Hi, I'm a pod student who is eager to make a right diagnosis for a patient.
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I know I'm not qualified yet but I would like to gain some professional
insight about the clinical case that I've witnessed today.
A 12 years old boy with severe flat foot (I assume it's congenital?)
on his left side with bad ankle pain.
His right foot also has some low arch issue but not as severe
as his left foot. He is diagnosed with hyper-flexible joints.
He also had a past medical history of developmental dysplasia of
hip and received a surgery when he was 8 years old. He was on the wheel chair
for one year due to the surgery.
I am assuming that the main problem is with his very weak tibialis posterior
muscle that can't support the left longitudinal arch.
Also, partially maybe due to his limited left hip ROM, the internal
rotation of the left femur caused his left foot to pronate dramatically in relation to
his right foot.
I read some posts and it seems that there are not strong evidence that
clarifies a direct relationship between hip ROM and pronated foot but
I think the hip pathology somehow contributed to his flat foot deformity.
Right now, he is suffering from left ankle pain and foot pain due to his flat foot.
He got his orthotics but it doesn't seem to correct his collapsed arch..
What would be a good treatment for this case? Would PT muscle exercise help to
relieve the symptom?
Please enlighten me!! I need some help!
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Digiti Minimi Quinti Varus (DMVQ)
|
Relationship between symptoms and weight-bearing radiographic parameters of idiopathic flexible flat
>
<
Digiti Minimi Quinti Varus (DMVQ)
|
Relationship between symptoms and weight-bearing radiographic parameters of idiopathic flexible flat
>
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