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THIS POOR FOOT !
Not all cases are so manifest ....
Pes cavus-planus.What is it ?
It seems a paradox… people with a
tendency to flat foot (weakness of medial arch muscles and
tendons) istinctively create somehow this arch by wearing
high-heeled shoes.In time their feet develop a sharp dorsum,
they look like an arched foot.You can’t imagine how many doctors,
specialist in Orthopedics, (some pediatricians, physiatrists and
internists are even worse) make a wrong diagnosis and
consequently give a wrong therapy… just because they take a
masked flat foot for an arched foot!!!!If they just looked at
the patient while he walks(dynamic examination) they would see
how suddenly the medial arch breaks down, falls! Foot is themost
difficult organ:to diagnose and to operate.Your heart or your
brain are there,whether you stand up or whether you lie down…
when a surgeon operates on your feethe can not know how they
will adapt to the ground when you stand up… because he operates
while you lie down !
Every person has a different weight…
muscles and tendons have a different degree of elasticity and
therefore a different degree of deformability under full body’s
weight according to age, sex, hormonal setup, habitus somaticus
(picnicus, dolicocephalus, normotipus…) Same rules apply when
the surgeon cuts and give stitches to these tissues.
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Now you understand how complex a
foot is… if your surgeon has made a wrong diagnosis (arched foot
instead of flat foot) things get even worse!!! So beware, put
your feet in good hands!!!
That is why you need an insole even ater a foot operation
(sometimes above ll ater a foot’s operation!
My advice: try proper FOOTCLINIC insoles before undergoing an
operation !
In Italy (but not only in Italy)
famous university professors just examine your foot with a
podoscope! (Academic titles mean nothing if you do not know how
to take advantage of modern technology). What kind of
information can you get from a mirror?
Even a computerized platform gives you poor data. To mill an
insole from a bidimensional examination is nonsense. How can you
create an insole if you do not know by 1/10th mm precision how
deep your foot is? It is like giving an antibiotic without a
sputum examination and without an antibiogram. With a simple
bidimensional blueprint I see only contact zones. A mild flat
foot can leave the same foot blueprint of a first degree arched
foot.
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Ex. of pes
cavus-varus






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Some Advices !
- A callus (corn) is a symptom: do
not try to cut it with small scissors:refer to a specialist.
Do not underestimate it. It can affect the way you walk and your
posture. A callus can become an ulcer and then cause foot’s
amputation in people affected by diabetes !!!
- Children with flat foot must
undergo exercises to strenghthen their medial arch like grasping
an object, writing with their feet, walking up and down tiptoe,
standing up tiptoe.
- Stretching is useful for people affected by plantar fascitis:
kneel down, sit on your tiptoe and bend backward !
- Arched foot: walk barefoot along the shore-line.
DO NOT walk barefoot on artificial
surfaces: marble, asphalt.
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