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beeswamp6
<b>Overview</b>
In direct pes cavus, the deformity occurs only in the sagittal plane (in the forefoot, hindfoot, or both). Direct pes cavus may be related to a variety of causes, although neurological diseases predominate in posterior pes cavus. Pes cavovarus is a three-dimensional deformity characterized by rotation of the calcaneopedal unit (the foot minus the talus). This deformity is caused by palsy of the intrinsic foot muscles, usually related to Charcot-Marie-Tooth disease.


<b>Causes</b>
The most frequent cause of cavus foot in children is a nerve or muscle disease. The condition usually is not present at birth but rather develops slowly during the first 10 years of life. Among cavus foot?s most common causes are Charcot-Marie-Tooth disease (CMT), Spina bifida, Polio, Muscular dystrophy, Injuries to the nerves in legs or spinal cord, Injuries to the leg muscles, Cavus foot also may be an inherited structural abnormality.
<img class="alignleft" style="float:right;margin-left:10px;" src="http://1.bp.blogspot.com/-6lCnr9Sz7o4/UyaY7bCzDeI/AAAAAAAACBc/JPay4g5AqjA/s1600/kaki%2Bnormal.png" width="254" alt="High Instep" />


<b>Symptoms</b>
The most obvious symptom of cavus foot are a very high arch or arches in the feet. People with cavus foot may also have calluses on the side, heel or balls of their feet, bent toes (hammertoes), tightly flexed toes (claw toes), pain while walking or standing, a tendency to sprain ankles.


<b>Diagnosis</b>
You will be asked about your symptoms and medical history. A physical exam will be done. You will also be asked about your family medical history. Your foot will be examined closely. Your doctor may move it around to assess range of motion. You may be referred to a specialist. An orthopedist specializes in bones. Podiatrists specialize in feet. The condition may be caused by a nervous system condition. In this case your doctor may refer you to a neurologist. Images may need to be taken of your foot. This can be done with x-rays.


<b>Non Surgical Treatment</b>
Suggested conservative management of patients with painful pes cavus typically involves strategies to reduce and redistribute plantar pressure loading with the use of foot orthoses and specialised cushioned footwear. Other non-surgical rehabilitation approaches include stretching and strengthening of tight and weak muscles, debridement of plantar callosities, osseous mobilization, massage, chiropractic manipulation of the foot and ankle and strategies to improve balance.


<b>Surgical Treatment</b>
In some cases, medical treatment is not effective, so surgery is considered. The type of surgery depends on what is causing the pes cavus. One type of surgery, called an osteotomy removes part of the bone to correct the deformity.
<img class="alignleft" style="float:left;margin-right:10px;" src="http://www.kevinrx.com/images/pes%20cavus1%20web-u185977.png" width="252" alt="High Arch" />





 
 
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