Flat-footed footwear

Flat feet: causes, gymnastics, shoes, insoles

According to observations of specialists, flat feet of the feet occurs in 7-9 percent of 6-8-year-old children and more than half of people in adulthood. And these figures are growing every year.

With flat feet, the foot does not take full support from the muscles of the inner arch and gradually descends and flattenes. This process is inherited or due to high load and overstrain of muscles and ligaments.

Causes of flat feet

In a city, a person has to walk a lot on smooth and level surfaces. In addition, we women can not without high heels and begin to walk on them for years from 12-13, when the foot is not yet fully formed. All this contributes to the development of foot disease - flat feet.

To prevent flatfoot, the following measures should be taken:

1. Use any opportunity to rest your feet, remove your shoes and throw your feet higher.

2. In the summer, try to walk barefoot on sand, pebbles or grass as much as possible.

3. Stand on the outer edges of the feet 4-5 times a day and stand there for 30-50 seconds.

4. When wearing high-heeled shoes, when walking, step on your toes, not on your heels.

Do I need flatfoot treatment?

Many do not consider flatfoot a serious disease and do not hurry to treat it. But it affects the entire musculoskeletal system as a whole. Let's first look at this problem from an aesthetic point of view.

1. Shoes. With flatfoot, it wears out and staggers from the inside. Walking on high heels becomes rather painful, legs quickly get tired.

2. Stop. It is flattened, looks unnatural, in appearance wider than it actually is. Due to the constant load on certain areas of the foot, its deformation begins, the most common is Hallux Valgus or bumps in the big toes, a very unattractive bulging bone, which makes it more difficult to pick up shoes over the years.

3. Hemorrhages. The footwear puts pressure on the bulging bone, this problematic site swells and turns red, and on the soles of the feet there are burrs. I have to do a pedicure more often.

4. Formed ingrown nails. This problem occurs when the toes are deformed and closely pressed against each other.

5. Unusual posture and gait. Due to changes in the musculoskeletal apparatus, the gait becomes unnatural, painful, a "clubfoot" appears during walking.

6. Knees. If the knees bend outward, then it looks, at least horribly. And if they turn inside, the legs seem to be twisted. If flat feet appears in children, then such deformation is quite possible.

7. Muscles of the legs. They can be disproportionately developed. In any case, it will not add beauty to your legs.

What are the sensations of flatfoot disease? Of course, this is, above all, a feeling of heaviness in the legs, swelling of the legs, rapid fatigue, pain in the hips and back, knee joints, feet when walking. Varicose veins may develop, postural disorders, seizures, osteochondrosis, etc. may occur.

Let's sum up the aforesaid, flat foot is a disease that accelerates the wear and tear of almost the entire musculoskeletal system. Of course, you can live with this disease, but you have to fight it.

Gymnastics with flat feet

Exercises and gyms for flat feet there are many. And they are all effective if you perform them regularly. Prepare for what you have to do all your life if your legs are prone to such a disease as flat feet. Exercises are performed while walking, lying, sitting. Choose for yourself suitable and do them every day.

Walking

1. Raise your hands up and walk on your socks.

2. Hands on the belt and walking on the heels.

3. Hands on the belt, the toes of the legs are bent, walking on the outer arch of the feet.

Each exercise should be performed one to two minutes a couple of times a day.

Exercises lying on the back

1. Pull the toe socks on yourself( simultaneously and alternately) and simultaneously turn inside.

2. The legs are bent at the knees. Heel from the support( at the same time and alternately), while the toe of the legs should touch the support.

3. Legs bend in knee joints, knees and thighs spread, feet touch each other with soles. Next, we breed and reduce the heels, resting on the toes, this exercise is called - "clap your heels."

4. To make sliding movements of feet of one leg on the leg of the other, covering it.

Exercises sitting on the chair

1. From the floor tear off the heels( at the same time).

2. Tear off the socks( alternately).

3. Raise the toe of one leg and the heel of the other simultaneously.

4. Position the lower leg of the right leg on the left knee, make circular movements of the feet clockwise and then against it, then change the position.

