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Understanding Flat Feet and Pes Planus Valgus: Expert Insights from Dr. Kashyap Solanki in Mumbai

Flat feet, or pes planus valgus, is a common condition that affects many people, yet many do not fully understand it. This condition is more than just a foot issue; it can lead to discomfort and complications if not properly managed. In this post, we will explore what flat feet are, their causes, symptoms, diagnosis, and treatment options based on insights from Dr. Kashyap Solanki, an orthopedic surgeon in Andheri East, Mumbai.


What Are Flat Feet?


Flat feet occur when the arches of the feet collapse, causing the entire sole to touch the ground. This flattening can cause the heel to tilt outward (valgus) and lead to excessive foot pronation, where the foot rolls inward during walking. Research indicates that approximately 30% of adults experience some degree of flatfoot.


Flat feet can result in discomfort and challenges in performing everyday activities, including standing and walking for long periods.


A foot with white nail polish stands on a patterned wooden floor, casting a shadow. Sunlight illuminates the floor, creating a calm vibe. foot shows flat feet

Is It Normal to Have Flat Feet?


Flat feet are particularly common in children, with studies showing that about 20% of children have some form of flatfoot. In many cases, the arches develop fully by adolescence. However, some individuals may continue to have flat feet, or the arches may collapse later in life—this is known as adult-acquired flatfoot. Understanding these variations is key to early intervention.


Common Signs and Symptoms


Individuals with pes planus valgus may experience a variety of symptoms, including:


  • Pain in the arch, heel, or ankle.

  • Quick fatigue in the feet after walking or standing.

  • Inward rolling of the ankle while walking (overpronation).

  • Difficulty maintaining balance and a higher chance of spraining.

  • Noticeable uneven wear on shoes, often leading to early replacements.


Baby wearing blue jeans learning to walk on wooden floor, supported by an adult. Soft lighting, cozy indoor setting.. No medial arch support seen

In severe cases, flat feet can result in pain not only in the feet but also in the knees, hips, and lower back.


Recognizing these symptoms early can help you make informed decisions about medical care.


What Causes Pes Planus Valgus?


Flat feet can arise from various causes, including:


  1. Congenital Factors: Many children are born with flexible flatfoot.

  2. Posterior Tibial Tendon Dysfunction (PTTD): This is a frequent cause of flat feet in adults, where the primary tendon supporting the arch becomes inflamed or injured.

  3. Obesity: Being overweight can increase the strain on foot structures, making flat feet more likely.

  4. Injury: Trauma to the foot or ankle can disrupt natural arch formation.

  5. Medical Conditions: Conditions like rheumatoid arthritis or genetic ligament laxity can weaken the arch.

  6. Lifestyle Factors: Prolonged standing or wearing unsupportive footwear can lead to flatfoot development.


Understanding these causes highlights the importance of preventive measures and effective treatment options.


How Is It Diagnosed?


At Dr. Kashyap Solanki’s clinic, diagnosing flat feet involves several steps:


  • Comprehensive Clinical Examination: A thorough check of the foot and ankle.

  • Gait Analysis: This analyzes walking patterns to identify any abnormalities.

  • X-rays: Imaging is used to assess the alignment and structural integrity of the foot.

  • Footprint Tests: Standing on tiptoes and evaluating flexibility can reveal arch issues.


A precise diagnosis allows for a more tailored treatment approach that addresses individual needs effectively.


Treatment Options


1. Conservative Management


For most patients, conservative measures are the first-line treatment. These options may include:


  • Custom Orthotics or Arch Supports: These can alleviate pain by providing necessary arch support.

  • Supportive Footwear: Shoes designed with strong heel support can enhance stability.

  • Physiotherapy: Exercises to strengthen the foot and ankle muscles can help alleviate symptoms and improve movement.

  • Weight Management: Keeping a healthy weight reduces strain on the feet, providing relief.

  • Footwear Choices: Avoiding barefoot walking on hard surfaces can prevent exacerbating symptoms.


2. Surgical Treatment


For patients with severe or rigid flatfoot, surgical options may be necessary. These could involve:


  • Tendon Reconstruction: Repairing damaged tendons that support the foot arch.

  • Bone Alignment Procedures: Correcting structural misalignments can restore function.

  • Fusion Procedures: In cases of severe misalignment, fusing bones may be the best way to stabilize the foot.


Surgery is generally considered only after non-invasive treatments have been explored.


Living with Flat Feet – When to Seek Professional Help


If you suspect you have flat feet or are experiencing related symptoms, consulting an orthopedic surgeon like Dr. Kashyap Solanki can offer personalized guidance.


Living with flat feet does not have to hinder your quality of life. With proper management and treatment, individuals can remain active and lead fulfilling lives.


Final Thoughts


Flat feet, or pes planus valgus, can affect anyone, from children to adults. Understanding the symptoms, causes, and treatment options is crucial for those potentially impacted. Insights from experts like Dr. Kashyap Solanki can equip you with valuable strategies for managing this condition. If you experience any discomfort or related symptoms, don’t hesitate to seek professional medical advice.


By taking proactive steps, you can ensure your foot health and continue enjoying an active lifestyle.



 Dr. Kashyap Solanki, practising in Andheri East, Mumbai, specializes in treating work-related musculoskeletal pain, disc issues, and posture-related spinal problems.

📍 Clinic Location: Amardeep Nursing Home - Andheri East, Mumbai

📞 Call to Book: +918108171797

 

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