Brian Adams was born with very flat feet. But they didn’t stop him from playing a variety of sports – volleyball, baseball, basketball – in his youth. He grew to be a 6ft-3in man who loved to “run, not jog”. Those flat feet served him well. Until they didn’t.
But he wasn’t, Dr Steven Raikin, director of the foot and ankle service at Rothman Orthopaedic Institute, told him. That is how Adams ended up in an operating room, his bare left foot held high in the air as Dr Raikin prepared to surgically repair its fallen arch. About a third of people over 65 have foot pain, stiffness or aches. Almost everyone will have it at some point.
The pain from others can be controlled with orthotics, physical therapy, and better-fitting, lower-heeled shoes with arch support. When none of those work, surgery is a last-resort fix for several of the most common complaints: flat feet, bunions, arthritis and hammer toes. He made two more incisions along the side and back of the foot. He found the posterior tibial tendon, which runs underneath the arch. It was about twice the normal size – bloated and riddled with tears.
He would reroute it to take the place of the damaged tendon. Tendons, he said, travel on specific tracks, like trains. He moved this one from the toe track to the arch track. Other tendons would allow Adams to keep moving his toes, but not as well as before. In less than an hour, Dr Raikin was done. Next, it would be Adams’ turn to work, but first, he would have to go home and do nothing for two weeks.Surgical procedures are also available to help people with unremitting pain from bunions, arthritic joints and hammer toes. Hammer toes, which generally affect the second, third and fourth toes, become more common once we hit the age of 50.
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