.................... Greg Robinson Podiatrist ....................

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  • Common foot and lower limb conditions treated
    • Achilles problems >
      • Achilles tendonitis / tendinopathy
    • Ankle problems >
      • Ankle sprain (Ankle instability)
    • Arch and Ball problems >
      • Flat feet / fallen arches (over pronation)
      • High arched foot / Pes Cavus
      • Metatarsalgia (pain in the ball of the foot)
      • Plantar Fasciitis (arch pain)
      • Sesamoiditis
    • Children - Common conditions affecting children - Osteochindrosis >
      • Osteochondrosis
      • Freiberg's Disease - Pain in the ball of the foot
      • Kohler's Disease - Pain in the navicular (bone near ankle)
      • Osgood-Schlatter Disease - Tenderness in the knees
      • Sever's Disease - Heel pain
      • Sinding-Larsen-Johansson Syndrome - Pain at the bottom of the kneecap
    • Common foot injuries >
      • Ankle sprain injuries (ankle instability)
      • Fractures
      • Shin splints and shin pain
    • Deformities >
      • Bunions
      • Burrowing toe
      • Claw toe
      • Curly toe
      • Digital deformity
      • Flat feet / fallen arches (over pronation)
      • Hammer toes
      • Mallet toe
      • Metatarsalgia (pain in the ball of the foot)
      • Overriding and Underriding toes
      • Retracting toe
      • Tailors Bunion / bunionette
    • Diabetes and your feet
    • Diseases of your feet >
      • Arthritis >
        • Osteoarthritis
        • Rheumatoid arthritis
      • Freiberg's Disease - Pain in the ball of the foot
      • Gout / gouty arthritis
      • Kohler's Disease - Pain in the navicular (bone near ankle)
      • Raynaud's Disease
      • Sever's Disease - Heel pain
    • Forefoot pain >
      • Metatarsalgia (pain in the ball of the foot)
      • Neuroma / Mortons Neuroma
      • Sesamoiditis
    • Fungal problems >
      • Athlete's foot (Tinea pedis)
      • Fungal nails (Onychomycosis)
    • Geriatric foot care
    • Heel Pains >
      • Cracked heels / Heel fissures
      • Heel callus
      • Heel spur
      • Plantar Fasciitis (heel and arch pain)
    • Heel pain in adults >
      • Heel spur
      • Plantar Fasciitis (arch pain)
    • Heel pain in children >
      • Plantar Fasciitis (heel and arch pain)
      • Sever's Disease - Heel pain
    • Knee pain (anterior knee pain) >
      • Patellar tendinopathy (jumper's knee)
      • Patellofemoral pain syndrome (anterior knee pain, runner's knee)
    • Nail problems >
      • Black toenails
      • Ingrown toenails (Onychocryptosis)
      • Fungal nails (Onychomycosis)
    • Pronation - excess / over
    • Shin splints and shin pain
    • Skin problems >
      • Allergies
      • Athlete's foot (Tinea pedis)
      • Blisters
      • Burning feet
      • Callus / hard skin
      • Corns
      • Cracked heels / Heel fissures
      • Sweaty feet and Smelly feet
      • Swelling
      • Ulcers
      • Warts / Verrucae (plantar wart)
    • Toe problems >
      • Bunions
      • Burrowing toe
      • Claw toe
      • Curly toe
      • Digital deformity
      • Hammer toes
      • Ingrown toenails (Onychocryptosis)
      • In-toeing and out-toeing
      • Mallet toe
      • Overriding and Underriding toes
      • Retracting toe
      • Subluxation
      • Tailors Bunion / bunionette
      • Turf toe
    • Vascular / Nerve problems >
      • Alcoholic neuropathy
      • Burning feet
      • Chilblains (cold feet)
      • Neuroma / Mortons Neuroma
      • Raynaud's Disease
      • Spasms
  • Products
    • FungiSolve - Anti-fungal & Anti-bacterial Laundromat & Shoe Disinfectant >
      • FAQs FungiSolve
    • Medipod - Foot Repair & Treatment Cream >
      • FAQs Medipod
  • Blogs

Flat feet / fallen arches (over pronation)

Flat feet are a frequent condition of the foot structure.

In newborns and infants, prior to walking, the longitudinal arch is not developed and flat feet are normal. Most feet are flexible and an arch becomes visible when children begin standing on their toes.
The arch continues to develop throughout childhood and by adulthood most people have developed normal arches. 
On standing a flat arch will be seen and the foot may roll over to the inner aspect.
Symptoms vary depending on the severity of the condition.
Flat feet are generally related with pronation, (an inclination of the ankle bones toward the centre line).
Most people suffer from excessive pronation due to flat feet when walking, running and standing.
Though the foot may appear normal when
sitting down, with a clear arch present under the foot, over-pronation becomes noticeable when standing or walking as a result of weight bearing.
Shoes of people who pronate, when placed side by side, will lean toward each other (after worn long enough for the foot position to remodel their shape).
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Painful progressive flatfoot, otherwise known as tibialis posterior tendonitis or adult-acquired flatfoot, refers to inflammation of the tendon of the tibialis posterior.
This condition arises when the tendon becomes inflamed, stretched, or torn.
Left untreated, it may lead to severe disability and chronic pain.
People are predisposed to tibialis posterior tendonitis if they have flat feet or an abnormal attachment of the tendon to the bones in the midfoot.
Cerebral palsy, spins bifida and muscular dystrophy can also lead to a flat foot condition.
Nonsteroidal anti-inflammatory medications,
icing, physical therapy, supportive taping, bracing, and functional orthotics are common treatments for painful progressive flatfoot.

In some cases, surgery may need to be performed to repair a torn or damaged tendon and restore normal function.
In the most severe cases, surgery on the midfoot bones may be necessary to treat the associated flatfoot condition.
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Grayston Shopping Centre, Grayston Drive, Sandton, Johannesburg. 2196‎

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