Conditions that can be treated with Pes Perfect Orthotic Innersoles.


Flat Feet

Flatfeet is a common condition, in which the arches on the inside of the feet flatten when pressure is put on them. When people with flatfeet stand up, the feet point outward, and the entire soles of the feet fall and touch the floor.


Most people have no symptoms associated with flatfeet. But some people with flatfeet experience foot pain, particularly in the heel or arch area. Pain may worsen with activity. Swelling may occur along the inside of the ankle. There may also be complaints of heel, lower leg, knee, hip, and/or back pain.
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People without flatfeet can also develop the condition. Arches can collapse abruptly after an injury. Or the collapse can happen over years of wear and tear. Over time, the tendon that runs along the inside of the ankle and helps support the arch can get weakened or tear. As the severity increases, arthritis may develop in the foot.
Illustration of the deformation of the foot - flat feet and a hollow foot. There are footprints, the form of the foot on the side and behind


High arched feet

Pes cavus is a foot with an abnormally high plantar longitudinal arch. People who have this condition will place too much weight and stress on the ball and heel of the foot while standing or walking. Children with cavus foot also experience frequent ankle sprains, since high arches cause the ankle to naturally roll outward. 
While cavus foot deformity varies in severity from a subtle and flexible to a severe and fixed deformity, careful assessment is required to identify and prescribe the correct pes cavus treatment.
There are a few common cavus foot symptoms in addition to an unusually high arch, including:
  • Claw toes
  • Hammer toes
  • Pain when walking or standing
  • Calluses on the ball, heel or side of the foot
  • Ankle instability and frequent ankle sprains
  • Difficulty finding footwear that does not hurt the top of the feet.
  • Lower limb stress fractures
  • Knee pain
  • Iliotibial band syndrome
  • Back pain


Plantar fasciitis.

Plantar fasciitis is one of the most common causes of heel pain. It involves inflammation of a thick band of tissue that runs across the bottom of each foot and connects the heel bone to the toes, known as the plantar fascia.
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It supports the arch of the foot and absorbs shock when walking. Tension and stress on the fascia can cause small tears. Repeated stretching and tearing of the facia can irritate or inflame it, although the cause remains unclear in many cases of plantar fasciitis.
Plantar fasciitis commonly causes stabbing pain that often occurs with your first steps in the morning. As you get up and move, the pain normally decreases, but it might return after long periods of standing or when you stand up after sitting.
Even though plantar fasciitis can develop without an obvious cause, some factors can increase your risk of developing this condition. They include:
  • Age - Plantar fasciitis is most common in people between the ages of 40 and 60.
  • Certain types of exercise- Activities that place a lot of stress on your heel and attached tissue — such as long-distance running, ballet dancing and aerobic dance — can contribute to the onset of plantar fasciitis.
  • Foot mechanics- Flat feet, a high arch or even an atypical pattern of walking can affect the way weight is distributed when you're standing and can put added stress on the plantar fascia.
  • Obesity- Excess pounds put extra stress on your plantar fascia.
Ignoring plantar fasciitis can result in chronic heel pain that hinders your regular activities. You're likely to change your walk to try to avoid plantar fasciitis pain, which might lead to foot, knee, hip or back problems.


Achilles tendinitis
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Achilles tendinitis is a common condition that occurs when the large tendon that runs down the back of the lower leg becomes irritated and inflamed.
The Achilles tendon is the largest tendon in the body. It connects the calf muscles to the heel bone and is used when you walk, run, climb stairs, jump, and stand on your tip toes. Although the Achilles tendon can withstand great stresses from running and jumping, it is also prone to tendinitis, a condition associated with overuse.
Tendinitis is inflammation of a tendon. Inflammation is the body's natural response to injury and often causes swelling, pain, or irritation.
Achilles tendinitis is different than an Achilles rupture, a condition where the tendon becomes separated off the heel bone or completely torn in half.
Achilles tendinitis is typically not related to a specific injury. The problem results from repetitive stress to the tendon. This often happens when we push our bodies to do too much, too quickly.

Other factors can also include:

-A sudden increase in the amount or intensity of exercise activity. For example, increasing the distance you run every day by a few miles without giving your body a chance to adjust to the new distance.

-Tight calf muscle tightness puts extra stress on the Achilles tendon, especially where it inserts into the heel bone.

