Fallen Arches (Flatfeet)

Fallen Arches (Flatfeet)- Ayurvedic Treatment, Diet, Exercises, Research Papers, Yoga & Pranayama

A situation in which a person’s full foot sole touches the ground as they are standing. Flat feet can form during childhood if the feet’s arches don’t develop, after an injury, or as people get older and more worn down.

Symptoms

The majority of persons with flat feet don’t have any symptoms.

However, some individuals with flat feet experience foot pain, especially in the heel or arch region. Activity may make the pain worse. Inside of the ankle swelling is possible.

Causes

Because the foot’s arch hasn’t yet formed, flatfeet are common in infants and toddlers. Most people develop their arches throughout childhood, but other people never do. There may or may not be problems for those without arches.

Some kids have flexible flatfeet, sometimes referred to as flexible flatfoot, in which the arch only becomes apparent while the child is seated or standing on their tiptoes and disappears when the child is standing. Most children without problems outgrow flexible flatfeet.

People without flat feet can also develop the syndrome. Injured archways may unexpectedly collapse. Alternately, the collapse could happen after years of deterioration. The tendon that runs along the inside of the ankle and supports the arch may deteriorate or tear over time. As the degree of arthritis increases, foot arthritis may develop.

Pathophysiology

The calcaneus, navicular, talus, first three cuneiforms, and first, second, and third metatarsals make up the medial longitudinal arch.The plantar calcanea navicular ligament, deltoid ligament, posterior tibial tendon, plantar aponeurosis, and flexor hallucis longus and brevis muscles are some of the soft tissues that support it. Acquired fallen arches may be the consequence of any part of the medial longitudinal arch malfunctioning. Obesity, malfunction of the posterior tibial tendon, excessive triceps surae stress, or laxity of the spring ligament, plantar fascia, or other supportive plantar ligaments are the main causes of acquired flat feet. A tense calf muscle or Achilles tendon could potentially be the cause.

Rarely do rigid arches fall. Though it can happen at any time of life, it typically starts to manifest in childhood. It results from congenital vertical talus, accessory navicular bone, tarsal coalition, or other congenital hindfoot pathologies.

Diagnosis

A medical professional will ask you to stand on your toes as they examine your feet from the front and rear to see how they function. The doctor will assess your ankle strength and pinpoint the primary source of your problem. Your shoes’ wear pattern may also provide details about your feet.

Tests

The following imaging studies may be useful in determining the root of foot pain:

X-rays. Images of the bones and joints in the feet are produced by a straightforward X-ray using a little quantity of radiation. It’s very helpful for assessing alignment and identifying arthritis.

an MRI. In comparison to a standard X-ray, this test produces much more detail by taking X-rays of the foot from various angles.

Ultrasound. When a tendon injury is suspected, ultrasound may be utilised. Ultrasound employs sound waves to create precise images of the body’s soft tissues.

MRI. MRIs, which use radio waves and a powerful magnet, offer superb detail of both bone and soft tissues.

Treatment

If flatfeet don’t hurt, there is no need for therapy.

A healthcare professional might advise the following treatments for painful flat feet: arch supports (orthotic devices). Over-the-counter arch supports may help to relieve the discomfort that flat feet cause. Utilising arch supports that have been uniquely designed and moulded to fit your feet is sometimes advised. Although they won’t eliminate flat feet, arch supports frequently lessen its symptoms.

stretch routines. Some patients with flat feet may also have a shortened Achilles tendon. These exercises for stretching the tendons could be helpful.

Physical treatment. Flatfeet may contribute to overuse injuries in some runners. A physical therapist can recommend exercises to strengthen the muscles and tendons in the foot as well as suggestions on how to improve gait.

Surgery

Surgery is not just performed to treat flatfeet. When individuals have discomfort that persistently restricts their activities after trying nonsurgical therapy, surgery may be a choice. Surgery can be used to treat the bone and tendon problems that are causing the discomfort.

Prognosis _Most flatfoot sufferers find nonsurgical therapy effective in relieving their symptoms. Some patients don’t require any kind of care. You run a higher chance of developing arthritis if you have flat feet.

Arthritis.

Bone spurs.

Bunions or corns and calluses.

Shin splints.

