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Pes cavus (Aetiology (Degenerative
Spinal: syringomyelia, Infection
CNS:…
Pes cavus
Aetiology
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Infection
CNS: Polyneuritis, poliomyelitis
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Congenital/genetic
CNS: CMT, Friedreich's ataxia,
muscular dystrophy
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Clinical
presentation
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Visible high arch
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Diagnosis
History
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PMH
Medical conditions (neurodegenerative disorders),
surgical history
SH
Living arrangements, occupation,
smoking, alcohol
PC/HPC
Foot pain, fatigue, difficulty walking,
difficulty finding shoes to fit
Examination
Foot/ankle exam
High arch, difficulty walking, claw toes
Instability, reduced movement
Neurovascular status (CMT)
Management
Conservative
Information, advice, support
Referral (orthopedics, orthoptists)
Footwear (custom footwear, orthotics)
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Epidemiology
Common, usually idiopathic