Cavovarus Talipes Cavus Symptoms
Pes cavus foot occurs in about 8% to 15% of the population, but it does not get nearly as much attention in the medical literature as does its counterpart, pes planus. Sixty percent of individuals with cavus feet develop foot pain.
High arches are not nearly as common as low arches. They can be caused by a few different things. In some cases, this condition can be a symptom of a neurological disease, such as polio, Charcot-Marie-Tooth disease, cerebral palsy, muscular dystrophy, or even a stroke. These neurological conditions can affect your muscle tone, causing some muscles in your foot to be weakened or even paralyzed, while others remain just as strong as always.
Cavus feet tend to be stiffer than normal and may not take pressure as well as normal feet, so they may ache if you have been on your feet for a while. Some people with mild cavus feet don't notice them until they take up running or other sports, when the cavus may limit their exercise tolerance.
Examination of the muscle groups and muscle strength is important. Furthermore, pain along the peroneal tendons may be a sign of a peroneal tendon tear. This may result in a cavus foot much like a posterior tibial tendon dysfunction may result in flatfoot. Instability of the lateral ankle may also lead to a cavus foot position as the talus deviates into a varus position due to the laxity of the lateral ankle ligaments.
Non Surgical Treatment
Any fixed deformity must be accommodated, for example by cupping and supporting the varus heel and providing a small heel raise to compensate for forefoot plantaris. It has been shown that an orthosis that allows the first metatarsal to drop can decrease calcaneal dorsiflexion, and that this coincides with a reduction in foot pain.
Possible operations include straightening your toes to stop them rubbing on your shoes and to take the pressure off the ball of your foot, breaking and re-shaping one or more bones in the front, middle or heel of your foot to straighten the deformity, re-shaping and stiffening one or more joints, usually in the middle or heel of your foot, to straighten the deformity and make your foot more stable, moving one or more of the tendons of your foot to another part of the foot to give more strength to a weak area, tightening the ligament of your ankle or strengthening it with another bit of tissue to stop your ankle going over. You might need more than one option from this list, and it may not be possible to do it all at once. Your surgeon will discuss the options fully with you, including the chances of success and failure, to help you make up your mind about what you want to How do you prevent Achilles tendonitis?.