Complications

Infection of the surgical site

Malunion or non-union

Persistent pain

Dislocation of the implant

Fracture of the implant

Fallen Arches (Flatfeet) Ayurvedic Treatment

Common foot issues include flat feet, heel spurs, plantar fasciitis, sprains and strains, broken bones, foot drop, and heel problems like heel drop can all be treated under one roof.

Nidana

The precise cause is not fully known. The plantar fascia supports the foot’s arch normally by acting like a shock-absorbing bowstring. The fascia may start to rupture if the tension on that bowstring gets too high. The fascia may irritate or inflame as a result of repeated stretching and tearing.

Normally, as our foot meets the ground as we walk, the plantar fascia expands. However, if the fascia is repeatedly stressed or strained due to the way you walk, it tends to weaken, swell, and become irritated (inflamed), which can make it painful for you to stand or walk. The following are some of the circumstances or actions that could cause plantar fasciitis:

Purvaroopan

Padakantaka

न्यस्ते तु विषमे पादे रुजः कुर्यात्समीरणः ।

पादकण्टक इत्येष विज्ञेयस्तलमाश्रितः॥{यो.र.वा. व्या}

Vatakantaka

रुक्पादे विशमे न्यस्ते श्रमाद्वा जायते यदा ।

वतेन गुल्फमाश्रित्य तमाहुर्वातकण्टकम्॥ {अ.सं.नि.}

Padadaha

पादयोः कुरुते दाहं पित्तासृक्सहितोऽनिलः।

विशेतश्चङ्क्रमते पाददाहं तमादिशेत्॥{सु.नि.१}

Padaharsha

हृष्यतश्चरणौ यस्य भवतस्तु प्रसुप्तवत्।

पादहर्षः स विज्ञेयः कफवातप्रकोपजः॥{सु.नि.१}

Khalli

खल्ली तु पाद जङ्गोरुकरमूलावमोटनी॥{च.चि.२८}

Samprapti

Plantar fasciitis is a foot-related pathological illness that is discussed in Ayurvedic writings, particularly in the context of Vata Vyadhi (chapter dealing with disorders emerging owing to morbid Vata), without getting into specific comparison and correlation technologies.

Lakshana

Foot pain

On the inside side of the foot, there are sores or pressure points.

A stiff foot

Limited side-to-side foot motion

Limited up-and-down ankle motion

Prognosis

Perhaps no treatment is necessary for flat feet. For individuals who require therapy, conservative or non-surgical approaches are typically used to alleviate their symptoms. The aetiology, persistence of symptoms, and course of treatment all affect the prognosis for flat feet. Your symptoms may get worse over time if you have arthritis or diabetic foot issues because these conditions are challenging to manage. If you engage in high-impact activities, changing your routine can benefit your prognosis.

Chikitsa treatment

• External treatments: Bahya/Sthanika chikitsa

Samvahana (soothing medicated massages) and Abhyanga (medicated massages)

•Padabhyanga (foot massage) is an Ayurvedic speciality.

Avagahana: Foot dipping in herbal oils Dhara: stream pouring of medicinal oils, ghee, decoction, milk, etc

Medicines used for Abhyanga, Dhara and Avagaha:

Murivenna

Ashwagandhabala Lakshadi Taila

 Mahanarayana Tailam

Ksheerabala Tailam

Prabhanjanavimardana Tailam /

Kuzhampu

 Pinda Tailam

 Kottamchukkadi Tailam

 Sahacharadi Tailam

Dhanwantaram Tailam

Guggulutiktakam Ghritam etc

Lepa – Application of herbal pastes

Pastes made utilising the aforementioned herbal powders can be submitted as candidates:

Rasnadi Chant

Kottamchukkadi Churna

Grihadhumadi Chura

 Ellumnishadi Churnam

Jatamayadi Churnam, etc.

Brick fomentation is known as Ishtika Sweda.

This is one of the unique Ayurvedic remedies that is highly effective for foot-related disorders including plantar fasciitis or calcaneal spurs.

Abhyantara Chikitsa: Internal Treatment –

Virechana – Purging for therapeutic purposes to help the body heal by removing unhealthy pitta and vata.

You can administer Nitya Virechana, or daily purgation, with: –

Nimbamritadi Eranda Tailam

 Gandharvahastadi Eranda Tailam

 Sukumara Ghritam

Avipatti Churnam

Trivrit Leham

 Sukumara Leham etc

Vasti – Enemas

Enemas using medicinal herbal oils (Matra vasti or Anuvasana Vasti) and medicinal milk (Ksheera Vasti) are very effective in reducing plantar fasciitis pain and inflammation.

