Podiatry - Flat Feet (Symptomatic)
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Flat Feet (Symptomatic)
- Chronic repetitive aching
type discomfort in the medial aspect of the foot while standing and
- Decreased medial
longitudinal arch height with medial talar head prominence.
- Asymptomatic flat feet do
not require treatment.
Initial Diagnosis and Management
- History and physical
- Appropriate radiographic
(weightbearing feet) and laboratory studies (rheumatology panel evaluation
in patients with inflammatory, bilateral, and other joint presentations).
Ongoing Management and Objectives
- Initial primary care
treatment for foot pain should include a three-month trial period of the
following: NSAIDs, over-the-counter arch pads for insoles (i.e., Polysorb
or Dr. Scholl's), soft supporting shoes (running or walking type), calf
stretching and decreased activity (rest).
Indications for Specialty Care Referral
- Adult patients with no
improvement of symptoms after the three-month trial period can be referred
to the Podiatry Clinic.
- Pediatric patients with
no improvement can be referred to Podiatry Clinic.
- All Retiree's, VA and dependants with foot conditions
30, 31, 01, 02, 03, 04 etc.. Respectfully need to be routed to Scholfied Barracks Podiatry or net worked
out for treatment. Tripler Podiatry unfortunately does not provide orthotics or inserts for dependants,
VA or Retiree's.
Criteria for Return to Primary Care
- Patients not requiring
surgery will be given a biomechanical examination and an orthotic
prescription prior to being returned to primary care for chronic
- Patients requiring
surgery will be followed in the Podiatry Clinic until the perioperative
period is complete. Patients will then be given an orthotic prescription
before being returned to the primary care provider for chronic management.