Improving the malpositionA normal foot is supported by two foot arches: the anterior transverse arch and the longitudinal arch. They support the foot, cushion it and create the typical footprint. When the longitudinal arch is flattened and the sole of the foot touches the ground completely, this is known as a flat foot or “fallen arches”. Sometimes there is also a lateral buckling of the heel. This foot malposition is called pes planovalgus. As a rule, the foot corrects itself with growth in the first few years of life. However, in some cases, treatment is unavoidable.
Our specialists at Schoen Clinic have many years of experience in treating pes planovalgus in infants, children and adolescents. We do everything in our power to compensate for or improve the foot malposition in the best possible way.
Causes & symptoms
Causes: How pes planovalgus developsOne reason is a family predisposition: If parents or grandparents have pes planovalgus, there is a high probability that children will develop the same foot malposition. The shortening of the Achilles tendon is a frequent cause of the development of pes planovalgus. Deviations of the lower extremities, such as knock-knees and bow-leggedness, can also promote the development of pes planovalgus. Pronounced joint hypermobility is also a possible cause.
If there is severe pes planovalgus deformity in infancy, it must be clarified whether or not it is congenital flat foot (vertical talus). In adolescents with inflexible pes planovalgus, the presence of what is called tarsal coalition, a congenital fusion of tarsal bones, must be considered.