![]() ![]() Two very small sesamoids (about the size of a kernel of corn) are found in the underside of the forefoot near the big toe-one on the outer side of the foot and the other closer to the middle of the foot. This structure appears in only a few places in the human body, one of which is the foot. Sesamoids are small bones that are connected only to tendons or are embedded in muscle. In the most severe cases, surgery on the midfoot bones may be necessary to treat the associated flatfoot condition. In some cases, a surgery may need to be performed to repair a torn or damaged tendon and restore normal function. Note: Please consult your physician before taking any medications. Nonsteroidal anti-inflammatory medications, icing, physical therapy, supportive taping, bracing, and orthotics are common treatments for painful progressive flatfoot. People are predisposed to tibialis posterior tendonitis if they have flat feet or an abnormal attachment of the tendon to the bones in the midfoot. Left untreated, it may lead to severe disability and chronic pain. This condition arises when the tendon becomes inflamed, stretched, or torn. Painful progressive flatfoot, otherwise known as tibialis posterior tendonitis or adult-acquired flatfoot, refers to inflammation of the tendon of the tibialis posterior. When pain in the foot, ankle, or lower leg does occur, especially in children, the feet should be evaluated. Many people with flat feet do not experience pain or other problems. The arch continues to develop throughout childhood, and by adulthood most people have developed normal arches. Most feet are flexible and an arch appears when children begin standing on their toes. In infants and toddlers, prior to walking, the longitudinal arch is not developed, and flat feet are normal. Flat feet are a common condition of the foot structure. ![]()
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