Flat feet - flat foot - Treatment

Appropriate treatment of flat foot requires knowledge of biomechanics won the adult plant. No solution is not appropriate for all patients and all levels of dysfunction. Treatment of posterior tibial tendon deficiency continues to be controversial. Treatment options range from conservative control of the use of drugs and various surgical procedures until ortoze.
Surgical therapy:This involves soft tissue procedures, osteotomies or arthrodesis.Depending on the state of interventional therapy condition to be indicated after conservative therapy proves to be insufficient.
Therapy in stage I:By definition, patients with stage I do not have flat foot deformity clinic group and are the best results in conservative therapy. If the patient is evaluated in the acute phase can be treated with immobilization and short-term administration of NSAIDs. Once acute symptoms have diminished the patient undergoes physical therapy consisting of stretching and resistance exercises, and iontophoresis. If the patient's condition does not improve with conservative therapy or if its symptoms are chronic nature indicate surgery.Stage I disease is approached by a tenosinovectomie debridement and posterior tibial tendon. Debridement is reserved for patients who have no clinical deformity or weakness.
Therapy in stage II:Most patients in stage II can be treated with ortoze noninterventional and structured exercises. If conservative treatment fails to consider the surgical option. The exact surgical procedure for stage II varies widely and includes numerous techniques for reconstruction of bone and soft tissue to treat the various presentations of the condition.
Therapy stage III:At this stage treatment is limited to NSAIDs administration and ortoze Arizona. They are more adaptive than the correction due to fixed deformity. Changes shoes: foot wide and low, large numbers are often necessary. Pain relief in these cases is poor with these methods. Since fixed deformation is frequently associated with symptomatic osteoarthritis, a fusion is necessary to correct stage III. Surgery aims to improve pain and restore normal alignment of the plant. The subtalar joint arthrodesis and talonaviculare practice.A double arthrodesis is indicated in younger patients. A triple arthrodesis is indicated for cases of subtalar joint rigid and fixed in varus deformity of the plant.
Stage IV Therapy:Stage IV disease is rare and requires plantar arthrodesis or tibiotalocalcaneana. Conservative treatment is similar to that of stage III.
Clinical presentation and progression, severity won flat foot deformity can be extremely variable. For this condition are available for a variety of medical and conservative surgical options. A clear understanding of the etiology of the condition is important to address nonchirurgicale surgical or therapeutic options.