title: Office-based management of adult-acquired flatfoot deformity.
abstract: Adult-acquired flatfoot deformity is associated with dysfunction of the posterior tibial tendon, leading to loss of the medial arch. Patients tend to present with medial pain and swelling, but later in the disease process can also present with lateral-sided pain. The mainstay of nonoperative treatment is nonsteroidal anti-inflammatory drugs, weight loss, and orthotic insoles or brace use. The goals of therapy are to provide relief of symptoms and prevent progression of the deformity. If nonoperative management fails, a variety of surgical procedures are available; however, these require a lengthy recovery, and therefore patients should be advised accordingly.
authors.affiliation: Department of Orthopaedics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USA. Electronic address: Sara_Miniaci@URMC.Rochester.edu.
authors.forename: Sara Lyn
authors.initials: SL
authors.lastname: Miniaci-Coxhead
authors.affiliation: Department of Orthopaedics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USA.
authors.forename: Adolph Samuel
authors.initials: AS
authors.lastname: Flemister
mesh_terms: D000328:Adult; D000842:Ankle / Q000503:physiopathology*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D003131:Combined Modality Therapy / Q000379:methods; D019468:Disease Management; D018450:Disease Progression; D005413:Flatfoot / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D005528:Foot / Q000503:physiopathology*; D061826:Foot Orthoses; D006801:Humans; D059352:Musculoskeletal Pain / Q000209:etiology / Q000628:therapy; D019637:Orthopedic Procedures / Q000379:methods*; D013710:Tendons / Q000503:physiopathology*; D016896:Treatment Outcome; D061217:Weight Reduction Programs
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal
keywords: Flatfoot; Hindfoot valgus; Medial ankle pain; Midfoot abduction; Nonoperative management; Posterior tibial tendon dysfunction