Flat feet ( pes planus ) are very common across a broad range of people. The strain placed on the foot and body due to the flatness of the feet can cause numerous foot problems. Unfortunately, the necessary use of shoes at an early age to protect our feet does not allow those with flat feet to develop the muscular and structural adjustment needed to function better. The result are feet that need added structural support to prevent tendon and ligament strain, as well as delay the progression of foot deformities that are related to flat feet, such as bunions and hammertoes. Pes planus is a condition where the arch or instep of the foot collapses, coming in contact with the ground. When an individual walks, pressure shifts to other parts of the foot and causes pain. Correctly designed shoes will make the low-arch foot more comfortable. Drew footwear is designed with removable insoles that can be replaced with arch-supporting orthotics. Because the foot often pronates in flat feet, the body can become misaligned and other joints can be affected. Drew footwear has extended medial heel stabilizers, steel shanks and specially designed Lasts that allow for added walking stability to keep the body aligned. So plain and simple, I couldn’t be a cop anymore, and I had a lifelong illness that will plague me for the rest of my life. Luckily though I did get the Nexus Statement from Dr. Ryan stating the Causation of the pain and suffering could have been caused by military enlistment. To understand the terms ‘Pronation’ and ‘ Supination ’, firstly we need to look at the gait cycle – that is the way we walk, or our ‘walking pattern’. Nonepileptic seizures are defined as seizures that do not occur due to abnormal electrical activity in the brain. Nonepileptic seizures resemble epileptic seizures, though their causes are much different. Because our feet are the foundation of our bodies many problems in the legs, knees and back are connected to faulty foot biomechanics. This is why orthotics are now being used in the treatment of shin splints, knee pain and lower back pain and many physiotherapists and chiropractors have started using orthotics. The Journal of American Podiatric Medicine May 1999, Sobel E, Levity S T, Caselli MA Division of Orthopaedic Sciences, New York College of Podiatric Medicine. Vol. 94 Number 6542-549 2004 Journal of American Podiatric Medicine" The Conservative Management of Plantar Fasciitis" - Pfeffer GB, University of California, San Francisco, CA. Congenital vertical talus — The foot of a newborn with congenital vertical talus typically has a convex rocker-bottom shape. This is sometimes combined with an actual fold in the middle of the foot. The rare person who is diagnosed at an older age often has a "peg-leg" gait, poor balance and heavy calluses on the soles where the arch would normally be. If a child with congenital vertical talus has a genetic disorder, additional symptoms often are seen in other parts of the body. For mild pain or aching, acetaminophen (Tylenol) or a nonsteroidal anti-inflammatory drug (NSAID), such as aspirin or ibuprofen (Advil, Motrin and others) may be effective. Don't be fooled by new trends or gimmicks when it comes to shoe construction. Fancy additions to the outer sole of the shoe that are marketed to provide increased support usually are mostly cosmetic, if barely useful. Unless something is integrated inside the shoe to contact the arch itself, the only indicator one needs to assess a shoe's support in the sole is to test for stiffness. One can usually ignore most 'new and improved' claims. Likewise with unusual shoe shapes or constructions. Shoemakers have been engaged in their trade for centuries, and foot specialists have had a good idea how the foot functions biomechanically for sometime now. Figure 6. A severe case of flatfoot associated with degeneration and subluxation of the subtalar and talonavicular joints. Clinically one can see the sagittal plane collapse of this foot with a prominent talonavicular head. A triple arthrodesis is necessary to correct the rearfoot collapse in this case. The preoperative and postoperative radiographs demonstrate improvement of the alignment of the rearfoot (blue line) and forefoot (yellow line). Neal M. Blitz, DPM, FACFAS, is chief of foot surgery in the department of orthopaedics at Bronx-Lebanon Hospital Center in the Bronx, NY. Pawel Hanulewicz, MD, is a clinical research fellow within the same department. The No-Name-No-Fame Bursa (referred to by Stuttle) also is called the MCL bursa and is located at the anterior border of the MCL. This bursa may be palpable during knee flexion as a small tender rounded nodule moving into the leading edge of the medial collateral ligament. Pain can be elicited on palpation of the bursa or by briskly extending the knee from a position of 90° flexion. Pes anserinus tendonitis may exist exclusively or in conjunction with bursitis. So-called snapping tendonitis of the semitendinosus tendon is usually thought of as distinct from pes anserine bursitis, but some authorities classify it as the same inflammatory disorder.