A common foot type is flat feet. It can be either symptomatic or asymptomatic, flexible or rigid. Flat feet in infants and toddlers is normal. Due to an undeveloped longitudinal arch, children’s feet appear flat. As the bones in the foot fully develop, normal arches appear by adulthood. For those dealing with flat feet, arch supports, various therapies, and other treatments can be provided by Miguel Cunha, DPM, and the team of physicians at Gotham Footcare’s Midtown and Downtown Manhattan offices in New York.
Pronation is a term used to describe the inward leaning motion of the foot and ankle bones towards the arch. The amount of pronation correlates with arch height. The more a person pronates, the flatter the arch will be. Many people who over-pronate do not experience any pain or discomfort. When flat feet become symptomatic, a thorough foot evaluation is recommended.
Posterior Tibial Tendonitis or Adult Acquired Flatfoot is another term used to describe the Painful progressive flatfoot. This occurs when the posterior tibial tendon gets inflamed or injured. The posterior tibial tendon helps to hold the arch in proper position and when this tendon in damaged, a painful lowering or collapse of the arch develops. Chronic rigid flat foot and functional limb length discrepancies can occur if left untreated. Severely rigid flat feet can also lead to posterior tibial tendonitis due to the constant strain of the tendon.
Treatment for symptomatic flatfeet includes topical and oral Nonsteroidal anti-inflammatories, taping and strapping, ice and massage therapy, passive and active physical therapy, and proper fitting arch supports. Always discuss oral medication with your primary care physician prior to taking. When conservative therapy does not alleviate the symptoms of painful flatfeet, surgery may be necessary. Surgery may be required to repair damaged soft tissue structures such as tendons and ligaments. In Severe flatfoot cases, midfoot joint implants and/or bone repair may be required.
In an effort to minimize out-of-pocket expense, we participate with most managed care plans and insurance providers. For any questions regarding insurance, please contact our offices.
"Dr. Cunha is kind, takes the time to answer all my questions, and helps me find alternative solutions when my insurance doesn't cover what he first suggests."
"The staff was extremely friendly their positive vibes were contagious! Dr. Cunha was great, he took his time to answer all of my questions."
"Dr. Cunha truly cares for the well-being of his patients. He is extremely professional and knowledgeable."
"Dr. Cunha was attentive, accommodating, and willing to answer any and all questions I had through my recovery process. I would highly recommend Gotham Footcare."
"All of the staff are super friendly, energetic and efficient. Dr. Cunha is attentive and finds solutions quickly, offering more than one option for treatment."
"Dr. Cunha is knowledgeable, personable and really cares about his patients. His staff is wonderful; They are always friendly and helpful."