Flat Insoles and Compression
What is Flat Insoles?
The anatomical structure of the foot makes it possible to perform the horizontal spring movement, which is a special task. This structure, called the curvature on the inner side of the foot, is one of the most important structures in achieving horizontal springing. There are various muscles that support this structure. However, the most important of these is the tibialis posterior muscle and tendon. As a result of this muscle not working for various reasons, a table known as flat foot is formed. In Latin, flat insoles are called pes planus. People with this problem are called the flat base among the public.
What are the reasons for flat bottom formation?
The familial failure of this muscle, rupture of this muscle in rheumatic diseases, deterioration of the quality of this muscle in diabetic patients, the continuous use of flat shoes and the overweight of this muscle are among the most common known reasons.
What are the symptoms of flat insoles?
Typical symptoms include collapse of the internal arch, reduced walking distance, early fatigue, leg and knee pain, and difficulty during sports with the development of the disease in both children and adults.
One of the common problems in patients is the development of compression in order to contribute to the spring when the normal spring breaks down. Typically, the heel makes an outward recumbent motion while the central portion of the foot is inward. Therefore, especially knee and low back pain is triggered, and finger deformities are observed in the anterior part of the foot.
The first option in the treatment of flat soles in children and adults is to control the complaints with an insoles. The point to note is that the insoles work like glasses in the treatment of flat insoles. As long as the insoles are used, the foot behaves as if it has a curved structure and thus the complaints disappear. However, it should be known that developed deformity will not improve. It is recommended that patients choose the ones that are specially prepared for their insoles.
Flat Base Surgery
In spite of the use of insoles, correction of the structure can be performed surgically in case of progression of the disorder or complaints increase. Depending on the patient's age, weight, stage of the disease and the presence of any other concomitant health problem, the operation is decided. After the surgical treatment to be performed, the duration of the gypsum is determined by the need and duration of physical therapy planning and the use of special shoes. Usually there will be a recovery period of 6 months after surgery.
Flat insoles in children
When flat-footed children are observed, it is necessary to distinguish very carefully a table at this point. In this table, which is called flexible flat-footed, a very good curve is observed while the child is standing in the air, while stepping on the ground and disappearing of the curve are very typical. In this table, it will be observed that the soles used with a large majority will not require surgical treatment and the complaints disappear. It is important to note that this table is not a progressive table.
Another condition seen in children in the early period is the appearance of temporary flat insoles, which is the result of slow development of muscle. The most important differential diagnosis in this type of Flat Insoles patients is the improvement of flat insoles and compression in children with age. In this table, the use of insoles only occurs in patients with pain and running problems until the table is arranged.
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