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. I got rated a 0% SC for Bi-lateral Pes Planus. Because they noted a 2008 document that I stated no foot pain, but that is not acurate, It statesI have heel pain and shin splints. They did not mention the two surgeons that specialize in foot surgeries and treated me after that date. I pasted what I found required for the 10% rating. I have plantar faciitis heel pain and posterior tibial tendon dysfunction. Does having the pain on use and manipulation qualify for the 10% or do you also need the inward bowing of the acilles? Most doctors start with conservative treatment to heal a damaged posterior tibial tendon, using rest, ice, compression, elevation and non-steroidal anti-inflammatory medications to reduce swelling and inflammation and allow the tendon to repair itself. A temporary walking cast gives the area time to heal without inflicting more damage. Custom orthotics that fit in your shoe can help correct your gait by mechanically holding up your foot in a normal arch pattern. Physical therapy can also help strengthen the damaged tendon. If you have a severe tear in the tendon, you might need surgical repair. So how can you tell the difference between customized orthotics and authentic custom foot orthotics? If you are receiving authentic custom orthotic devices, a three-dimensional mold of your foot, using a laser scan or plaster of paris must be taken. Walking or standing on a force plate can be used to evaluate some aspects of foot function, but a force plate cannot capture the 3-dimensional impressions of your feet that are necessary for best outcomes. Remember, a non-weightbearing cast or scan of your foot must be taken in order to manufacture a functional custom orthotic. If this does not occur, it cannot be a custom orthotic. The arches of the feet are very important to assist in helping us spring forward painlessly. If the arch from below the toes to the heels is very high it can cause strain.The technical term for an excessively high arch is Pes Cavus. Massage using a plain carrier oil, such as Sweet Almond Oil, can help reduce the pain of this. If this arch is flat we are described as flat-footed ( Pes Planus Valgus or PPV). Some children have problems with flat feet. Simple foot exercises can help this. Simple swelling of the legs and legs is just a typical problem, especially in seniors. It may influence both legs and may range from the calves if not the legs. Due to the influence of gravity, swelling is specially apparent in these locations. Base swelling (Image) The accumulation of water within the body is known as edema. Edema is often seen in the legs and legs, due to the influence of gravity, swelling is specially apparent in these locations. Common reasons for edema are prolonged position, prolonged sitting, maternity, being obese, and escalation in age.