Essex Foot Ankle Surgeon
Foot Ankle Consultant Surgeon Brentwood Orthopaedic Sports injuries

Foot & Ankle Consultant Surgeon, Greater London, Essex

qualified, experienced & well-trained Orthopaedic Surgeon​

Basildon & Thurrock University Hospitals Nethermayne, Basildon Essex SS16 5NL

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3/1/2016

Cavus Foot

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PainFUL excessively High Arch (Cavus) Foot condition 

​Cavus foot is a type of foot where shape of the foot changes as shown in picture. There are many causes for a high arch foot. One of the most common causes is Charcot Marie Tooth disease or CMT. This is a disease of the muscles and the nerves of the legs and occasionally of the hands, in which certain muscles weaken, while others retain their strength.

Understanding Pes Cavus (High Arched Foot or claw foot)

  • The muscle imbalance around the foot and ankle gives rise to the high arch in the foot (cavus).  
  • This is associated with clenching of toes. (Like the toes of a pigeon). The deformity in toes is called claw toes.  
  • Also the bones at the base of toes (metatarsal heads) become very prominent and giving rise to hard skin on the sole of the foot. This also causes pain in the foot.  
  • This is also associated with curling in (Varus deformity) of the ankle bones which can give rise to ankle pain and ankle instability.  
  • Plantar fascitis can also occur in High Arch Foot.  
  • Deformity in the feet & toes give rise to overload and callosity of lateral border of the foot. Sometimes stress fracture of fifth metatarsal can also occur because of the overload. 

Why does deformities occur?

The deformity of the high arch foot develops because the muscles that pull the foot inward remain strong, while those that pull the foot outward are weak or absent.

CAUSES & TREATMENTS

Depends upon the overall shape, flexibility, and strength of a patient’s foot and disability experienced. Nerve tests may occasionally need to be performed to help confirm the diagnosis. X-rays are needed to look at the state of underlying bones and joints.

Cavus foot occurs at any age. Once the deformity is present in a child it is going to be progressive. This means that the deformity will slowly get worse as a result of the muscle imbalance and weakness. Although the pattern of muscle and nerve damage may be similar through the generations in a family, this is not always the case. Every cavus foot is unique. Depending upon the symptoms, treatment may include changing the shoes, special orthotics support (devices that support, adjust, or accommodate the foot deformity), cushioning pads, foot and ankle braces, or surgery.

Surgery may be necessary in situations where the symptoms are likely to get worse over time, or when pain in ankle and instability cannot be corrected with external orthopaedic devices.

The main goals of surgery for Cavus Foot are:

  • Correcting all the existing deformity of the toes, the high arch, the ankle and the muscle imbalance  
  • Preserving as much motion as possible  
  • Rebalancing the deforming muscle forces around the foot and ankle  
  • Adding stability to the ankle  
  • Preventing ankle arthritis from occurring as a result of the chronic deformity of the foot and the instability of the ankle  
  • The correction of cavus feet can be challenging. However, with appropriate care and management, the foot can usually be well corrected and balanced, with as much motion as possible maintained.

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    Information provided here is for guidance and general understanding only, caution: images may be disturbing to some. Mr Bhargava is recognised for his extraordinary ability to produce dramatic and lasting change while keeping his results exceedingly focused on what’s most important for you. His surgical philosophy is simple: to combine form and function in tandem with an excellent patient relationship, to create the optimum outcome. Here you will be able to read about the surgical procedures and see his patient's before and after recovery images to help you relate and understand the challenge he is capable of handling due to his intense practice in India and mastered the art to near perfection.

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Mr Bhargava Foot Ankle Consultant Surgeon Brentwood Hospital Orthopaedic Sports injuries

Foot & Ankle Consultant Surgeon, Greater London, Essex

qualified, experienced & well-trained Orthopaedic Surgeon​

Basildon & Thurrock University Hospitals Nethermayne, Basildon Essex SS16 5NL

All enquiries:
​
Private Medical Secretary - Merlin Francis
​​Practice Manager - George Selvin
 Tel: ​07437 949628


Surgical Services

  • Ankle & Foot Surgery
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NHS-England-Basildon and Thurrock University Hospitals NHS Foundation Trust
Mr Amit Bhargava
Foot Ankle Consultant Surgeon
Basildon and Thurrock University Hospitals
Nethermayne, Basildon, Essex  SS16 5NL

Every Tuesday & Friday 2-5 PM
Nuffield Health
Brentwood Hospital

Shenfield Rd,
Brentwood CM15 8EH
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Spire Wellesley Hospital
Eastern Ave,
Southend-on-Sea SS2 4XH
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Great Warley, Warley,
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