5. Capture and shift from place to place small items with your toes.

6. Put your left foot on the right, raise and lower. Then change the location.

7. Roll forward the rolling pin, this exercise is also good for constipation.

8. Caterpillar. Bend the toes, then pull the heels to them( alternately).

Exercises standing

1. Rise to the toe and fall on the whole foot( alternately).

2. To rise on heels and fall on the whole foot( alternately).

3. Roll from toe to toe and back.

Exercises from flatfoot with the ball

1. Roll on the floor a small ball, it is better with spikes, the entire foot 5-8 minutes.

2. Sitting on the stool to hold between the stops the ball in diameter 15-20 centimeters. Raise and lower the limbs with the ball for 5-8 minutes. This exercise is very useful for the muscles of the press.

Massage with flat feet

This massage with flatfoot you can do at home. It improves blood circulation, reduces pain, strengthens muscles. Perform it with deep relaxation of muscles, after gymnastics.

The basic receptions of massage:

  • For the beginning it is warmed up by massage movements calf muscle, then a shin, then stop. The foot must be rubbed and stroked with the back surface of the fingers.
  • The sole should be rubbed from the fingers to the heel. It is recommended to use special massage rollers and rubber mats.

Flat-foot footwear

Congenital platypodia is less common than acquired. If you wear poor-quality shoes, then the flat foot is provided to you. The same can be said about extremely narrow and tight shoes and models with high heels. Look at the photo of how your feet look in such shoes. Of course, fashionable shoes with high heels look delicious, and we always look with envy at the girls on the heels. But, we want to warn you that you should not wear such shoes every day. If you can not get rid of such a model of shoes, at least limit the time of wearing it. Wear them for special occasions and a date, a visit, etc. Casual shoes are better to choose from soft leather on a flexible sole.

The toe of the shoe should not be pointed, but of a free round shape, the heel not exceeding four centimeters. The back should provide a good fixation of the heel. Sneakers should buy high-quality. And no platforms.

Do not wear shoes that are loose and wide. It is poorly fixed on the foot, causes rubbing, inflammation and calluses. The tight models of shoes, other than rubbing calluses, will lead to the curvature of the fingers, the growth of nails and the violation of blood circulation. Shoes should fit your foot like your own skin.

Special case: If you have a narrow foot, and the bones stick out on the feet, you will have problems with the choice of shoes. Shoes suitable to you in size, will be narrow in that place, but, with a greater completeness wide in the field of the entire foot. Common situation? In this case, you can save shoes from very soft suede or leather, they will take shape of your foot after a while. You can disguise the stone with the help of a print shoe that is not monophonic.

Orthopedic insoles for flat feet

There is a huge selection of orthopedic insoles, they can be purchased at a pharmacy, or made to order on an individual foot impression in a specialized store. The use of an orthopedic insole helps to distribute evenly the load on the foot. It is made of an elastic material, often with a pad under the fingers. These insoles will ensure the correct distribution of load on the foot and will not allow flat feet to develop further. There are also insole, not reaching to the fingers, which can be worn even with sandals. Pay attention to the silicone remeders for various leg problems.

Flatfoot and the work of

If you spend most of the day on your feet, it does not matter whether you walk, run or stand, this will sooner or later lead to an overload even a normal healthy foot. This is primarily the work of a teacher, a waiter, a hairdresser, a seller, a security guard. If you work in such jobs, which constantly have to be on your feet, you should wear shoes on a thick, soft, soles, with an open nose.

The most important thing: if you seriously decided to fight with such a disease as flatfoot, take the time and get help from a specialist.

oz-lady.ru

The value of shoes with flat feet

The feet have two anatomical arches, the task of which is depreciation during jerks, running and jumping. If you imagine a foot without arches and reinforcing their ligaments, then you get a pretty icky picture. Imagine that the foot is completely flat and consists only of a solid bone, then when moving all the beats will echo in all bones of the skeleton, head and spine, and the joints will quickly wear out.

This is about the same mechanism and the main cause of diseases associated with flattening the arches of the foot and the development of flat feet. When treating the initial stages of the disease, great attention is paid to the insole, instep supports and the selection of the right footwear. If the disease progresses, then usually prescribed massage, therapeutic gymnastics, and in severe cases - surgical treatment.

Before choosing which shoes to wear when flat feet, you need to understand yourself what shoes are strongly not recommended to wear. And this applies not only to those who develop flat feet or already have signs of the disease, but also those who do not want to buy it.

