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foot really hurts and there is an extra bone. surgery at 13?

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Hi ,

I'm Emily and I have a extra bone in my feet, and no arch(flat foot) and i have a developing bunion in both feet. the doctors advised surgery, but at the time i was 10. Should I reconsider it now, (i'm 13) or should i wait until I'm older. My foot does really hurt even just doing the basic things such as walking. but i don;t want it to affect my growth.

Thank you

Emily luvcomp
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replied June 13th, 2012
Especially eHealthy
Emily,

If you can avoid surgery, until you are skeletally mature, that is usually the best. Juvenile hallux valgus (bunion) is treated differently than those of an adult, especially when combined with pes planus (flat foot).


Also, note, that just because you have certain deformities, that does not mean that they have to be treated. You stated that you have pain in your feet, and that is usually what is addressed. But, surgery for pain, is often not as successful as surgery for the correction of structural problems.


The type of pes planus also makes a difference. Do you have supple pes planus or rigid pes planus? In other words, do you create an arch when you go up on your tip toes. Some patients have flat longitudinal archs when standing, but when they tip toe, a nice arch is formed.

Other patients have a structural problem, with a rigid flat foot. In this case, no arch is ever formed.

But, you should note, that certain ethnic races naturally have flat feet, and have no problems with that. If you look at the feet of many blacks and persons from the middle east, they have naturally flat feet, without any problems. So, just because your feet are flat, it may not be a problem.


Also, in juvenile hallux valgus, the orthopedic surgeon really needs to analyze your foot, as adolescents with hypermobile first rays, need to be treated differently, if a successful outcome to be achieved.


Having an extra bone in the foot, is actually quite common. The are a whole host of accessory ossicles that occur in the foot. Again, just because they are there does not mean that they are a cause of any problems, or need treatment. Some do, but most do not. Most patients with accessory ossicles do not even know that they have them, and are only picked up incidently when an x-ray is obtained for some reason.


Evaluation of the adolescent foot is very complex. As such, if you need treatment on your feet, you should see a specialist, such as an orthopedic foot and ankle surgeon. And, you may want to see one that has done extra training in treating adolescents.

So, if you are having significant problems with your feet, you need to see someone about that. Then you, your parents, and the surgeon need to thoroughly discuss all of your conditions and all of the options you have for treating them. Again, if you do not have to have surgery, don't. Foot surgery is not to be taken lightly.


In the mean time, you might want to make sure that you are wearing good shoes, with excellent longitudinal arch supports in them. The shoes should also have good heal counters in them. These are located in the back of the shoe, where the shoe cups the heal. You should not be able to squeeze the shoe here, it should be very firm, cupping and holding the heal. The heal counter helps prevent pronation in patients with pes planus.

Shoes should also have great cushioning. And, they should feel comfortable from the moment you put them on. With all of the different brands and types of shoes out there, you should never have to "break" your shoes in. They should fit and feel good the moment you put them on. If not, don't buy them, look for another pair. Remember, fit and comfort are more important than style.

You should probably stay away from flip flops and extremely high heals. Both of these cause problems in patients with flat feet.

So, if you can keep the foot in a good position, your pain may decrease significantly. Also, you should try to maintain your weight, as being significantly overweight will cause foot pain.


So, again, since your feet are bothering you, you should see an orthopedic foot and ankle surgeon for an evaluation. Find out what exactly is wrong with your feet, and then go from there.


Good luck. Hope your feet feel better soon.
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