Issues related to flat feet?
I apologize, but I would like to ask a few questions regarding flat feet for my boyfriend:
1.
After serving eight months in the military, my boyfriend discovered he has flat feet, and we confirmed a 175-degree angle at the hospital.
Aside from wearing custom shoes, what other methods can help alleviate his foot pain? He has already obtained a medical certificate to reduce physical training and standing duty, but his feet still hurt significantly!
2.
Can heat therapy and massage help reduce discomfort?
3.
Besides pain relievers, are there any other medications he can take? (He has a history of drug allergies.)
4.
Aside from La New, where else can he get custom shoes made? Are there hospitals in Taipei or Taoyuan that offer this service? If so, which hospitals provide it?
Qiuqiu, 20~29 year old female. Ask Date: 2005/01/21
Dr. Xu Zhenrong reply Rehabilitation
Dear Qiuqiu,
1.
Flat feet alter the normal biomechanics of walking, which can change the typical gait and may lead to other skeletal and joint issues, potentially resulting in long-term foot and knee pain.
While massage and heat therapy can temporarily alleviate pain, to prevent recurrence, a detailed assessment at a rehabilitation clinic and physical therapy department is recommended.
Techniques such as transcutaneous electrical nerve stimulation (TENS) for pain relief or hydrotherapy to relax tight muscles can be utilized.
Most importantly, it is essential to teach the correct exercise methods to strengthen the muscles and ligaments of the feet.
2.
The medications primarily used are anti-inflammatory pain relievers and muscle relaxants.
Please inform your physician of any drug allergies during your consultation.
3.
Arch supports or insoles for flat feet can be obtained from hospitals with rehabilitation departments that have assistive device rooms or from general prosthetic and orthotic shops that offer custom insole fabrication.
You may also inquire with the rehabilitation physician during your visit.
Taipei Hospital has partner institutions that can provide insoles.
Thank you for your question; I hope this information is helpful!
Sincerely,
Dr.
Hsu Chen-Jung, Director of the Rehabilitation Department, Taipei Hospital
Reply Date: 2005/01/21
More Info
Managing flat feet, or pes planus, can be challenging, especially when it leads to pain and discomfort. Your boyfriend's situation, particularly after serving in the military, is not uncommon, as flat feet can lead to various musculoskeletal issues. Here are some effective solutions and considerations for managing his condition:
1. Custom Orthotics and Footwear: While you mentioned that he is already using custom shoes, it's essential to ensure that these shoes provide adequate arch support and cushioning. Custom orthotics can help redistribute pressure on the feet and provide better alignment. If he hasn't already, he should consult a podiatrist or orthopedic specialist who can assess his specific needs and recommend appropriate orthotic devices.
2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can design a personalized exercise program that focuses on strengthening the muscles in the feet and legs, improving flexibility, and enhancing overall foot mechanics. Exercises may include calf stretches, toe curls, and arch lifts, which can help alleviate pain and improve function.
3. Heat Therapy and Massage: Heat therapy can indeed help reduce discomfort. Applying a warm compress or using a heating pad can relax tight muscles and improve blood circulation. Additionally, massage therapy can be beneficial. Massaging the feet and calves can relieve tension and promote relaxation. Using a tennis ball or a foot roller to massage the arches can also provide relief.
4. Medication Alternatives: While over-the-counter pain relievers like NSAIDs (e.g., ibuprofen) can help manage pain, it's crucial to consider his allergies. If he cannot take traditional pain medications, he might explore topical analgesics that can be applied directly to the skin over the painful area. These may include creams or gels containing menthol or capsaicin, which can provide localized pain relief.
5. Alternative Therapies: Some individuals find relief through alternative therapies such as acupuncture or chiropractic care. These therapies can help address pain and improve foot function. However, it's essential to consult with healthcare professionals to ensure these therapies are appropriate for his specific condition.
6. Footwear Options Beyond La New: In addition to La New, there are several other options for custom footwear in Taipei and Taoyuan. Hospitals with orthopedic departments often have services for custom shoe fittings. For example, Taipei Medical University Hospital and National Taiwan University Hospital may offer such services. It's advisable to contact these institutions directly to inquire about their custom orthotic programs.
7. Lifestyle Modifications: Encouraging your boyfriend to maintain a healthy weight can reduce stress on his feet. Additionally, he should avoid high-impact activities that exacerbate his pain. Low-impact exercises, such as swimming or cycling, can help maintain fitness without putting excessive strain on his feet.
8. Regular Follow-ups: Continuous monitoring of his condition is vital. Regular check-ups with a healthcare provider can help track his progress and make necessary adjustments to his treatment plan.
In summary, managing flat feet involves a multifaceted approach that includes proper footwear, physical therapy, heat therapy, and possibly alternative treatments. It's essential for your boyfriend to work closely with healthcare professionals to develop a comprehensive plan tailored to his needs. By addressing the underlying issues and implementing these strategies, he can significantly reduce pain and improve his quality of life.
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