Surgical reconstruction of the muscles and tendons of the feet through a minimally invasive approach is now the treatment of choice. This eventually leads to the high-arched deformity.Ĭavus feet may be able to benefit from bracing and casts combined with proper physiotherapy, but a good recovery is only possible through surgical correction. The nerve damage causes the muscles of the foot to weaken and become unstable. There could be an underlying neurological fault or neuropathies such as Marie Tooth Disease, stroke and spinal cord lesions. Unlike flatfeet, pes cavus is mostly an acquired condition. Tendons of the foot such as the peroneal tendon can also be overworked and tear as a result of the high arches. Pain in the heel and the sole (particularly the big toe) is a usual presenting symptom. The Coleman block test differentiates flexible from rigid hindfoot varus. Idiopathic cavus foot should be a diagnosis of exclusion as greater than two-thirds of such deformities are caused by an underlying neurological diagnosis causing a muscle imbalance. Failure to maintain an asymptomatic plantigrade foot is an indication for surgery. The goal of treatment is to produce a plantigrade foot that allows even distribution of weight and permits the patient to ambulate without symptoms (eg, pain). People with a clinically high arch are unable to flatten their foot even with weight bearing.Īlthough many people with a high arched foot remain symptom-free, severe deformities can disrupt normal function and mobility. Pes cavus is an abnormal elevation of the medial longitudinal arch of the foot. The underlying cause of pes cavus must be identified to determine whether the disorder is progressive. This is the opposite of Pes Planus or flat feet. Pes Cavus is a morphological condition of the foot in which the arches of the foot are higher than normal.
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