A progressive deteriorating of a flat foot or dropped arch of the foot in an adult is normally labeled posterior tibial tendon dysfunction or adult acquired flatfoot and will have problematic implications if not identified earlier and dealt with. Adult acquired flat foot tends to be more prevalent in older as well as obese adults. The leading problem is that the posterior tibial muscles that are given the task of supporting the arch of the foot is no longer very good at doing that, so a progressing falling of the feet comes about. In addition to a falling in the arch of the feet there is usually increasing pain and discomfort within the arch of the foot and also the ankle joint. As it continues, further walking becomes progressively harder and is extremely tireing.
There are typically 4 phases involving posterior tibial tendon dysfunction how the disorder continues through with one being the initial phase and four being the end phase that only surgery can fix. There is certainly a bit of difference of opinion with the staging of this as their is variability between health care professionals plus some reliability issues. Having said that, stage one is generally handled with foot orthoses and exercises and some drugs for the pain and discomfort. Stage 2 characteristically needs much more aggressive and supporting foot supports, continuing using the exercises and higher levels of pain relief medicines may be required. Both stage one and two will benefit with high top supporting shoes. Long-term weight loss programs are usually likely to be beneficial. If this doesn't halt the development and the foot is moving towards a stage 3, then there is increasing likelihood that reconstructive foot surgery is probably going to be needed. For this reason it's very important that there be more aggressive conservative management of the foot when it is still at stage 2 to prevent the progression.
An extremely common approach to adult acquired flat foot as it progresses to stage two is the Richie Brace. This brace is now being widely used and has been shown to be very effective at halting the progress with this disorder and keeping away from the necessity for surgery. Surgical interventions are frequently effective, but there is always a left over level of disability left over because the surgical treatment usually may require the fusing of some important joints and also the transfer of muscles attachments to other areas of the foot. The Richie brace is a blend of an aggressively made custom foot orthotic and an ankle foot orthotic with struts to support both sides of the joints at the ankle. The custom foot orthoses is constructed off a plaster cast or optical scan on the feet with the foot held in a corrected position. The reason for the foot orthotic section of the Richie Brace is to make an effort to hold the foot in that corrected posture. The struts that get added up the side of the ankle are articulated with the ankle joint permitting movement to happen at the ankle joint. Those struts are then held on by Velcro to the lower leg to help support and boost the benefit of the foot orthoses. Generally if the progression of adult acquired flat foot is usually halted making use of this, then surgery is usually averted.