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Being flat-bottomed hurts 4 parts of the body!

People with flatfoot problems in their feet suffer from daily movements and their bodies wear out because of this problem. In flatfoot, the person's feet, knees, hips and lower back area of the lower part of the pain occurs.

International Hospital Orthopedics and Traumatology Specialist Assoc. Dr. Sezgin Sarban said, aşırı Excessive edema occurs in tendons, inflammations such as tendinitis, bursitis and even tears can be seen. The problem here is not just a flat foot. The problem is experienced as the foot cannot do the up and down flexing movement due to insufficient ligament support. Therefore, firstly, you need to be treated with special insoles. In cases of permanent pain, surgical treatment is applied. ”

In human normal anatomical structure, the feet and knees are arranged at a certain angle. Assoc. Dr. Sezgin Sarban says:

“Normally one's knees are not like a line on a straight line. The knees are located between the legs and thigh bones, and there is a 5-7 degree outward angle between these two bones. In the same way, there is a natural groove on the soles of the feet which allows for comfortable walking. With this diminution or loss of flatness, flatfoot emerges. Flatfoot distorts the angle of the knees, causing tendinitis and calcification. After the knees, hip and lower back of the knee dysfunction, the overall posture of the body is impaired. So it should be taken seriously. ”

If he's born ...

Problems with feet, knees and hips are seen at a higher rate in people with congenital severe flatfoot problems. Calcification occurs due to muscle imbalance. Flatfoot, under the soles of the feet, between the middle and forefoots that connect the bones to a large number of bonds and there should be a certain angle Assoc. Dr. Sezgin Sarban says:
Açı This angle decreases in people with insoles. If you look at a normal foot from the back, you can only see the pinky finger, when you look at a foot with flatfoot from behind, the foot sticks to the ground, so 3-4 and 5th fingers are seen. In this case we call excessive pronation between the two bones in the hind foot (sinus tarsi) decreases. In people with flatfoot, the foot loses normal mobility because of the reduced cavity of the foot and gains abnormal movement, such as excessive pronation. ”

Operation option

Flatfoot problem in people with various techniques that applied to the surgical operation Assoc. Dr. Sezgin Sarban lists these techniques as follows:
- There is a surgical technique that reduces all abnormal movement in the hind limb to prevent all symptoms. In this surgery, which we call “artroeresis mümkün, it is possible to place an implant in the normal cavity in the hind foot. This operation can also be considered as an insole placed internally on the foot.
- If hastalık tibialis posterior tendon failure ”develops in further painful disease, tendon transfers and posterior footbone shift or outer colon extension surgery can be performed.
- If there is a patient who has lost foot mobility, calcified and painful, in the case of hard flatfoot, the last option may be to freeze the middle-hind foot to obtain a flat foot. After surgery, we recommend rubber-based shock-absorbing shoes to patients.


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Exercises for flatfoot and foot pain

What is Flat Insoles? Flatfoot is a foot deformity characterized by the loss of the inner long curvature of the foot, which should normally be, and the heel shifting outwards. When flatfoot is often mentioned, the child's foot comes to mind, but flatfoot is not just an innate condition.

In adults, flatfoot is not only congenital. It may also develop as a result of rheumatic disease, overweight and / or excessive inappropriate shoes. Pain occurs in the form of foot and deformed shoe.

Flatfoot in children; If there is a visible deformity in the foot of a child who does not walk, if the heel slides excessively outward and there is no improvement in flatfoot after 5-6 years, an orthopedist experienced in foot should be consulted.

Those who complain of foot pain can be relaxing after a tired day or after a long walk to make some special moves to rest their feet. Side effects of factors causing foot pain such as excessive gait, standing in the same position, sitting for long periods with knees excessively, choosing wrong shoes can be reduced by measures to be taken or completely eliminated. Changing long-term walking pace is a good precaution against foot pain. Because when the walking tempo changes, the load on the muscles participating in the walking will change. Standing in the same position is very common in various professional groups. It is possible for these occupational groups to alleviate foot pain by wearing more abundant shoes and occasionally shifting weight from one foot to another. During the long journey, the knees break and the pressure of the seat to the calf muscles and veins under the leg causes the foot to swell and cause pain. In this case, it is more appropriate for people to travel with sandals. It would be useful to get up and change positions from time to time or take short walks during breaks. If it is a journey with shoes, it will be useful to carry a shoe cover and to wear this shoe cover after removing the shoe. False cut of the toenails is the factor that causes nail ingrown. We should remember that toenails should be cut straight.