Commonly used medicine

Kashaya’s (Herbal decoctions):

Guggulutiktakam Kashayam

 Sahacharadi Kashayam

Sahacharabaladi Kashayam

Kokilaksham Kashayam

Rasnasaptakam Kashayam

Guluchyadi Kashayam

Gandharvahastadi Kashayam

Ghritam and Tailam (medicated ghee and Oils):

Guggulutiktakam Ghritam

 Varanadi Ghritam

 Rasnadi Ghritam

 Dhanwantaram Ghritam

Tiktakam Ghritam

Ksheerabala Tailam

 Sahacharadi Tailam

Ksheerabala tailam 101

Dhanwantaram tailam 101

Vati and Gulika (Tablets):

Kaishora Guggulu

Yogaraja Guggulu

Panchatikta Ghrita Guggulu

Ksheerabala Tailam 101 caps

Dhanwantaram Tailam 101 caps

Mahavata vidhwamsini Rasa etc

External applications:

The herbal oils mentioned in Abhyanga and other texts can be applied externally.

Shatadhouta Ghritam is among the best treatments for plantar fasciitis. It can be purchased as medicinal ghee or ointment. It works wonders to reduce pain, inflammation, and other related symptoms.

The therapeutic effects of Jatyadi Ghritam/Tailam are comparable.

Home remedies

Eranda

Ashwagandha

Nirgundi

Shunthi

Rasna

Diet

Do’s

As part of your regular diet, consume Sali rice, white gourd, ginger, ghee, kushmanda (wax gourd), pigeon peas, wheat, lady finger, rasonam (garlic), mangoes, dried ginger, kulattha (horse gramme), radish, onion, grapes, and green gramme.

Avoid foods that are astringent, hot, heavy, salty, sour, and pungent in your diet.

Stop using tobacco and drinking alcohol. (Learn more: The body’s reaction to alcohol)

Keep a good posture.

Abhyanga exercises and a warm water bath

Don’ts

Avoid consuming raw meals, cold water, white flour, vinegar, green leafy vegetables, chilled soft drinks, and curd.

Avoid consuming too much coffee.

Do not repress your bowel and urination desires, which are natural urges.

Avoid taking naps during the day.

Don’t stay up late, go on long walks, or engage in too much exercise.

Avoid being outside in the cold.

Yoga

Vrikshasana (Tree Pose)

Sit upright on the ground. Bring both arms in front of your chest and join your hands in a prayer position. Keep your joined palms in place as you raise both arms. Bend your right knee and place the sole of your right foot on the inner of your left thigh. Keep your left leg straight and maintain the position for as long as you can. After a brief moment of relaxation, repeat with the left foot on the other side. 5. Repetition.

Tadasana (Mountain Pose)

With the heels in contact with one another and the feet spaced slightly apart, stand upright. Always keep your hands straight to the side and your feet firmly planted. For five minutes, keep your gaze forward and your head up. Repeat three to four times after pausing for a minute.

Veerabhadrasana (Warrior pose)

Look forward while standing upright on the ground. Set your feet forward at a distance of about 4 inches. Turn your right foot in about 15 degrees and your left foot out by 90 degrees. Lift both arms out to the side until they are level with the shoulders. Your left knee should be bent as you exhale. Look to the left as you slowly turn your head. Breathe normally and spread your hands wider. Gently lower your pelvis and maintain the position with the resolve of a warrior. Repeat with the other side while putting your right foot in front. Repeat it three to four times, pausing for a minute to unwind in between.

Virasana (Hero Pose)

With your knees bent and your toes pointed back, squat between your feet. Placing your hands on your thighs with the palms facing down will help you straighten your back. Put more of your weight into your hips rather than your knees. Release your legs as you roll to one side. Throughout, maintain a normal breathing pattern. Repeat the asana five times after a one-minute pause.

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Writer:

Dr. Rajesh Nair, the co-founder and chief consultant of Ayurvedaforall.Com, is a graduate of prestigious Vaidyaratnam Ayurveda College (affiliated with the University of Calicut), Kerala, India. Additionally, he holds a Postgraduate Diploma in Yoga Therapy from Annamalai University.

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