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Subtle Cavus Foot Surgery

Subtle Cavus Foot Surgery

Overview
Cavus foot is a condition in which the foot has a very high arch. Because of this high arch, an excessive amount of weight is placed on the ball and heel of the foot when walking or standing. Cavus foot can lead to a variety of signs and symptoms, such as pain and instability. It can develop at any age, and can occur in one or both feet.

Causes
Cavus foot commonly occurs as a result of an underlying medical or neurological condition, such as polio, muscular dystrophy or cerebral palsy. Cavus foot may also occur as a result of congenital defects. They may be inherited from a parent, or they may result from an orthopedic condition or a disease of the nerves or muscles.'Supinated

Symptoms
The arch of a cavus foot will appear high even when standing. In addition, one or more of the following symptoms may be present. Hammertoes (bent toes) or claw toes (toes clenched like a fist). Calluses on the ball, side, or heel of the foot. Pain when standing or walking. An unstable foot due to the heel tilting inward, which can lead to ankle sprains. Some people with cavus foot may also experience foot drop, a weakness of the muscles in the foot and ankle that results in dragging the foot when taking a step. Foot drop is usually a sign of an underlying neurologic condition.

Diagnosis
Diagnosing the cause of the cavus foot position is essential prior to surgical planning. Usually, performing a laterally based calcaneal osteotomy and a distally based metatarsal osteotomy together or each procedure alone can help position the foot properly.

Non Surgical Treatment
The management depends on the radiological characteristics. Any motor impairments due to a neurological disease must be corrected before the induced osteoarticular deformities are treated. To avoid having to perform triple arthrodesis at growth completion, preference should be given to surgery during growth to correct the muscle imbalances.

Surgical Treatment
Possible operations include straightening your toes to stop them rubbing on your shoes and to take the pressure off the ball of your foot, breaking and re-shaping one or more bones in the front, middle or heel of your foot to straighten the deformity, re-shaping and stiffening one or more joints, usually in the middle or heel of your foot, to straighten the deformity and make your foot more stable, moving one or more of the tendons of your foot to another part of the foot to give more strength to a weak area, tightening the ligament of your ankle or strengthening it with another bit of tissue to stop your ankle going over. You might need more than one option from this list, and it may not be possible to do it all at once. Your surgeon will discuss the options fully with you, including the chances of success and failure, to help you make up your mind about What causes the heels of your feet to burn? you want to do.'High

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