Medical City Dallas

Baylor, Scott & White Plano


Conservative Treatments for Flatfoot Pain

by Dr. David R. Northcutt
Dr. David Northcutt is a podiatrist and foot and ankle surgeon at Dallas Podiatry Works in TX.

“Hi, I’m Dr. Northcutt and I want to talk a little bit today about adult acquired flatfoot deformities. This is a deformity which is associated with the posterior tibial tendon and its dysfunction. Posterior tibial dysfunction is a condition caused by changes in the tendon which result in difficulty supporting the arch of the foot. This results in a slow flattening of the foot over time. Posterior tibial tendon dysfunction is usually progressive, which means it will keep getting worse, particularly if it isn’t treated early.

Symptoms usually occur after activities that involve significant use of the tendon, such as running, walking, hiking, or climbing stairs. Symptoms may include pain, swelling, and flattening of the arch, and an inward rolling of the ankle. Pain typically starts on the inside part of the foot or ankle, which is where the tendon is located. As the arch flattens, you may notice the foot turn outward and the appearance of the ankle rolling inward. As the deformity progresses, pain may begin to the outer portion of the foot and ankle. At this point the tendon has typically deteriorated considerably and arthritis has started to develop in joints of the foot.

Treatment is usually better when addressed early. Treatment can include custom orthotics, braces such as these, and also a period of non-weight bearing or immobilization, and sometimes a below-the-knee boot. Anti-inflammatories can also be helpful. Shoe modifications may be needed. Physical therapy also sometimes can be of benefit. Occasionally surgery is needed. These are typically reserved for advanced cases or cases where the pain is not controlled to a tolerable level. If you have any pain similar to what has been described, our team at Dallas Podiatry Works will work with you to determine the proper treatment and help you keep active. All of us here at Dallas Podiatry Works would love to be a part of your healthcare team.”

"I did 3 EPAT treatments and it gave me tremendous relief from my plantar fasciitis. I highly recommend this for anyone who is dealing with PF. Also, the physical therapist Dr. Brook sent me too is fantastic. I am definitely on the mend and so glad I did EPAT."- All H. 5 star
"Dr Northcutt is a fantastic physician. My first surgery with him (although painful), went very well. A couple of issues (with his staff) needed to be corrected, I appreciated his calm and professional demeanor and he corrected those issues promptly. He sets the bar high (the mark of a great physician), and that is the key reason why I'm coming back to him to correct my other foot. I would highly recommend him."- She B. 5 star
"The staff at Dallas Podiatry Works could not have been more courteous, helpful, and professional in doing their job. They made me feel comfortable when I was there, which is certainly appreciated. They answered all the questions that I had and just made each visit the most pleasurable that it could be. I would highly recommend them to anyone needing this type of care."- Joseph B. 5 star
"My experience was a good one from pre-op to post -op. I saw the doctor right before my surgery.He explained the process to me and my husband. The recovery nurse was great. It was neither crowded or chaotic as some day surgery centers. My foot is doing well as I follow instructions. I look forward to my one week progress visit!"- Patricia T.5 star
"I had dealt with a painful foot problem for five months and had seen three different Doctors before seeing an article in D Magazine about Dr. Joel Brook. Dr. Brook took one look at my foot, explained the causes for my pain and set me up on a successful treatment plan. He is very knowledgeable, thorough and exhibits a caring attitude. I highly recommend him."- Ginger W. 5 star
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consultation plano dallas tx podiatrist
Join the 50,000 happy feet that have found relief at Dallas Podiatry Works! Our Dallas podiatrist and Plano podiatrist provides 5-star-rated foot care and ankle care. Our advanced foot care includes children's foot care, sports-related foot injuries, bunion treatment, bunion removal surgery, toenail fungus treatment, ingrown toenail treatment, hammertoe treatment, claw toe treatment, neuroma treatment, heel pain relief, limb salvage, wound care, arthritis treatment, safe pedicure, medicures, corn removals, callus removals, wart removals and more.
Come experience Dallas Podiatry Works of Dallas, TX and Plano, TX! You will see for yourself that our podiatrists, foot doctors and foot specialists provide 5-star-rated foot care in Dallas TX, Plano TX, Frisco TX, McKinney TX, Richardson TX, Garland TX, Rockwall TX, Allen TX, Arlington TX and Fort Worth TX. Call 972.566.7474 today.
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