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Updated: Mar 29, 2026

Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis
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Painful Flexible Flatfoot.

Abdel Majid Sheikh Taha1, David S Feldman1

  • 1Department of Orthopaedic Surgery, New York University Langone Medical Center, New York, NY 10003, USA.

Foot and Ankle Clinics
|November 22, 2015
PubMed
Summary
This summary is machine-generated.

Flexible flatfoot in children often requires no intervention unless symptomatic. Treatment typically involves orthotics and exercises, with surgery reserved for resistant cases. A tight heel cord may indicate a need for further management.

Keywords:
Flexible flatfootPainPes equinovalgusPes planovalgusTreatment

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Area of Science:

  • Pediatric Orthopedics
  • Podiatry
  • Biomechanical Engineering

Background:

  • Flatfoot is a common pediatric orthopedic condition.
  • A clear definition for pediatric flatfoot is lacking in current literature.
  • The hallmark features include absence of the medial arch and hindfoot valgus.

Purpose of the Study:

  • To review the diagnosis and treatment of flexible flatfoot in pediatric populations.
  • To clarify the management approach for symptomatic flexible flatfeet.
  • To identify factors associated with treatment outcomes.

Main Methods:

  • Literature review focusing on diagnosis and treatment of flexible flatfoot.
  • Analysis of clinical presentation and diagnostic criteria.
  • Evaluation of conservative and surgical treatment modalities.

Main Results:

  • Most pediatric flatfeet are flexible and asymptomatic, requiring minimal intervention.
  • Symptomatic flexible flatfeet often respond well to conservative treatments like orthotics and exercises.
  • Surgical intervention is typically reserved for cases that are resistant to conservative management.

Conclusions:

  • Flexible flatfoot management in children is primarily conservative.
  • Early identification and intervention for symptomatic cases are crucial.
  • A tight heel cord is a potential indicator for conservative treatment failure in pediatric flatfoot.