The wrong choice of shoes or use of poor quality shoes is also an important condition causing foot pain and collapse of the soles. We should not forget that high-quality shoes that can support the foot is very important for our health. Persons who wish to exercise to rest their feet should first sit on a chair and extend their foot forward. With the ankle, draw circles that expand gradually clockwise and then counterclockwise. Then throw something on the floor and try to lift it between your toes and your soles. For example, you can use a handkerchief. Then throw a rough bottle on the floor and roll it on the floor with the sole of your foot just as if rolling a dough. This is both relaxing and invigorating gymnastics. This exercise is also a recommended form of exercise for the treatment of floor collapse.

Exercises to be done by those who have a floor collapse (Pes planus).

1- To take an object on the ground with your toes, hold for a few seconds and then leave.

2- Tearing and shredding a piece of paper with toes

3- Walking on soil and sand on soft ground.

4- Walking exercise on the same floor at the fingertips, heels, inside and outside of the foot.

5- Achilles tendon stretching exercises should be performed when the Achilles tendon is stretched in the supine position 10-12 pieces.

6- Roll a small glass bottle back and forth under your foot.

7- Actively pull the ankle towards you and push it forward (as if pressing a pedaa).

8- Repeat the same movement against the resistance (as an obstacle with your hand).

9-Pulling our foot towards you while actively pushing the foot inward. (Dorsiflexion and adduction +)

10- Draw circles that expand in both directions with the ankle (with the fingers bent) respectively.

As a result, these exercises can strengthen the ligaments of the soles of the feet and cause a decrease in flatfoot. However, these exercises should be performed with the recommendation of the doctor and sports training specialist.


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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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What is flatfoot and what are wrong

Flatfoot reads what is wrong and what we know are true experts in the field of Orthopedics and Traumatology Department Open our questions.

CORRECT KNOWN FAILS ABOUT Flatfoot

Flatfoot is one of the most common orthopedic problems in children; most of the time the foot is under load, that is, the foot on the floor should not be visible on the inside of the soles of the foot, the back of the heel to stand outward and the sole is completely in contact with the ground manifests itself. There are basically two types of flatfoot, one of the main problems that parents see and worry about in their children. ‘Hard flatfoot en, which requires surgical intervention and can cause permanent injuries if left untreated, is not very common in society. Flexible flatfoot, which is common in children, usually does not cause a health problem. Parents are advised not to worry at the first 5 years of age, where foot development is faster. However, a specialist should be consulted for the diagnosis of hard or flexible flatfoot. Memorial Sisli Hospital Department of Orthopedics and Traumatology Op. Dr. Feridun Yumrukçal gave information about the known mistakes in flatfoot.

Hard flatfoot can cause permanent disability

Hard flatfoot; manifests itself at birth and leads to the formation of the image called the kayak foot. Most of the time, it is caused by the disorder of the posture of one of the ankle bones and may cause other disorders. Exact diagnosis can be made during the examination. Although some stretching exercises and castings are applied in the newborn period; surgical treatment is usually performed at 6-12 months. Hard flatfoot may cause permanent disability if left untreated. When it is noticed that appropriate treatment should be done immediately. The sooner a hard flatfoot is recognized and the sooner it is started, the higher the chances of getting good results from the treatment. Flexible flatfoot, which is more common in society, is often not a problem that needs to be intervened, but it is still necessary to consult a specialist to distinguish between flexible and hard flatfoot.

Every baby appears flatfoot until the foot development process is complete

The most common flatfoot is flexible flatfoot. When the person is standing, the soles of the feet collapse, but they do not step on the normal appearance. All babies are seen as flatfoot when they are born. Therefore, flatfoot should not be feared at a very young age. However, after a certain age, especially if there is a family history, the probability of flexible flatfooting increases. The incidence in the community is around 20-25 percent in adults.

