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flatfoot Clinic Guide-Flatfoot

flatfoot Clinic Guide-Flatfoot
The flat feet consultation guide provides answers to the questions that flat feet patients often encounter when they go to the hospital for treatment, such as: What department number is the flat foot attached to? What are the precautions before the flatfoot examination? What do doctors usually ask? What inspections should be done for flat feet? What is the result of the flatfoot examination? and many more. The flatfoot consultation guidelines are designed to facilitate the treatment of flatfoot patients and solve the doubts of flatfoot patients when visiting a doctor.
Typical symptoms
Joint pain, fatigue, swelling and tenderness of the feet
Recommended department
Department of Orthopedics, Physical Examination and Health Care
Best time to visit
Nothing special, see a doctor as soon as possible
Length of visit
1 day is reserved for the first visit, and half a day is reserved for each follow-up visit
Follow-up frequency/diagnostic cycle
Outpatient treatment: follow-up visits every week until the joint pain is relieved, and then follow up.
Preparation before seeing a doctor
Protect the injured part from being damaged by external forces again. If there is a wound, try to keep the wound clean. Do not apply ointment by yourself. See a doctor immediately.
Frequently Asked Questions
1. Describe the reason for the visit (when did you feel uncomfortable?)
2. Is the discomfort caused by obvious factors?
3. Are there any accompanying symptoms such as pain, swelling, and abnormal gait?
4. Have you ever been to the hospital for medical treatment, and what were the examination results?
5. How is the treatment?
6. Is there a history of drug allergy?
Key inspection items
1. Preliminary inspection
Let the patient take a standing position,
From the front and back of the ankle, check the overall force line relationship between the hind foot and the forefoot. Pay attention to the shape of the longitudinal arch of the foot in the weight-bearing state. The structure of the foot may appear normal in the sitting position, but significant changes occur after the load is loaded. This is common in patients with excessive lax flat feet, soft toe deformities, and excessive laxity of the metatarsophalangeal joints. From the rear inspection, it can be seen that the affected hind feet are generally valgus, and "polydactysis" due to the abduction of the forefoot. Observe from the back the patient's unilateral or bilateral heel lift test when the knee is extended. Failure to complete a unilateral heel raise or lack of symmetrical varus movement of the hind foot indicates the presence of posterior tibial tendon disease.
2. X-ray inspection
The positive and lateral X-rays of the foot should be taken under weight-bearing conditions, and the changes in the angle of the arch of the foot are mainly measured in the lateral view of the foot.
Diagnostic criteria
①Have a history of abnormal foot bone alignment or foot trauma, overload, weak foot muscles and ligaments. ②The longitudinal arch of the foot collapses and the sole is flat. Heel valgus, walking or standing for a long time, easy to feel fatigue, pain and tenderness. ③Footprint inspection without arcuate defect area, and determine the flat foot type and degree. ④X-ray film showed that the longitudinal arch of the foot was collapsed, and the relationship between the axis of the tarsal and metatarsal bones changed.


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