Orthoses in this group were posted medially, and relief for the prominent plantar aspect was made accordingly. This group consisted of six subjects with a mean duration of treatment of 6.2 months (1- to 9-month range). Five individuals in this group stated that they were doing well and not progressing. Only one subject was within the average weight limits. The other five subjects were an average of 48.2 pounds overweight. Activity level increased in one subject and pain decreased in five subjects. A podiatrist is a health professional who works with the prevention, diagnosis, treatment as well as rehabilitation of medical and surgical conditions of the feet and lower limbs.
The sole of the foot is flat along the base of the toes, around the outer side, and all the way back to the heel. The inner side has a slight C-shaped curve, and it rises up above the rest of the sole to form an arch. This is called the medial arch. It is most noticeable when standing, because this is the part of the foot that doesn’t touch the ground. Absence of an arch causes the foot to roll in toward the midline of the body. In medical terms, this is called pes planus. More commonly, it is known as flat feet.
Brandt R. Gibson, DPM, MS is a podiatrist with special interest in keeping individuals active through education. 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 Also, children who grow up wearing sandals or slippers tend to demonstrate lesser foot arch troubles than those who grow up wearing shoes that are closed at the toes. What Is the Yoga Pose Where You Lie on the Floor & Place Your Right Ankle on Your Left Knee?
I’m determined to enlist again, as an MP this time around. When I talked to a recruiter, he told me my RE code was eligible for reenlistment. But he tried to put me in a office admin job with some story regarding secret clearance and that it won’t jive with my previous discharge. This was 6+ months ago and I haven’t talked to another recruiter since. (I had a governemnt guest at my hotel who was a recruiter and he instantly called BS and laughed) Pronationsstütze ist die Drehung des Fußes nach innen und unten, so daß beim Gehen, kommt der Fuß auf seiner inneren Kante.
Pes planus, or flexible flatfoot, is often left untreated in children because most eventually outgrow the condition. In some children, however, the condition persists and may be associated with considerable pain. When conservative treatment fails, surgical intervention, such as subtalar arthroereisis, may be indicated. Presenters at the 2011 Pediatric Orthopaedic Society of North America (POSNA) Specialty Day program debated the role of subtalar arthroereisis in the treatment of pediatric pes planus. Biology trumps technology in these cases,” he said. “The results of biologic surgical approaches for the correction of painful flexible foot deformity in children are the gold standard upon which to compare other methods.”
It is important to understand that both pronation and supination are part of a normal, healthy walking pattern! Pronation (rolling inward) acts as a shock absorbing process and supination (rolling outward) helps to propel our feet forward. Over-pronation occurs when we pronate too deep and for too long, not giving the foot a chance to ‘recover’ and supinate. The foot stays flexible at all times. Over-pronators use a lot more energy when walking. Worse, over-pronation causes an imbalance throughtout the entire body, putting excessive strain on the feet, legs, knees and lower back.
Pes planovalgus, also known as flatfoot, or physiologic flatfoot isessentially a normal variant. The longitudinal arch is not visible intoddlers, and is not evident in most children until about age 6. The borderline between physiologic and pathologic flatfoot atany age is poorly defined, ethnologic studies have demonstrated that asignificant proportion of the world’s population could qualify as flatfooted. Young children with physiologic flatfoot characteristicallyhave signs of generalized ligamentous laxity described by Wynne-Davies;hyperextension of knees and elbows, hyperextension of wrist and fingers so the fingers are near parallelwith the forearm when both wrist and fingers are passively dorsiflexed,opposability of the thumb to the forearm, and excess ankle dorsiflexion.
So to summarize, flat feet can be an extremely painful and debilitating condition that severely limit a person’s lifestyle. You can be born with flat feet or it may develop as you get older. Flat feet are very easy to diagnose and there are some very simple yet effective treatments. Again, even if flat feet don’t cause pain, they should still be treated in order to prevent problems from occurring in the future. You may require surgery to lengthen your Achilles tendon if you are unable to achieve proper flexibility in your Achilles tendon and calf muscles. You should exhaust all conservative care methods before undergoing Achilles tendon-lengthening surgery.