Adult Acquired Flat Foot

Adult-acquired flatfoot (AAFD) is a common condition that affects the feet, causing them to lose their natural arches and become flat. This condition can lead to foot pain, discomfort, and difficulty walking. While the condition can develop in anyone, it is more commonly seen in older adults, overweight individuals, and those who have suffered from injuries to the feet or ankles. In this article, we will discuss the diagnosis and treatment options for adult-acquired flatfoot.

Diagnosis

The diagnosis of AAFD begins with a physical examination of the foot and ankle. During the exam, the doctor will look for signs of flatfoot, such as a collapsed arch, a rolling-inward of the ankle, and a shift of the heel bone towards the inside of the foot. The doctor may also ask the patient to walk, stand on their toes, and perform other movements to assess the extent of the condition.

If the doctor suspects that the patient has AAFD, they may order imaging tests, such as X-rays, to get a closer look at the bones and joints in the foot and ankle. MRI and CT scans may also be used to get a more detailed view of the soft tissues, including the tendons and ligaments.

Treatment

The treatment of AAFD depends on the severity of the condition. Mild cases may be treated with conservative measures, such as physical therapy, orthotics, and bracing. In more severe cases, surgery may be necessary to correct the deformity and alleviate pain and discomfort.

Conservative treatments:

Physical therapy: A physical therapist can work with the patient to develop an exercise program that strengthens the muscles and improves flexibility in the foot and ankle. This can help reduce pain and prevent further deformity.

Orthotics: Shoe inserts, called orthotics, can be used to provide support to the foot and alleviate pain. These may be over-the-counter inserts or custom-made orthotics.

Bracing: In some cases, a brace may be used to provide support and prevent further deformity. The brace is worn around the ankle and foot, and it can be adjusted to provide the necessary support.

Surgical treatments:

If conservative treatments do not relieve symptoms, surgery may be necessary. The type of surgery depends on the severity of the condition and the patient’s individual needs. Some common surgical procedures for AAFD include:

Tendon transfer: In this procedure, a tendon is moved from one part of the foot to another to provide support to the arch.

Osteotomy: In this procedure, the bones in the foot and ankle are reshaped to correct the deformity and improve the arch.

Fusion: In severe cases, the joints in the foot and ankle may be fused together to provide stability and prevent further deformity.

Conclusion

Adult-acquired flatfoot is a common condition that can cause pain and discomfort in the feet. If you suspect that you have AAFD, it is important to see a doctor for a proper diagnosis and treatment. Conservative treatments, such as physical therapy, orthotics, and bracing, may be enough to alleviate symptoms. However, in more severe cases, surgery may be necessary to correct the deformity and provide relief. With proper treatment, most people with AAFD can regain their mobility and enjoy an active lifestyle.