-Haglund's deformity. This is a condition in which there is enlargement of the bone on the back of the heel. This can rub on the Achilles tendon and cause inflammation and pain.


Common symptoms of Achilles tendinitis include:
  • Pain and stiffness along the Achilles tendon in the morning.
  • Pain along the tendon or back of the heel that worsens with activity.
  • Severe pain the day after exercising.
  • Thickening of the tendon.
  • Swelling that is present all the time and gets worse throughout the day or with activity.
  • Pain on the back of the heel when you wear shoes.


Heel Spur
A heel spur is a calcium deposit causing a bony protrusion in two possible places. The first is on the underside of the heel bone, and the second can be at the insertion of the Achilles tendon to the heel bone.
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Although heel spurs are often painless, they can cause heel pain. They are frequently associated with plantar fasciitis or achilles tendonitis.
This process usually occurs over a period of many months. Heel spurs are often caused by strains on foot muscles and ligaments, stretching of the tendons, and repeated tearing of the membrane that covers the heel bone. Heel spurs are especially common among athletes whose activities include large amounts of running and jumping.
Risk factors for heel spurs include:
  • Walking gait abnormalities, which place excessive stress on the heel bone, ligaments, and nerves near the heel
  • Running or jogging, especially on hard surfaces
  • Poorly fitted or badly worn shoes, especially those lacking appropriate arch support
  • Excess weight and obesity.


Shin splints
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Shin splints is an inflammation of the muscles, tendons, and bone tissue around your shinbone. Pain typically occurs along the inner border of the tibia, where muscles attach to the bone.
Shin splints are a common exercise-related problem. 
Shin splints usually develop when the muscle and bone tissue in the leg become overworked by repetitive activity, often in response to sudden changes in physical activity. These can be changes in frequency, such as increasing the number of days you exercise each week. Changes in duration and intensity, such as running longer distances or hills.

Other factors that contribute to shin splints include:

  • Having flat feet or abnormally rigid arches
  • Exercising with improper or worn-out footwear
  • Runners are at highest risk for developing shin splints
  • Dancers and military recruits are two other groups frequently diagnosed with the condition.


Forefoot pain
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Metatarsalgia is pain and inflammation in the ball of your foot. Potential causes of the condition include foot deformities, inflammatory issues and wearing ill-fitting shoes. The pain of metatarsalgia typically centers under one or more of the five bones at the bases of your toes, over the metatarsal heads.
Metatarsalgia has a number of different causes, including:
  • Foot deformities.
  • Health conditions involving your foot or ankle.
  • Sports and other activities involving running or jumping.
  • Wearing shoes that are too tight or too loose.
  • Wearing high heel or hard soled shoes.


Metatarsalgia symptoms can come on quickly or develop over time. They include:
  • Pain in the ball of your foot. This can be sharp, shooting, aching or burning. The pain may get worse when you stand, run or walk.
  • Numbness or tingling in your toes.
  • Feeling like you have a pebble in your shoe
  • Hard callus formation on the ball of your foot.


Fat pad atrophy
Fat pads serve as cushioning and shock absorbers in our feet, protecting the bones, joints, and soft tissues from impact during movement. Preserving these natural shock absorbers is vital for foot health. 
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Fat pads are located under the ball of the foot and the heel. They consist of thick connective tissue that helps distribute pressure evenly across the foot, providing extra heel support and reducing heel pain.
However, if the fat pads diminish due to old age or injury, it can lead to foot pad atrophy and heel pad syndrome, can result in degenerative foot conditions like plantar fasciitis, causing severe foot pain and discomfort.
It can significantly impact a person’s mobility and quality of life. If left untreated, pad atrophy can result in worsening foot pain, altered gait, and increased risk of falls and injuries.


Chronic knee, hip and back pain
Flat feet is not the norm and are usually caused by a lack of tendon support in the arches of the feet. However, this condition can cause pain in various other parts of the body, including the back, hips, and knees.
Flat feet also don’t have a proper arch to absorb the shock of everyday walking, running, standing, etc. This means that your joints – especially the knees and hips - have to absorb all this shock, even though they aren’t designed to do so. Over time, this added stress can cause severe ankle, knee, hip malfunction, and chronic low back and neck pain.
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