A progressing worsening of a flat foot or dropped arch of the foot in an adult is commonly termed posterior tibial tendon dysfunction or adult acquired flatfoot and could have serious outcomes if not detected early on and treated. Posterior tibial tendon dysfunction is more frequent in older and over weight adults. The most crucial concern is how the posterior tibial muscles that are the reason for supporting the arch in the foot is no longer very good at undertaking that, and so a ongoing falling of the foot happens. In addition to a flattening with the arch of the foot there may be usually increasing pain and discomfort in the arch area of the foot and also the rearfoot. As the adult acquired flat foot advances, further walking gets progressively tougher and is quite tireing.
There are commonly four phases associated with posterior tibial tendon dysfunction that this disorder advances through with 1 being the early stage and 4 being the end stage that only surgical treatment can deal with. There is certainly a bit of disagreement with the staging of this with some variability amongst health care professionals and some reliability concerns. With that said, stage one is commonly treated with foot supports as well as exercises plus some relief for the pain. Stage 2 frequently requires a lot more aggressive and supporting foot orthoses, carrying on with the exercise routines as well as increasing amounts of pain relief drugs may be required. Both stages one and two will benefit with high top supporting footwear. Long-term weight loss programs are also likely to be beneficial. If that does not halt the development and the foot is moving in the direction of a stage 3, then there's growing possibility that reconstructive foot surgical procedures are probably going to be required. This is the reason it is so critical that there be more intense conservative management of the foot when it is still at stage two to stop the progress.
An extremely common treatment for adult acquired flat foot as it moves along to stage 2 would be the Richie Brace. This Richie Brace has been widely used and has been demonstrated to be very successful at stopping the progress with this disorder and staying away from the requirement for surgery. Surgical interventions are usually successful, but there is always a left over measure of disability remaining since the surgical treatment commonly does require the fusing of some important joints and also the transfer of muscles attachments with other parts of the foot. The Richie brace is a blend of an aggressively made custom foot orthotic as well as an ankle foot orthoses with struts to aid both sides of the ankle joint. The tailor made foot orthoses is constructed off a plaster cast or optical scan of the feet with the feet held in a corrected position. The goal of the foot orthotic portion of the Richie Brace would be to try to support the foot in this corrected position. The struts which get included up the side of the ankle are hinged at the ankle joint to allow for movement to occur at the ankle joint. Those struts are then held on by Velcro on the lower leg to help aid and improve the impact of the foot orthotic. If the progress of the condition is usually ended using this, then surgery is generally prevented.