Custom rigid orthotics is for patients withserious biomechanical disorders and/or foot deformities. Most people simply suffer from fallen arches (over-pronation) do not require an expensive rigid orthotic. Research has shown that for 80% of people suffering from over-pronation an off-the-shelf pre-made orthotic will provide sufficient correction. Pre-made orthotics is also softer than custom-made's and easier to get used to. Orthotics are found to be very effective for treating heel pain, heel spurs, Plantar Fasciitis, bunion pain, Achilles Tendonitis, Ball of Foot Pain, Morton's Neuron and many other foot complaints. But this text book focused on operative management, so this chapter mainly talk about children's disorder somtimes need to operation. Weak hamstrings are unable to support your knee and more of the load is shifted to the tendons. Therefore, hamstring strengthening is part of treating pes anserinus tendinitis. To strengthen them, wear an ankle weight on your bad leg while lying your abdomen. Begin with your leg straight on the floor. Flex your knee until you shin is perpendicular to the floor. Raise your leg toward the ceiling while keeping your knee bent. This is known as hip extension. You should feel your hamstring and glute contracting. Quadriceps Stretching But did you also know that tiny device you wear in your shoe can alleviate that pain, possibly even eliminate it? The success of any treatment, including foot and ankle treatment depends on the severity of the condition. There are patients who purchase custom orthotic device like 'œarch supports' that are made of fur as well as more compressive materials. To say the truth, this custom orthotics obviously helps people curing their foot problem. However, flat foot condition will resist the correction if patient use an orthotics made up of hard plastic device. This is the reason the podiatrists suggest patient to purchase better supports made from materials that will hold up for longer periods. These types of custom orthotics will obviously help people to get rid of their problem. Although many people may not seek treatment for minor symptoms, a person who experiences significant pain and difficulty in moving should seek medical consultation and treatment. The condition is often diagnosed from a complete medical history and physical examination, but a doctor may also include examinations to test the strength of one’s muscles and tendons, and to evaluate anatomical defects through the use of x-rays and MRI. Treatment of Flat Feet Flat feet are a common condition. In infants and toddlers, the arch is not developed and flat feet are normal. The arch develops in childhood. By adulthood, most people have developed normal arches. Figure 2. In this case, a skeletally immature child with a flexible flatfoot was treated with a subtalar joint arthroereisis and open Tendo Achilles lengthening. The metallic implant prevents the rearfoot from collapsing. The preoperative and postoperative radiographs demonstrate improvement of the alignment of the rearfoot (blue line) and forefoot (yellow line). Stretching. Because a tight calf muscle (equinus – contracture of the gastrocnemius and/or soleus) has been long associated with flexible flatfoot, a stretching program is a simple intervention aimed at counteracting this foot-deforming force. Most stretching efforts are centered on stretching the more superficial calf muscle, the gastrocnemius. Due to over-pronation the foot continues to roll inwards when it really should be pushing off and outwards, because of which the lower leg also follows the internal rotation instead of the external rotation, thereby placing a lot of strain on the leg muscles (especially the calf muscles) causing leg ache and shin splits. The knee-cap, a hinge joint designed to flex and extend like a door and not rotate, gets displaced due to the twisting of the leg. Similarly, when the legs rotate inwards, the pelvis is forced to tilt forward, thereby constantly straining the lower back muscles. Sit down on the floor with your legs extended in front of you. Place a towel that is rolled up lengthwise around the ball of your foot. Holding the loose ends of the towel, gently pull them toward you. You should feel a gentle stretch in the back of your calf. Hold for 15 to 30 seconds. Repeat with your other foot. You Might Also Like Standing Calf Stretch There are methods your podiatrist will tell you that you can prevent foot problems. The following are ways that I recommend for you to prevent any physical foot problems from starting. Most flat feet do not cause pain or other problems. Flat feet may be associated with pronation, in which the ankle bones lean inward toward the center line. When the shoes of children who pronate are placed side by side, they will lean toward each other (after they have been worn long enough for the foot position to remodel their sole). Adults can develop a flat foot when they are 60 - 70 years old. This type of flat foot is usually on one side. Symptoms A heel insert or lift added to your shoes may be just what you need if you are suffering from low back pain.