Place a towel on the floor in front of a chair. While sitting in the chair, place both of your feet on the towel. While using one foot to hold the towel in place, curl the toes of the opposite foot to pull the towel toward you. Repeat with your other foot. If this exercise becomes too easy, place a small book or weight on the towel for resistance. Other Treatments Your daily exercise program for all diabetics can be walking, and you should do it at least 5 days a week for at least 20 to 30 minuets a day. Palliative orthoses are made especially to eliminate pressure from painful or ulcerated regions of the foot. These are often softer and less complicated devices made from foam or rubbers. Palliative orthoses are frequently employed for the treatment of severely deformed feet with a limited range of motion and mobility. They are usually a suitable option for elderly people with significant soft-tissue atrophy and/or circulatory disease. Private health insurance funds cover podiatry services under their ancillary tables. Government-funded services can be found in some public hospitals, community health centres and other publicly funded utilities. In addition to wearing the right shoes for flat feet, you may be able to alleviate your pain by stretching, if you have a shortened Achilles tendon. Your doctor can recommend exercises to stretch your Achilles tendon. If you are overweight, losing weight may help your pain. If your pain becomes too severe, you may have stay off your feet and take over-the-counter pain relievers. Another problem with Pes Planus is the poor fitting of shoes. Standard insoles in shoes will irritate the feet and may cause increased callus formation, increased fatigue to the feet and may lead to decreased activity. Orthotics again could assist with this difficulty. The way our arches form depends on several factors. Our feet are complex structures that comprise twenty-six bones, thirty-three joints, and more than 100 muscles, tendons, and ligaments each. Each foot forms two arches. The arch that runs from the heel to the toe is known as the longitudinal arch, while the one that runs the width is known as the transverse arch. Ligaments (fibrous tissues) give our arches their shape and hold our bones together. The plantar fascia (the long, strong band of connective tissue that runs along the sole of your foot) and muscles add secondary support. Alternate Names. Flat feet were once thought of as a bad thing. But studies show that people with higher arches are four times more likely to injure or sprain their ankles than people with flat feet. Studies conducted by the military have discredited the idea that flat feet are a reason to be excused from service. What Causes Flat Feet? In some adults, this tightening does not occur fully, resulting in flat feet. As some people age or sustain an injury, there the tendons in one or both feet may become damaged. The condition is also associated with diseases such as cerebral palsy and muscular dystrophy Who Is at Risk? With regard to dynamic balance control during walking, the only studies that could be located involved cadaveric models and the application of orthotics in static situations. As we age, unintentional falls cause debilitating injuries. Although falls are complex and many factors are involved, footwear and foot problems play a major role in the control of balance to avoid falls. 14 Imhauser and colleagues 15 quantified and compared the efficacy of orthoses in the treatment of flatfoot deformity of cadaveric models in a static A podiatrist will soon give a proper examination and prognosis and will want to see a variety of footwear that you use to properly advise you. Palliative orthoses are created especially to lessen force from painful or ulcerated parts of the foot. These are usually softer and much less complicated devices manufactured from foam or rubbers. Palliative orthoses are usually used for the management of severely disfigured feet with a limited flexibility and mobility. They are generally an appropriate option for seniors with significant soft-tissue atrophy and/or circulatory disease. Flatfoot (pes planus) is a condition in which the longitudinal arch in the foot, which runs lengthwise along the sole of the foot, has not developed normally and is lowered or flattened out. One foot or both feet may be affected. What causes flatfoot? Some of the friendliest people I know have a special condition called Trisomy 21 or Down syndrome. In these individuals many skin, bony, muscle and joint conditions exist due to abnormal collagen development. One of the types of collagen (Type VI) is encoded by a gene on chromosome 21. The resulting effect is increased joint laxity or looseness of the ligaments that attach bone to bone or tendons that attach muscles to bone (hypotonia of muscles). The ligamentous laxity and hypotonia will then lead to multiple conditions encountered in the feet of a Down syndrome individual. High arches tend to be the more prevalent of midfoot dysfunctions. They occur due to significant shortening of the soft tissues of the medial longitudinal arch. Often, this is a trained response to the types of shoes we wear. For years, shoe manufacturers have increased the amount of arch support, especially in running shoes. However, more is not always better. The increase in support leads to weakening of the muscles as they no longer have to work to support the arch. The other soft tissues, such as ligaments and fascia, will shorten because of the prolonged posturing due to the arch support. I made copies of my service medical records and private medical records highlighted and tabbed the areas and pages relating to my feet and knee and entrance exam notes. I made appointments with orthopedic surgeons and asked them for an exam of my feet and to review my records and give their opinion if my current foot and knee issues began and were caused by my service. I also worte them a letter describing my military service, my occupation, where I had been stationed. What I did Long hours of standing guard on hard surfaces, ruck marches, losts of running, etc.