Patients with CMT experience muscle weakness, or an imbalance of muscle strength which causes a pes cavus foot. In this type of foot the arch is raised into a position that is classified as a clinical deformity. The muscle that is responsible for this is the tibialis posterior. The forefoot adducts in what is an inward angulation. The back of the foot, or the hindfoot, usually goes into a varus position. This profile needs very careful analysis for proper correction because many times there is what we call a calcaneal varus contracture. Therefore, it is necessary to address the calcaneal varus contracture as a separate component. In these situations, we would like as much input from your physical therapist or physician as possible.
The pes cavus foot usually has four basic characteristics:
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