A runner visits a podiatrist complaining of pain at the bottom of the foot. The podiatrist quickly notes that the patient has flatfeet and decides to take an x-ray of his foot. Explain what it means to have flatfeet. What are some possible consequences of flatfeet and why did the podiatrist take an x-ray? What treatments might the doctor recommend?
The normal arches in the foot are lower than normal because they have lost elasticity or didn't form correctly. When you stand normally the arches provide an elastic connection as the weight is transferred from the calcaneus to the metatarsals. The arches act as shock absorbers but when the arches are flat the load is distributed into the metatarsals causing pain. The patient may have a stress fracture of one of the metatarsals as a result of the stress of running with poor arches. The doctor would recommend wearing shoes with extra arch support.
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