Another very common foot condition and while some people manage perfectly well with very little arch, others will experience significant problems.
If there is pain (not necessarily a lot), if there is stiffness or hypermobility, if the patient wears out shoes very quickly and if feet seem weak, if there is swelling on the inside of the ankle and if the deformity is increasing.
Bear in mind
- Pain behind the posteromedial aspect of the ankle is a strong indication of a tibialis posterior tendon dysfunction and this will get progressively worse.
- Treatment options and outcomes are far better if undertaken at an early stage.
- Calcaneal osteotomy (heel shift surgery) to address very poor alignment can now also be undertaken as a minimally invasive procedure.