Pes Planovalgus (flat feet)

Definition / Symptoms

Pes planus is the loss of the medial longitudinal arch of the foot. Infants typically have a minimal arch, however by the age of 10, children should have developed an anatomical arch structure. Abnormal development may be symptomatic of a medical condition – such as Cerebral Palsy – or simply an inherited condition.

Excessive foot pronation, which usually occurs with flat feet, can have a knock-on effect, contributing to foot pain and foot problems such as tibialis posterior dysfunction, hallux valgus (bunion), metatarsalgia (pain in the ball of your foot) and plantar fasciitis (policeman’s heel). It can also contribute to developing tightness in the calf muscles which can lead to gait deviations and medical conditions, such as Sever's disease.

Orthotic Treatments

We will assess your child's complete lower limb alignment and general posture.

If appropriate, bespoke foot orthotics may be prescribed to ease pain and to ensure that other symptoms do not develop because of your child's flat feet. We will design the orthotics and provide advice with the objective of helping your child to grow in correct alignment, therefore reducing future orthopaedic problems.

OSKAR Clinic

In recognition of this, we have set up a specialist clinic within LOC called OSKAR. This stands for the Optimal Kinematic Alignment approach to Rehabilitation and is an orthotic method of treating children with lower limb neurological conditions. It was originally developed by Elaine Owen MBE MSc SRP MCSP, a world-renowned physiotherapist.

In the OSKAR clinic, we dedicate even more time to the initial consultation and utilise our video vector Gait Lab facility. This gives us highly accurate information about the forces that are exerted on a body during the gait cycle. It allows us to prescribe and fit more accurate and objectively measured orthotics.

FAQs:

We have the following facilities and amenities at our Kingston Upon Thames location:

  • Free parking
  • Wheelchair ramp
  • Disabled toilet
  • Baby changing facilities

We also have the Gait Laboratory for orthotics patients and Onsite Manufacturing for speedy turnarounds and adjustments whilst you wait.

We have the following facilities and amenities at our Cambridge location:

  • Free parking directly outside the clinic
  • Large Waiting Room
  • No Toys (Due to Health & Safety Requirements of the clinic)
  • Baby changing space (In clinic room)

For more information about The Beechwood Complementary Medical Practice, please visit The Beechwood Practice.

We have the following facilities and amenities at our Bristol location:

  • Free parking directly outside the clinic
  • Large Waiting Room
  • Free tea, coffee and water
  • No Toys (Due to Health & Safety Requirements of the clinic)
  • Baby changing space (In clinic room)
  • Fully wheelchair accessible
  • Short walk to Clifton Village centre for shops, restaurants & cafes

For more information, visit Litfield House Medical Centre.

LOC’s clinic is based in the University of Salford’s Podiatry Department and provides treatments for orthotics, scoliosis, pectus deformities, positional plagiocephaly and club foot.

It is also the base for LOC’s northern OSKAR clinic which is run by Sam Walmsley, clinical director of LOC, in conjunction with Elaine Owen MBE MSc SRP MCSP.

Due to COVID-19, we have had to temporarily close the Salford clinic and are operating out of another clinic in Bolton. 

508 Blackburn Rd,

Astley Bridge,

Bolton

BL1 8NW

 

For more information, please visit The Good Health Centre 

An insole is a contoured orthotic device which alters the characteristics and biomechanics of the foot and ankle area. Biomechanics are concerned with mechanical laws and how they affect the living body, especially the musculoskeletal system.

They are removable devices, often made from plastic, that are designed to fit inside a shoe to provide additional support for your feet. As well as offering shock absorption, an insole can help distribute the weight of your body more effectively across the foot and can be made bespoke to cover a range of biomechanical conditions.

If you have symptoms in your feet, ankles, hips or your lower back that are intermittent or were not there to start with in early life, and have started to cause you pain over a period of time, bespoke orthotic insoles could be an excellent option.

If you have already tried rest, icing, compression and elevation and your feet have not recovered, we recommend a biomechanical assessment to consider the possibility of insoles. They are a non-invasive approach to treatment and in many cases, are a great option for symptoms that are not severe enough to warrant surgical intervention. Alternatively, they can be considered as an option prior to surgery.

We will send patients away when an insole is not appropriate, if a patient is suffering with iliotibial band syndrome for example, the problem can be helped with physiotherapy and a stretching programme. That’s what our biomechanical assessment is all about; determining whether there would be any benefit from altering the alignment of your feet.

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