Which shoes can not be worn

  • Rigid shoes with a firm sole. The fat layer on the sole during walking "rolls" and evenly distributes the load of the body. If the shoes or shoes are hard, then this process is difficult, as a result of which the ligaments and muscles of the foot are weakened.
  • High Heel. It causes deformation and redistribution of the body weight load forward, and not evenly. This causes an increase in the load on the transverse arch of the foot( between the fingers) and the development of valgus deformity of the thumb( the cause of the "bone") and the entire foot.
  • Narrow shoes or smaller shoes. The damage is approximately the same as when wearing hard shoes. Muscles and ligaments are not developed when walking, causing flat feet.
  • No platforms or wedges, as they do not create stability, but on the contrary, do not bend and overload your legs.

How to choose

This information can be useful not only for those who have flat feet, it is simply necessary for all those who have small children or adolescents, because the flat foot can be completely corrected only in children up to 6-7 years old. According to statistics, parents, not knowing this information, often buy models that cause irreparable harm to the child. And those who have encountered a problem and want to know what shoes are required for flatfoot, these selection criteria should become something like a commandment.

Selection criteria for

  • As soon as the toddler gets to his feet, it is useful for him to walk without shoes at first, and then he will need tightly fixing foot shoes with laces or velcro. The leg in the shoe should not be loose or compressed.
  • The material from which the top of the shoes is to be made is leather only. It "breathes" and in the foot does not create unnecessary "microclimate", as when using synthetic materials.
  • The sole of shoes - preferably of natural materials and flexible. This can easily be checked by trying to bend the shoe in half. It is on such a sole that you need to wear insoles from flat feet.
  • Heel - should not exceed 4-5 cm in children, and its ideal thickness is 1-2 cm. At the same time, the heel should be stable and occupy at least 1/3 of the entire area of ​​the sole. Shoes-ballet shoes, which do not have a heel, also harm the foot.
  • The sock should be wide, but it's a good fit for the leg. Toe or squeeze the foot of the sock should not.
  • Shoes should not have internal seams injuring the skin, nor should it stain your hands or smell unpleasant. Such "dignities" speak of poor-quality material.
  • Sneakers, in which 80% of children spend their childhood, should have elastic laces, detachable insoles, insteps located between the insole and sole, mesh inserts at the top of the shoe, as well as a tight back and low heel( without platform).But sports models can not be worn constantly, since the foot is blown.

Orthopedic footwear

Orthopedic footwear with flat feet is assigned immediately when the disease is detected and, as a rule, has the necessary insoles. Most of the shoes are selected individually or sewn to order. Modern orthopedic shoes are aesthetically pleasing, but in appearance it does not differ from ordinary models.

Children's orthopedic shoes for summer.

Selection Criteria

  • The shoes have a wide, low heel, solid back and a wide sock.
  • The sole bends( without a wedge).
  • Do not wear shoes without backs or on a thin strap. At a flat foot, the heel deviates backwards or sideways, so it is better to fix it.
  • Boots on laces are better than with zippers, which allows you to more accurately fit the leg in its fullness.
  • Summer shoes end on the ankle, and the winter one - above it. This allows you to tightly fix the heel, without overloading the foot.

Flat-footedness is easier to prevent than to treat it later, especially for children. Try to pick up convenient and practical models for every day, and elegant, high-heeled leave for "going out".In addition, do not forget about comfort and convenience, which equally applies to children and adults. Fins from flat feet: how to make the right choice?

ProStopu.ru

Flattening is a serious disease, consisting in flattening the arches of the feet. As a result of these changes there are such unpleasant phenomena as pain in the feet, ankles and legs. In addition, the spine may suffer, pain in the lumbar region occurs. A very important place in the correction of flat feet is occupied by special orthopedic footwear and insole from flat feet.

Orthopedic insole for flatfoot correction

Orthopedic insoles, or orthoses, are reinforced inserts that are used to support the arch of the foot. Insole flat feet perform the following functions:

  • improve blood circulation in the foot tissues;
  • increases stability during walking and standing;
  • reduces the load on the hip, knee and ankle joints;
  • prevent the development of pathological changes in the musculoskeletal system( osteochondrosis, osteoarthrosis of the joints of the lower extremities, etc.);
  • reduces pain and fatigue in the lower limbs.

Thanks to the correctly selected insole, the load is distributed correctly to the foot.

How to choose the right orthopedic insoles?

