Flatfoot
When standing on the ground, my feet seem to be flat-footed, but when they are suspended, there appears to be an arch.
Does this count as flat feet? I'm considering applying to a military academy and I'm unsure if this will pass the physical examination.
How can I get a proper diagnosis, and which medical specialty should I consult at the hospital?
What is the age range for flat foot surgery? I'm currently 17; can I undergo surgery now, and how long is the recovery period after the surgery? Could you provide me with some information about this? Thank you.
Why does it hurt? What kind of pain is it? I've never experienced pain before; do all individuals with flat feet experience pain? Does your hospital perform this type of surgery?
A Ku, 10~19 year old female. Ask Date: 2004/05/19
Dr. Li Weiqiang reply Rehabilitation
A-Ku: When I step on the ground, it feels like I have flat feet, but when my feet are suspended, there seems to be an arch.
Does this count as flat feet? This is known as flexible flatfoot; it does not require surgical treatment.
Special insoles can be used to maintain the foot in a neutral position, allowing the foot to remain in the most relaxed state, which reduces the burden on the feet and alleviates pain, especially after intense exercise.
Why does it hurt? What kind of pain is it? Do all people with flat feet experience pain? Generally, flat feet do not cause pain; if there is pain, it may be due to other issues with the foot.
I recommend that you get a detailed examination.
I’m not sure where you live, but I suggest finding a nearby rehabilitation specialist for a thorough check-up.
If you live near Taoyuan, you are welcome to visit my clinic on Tuesday afternoons, Wednesday, or Friday mornings.
If you have any other questions, please keep in touch.
Dr.
Li Wei-Chiang, Director of the Rehabilitation Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2004/05/19
More Info
Flat feet, also known as pes planus, is a condition where the arches of the feet are flattened, allowing the entire foot to make contact with the ground. This can lead to various symptoms, including pain and discomfort in the feet, ankles, knees, and even the lower back. Understanding flat feet, especially in teenagers, involves recognizing the diagnosis, potential surgical options, and recovery processes.
Diagnosis of Flat Feet
To determine if you have flat feet, a healthcare professional will typically perform a physical examination and may ask you to stand, walk, and perform specific movements. One common test is the "wet foot test," where you wet your foot and step on a flat surface to see the imprint. A complete evaluation may also include imaging studies, such as X-rays or MRI, to assess the structure of the foot and any associated issues.
If you suspect you have flat feet, you should consult a podiatrist or an orthopedic specialist who focuses on foot and ankle conditions. They can provide a comprehensive assessment and recommend appropriate treatment options.
Symptoms and Pain
Many individuals with flat feet do not experience pain, but some may develop discomfort due to overuse or strain on the muscles and ligaments supporting the foot. Pain can manifest in various forms, including:
- Arch pain: Discomfort in the arch area, especially after prolonged standing or walking.
- Heel pain: Often associated with conditions like plantar fasciitis, where the tissue connecting the heel to the toes becomes inflamed.
- Knee and hip pain: Misalignment caused by flat feet can lead to stress on the knees and hips, resulting in discomfort in those areas.
Surgical Options
Surgery for flat feet is generally considered when conservative treatments, such as orthotics, physical therapy, and pain management, do not provide relief. Surgical options may include:
- Osteotomy: Reshaping the bones in the foot to create a more normal arch.
- Tendon transfer: Repositioning tendons to help support the arch.
- Fusion: Fusing bones in the foot to provide stability.
The age at which surgery can be performed varies, but it is typically recommended for individuals whose bones have fully developed, usually around 16-18 years for girls and slightly later for boys. At 17 years old, you may be a candidate for surgery if conservative treatments have failed.
Recovery Process
Recovery from flat foot surgery can take several months. Initially, you may need to use crutches and avoid putting weight on the foot for a few weeks. Physical therapy is often recommended to strengthen the foot and improve flexibility. Most patients can expect to return to normal activities within 3 to 6 months, but this can vary based on the specific procedure and individual healing rates.
Military and Physical Fitness Considerations
If you are considering applying to a military academy, flat feet can be a concern during physical examinations. Each military branch has specific standards regarding foot conditions. It is advisable to consult with a military recruiter or a medical professional familiar with military standards to understand how your condition may affect your eligibility.
Conclusion
In summary, flat feet can be diagnosed through physical examinations and imaging studies. While many individuals with flat feet do not experience pain, some may require surgical intervention if conservative treatments fail. At 17 years old, you may be eligible for surgery, and recovery can take several months. If you are considering military service, it is essential to understand how flat feet may impact your eligibility. Always consult with a qualified healthcare professional for personalized advice and treatment options.
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