Cavus Foot Deformity In Grown Ups

Overview
Pes cavus is an abnormally high arched foot. People with this condition place too much weight and stress on the ball and heel of the foot when standing or walking. Pes cavus can be caused by an underlying disease, injury, or an inherited foot problem. Pes cavus has a tendency to run online shopping in india families. If you have a family member with very high arches, then you may be at increased risk for developing pes cavus.

Causes
Most cases of high arches are associated with nervous-system disorders. The conditions that can cause high arches include Cerebral palsy, Spina bifida, Muscular dystrophy, Polio, Stroke, Charcot-Marie-Tooth disease, Spinal cord tumor. The cause of high arches cannot be determined in about one in five instances. These cases are called idiopathic, meaning the condition arises from an unknown or uncertain cause.

Symptoms
Forefoot plantaris leads to increased pressure on the metatarsal heads. This pressure is maintained for a greater proportion of the gait cycle than in normal feet. A high arch reduces the size of the footprint and increases plantar pressure. Plantar pain and callus formation may give way to ulceration, particularly in the neuropathic patient who lacks protective sensation.

Diagnosis
The key in examining the foot is to determine to what extent deformities are fixed or flexible. This guides orthotic and surgical treatment. Gait is inspected; in HSMN the typical gait is high-stepping because of foot-drop, with the toe striking the ground before or with the heel. Foot shape is best assessed with the patient standing. The soles are inspected for calluses and the shoes for differential wear (indicating sites of excessive pressure). Tender areas, such as the metatarsal heads or base of the fifth metatarsal, are palpated. Passive movements should be assessed, looking for joint contractures. Testing active movements detects muscle weakness. The Coleman block test is one way to determine whether the hindfoot is flexible. With the patient standing, the heel and fifth ray are placed on a wooden block, permitting the forefoot to pronate. If the hindfoot also pronates, it is flexible; if not, it is in fixed varus.

Non Surgical Treatment
Treatment for cavus foot varies depending on the severity of your condition. Mild cases of cavus foot can often be remedied with foot and ankle bracing, custom-made orthotics or wearing more comfortable shoes. If your condition remains unresponsive to the aforementioned treatment methods, surgical treatment may be necessary. Surgery for cavus foot aims to relieve pain and improve stability.

Surgical Treatment
In severe cases of cavus, surgical intervention is often necessary. The main consideration for surgical planning is the cause of the cavus deformity. Consider whether it is a structural deformity or one caused by an underlying traumatic event such as a peroneal tendon tear or ankle instability. Furthermore, in either a structural or traumatic case, it is important to consider if the cavus is from a plantarflexed first ray only, a calcaneal varus only or a combination of the two deformities together. After considering all the information, one can plan for surgery.