Diagnosis and Treatment of Adult Flatfoot. ADULT Flexible Flatfoot. (Non-PTTD Flexible Flatfoot).

[Refer to Pathway #1]

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Source: Clinical Practice Guideline Adult Flatfoot Panel. Diagnosis and treatment of adult flatfoot. J Foot Ankle Surg 2005 Mar-Apr;44(2):78-113. Diagnosis and Treatment of Adult Flatfoot ADULT Flexible Flatfoot (Non-PTTD Flexible Flatfoot) SIGNIFICANT HISTORY *+/- Postural Complaints. *+/- Arch and Heel Pain. *Increased symptoms with weight-bearing activities. Refer to Pathway #1 Radiographic Findings *Angular Changes. *Peritalar Subluxation. SIGNIFICANT FINDINGS *Supple Foot. *Pronated. *+/- Equinus. *Lateral Impingement. DIAGNOSIS Asymptomatic *Patient Education. *Observation. *Prognosis. Symptomatic INITIAL TREATMENT OPTIONS *Activity Modifications. *Weight Loss. *Orthotic Management. *Immobilization. *Antiinflammatory Medications. *Physical Therapy. *Foot Wear Modifications. Orthotic Management *Foot Orthoses. -Custom or PreFab. *AFO. -Custom or PreFab. Satisfactory Clinical Response Unsatisfactory Continue NonSurgical Options Consider Surgical Options *Osteotomy. *Arthroereisis. *Fusions. Adjunctive Procedures: *Soft Tissue Procedures. *TAL / Gastroc Recession. PATHWAY 2 All copyrights are reserved by the American College of Foot and Ankle Surgeons.