Practical Examination Pes Cavus / Flat feet

know is it painful or not ?

and where is pain ?

         Talocalaneal coalition - medial side pain

         Calcaneonavicular Coalition - lateral side pain


Look -

           Standing - forefoot abducted , adducted - skew foot )

          hind foot - valgus

              bottom of foot - conved plantar surface - in rocker bottom foot

        shoulde be able to pass 2 fingers on medial arch.

        quickley see on lower back to see if there are any tell-tale signs.

Gait

 Tip toeing - flexible - heel varus ; medial arch prominent

 Tarsal Coalition - arch doesnot form , heel valgus


Sit - legs dangling

       check shoes

       more wear on medial side; if no wear ask if they are new.


Check Achilles tendon tightness -- stiff flat foot

ROM - Ankle and subtalar joint

            subtalar joint stiffness - difficult to illicit - patients will have ball and socket joint by   


            remodelling

 use IF/ Thumb to stabilize or at least to check talus body movement while  assessing subtalar joint



check neurovascular structures