How to get rid of flatfoot or at least stop its progression, as well as reduce the manifestations, you will be explained by an orthopedic doctor in full consultation. After the necessary examination, the specialist will make appropriate recommendations regarding orthopedic footwear and insoles. At present, orthopedic insoles are made of polymer materials or natural leather. Leather insole is the best option. In the process of wearing such insoles for a long time do not wear out and get the most optimal shape. Silicone insole has the advantage of its flexibility, due to which they can be adjusted to the individual characteristics of the foot. But they also have disadvantages - low elasticity and rapid wear, relatively high weight. This leads to rapid fatigue of the legs while walking. Insole made for different purposes have approximately the same components:

  1. instep, which is modeled in the projection of the inner arch;
  2. groove in the heel area;
  3. metatarsal pad in the region of the transverse arch.

The technology of manufacturing orthopedic insoles from flat feet consists of the following stages:

  • diagnosis of flat feet and formulation of insoles;
  • manufacturing of the base of insoles and its structural elements;
  • direct fitting and delivery of the product;
  • correction of insoles in use.

Orthopedic insoles are best made by plaster cast of foot, but also by fingerprint or computer image. Structural elements of insoles are made of safe and durable materials, for example, made of foam polyethylene. The average lifespan of the insoles for flat feet is 2 years, but they usually last much longer.

Correction of insoles

In the process of corrective therapy, there is often a need to change the design of the product. For example, you have to lift the metatarsal support or change the overflow zone. Instructions for correcting the shape of the insoles are given by the attending physician. In this case, the shape of the insoles and the material will depend directly on the shape and degree of flatfoot. Thus, which orthopedic insoles are preferred for example in transverse flatfoot and how to choose a special shoe, the orthopedic doctor will tell the patient. In the case of transverse flatfoot with a varus deformity of the anterior part of the foot( it is rotated by the first bone of the metatarsus upwards), insoles with an external wedge under the anterior section and a metatarsal pad are assigned. With a significant degree of flatfoot, when the deformation of the foot is fixed, the metatarsal pad is raised gradually, so that a good effect is achieved. Approximately in 10-12 months new insoles are made, taking into account the achieved correction.

Shoe selection for flatfoot

With flatfoot it is necessary to pay special attention to the choice of shoes. Properly selected shoes will help slow the progression of the disease and reduce discomfort. But shoes with high heels and not corresponding to the shape of the foot will only exacerbate the deformity and may even provoke complications of flatfoot. In short, because of what shoes to wear when flat feet, the further course of the disease depends.

Important: if you have an early stage of flatfoot development, you can do just comfortable shoes made from high-quality natural materials. But at 2 and especially 3 stages of the disease will almost all the time wearing orthopedic shoes to avoid complications.

What to focus on when choosing shoes:

  • is the best material for shoes - genuine leather, it's good if the sole is also leather;
  • requires the presence of a small heel, which will help to evenly distribute the load, in children at least one third of the sole should be a heel height of about 0.5-1 cm;
  • to prevent valgus deformation of the thumb is important to choose shoes with a wide nose;
  • shoes should not have an unpleasant odor or stain;
  • during fitting shoes should not rub the skin or press fingers and heels;
  • should choose shoes on a flexible sole, which easily bends when walking and does not cause unnecessary strain on the muscles.

One of the most important properties of good shoes is comfort. Quality and comfortable shoes can last a long time and will help cope with unpleasant sensations in the feet after a long working day. These criteria are suitable not only for people with early signs of flatfoot, but also as a preventive measure of the disease. With obvious symptoms of the disease, ordinary comfortable footwear can not be dispensed with. In such cases, the orthopedic doctor appoints special shoes, based on the results of the examination.

Attention: It should be remembered that even a short but regular wearing of shoes with high heels, and even more so on stilettos, many times increases the risk of flat feet in women. A similar effect on the function and shape of the foot is provided by shoes on the platform.

Orthopedic footwear

Orthopedic footwear with flat feet in adults and older children is made individually, taking into account the anatomical features of the foot, the type and the degree of flatfoot. For example, with a flat-footed foot with the deviation of the thumb to the outside of the foot, the shoes should have a high and hard back and a wide nose. In young children, orthopedic shoes that are standardly manufactured are sometimes used. If necessary, simultaneously use orthopedic insoles. Special footwear performs the following functions:

  • corrects small deformities of the foot and compensates for its shortening,
  • expands the support area,
  • reduces the load on the painful parts of the foot,
  • masks external defects,
  • is the "ultimate support" for walking.

