoying life According to the Mayo Clinic, “Arthritis is inflammation of one or more of your joints.” When the joints in the hands or fingers become afflicted with arthritis, shoe tying becomes painful and frustrating.
A herniated disc is a bulging or ruptured disc between the vertebrae. Herniated discs are most common in the lower back but may occur in the neck region, causing pain, immobility and numbness or weakness in your arms. If you are experiencing pain from a herniated disc in your neck, you can help alleviate symptoms with neck exercises. TENS units are pocket-sized devices used as an alternative treatment for pain symptoms. The units produce a small electrical shock administered through two or more electrode pads that are applied on the skin. Self-administered use of TENS requires a certain degree of knowledge on where to place the electrodes on the body.
If you have foot pain and/or your feet are causing problems with walking and running, see a podiatrist or your regular doctor. Diagnosing the problem requires a few tests. Your doctor will look for an arch in your feet as you stand on your toes If an arch exists, you do not need treatment for flat feet. The podiatrist will also look for flexion in your ankle. If you are having difficulty flexing the foot and/or an arch does not appear, your doctor will order more tests, such as a foot X-ray and scans to examine the bones and tendons in your feet. Treating Flat Feet
In the paediatric population, the degree of ligamentous laxity of the foot results in relative pes planus that resolves over time 5 Within the first decade there is spontaneous development of a strong arch. Pes planus may occur in as many as 20% of the adult population. Although, the majority of patients are asymptomatic and require no treatment. There is some evidence to suggest that flat feet protects against stress fracture. The longitudinal arch of the foot must be assessed on a weightbearing lateral foot radiograph If the patient is unable to stand or weightbear, a simulated weightbearing radiograph should be obtained. Weightbearing lateral