Adult Acquired Flatfoot Deformity

Overview

 

Adult Acquired Flatfoot Deformity⁢ (AAFD), also known as Posterior Tibial Tendon Dysfunction, is a condition⁣ that results from a change in the shape of the foot. ‌It affects adults⁤ and can lead to serious complications if left untreated. The arch of the foot collapses ‍over time, leading to a flatfoot deformity. This progression​ is often accompanied by pain and difficulty in mobility.

Types

 

There are primarily four stages in AAFD:

    • Stage I: ​The patient experiences pain, but there is no noticeable change‌ in foot shape.

 

    • Stage‍ II: The foot arch⁤ begins to flatten and deformity becomes visible.⁤ This stage can ⁢still be managed with non-surgical treatments.

 

    • Stage III: Deformity advances and becomes rigid.‍ Conservative treatments ‍are typically ineffective at this stage and surgery may be recommended.

 

    • Stage IV: The deformity extends to the ankle, affecting its alignment and causing additional symptoms.

 

Causes

 

The main cause of AAFD is‌ the⁣ dysfunction or ‌injury of the ⁤tibialis posterior tendon, responsible for supporting the arch.​ Factors contributing to‍ this include:

    • Obesity

 

    • Diabetes

 

    • Hypertension

 

    • Steroid use

 

    • Trauma, ⁢such as falls or​ accidents

 

    • Age-related wear and tear

 

Symptoms

 

The ​symptoms of AAFD typically begin gradually and progress⁤ over time. They can include:

    • Pain or swelling in the inside of the ankle

 

    • Gradual flattening of the foot’s arch

 

    • Outward tilting of the heel

 

    • Inability to stand on ⁤tiptoe

 

    • Foot ⁤pain that worsens ​with activity

 

Diagnosis

 

A diagnosis of AAFD begins with a thorough examination of ​the foot and ankle. The doctor may⁣ ask about your symptoms, medical history, and any recent injuries. They may ‍also:

    • Perform a physical examination to assess pain, function, and alignment

 

    • Use imaging tests like X-rays, CT‌ scan, or MRI to evaluate the severity of the deformity‌ and ⁤rule out other ​conditions

 

Treatment ⁤Options

 

Treatment of AAFD aims to relieve pain and restore function. The ​choice of treatment often depends on the stage of the condition.

Non-surgical treatments include:

    • Activity modifications

 

    • Non-steroidal anti-inflammatory drugs (NSAIDs)

 

    • Casting or ​bracing

 

    • Physiotherapy

 

    • Orthotic devices

 

    • Weight management

 

If these​ conservative ​treatments are ⁢not effective, or if the deformity is severe,‍ surgical options exist:

    • Tendon transfers

 

    • Bone realignment procedures

 

    • Joint fusions

 

Living With​ Adult⁤ Acquired Flatfoot Deformity

 

Living with AAFD can be challenging, but managing the symptoms is‍ possible with the right approach.

    • Wear comfortable, supportive footwear and⁢ custom​ orthotics if prescribed

 

    • Maintain a healthy weight to⁢ reduce pressure on your feet

 

    • Follow a regular‍ exercise regime to strengthen ⁣foot muscles

 

    • Take prescribed medication as directed and keep up ‍with regular ​doctor appointments

 

    • If surgery is ⁢necessary, adhere to all post-operative ‍instructions‌ for the best recovery possible

 

When to Seek Help

 

You should seek immediate help from ⁢a healthcare professional if you experience:

    • Persistent pain in your feet

 

    • Significant change in⁤ the shape of your foot

 

    • Increasing difficulty in normal tasks such as walking‌ or ‌standing

 

    • Symptoms that do not improve with over-the-counter medications and rest

 

Living with Adult Acquired ‍Flatfoot Deformity can be challenging, but with the right diagnosis, ⁣treatment, and lifestyle adjustments, you can continue ‌to lead an active ‍and fulfilling⁢ life. Always consult with your healthcare professional to get accurate information ​and treatment options suited to your personal case.