Bilateral pes planus
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Peroneal neural mobilization, play training and stretching exercises are often used treatment method of pes planus. 25 degree angle inverted foot orthoses are commonly used because of increasing stance phasic in treatment. Non- invasive treatment methods are given such as peroneal muscles and Achilles stretching exercises. Treatment of pes planus is maintained medial displacement calcaneal osteotomy operation with the transfer of the flexor digitorum longus.
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The most commonly used method are line that medial malleolus, 1st metatarsal head and the navicula is on the same line, and the footprint technique from ink rubber plates. Evaluation methods of pes planus are X-ray, heel height, gait analysis and Achilles strain. There is a high prevalence rates among males and occur positive correlation between with pes planus and BMI. Symptoms of pes planus are indicated heel pain, gait abnormalities, decreased dorsiflexion range of ankle, plantar ulceration, limited mobility of 1.metatarsophalangeal joint and spasm of peroneal muscle. The most common causes of pes planus are outgroup of leg muscles (peroneal) spasticity, plantar fasciitis and tibial tendon insufficiency. The etiology of pes planus is that hallux rigidus, plantar calcaneonavicular ligament rupture, collapse of medial longitudinal arch, pathology of ligament and tendon, shortness Achilles tendon and juvenile hallux valgus. It is separated two group such congenital (flexible and rigid) and acquired. Pes planus ( Pes planovalgus) is similar with flatfoot occurs collapse of medial longitudinal arch which is lower than normal range or occurs extra pressure on arch. Why Should I Register and Submit Results?.