High Arch – Pes Cavus

High Arch – Pes Cavus

Excessively high arches can be neuromuscular in origin which causes an imbalance between two pairs of muscles or structural in origin following trauma or underlying deformity. Pes Cavus is used to describe an excessively high medial longitudinal arch. The cavus deformity of the mid foot 

Flat Feet – Pes Planus

Flat Feet – Pes Planus

Pes planus is a term used to describe flattening of the medial longitudinal arch. In the child pes planus can be broadly divided into 2 groups – physiological and non-physiological. All infants have flat feet and in the majority an arch will develop by the age of 6 

Syndactyly

Syndactyly

Syndactyly can be divided into two types zygosyndactyly and polysyndactyly. Zygosyndactyly consists of complete or incomplete webbing between the toes usually the second or third. It is rarely symptomatic and rarely requires treatment. In polysyndactyly there is often duplication of the fifth toe with webbing between it and 

Toe Deformities – Mallet, Hammer, Claw and Overlapping 5th Toe

Toe Deformities – Mallet, Hammer, Claw and Overlapping 5th Toe

A mallet toe is a flexion deformity of the distal inter phalangeal joint of a toe. The deformity can be fixed or mobile. In the first instance consideration should be given to conservative treatment with padding, taping and orthotics. In the mobile deformity if conservative measures have 

Forefoot pain – Metatarsalgia

Forefoot pain – Metatarsalgia

Metatarsalgia is a term used to describe pain in the forefoot around the metatarsal heads. This can be mechanical or neuritic in nature. Mechanical metatarsalgia can be localised as seen in conditions such as second metatarsal over length or instability of the second metatarso-phalangeal joint. Symptoms can also be 

Big Toe Joint Osteoarthritis(Hallux Rigidus)

Big Toe Joint Osteoarthritis(Hallux Rigidus)

Hallux rigidus is a term used to describe a painful stiff great toe as a result of osteoarthritis. Osteoarthritis of the great toe can be graded depending on the severity of the symptoms suffered by the patient, the restriction in movement, and the radiological findings. 

Heel Pain (Plantar Fasciitis)

Heel Pain (Plantar Fasciitis)

Heel pain can be broadly divided into sub-calcaneal and superior. The commonest cause of sub-calcaneal pain is plantar fasciitis. Plantar fasciitis is inflammation of the origin of the plantar fascia. The plantar fascia is a fibrous band originating from the plantar medial tubercle of the 

Bunion Surgery Success – advanced techniques and anaesthesia

Bunions are one of the most common conditions we treat. A bunion is any swelling around the great toe MTP(metatarsophalangeal) joint but is often caused when the big toe joint moves out of alignment. Arthritis of the toe joint may also be present. Consultant Nick