Lateral subtalar dislocation — Sometimes called an acquired flatfoot, it occurs in someone who originally had a normal foot arch. In a lateral subtalar dislocation, there is a dislocation of the talus bone, located within the arch of the foot. The dislocated talus bone slips out of place, drops downward and sideways and collapses the arch. It usually occurs suddenly because of a high-impact injury related to a fall from a height, a motor vehicle accident or participation in sports, and it may be associated with fractures or other injuries. Symptoms Wide sole- many shoes, especially athletic shoes and some flats and sandals, will have an hour glass shape to them in which the sole will narrow along the sides at the middle of the foot. No human generally has a foot this shape, especially those with flat feet, and support along the side of the foot will be lost if a shoe with this shape is worn. Look for a shoe that has a wider sole by looking at the bottom of the shoe. If it narrows in the middle, then it may not be suitable for someone with flat feet. Guidance for the prevention or reduction of foot deformity which generally forms later in adult life may involve the provision of proper information on footwear, treatment by splinting, some tips on exercises and/or orthotic control of the feet. Podiatrists additionally treat typical, chronic and acute issues of children's feet for instance osteochondroses, fasciitis and pes planusCustom shoe inserts - Orthoses - Orthotics Most commonly it is not essential to obtain a referral to visit a podiatrist. However, for patients to receive podiatry treatment within various programs such as those run by Veterans Affairs, Workers Compensation, or the Program for Aids for Disabled People (PADP), a medical referral is required. If the condition is associated with plantar fasciitis, heel pain and stiffness may be experienced, and this is significantly felt in the morning as one gets out of bed or after sitting for a long time. The pain gradually increases during the day and hurts more when one climbs the stairs or stands for long periods of time. Diagnosis An examination of the foot is enough for the health care provider to diagnose flat foot. However, the cause must be determined. If an arch develops when the patient stands on his or her toes, the flat foot is called flexible and no treatment or further work-up is necessary. Pes planus, commonly known as flat feet, is a common condition that affects one in four individuals in the United States. Flat feet are characterized by the absence of an arch in the feet, causing the soles of the feet to remain in contact with the ground. Children typically have a flat feet until the tendons, ligaments and bones in the feet mature. Inflammation of the Achilles tendon, posterior tibial tendon or calf muscles can cause flat feet in adults. When the tendons and ligaments in the calf, foot and ankle become damaged or torn, the arch in the foot progressively deteriorates. Posterior Tibial Realignment When Walking. The joint should be stabilized with devices such as orthoses, braces, and casts. Therapeutic taping can also be used with early disease. An orthopedic foot and ankle specialist should be consulted. Steroid injection into the tendon sheath along with bracing can be done if there is severe pain but it should be remembered that steroids may weaken the tendon leading to the possibility of subsequent tendon rupture. In cases where the tendonopathy is advanced or where there is already rupture, surgical intervention is required. Surgical procedures include debridement of the tendon, tendon transfer, and possibly ankle fusion. But complications can arise. Aside from the fact that you're operating on an otherwise healthy foot, you could experience complications such as peroneal spastic flatfoot, locking or stiffness in one of your subtalar foot joints, and pain. There's also the chance your body could have an adverse reaction the foreign body implant. The implant can be removed, of course, but possible complications from that procedure include subtalar joint arthritis, a negative affect on your tendon, resulting in rear foot pain. A fundamental area of foot care carried out by podiatrists is the management of various acute and chronic nail problems, the treatment of which is dependent upon the pathology. An 'orthotic' (orthotic insole, shoe insert or orthosis) is a device placed inside the shoes with the purpose of restoring our normal foot function. Different types of foot orthotics are available, from special custom-made devices (prescribed by a Podiatrist) to so called ‘off-the-shelf’ orthotics which can be purchased from pharmacies, good quality shoe stores or specialty websites. Orthotics correct the problem of over-pronation and they re-align the foot and ankle bones to their neutral position, restoring our natural foot function. In turn, this will help alleviate problems not only in the feet, but also in other parts of the body!