Not orthopedic boots, insoles and exercise therapy

It is not possible to correct with flexible flatfoot treatment. If the flexible flatfoot is not too severe, it can spontaneously recover as the foot development is completed. Traditionally, treatment insoles, orthopedic boots and exercises were traditionally recommended. However, scientific research; The flexible flatness of the insoles, boots and exercises used shows no corrective effect. Insoles, orthopedic boots, exercises can only be used to prevent secondary problems such as pain and easy fatigue caused by flexible flatfoot. In addition, the severity of flexible flatfoot can vary. In severe cases, a protrusion may be seen on the inside of the foot. This area can hit shoes, calluses may be. To prevent these, insoles or orthopedic boots can be used. When the child is diagnosed with flexible flatfoot, it is often sufficient to follow up until the age of 7-8 without any intervention.

Surgical treatment may be required in advanced flexible flatfoot

Flexible flatfoot may be more severe in children with complaints of pain and excessive fatigue. In such problems, it is necessary to use insoles. Although flexible flatfoot often does not require surgical treatment, surgery may be required in advanced patients. In this treatment, besides some soft tissue surgeries, bone surgeries can be performed. These can be by lengthening and reshaping the bones, or in some cases by freezing the joints in the foot and shaping the foot. As a result of this treatment, daily life can be continued without pain.



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What is Flat Insoles and How is it Treated?

What You Need to Know About Flat Insoles

Flat footbed, also known as low foot, may be congenital or may occur in adults. In short, one can subsequently acquire a flat base. Flat footbed, which is one of the most common orthopedic disorders in the society, is a problem that affects the quality of life negatively. Lack of internal curvature or insufficiency of the sole of the foot is defined as flat insoles. As you can see in the picture below, the base of the foot in the number 1 is completely flat. This means flat insoles. In figure 2, the foot has an ideal inner curve.

straight-footbed-002.jpg

Flatness, which is a problem that negatively affects a person's quality of life, causes various health problems such as early fatigue, foot pain, stepping in, knees hitting each other and low back pain. Therefore, one's daily life is negatively affected. As the age of people with flat soles progresses, deformities of the feet and calcification of the waist are seen. The feet are loaded with almost the full weight of the body. The feet allow the foot to flex from the heel during walking, thus assisting the body's spring mechanism. It is completed smoothly thanks to the spring movement and the curvature of the soles. However, in the absence or lack of internal curvature, flat base is mentioned. The quality of life decreases as a result of situations caused by flat-bottomedness.

straight-footbed-dereceleri.jpg

What are Flat Insoles?
Flexible Flat Insoles
It usually improves spontaneously after 8-10 years of age. In the case of flexible flat insoles, the curvature is visible when the foot is idle, but when the floor is pressed it is flattened.

Rigit Flat Insoles
Unlike the flexible flat sole, the foot does not have any curvature, either at idle or on the ground. Rigid flat insoles usually arise as a result of disordered bones in the foot. Rigid flat insoles that do not improve spontaneously can cause permanent problems if left untreated.

What Causes Flat Insoles?
First of all, we should state that every human being is born flat. After 5 years of age, the tissues forming the foot arch become more pronounced and strengthened. So each individual is a flat base until the age of 5. Completion and strengthening of the tissues forming the foot arch continues until the age of 9-10. Until the age of 5, the soles of the feet have not yet developed and are covered with a thick fatty tissue. Many experts recommend that children walk barefoot until they are 5 years old. Toddlers are recommended to wear mes-style soft leather shoes. On the contrary, the development of foot muscles and ligaments is adversely affected if hard shoes are worn. It is also recommended that children wear shoes called anatomical or physiological, not orthopedic shoes.

When it comes to flat insoles, it comes to mind that it is usually a congenital disease. However, flat base may be congenital or may occur later. We can say that people with normal and healthy foot structure may develop flat insoles after 30-40 years of age. The flat base, which can be obtained in later years, may also develop due to rheumatologic diseases or overweight. The tendon called “tibialis posterior asında is located at the very apex of the foot arch. The degeneration of this tendon adhered to the bone as a result of factors such as age, weight, overuse and rheumatologic diseases and its inability to function are the main causes of flatness seen in adults. If this tendon supporting the foot arch degenerates and does not work well, the cavern will slowly collapse.

