![]() Keep in mind that most children don’t fully form an arch until age 3-5. Usually, parents don’t become aware of their child’s pes plano valgus until they start walking, or even later. A relatively uncommon form of pes plano valgus can be caused by a tarsal coalition, and is not very flexible or mobile (please see the Kaiser Permanente Santa Rosa Department of Foot and Ankle Surgery’s document about tarsal coalitions for more information). Pes plano valgus is usually flexible, meaning that the joints of the foot and ankle are mobile. A pes plano valgus foot is often maximally pronated. This complex set of position changes between sitting and standing is called pronation of the foot. However, when the person stands, the arch flattens, the ankle rolls in, and the heel rolls out (everts). When sitting, a person with pes plano valgus may have a reasonably well-formed arch. Pes plano valgus feet may require treatment – more on this later. Pes plano valgus is the medical term that refers to an abnormal foot due to a flattened arch, a rolled-in appearance of the ankle, and a heel that appears to be rolled-out from under the ankle. A normal foot with a low arch rarely requires treatment. The arches of normal feet can be of varying height, so it is possible to have a relatively normal foot with a low arch. The term flatfoot is not a medical term, but is often used to describe a foot with a flattened or lowered arch. ![]() Tips and Instructions from the Cast Room.Ankle Fracture with Unstable Syndesmosis.Patients with Sensation or Circulation Loss in the Feet.Midfoot Impingement Syndrome and Degenerative Joint Disease of the Midfoot.Excess Body Weight and Foot and Ankle Problems. ![]()
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