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Dr. Andrew Rynne

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Is arch pain while standing on tip toe normal in a person with flat feet?

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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 1623 Questions

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Posted on Tue, 24 Jul 2018 in Bones, Muscles and Joints
Question: Hello,

My questions are about flat feet:

Should people with flat feet feel pain in their feet (mid arch) when they stand on their tip toes? I think it’s more painful if the toe is pointed down and you try to curl or squeeze your foot. And in this case when squeezing the foot could it case cramping?

Should it be very difficult/ painful for them to walk on their tip toes? I imagine not since most pain occurs when the heel strikes the ground and the toes are pointed upward.

Should people with flat feet experience pain when doing heel raise or do they just fatigue?

Why is pain more extreme in the morning when getting out of bed or after prolong resting? I can understand them being stiff or rigid, but the pain should get more (or be more) extreme the longer you stand, walk, or jog on your flat feet.

The distance in walking or time standing that causes pain in the feet of people with flat feet varies, the quickest relief is to get of your feet (rest them) or stretch them?

Foot cramps and swelling in most cases occur after prolong walking and standing?

Do all flat foot people experience pain along the course of the posterior tibial tendon?

How is the severity of foot pain measured or a chronic condition determined? Can X-rays, MRIs, CAT scans determine how the pain levels should be?

Is there a way to measure foot pain during an foot examination?

That was the last question, thanks.
doctor
Answered by Dr. Saddiq Ulabidin 11 hours later
Brief Answer:
Using specially designed soft sole shoes can decrease the complications

Detailed Answer:
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what you had been going through lately.

Based on the history you have shared, among the multiple questions you have asked many of the inferences you have drawn are right but many still needs to he explained. Off course most of the problem that arise are due to stiff middle part of sole striking the ground directly and lesser curvature can't minimise or reduce the impact force resulting in increased pressure on knee and hip joints and less curvature causing less elasticity cause stiffness and that lead to long term complications of these joints due to increased work load and resistance.

In order to minimize that one very important step is weight loss as that can directly reduce amount of gravitational pull and impact force and this decrease the work load. Also other risk factors relating to age related bone weakening or poor diet or absorption related issues or keeping good levels of vitamin D3, calcium, Ossien mineral complexes and bisphonates by monitoring and regularly replacing the deficiencies will lead to lesser rate of complications.

Another most helpful method is to use specially designed shoes with such soles which can minimize the point of impact and distribute the amount of force of impact equally along whole foot and can restore some amount of curvature to bring the elasticity. Orthopedic appendages are made by special institutes which can design such accessories according to your measurements.

Trying to do it manually by manipulating the gait or using heel or fingers to lift the middle part may indirectly be associated with spine issues and shouldnt be attempted. On stiff surfaces long walks should better be avoided and even if your are following a path, you can always chose grassy ground compared to a concrete surface.

As far these diagnostic modalities are concerned, like CT or MRI , these can just diagnose the extent of damage and can roughly predict the pain or morbidity related to that damage but their is no way to quantify the pain. In out patient clinics or feet examination clinics scale of 1 to 10 is usually done to roughly estimate the pain.

Wishing you a steady and healthy life ahead. Hope this has answered your query. If you have any questions please feel free to ask. Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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