What are the Symptoms of Flat Insoles?
The flat footing seen in adults progresses insidiously and causes the foot arch to collapse slowly. At the same time, the patient feels a pain in the inside of his foot. As with any disease, early diagnosis is of great importance in the flatfoot problem. Advancement of the disease can be halted by measures taken in early diagnosed flat floor cases. However, in the early stages, however, the disease cannot be diagnosed immediately and is confused with other diseases. The main symptoms of flat insoles seen in both children and adults are; The internal curvature of the foot slowly collapses, early fatigue, shortening of walking distance, pain during walking, leg and knee fatigue. As a result of the collapse of the inner curvature of the foot, the heel makes outward reclining motion. This results in knee and low back pain. Subsequently, deformities of the fingers occur in the anterior part of the foot.

Feet in
Quick fatigue
Pain in the tibia at the end of the day
Reduction in sports ability
Increased low back pain
Pain with walking

What is Flat Insole Treatment?
Untreated flat insoles may result in disability. Therefore, the problem of flat insoles seen in both adults and children should be treated. In untreated flat sole cases, the disease progresses and the person is unable to walk, deformation in the joints, heel-shaped disorder, low back pain, knee pain and toe deformities are observed.


In the treatment of flat insoles, first of all, shoe change is made. In the course of treatment, preferred shoes should support the foot and include soles that take the shape of the foot. In this process, it is recommended that the patient lose weight and not overuse his feet. If there is no positive result from shoe and insoles treatment and the disease has reached advanced stage, surgical intervention is applied.

WARNING!

Written and visual contents in our content are compiled from different sources, suggestion and information letter. There is no definitive diagnosis and treatment. In case of any health problems, consult your doctor. Remember that the treatment methods used in health problems may vary according to the individual's biology, hereditary characteristics, age, height, weight differences, allergic aspects, and dozens of different conditions. Your doctor can help you in the treatment of your health problems.


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WHY SHOULD WALK ANALYSIS BE DONE?

Analysis with our pressure (pedobarography) devices gives us the mean and maximum pressure values in Newton kilos pascal during swing stance.

In the light of these data, we can observe how much the person presses in, how much outward pressure, how much pressure is formed in the heel, how big the callus occurs in which part of the foot or may occur, the sensitivity points between diabetic foot or the pressure differences between the right foot and the left foot. All evaluations shed light on the design of our personal base. It helps us to determine the shore of the insoles raw material.

Gait analysis; In the production of personalized insoles, it gives us information about which material should be the sole.


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Orthopedic boots and insoles are unnecessary for children

Many of the children toddler parents start looking for orthopedic shoes, boots in the store. Parents often become easy customers of sellers who say ‘our shoes are orthopedic, and insist on the protrusion placed in the middle of the shoes.
They lose millions of pounds for the health of children with the most sensitive points in a pen. However, if children do not have serious health problems, there is no medical necessity such as orthopedic shoes, ankle boots, and insoles.

Is it normal for toddlers not to step straight?

It is mostly not a sign of illness, as they are a little trapezoid, and children between the ages of 2-6 are slightly flat. Scientific studies show that most of the 2-year-old children's base is on the ground, which means that there is a slight flatfoot. However, by the age of 5, the foot structure spontaneously improves. As it grows, the shape of the surface of the foot changes. Normal base view occurs.

l Isn't orthopedic shoes essential?

No child should wear special shoes except for very rare bone diseases. Orthopedic boots, various insoles, plastic molds made from the mold of the foot used to prevent trapezoidal or flat soles in children are often unnecessary, disturbing and expensive.

Are there any scientific data required to use them?

No. This practice has no scientific basis and does not prevent flatfoot. It does not contribute to proper printing. The bones and ligaments of the growing child develop naturally. 5- By the age of 6, the child starts to walk like an adult. Early diagnosis of all health problems facilitates treatment. However, orthopedic boots or insoles are of little use to children from trapezoidal footsteps.

When did the Western countries leave?

It was completely abandoned in the 1960s. In our case, orthopedic boots are still used, which make it difficult for children to walk, disturb their feet and burden the family budget. There are even doctors who require the child to travel in these heavy and bulky boots from morning to night.

What should be considered when choosing shoes for children?

- Made of comfortable, lightweight, flexible material,

- Easy to wear and remove,

- Choose cheap shoes.

- Comfortable shoes prevent irritation of the child's gentle skin.

- In light and flexible shoes, the foot moves more comfortably. Makes it easy to run and play. Easy to wear and remove shoes are good for mother and child.

Do I need to wear shoes at home?

The child should walk around the house as barefoot as possible without shoes.


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