Most fully fulfilling its purpose shoes custom-made for the plaster cast of the foot. Currently, you can order a pretty beautiful orthopedic shoes, which in appearance almost does not differ from conventional models.

Important: if you have a longitudinal or transverse flatfoot, then the treatment and orthopedic insoles can be properly prescribed only by a specialist. You can not try to diagnose yourself and self-medicate yourself. Untimely and incorrect therapy can lead to disastrous consequences. In advanced cases, even have to perform a surgical procedure.

Flattening is not such a harmless disease. It can lead to a rapid wear of all elements of the musculoskeletal system, including the spine. Therefore, we can not neglect the treatment of flatfoot. Sometimes it's better to abandon a beautiful model, but narrow and uncomfortable, high-heeled shoes to avoid serious consequences of the disease in the future.

znak-zdorovya.ru

What to do with flat feet? What kind of shoes to wear? When you run or fast walking, your legs hurt. What can I do to run?

Tanya Sarbash( Oystivnaya)

It is preferable to give leather shoes. No synthetic material in its properties can be compared with the natural skin. The sole should also be made of leather, if possible.
Shoes should have a heel, usually of medium size. In children's shoes, he should have a height of 0.5 centimeters and occupy at least a third of the entire sole. The sock should be wide.
Quality footwear is pleasant to look at, has no external and internal defects, does not stain hands, does not have an unpleasant smell. When walking does not rub, does not cause allergies.
The sole should be flexible, it is good to bend when walking. Do not believe the word sellers that the firm sole is "carried".
These criteria for choosing shoes are useful for those who do not have flat feet.
Orthopedic shoes with flat feet
In addition to the usual, properly selected footwear, significant results are obtained by wearing special orthopedic shoes. Orthopedic footwear acts on a person's foot in several directions. It is a "final support" for walking, it corrects the slight deformations of the foot, compensates for the shortening of the foot, increases the area of ​​the support, allows to relieve the painful areas of the foot and masks the external defect.
Even with the first degree of flatfoot, orthopedic footwear can be prescribed. As a rule, such shoes are combined with specially made orthopedic insoles.
It is important to wear orthopedic shoes with flat-valgus feet, especially when there is a serious deviation of the first finger to the outside. Shoes with flat-valgus feet have a hard high back. Orthopedic shoes with flat feet can be made to order, more often by the plaster cast of the patient's foot. Previously, such shoes were a kind of leather tibia boots with lace-up. But modern medicine has stepped far ahead and nothing aesthetic now is not alien to it. Today, in appearance, it is already very difficult to distinguish orthopedic shoes from ordinary footwear.
Children's shoes with flat feet
The principles of the correct selection of children's shoes do not contradict what we have stated above. Now it is necessary to understand the specifics of children's shoes. The very first and most important principle is no shoes for the first steps. It is desirable that the child learns to walk barefoot. Many especially suspicious parents already at this age are trying to rid the child of flat feet, the diagnosis of which they themselves put him. It should be remembered that when a child begins to walk, his foot is still in the formation stage, and really looks like a flat foot. Parents, having put such a diagnosis, begin this flatfoot "treat" by selecting a special orthopedic footwear for the child. And this they can disrupt the natural development of the baby's foot. Therefore, when suspicions of flat feet in a child should consult a doctor, do not rush to choose a special footwear.
When choosing shoes with flat feet, do not forget to pay attention to such an important factor as "comfort".Feeling of your feet will always tell you the right choice of shoes or boots. And as for the choice of orthopedic footwear, then you should trust the orthopedic doctors.

Lilac fairy

There are special insoles, but you can not run with flat feet.

jodium

Are you out of the woods?there lived probably very long. Look for orthopedic shoes, or at least insoles for shoes with special pads under your foot. Look for orthopedics and traumatology in stores.

Said ™

wear orthopedic shoes or cushions with instepers

Vasily Ushakov

You should walk barefoot on the sand, but if the heart is not sick.

Liliya Kuzmina

Use orthopedic insoles, if possible, then undergo a recovery course in the sanatorium.

