8/26/2023 0 Comments Is flat foot a disability![]() In all instances, any decision to pursue surgical intervention should only come after careful consideration and consultation with a physician familiar with pediatric orthopedic surgery and conditions such as flatfoot in children. In some cases, special orthotics or braces may also be recommended after surgery in order to further support weakened areas or correct remaining deformities. Additionally, certain procedures may involve fusing bones together or inserting a titanium stint for stability. These treatments are designed to restore normal alignment of the ankle joint and reduce tension on ligaments associated with flatfoot deformities. The surgical options available for treating flat feet in children can range from ligament reconstruction to bone realignment procedures. In these cases, several factors must be taken into consideration in order to determine the best approach for treatment, such as the degree of deformity present and the type and severity of symptoms being experienced by the patient. However, there are instances when surgical intervention may be the best course of action due to a more severe case of flat feet or an underlying cause that needs to be addressed. In many cases of pediatric flat feet, no treatment is necessary and the child’s feet will typically develop normally over time. How to Choose the Right Shoes For Your Child.Traveling Out-Of-State for Pediatric Podiatry Care. ![]() Pediatric Flatfoot Reconstruction Surgery.Toe Walking (Achilles Tendon Lengthening) Surgery.Children’s Custom Orthotics – Casting Techniques.Children’s Orthotics – Prefab vs Custom.In the absence of trauma or other definite evidence of aggravation, service connection is not in order for pes cavus which is a typically congenital or juvenile disease. Exercise with undeveloped or unbalanced musculature, producing chronic irritation, can be an aggravating factor. In severe cases there is gaping of bones on the inner border of the foot, and rigid valgus position with loss of the power of inversion and adduction. The symptoms should be apparent without regard to exercise. The plantar surface of the foot is painful and shows demonstrable tenderness, and manipulation of the foot produces spasm of the Achilles tendon, peroneal spasm due to adhesion about the peroneal sheaths, and other evidence of pain and limited motion. The forepart of the foot is abducted, and the foot everted. A plumb line dropped from the middle of the patella falls inside of the normal point. This is an unfavorable mechanical relationship of the parts. The attention should be given to anatomical changes, as compared to normal, in the relationship of the foot and leg, particularly to the inward rotation of the superior portion of the os calcis, medial deviation of the insertion of the Achilles tendon, the medial tilting of the upper border of the astragalus. In the acquired condition, it is to be remembered that depression of the longitudinal arch, or the degree of depression, is not the essential feature. The congenital condition, with depression of the arch, but no evidence of abnormal callosities, areas of pressure, strain or demonstrable tenderness, is a congenital abnormality which is not compensable or pensionable. It is essential to make an initial distinction between bilateral flatfoot as a congenital or as an acquired condition. Can't find in the cfr the criteria for rating flat feet percentages.
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