Tuesday, July 15, 2014

By Rosella Campbell


Human feet are designed to support creatures who walk upright over a wide variety of terrain, not for standing motionless for hours behind a cash register in uncomfortable shoes. Running barefoot is a happier and healthier alternative, but ultimately impractical. When they hurt, every activity suffers. Although there is no instant remedy for this condition, arch supports for flat feet can help.

The condition can be an indicator of existing problems, but is not considered a defect or disease. Children have level arches at birth, and do not develop the characteristic concave curve until age four or five. It appears as a result of the standard growth and development of bones, ligaments, tendons, and muscles. Many people have it their entire lives without experiencing discomfort.

Problems arise for adults when tendons become stretched or torn, or if arthritis or nerve degeneration is a factor. The cause of this pain can be as simple as wearing the wrong high-heeled shoes, but other physical issues can also generate symptoms. Previously broken bones can cause skeletal problems later in life, and rheumatoid arthritis produces aching joints.

Those who suspect that they have arch issues can easily find out the truth by getting a foot wet, then standing on a dry area that will easily produce a print. When the entire area appears wet, the foot may technically fit that category. While not necessarily a serious medical issue, flatness may become a source of discomfort, especially when it did not previously exist.

Those who experience symptoms may tire quickly when standing motionless, or may have sharp pains in the sole or heel. There can be unusual swelling on the sole, additional back and leg pain, and an inability to stand on tiptoe for more than a few seconds. Overall physical condition and general lifestyle are also factors. Overweight people place more stress on their bones, and runners may enjoy high-impact aerobics.

In most cases, there is no need for surgery or long-term treatment. Changes in habits and daily activities can make the most difference, but may not be practical. The most commonly used method of easing foot pain is through the use of orthotic inserts or insoles. These devices are slipped inside the shoe to provide specific extra support, and may be individually designed, or purchased over the counter.

These devices have created a minor medical controversy. Some doctors resist using a temporary fix to solve problems that exist as a direct result of lifestyle issues rather than organic disease. Because they see the associated pain as a symptom instead of an actual illness, many professionally discourage the use of shoe inserts, and instead stress overall improvements in exercise and physical habits.

When the discomfort becomes predominant, wearing orthotic supports can be an excellent temporary solution, and can provide a respite from the nagging background pain that is distracting and exhausting. There is no actual proof that wearing arch supports can actually make previous damage worse. Along with recommended foot exercises and shoes that are activity-appropriate, they can help take the pain out of standing.




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