Cavovarus Talipes Cavus Define

Cavovarus Talipes Cavus Define

Overview
People with high-arched feet often feel discomfort when walking barefoot on hard surfaces and require shoes with thick, supportive soles. If you have high-arched feet, chances are your Achilles tendon is also tight, which can contribute to metatarsalgia. However, there are some people with high-arched feet who experience no symptoms at all.

Causes
The exact cause of pes cavus is unknown. However, the medical community has settled on three likely scenarios that lead to pes cavus. Neuromuscular Condition. A neuromuscular condition may affect nerves and muscles that cause the hollowing of the foot. There are a number of neuromuscular conditions that could be the culprit, the most likely of which is Charcot-Marie Tooth disease. Congenital. Congenital causes may be derived from familial history of residual club foot as well as cases where the condition happens spontaneously. Trauma. As common sense would dictate, severe foot trauma could cause pes cavus through fractures, burns etc.'High

Symptoms
There are many symptoms believed to be related to the cavus foot. These include shoe-fitting problems, lateral ankle instability, lower limb stress fractures, knee pain, iliotibial band friction syndrome, back pain and tripping. Foot pain in people with pes cavus may result from abnormal plantar pressure loading because, structurally, the cavoid foot is regarded as being rigid and non-shock absorbent and having reduced ground contact area. There have previously been reports of an association between excessive plantar pressure and foot pathology in people with pes cavus.

Diagnosis
Diagnosing the cause of the cavus foot position is essential prior to surgical planning. Usually, performing a laterally based calcaneal osteotomy and a distally based metatarsal osteotomy together or each procedure alone can help position the foot properly.

Non Surgical Treatment
If these treatments fail to sufficiently abolish pain, or if it?s likely that your arches will continue to get worse over time, then surgery may be the best option for you. For those with neurological conditions, more than one surgery may become necessary as the arches continue to worsen. In these cases, getting surgery is more a preventative measure, In other words, surgery now may make it a bit easier to manage your condition later on. Whatever the option, your podiatrist will help you decide What is limb lengthening surgery??s best for you.

Surgical Treatment
Surgery is usually only justified when deformity is so pronounced or progressive that symptoms are intrusive and unresponsive to conservative treatments. The aims of surgery are to correct deformity, relieve pain and preserve joint motion if possible, re-balance muscle forces to aid gait and prevent progression of deformity. Depending on the nature of the deformity, procedures can be release of plantar fascia, tendon transfer, osteotomy and arthrodesis. Many patients need several operations.'High

go up