Pes Cavus is caused by muscle imbalances in the lower leg and foot that draws the front of the foot, or sometimes draws the heel downward, making the arch higher than normal. This is noticeable by a footprint that is pronounced in the heel and forefoot, with very minimal or even absent impression in the middle part of the foot. One of the conditions that I notice is the high arched foot, medically termed pes cavus. As an orthopedic surgeon that specializes in conditions of the foot and ankle, I tend to notice wet footprints across the pool deck or in the sand and cannot help but analyze the health of the individual’s feet.
MASS4D® customised foot orthotics offer maximum reduction in local peak pressures by providing proper support to the foot to facilitate healthy distribution of weight, to increase the contact area across the plantar surface of the foot, to reduce excessive supination and to promote healthy pronation.Ĭopyright 2017 MASS4D® All rights reserved.Now that it’s summer, we spend more time at the beach or swimming pool enjoying the warm weather. The findings of the study found that custom-made foot orthoses usage increased self-selected walking speeds, enhanced proprioception, reduced inter-cycle walking speed variability and caused a reduction in the centre-of-mass oscillation both medially and laterally. by retrospectively re-analysing plantar pressure data at baseline and three months post custom-made foot orthotic intervention. The efficacy of orthotic management in the treatment of a painful cavus foot deformity was demonstrated successfully by Najafi et al. Traumatic causes of a pes cavus foot can include crash injuries, peroneal nerve damage, compartment syndrome and talar neck fracture malunion the latter results in a fixed varus position of the subtalar, talonavicular and calcaneocuboid joints. Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate know moreĪccording to Rosenbaum et al, the neuromuscular causes of pes cavus could involve any of the following – hereditary motor and sensory neuropathies, cerebral palsy, after effects of stroke and spinal cord lesions.Īn underlying neurologic abnormality is reportedly found in at least two-thirds of adults with the condition muscle imbalance typically exists in the form of strong peroneus longus and tibialis posterior muscles functioning alongside weak tibialis anterior and peroneous brevis muscles.Īlthough an idiopathic cavus foot (such as the subtle cavus deformity) does not have any underlying causes, it may be associated with ankle instability, varus ankle arthrosis, plantar fasciitis, metatarsalgia or claw toe deformity. Pes cavus is categorised as neuromuscular, congenital, idiopathic or traumatic the idiopathic category is often classified separately from the congenital category. With the foot locked in hindfoot inversion and forefoot varus throughout the stance phase, there is less distribution of stress across the feet which can result in conditions such as metatarsalgia, iliotibial band syndrome and plantar fasciitis. describe the biomechanics of a pes cavus foot as involving narrowing of the talo-calcaneal angle which causes the navicular to move to a superior position in relation to the cuboid, as opposed to medially this makes it difficult for the Choparts joint to function efficiently.
A cavus foot deformity refers to an abnormally elevated medial arch which is marked by a varus hindfoot, high calcaneal pitch, high-pitched midfoot and a plantar flexed-adducted forefoot.Īminian et al.
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