Ekaterina Alfimova

has special classes that can be performed at home + insoles and shoes normal

T & P

insoles in orthopedic salon buy

hallus valgus

Flat feet, if it is strong, you should try to cure
With a strong degree of flatfoot and with heavy loads on your legs, unfortunately, teenagers and adults will often get aching legs, and even a head. At least fatigue is much higher
Because flatfoot sharply reduces depreciation and there is a strong overload of the spinal cord and brain
With flat feet, the spine suffers.
Treatment must include
- Massage with an experienced masseur
- LFK( persistent and daily)
( resembling heels, on toes, on the inside and outside of the foot)
A very important exercise is to bend and unbend fingers( as if in a fist)
Roll rolling-bottle-tube with pressure
And not only along, but also across!
Massage mat( toddle)
- If there is already a flatfoot, it may be required Supinators.(But, better made especially for you or at least matched for you)
and it is very ambiguous whether they should always be worn. It's like glasses.
I have goggles, and then you can not remove it - it may be more appropriate to spend some time TRAINING by walking without the insteps or in other insteps.
. You can also see my site about the treatment of flatfoot and "bones"
( blanks removed in hallus-valgus. Narod. ru)
For prevention it is very important to walk barefoot, but not on the floor, not on the asphalt, but on the uneven surface( pebbles, cones, grass).
For physical education and sports it is advisable to buy good sneakers, and not run from bad sneakers or casual"Chuvaki".
With transverse flatfoot( not ordinary, which everyone knows, but with the transverse, that is, under the fingers), there is a curvature of the thumb outside and a so-called "bone" grows.

what shoes should I wear when transverse flat feet? ??

Svetlana

You are unspoken with heels above 4 cm, especially hairpins and sharp-pointed shoes. In addition, orthopedic insoles are required. ..The main thing is that the shoes are comfortable and it is important that the seams are soft;although the problem of flatfoot can be dealt with in an unoccupied case with the help of special orthopedic mats and a set of exercises.if the rug seems to you a little expensive, try to roll empty bottles, walk on walnuts and do not forget about walking on tiptoe, heels and ribs of the foot( external and internal like a bear cub). ..it is enough to alternate these exercises for 15-20 minutes 2 times a day!
Beautiful and healthy you legs!

Tanya ***

Therapeutic tactics with flatfoot are as follows. In the absence of complaints and objective signs of decompensation, no action is required from the physician. Such situations arise during preventive examinations or when addressing a patient for any other reason. Prevention of decompensation consists in a careful choice of shoes( it should be comfortable - a heel 2 cm high, a rigid, near-boned part supporting the calcaneus, and a flexible sole at the level of the metatarsophalangeal joints, the top and toe of the shoes should be of sufficient height and width, it is comfortable to accommodate all the fingers)and advise you to reapply if symptoms appear.
Clinically manifested platypodia necessarily requires correction by special orthopedic insoles, so-called orthoses, even with minimal signs of decompensation( feeling tired and moderate pain in the area of ​​the feet at the end of the day or when the usual load is exceeded).Orthoses are insoles, the type of which depends on the type of flat feet( longitudinal, transverse, combined), with appropriate modeling of the longitudinal, transverse or both arches. It is known that cure flatfoot correction and special exercises is possible only in childhood. In adults, treatment consists in the lifelong use of orthoses, the wearing of which not only leads to the disappearance of symptoms and return to a full life, but also prevents further decompensation of flat feet and the development of complications. When choosing corrective insoles, the individual principle is important - different patients require insoles of different rigidity. Thus, in middle-aged and older patients, the question of complete correction of the arches of the foot is no longer discussed, it is impossible in connection with the rigidity of the existing deformation. In this case, the effect can be expected from elastic, partially correcting flat feet insoles. In large cities, there is an extensive network of public and private orthopedic enterprises offering a wide variety of orthoses, differing in relief and degree of rigidity. The process of selecting insoles does not tolerate fuss on the part of both the doctor and the patient. The main criterion in choosing are the patient's sensations. Correctly selected insoles should not cause discomfort at the first fitting. It is known that "habituation", "wear" insoles, initially causing discomfort, should not occur. In complex cases, an individual production of insoles for the impression of the foot is shown. We do such things in Yekaterinburg.
In case of different leg lengths, use a corrective insert under the heel of the shorter leg.
The patient needs to be explained that he should always use insoles, optimally they should be in all footwear - street, working, home. In the latter case, we are talking about special home shoes( slippers) with a shoe of the desired shape, which can also be purchased at specialized orthopedic stores.
In severe deformities( flat-footed foot), it is required to produce individual orthopedic shoes.
Patients with already occurring irreversible complications of flat feet( pronounced hallux valgus, fixed subluxations of the fingers,) should be observed by an orthopedist who decides on the necessity and extent of the surgery.

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