Arches Foot

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Arches Foot
Arches Foot
Video: Arches Foot
Video: Arches of foot Part 1 - Dr. Ahmed Farid 2023, February

Arches foot

In the pes excavatus (Pes cavus), the longitudinal arch of the sole of the foot is pulled upwards, the toes are forced into a claw position. A distinction is made between an innate and an acquired form. Depending on whether the ball of the foot or the heel is particularly stressed by the misalignment, the ball of the foot or the hollow foot is created. Usually the heel bone (calcaneus) kinks and then the entire ankle joint in the arch of the foot. This misalignment is called the varus position of the foot.

A arches foot can cause various ailments in the foot and ankle. However, the incorrect loading of the foot can also affect the entire musculoskeletal system. The arches foot is treated orthopedically. The success of the treatment can be optimized through physiotherapy. The treatment of the arches of the feet aims to regress the deformity as well as to prevent postural disorders.


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  • What are the causes of the arches foot?
  • What are the symptoms?
  • How is the diagnosis made?
  • How is a pesus treated?
  • Whom can I ask?
  • How are the costs going to be covered?

What are the causes of the arches foot?

A genetically determined muscle imbalance with curvature of the soles of the feet can lead to the formation of arches. The archesus also occurs as a result of muscle or nerve disorders that lead to defective muscle function (e.g. paralysis) of the foot muscles. Accidental bone and joint damage can also cause this malformation. If no cause can be found, there is a so-called idiopathic archesus formation.

What are the symptoms?

The forefoot stress causes the metatarsophalangeal joints to be stretched apart, creating a splayfoot (splayfoot). In addition, pressure points and corns (Klavi) can form in the area of ​​the metatarsophalangeal joints. The incorrect loading often leads to sprains of the ankle and less often to stress fractures of the foot bones. A hollow foot can cause joint damage to the foot and difficulty walking, as well as an imbalance of muscles and joints throughout the body. Possible consequences include pain, muscle, joint and, subsequently, bone damage.

How is the diagnosis made?

In order to be able to make a diagnosis, the doctor first asks about previous illnesses and carefully examines the feet. If possible, a gait analysis is also carried out. This is followed by a basic neurological examination to discover possible neurological deficits. X-rays and, if necessary, ultrasound, magnetic resonance imaging (MRT) and computed tomography (CT) can be used to assess misalignments or subsequent joint, ligament and bone damage. If the doctor suspects a nerve disease to be the cause, he / she can also have an electroneurography (ENG) or an electromyography (EMG) performed.

How is a pesus treated?

  • Non-surgical measures: Initially, insoles or orthopedic shoes can be adjusted to alleviate the discomfort of a high arch. In addition to orthopedic treatment, physiotherapy can alleviate symptoms and counteract postural disorders.
  • Surgical measures: When the growth is complete, bone parts can be surgically removed from certain foot bones in pronounced cases (osteotomy) to compensate for the deformity. A displacement of tendons and a split in the tendon plate, which supports the arch of the foot (plantar fascia), can compensate for the misalignment. In addition, joints can be stiffened (arthrodesis) to prevent the formation of arches or claws.

Whom can I ask?

If you have problems with your feet, you can contact a specialist in orthopedics. The pediatrician is usually the first point of contact for children with malpositions of their feet. If necessary, he / she can issue a referral to a specialist in pediatric orthopedics.

How are the costs going to be covered?

All necessary and appropriate diagnostic and therapeutic measures are taken over by the health insurance carriers. Your doctor or the outpatient clinic will generally settle accounts directly with your health insurance provider. With certain health insurance providers, however, you may have to pay a deductible (BVAEB, SVS, SVS, BVAEB).

However, you can also use a doctor of your choice (ie doctor without a health insurance contract) or a private outpatient clinic. For more information, see Costs and Deductibles.

Medical aids and aids such as orthopedic insoles must be prescribed by the doctor and in some cases approved by the responsible health insurance company. A contribution (deductible) is provided for by the insured person. You can find more information under The Way to Medical Aids & Aids.

When hospitalization is necessary

If a hospital stay is required, the hospital costs will be invoiced. The patient has to pay a daily contribution to the costs. Further medication treatment at home takes place by prescription by the general practitioner or specialist.

For more information, see What does a hospital stay cost?

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