Flat Feet (Pes Planus)

The treatment of Pes Planus, commonly known as flat feet, by our orthopedic surgeon involves various non-surgical and surgical options, depending on the severity of the condition and the associated symptoms. Here is an overview of the treatment approaches:

1. Non-Surgical Treatment:
   • Footwear Modifications: Wearing supportive shoes with good arch support and stability can help alleviate symptoms and provide better foot alignment.
   • Orthotic Devices: Custom-made orthotic inserts or arch supports may be prescribed to provide additional support and correct foot alignment.
   • Physical Therapy: Exercises to strengthen the foot and ankle muscles, improve flexibility, and correct gait abnormalities may be recommended.
   • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be used to reduce pain and inflammation.
2. Surgical Treatment:
   • When non-surgical interventions fail to provide relief or in severe cases, surgical intervention may be considered. The type of surgery will depend on the severity of the flat feet, the presence of associated deformities, and the patient’s individual circumstances.
   • Tendon Lengthening: In cases where tight Achilles tendons contribute to flat feet, a procedure called a tendon lengthening may be performed. This involves lengthening the Achilles tendon to allow for better foot alignment.
   • Osteotomy: In some cases, the orthopedic surgeon may perform an osteotomy, which involves cutting and repositioning bones in the foot to improve foot alignment and arch support.
   • Fusion (Arthrodesis): In severe cases of flat feet with significant deformity and arthritis, fusion of the affected joints may be necessary. This involves permanently joining the bones together to stabilize the foot and alleviate pain.
   • Joint Implants: In rare cases, joint replacement surgery may be considered for severely damaged or arthritic joints in the foot to provide pain relief and improve function.
3. Postoperative Recovery and Rehabilitation:
   • Following surgery, the patient will typically undergo a period of recovery and rehabilitation. This may involve wearing a cast, using crutches, and gradually resuming weight-bearing activities.
   • Physical therapy exercises may be prescribed to restore strength, flexibility, and normal gait mechanics.
   • The duration of recovery and rehabilitation will vary depending on the type of surgery performed and the individual’s healing progress.
4. Long-Term Follow-up:
   • Regular follow-up visits with the orthopedic surgeon will be scheduled to monitor the healing process, assess foot alignment, and address any concerns or complications that may arise.
   • The surgeon may provide recommendations for footwear, orthotic devices, and lifestyle modifications to prevent the recurrence or worsening of the flat feet.

It’s important to note that the treatment approach for Pes Planus may vary depending on the severity of the condition, associated symptoms, and the patient’s preferences. The orthopedic surgeon of the Eisenhower Clinic will conduct a thorough evaluation and discuss the available treatment options to develop an individualized plan tailored to the patient’s needs and goals. Compliance with the recommended treatment plan, including postoperative care and rehabilitation, is crucial for achieving optimal outcomes.