Name of the Condition

• Acquired Clawfoot, Left Foot
• Medical terms include pes cavus and talipes cavus.

Summary

Acquired clawfoot, or pes cavus, refers to a condition where the arch of the foot is higher than normal, which has developed rather than being present at birth. This can affect one or both feet, leading to pain and discomfort, particularly during walking or standing for extended periods.

Causes

• Frequently results from neurological disorders such as Charcot-Marie-Tooth disease.
• Trauma to the foot or ankle.
• Muscular or neurological conditions causing muscle imbalance, leading to the high arch.

Risk Factors

• Family history of neurological disorders
• Previous foot or ankle injury
• Conditions affecting the nerves and muscles

Symptoms

• High arch that doesn't flatten with weight
• Pain in the heel or ball of the foot
• Instability and increased risk of ankle sprains
• Claw-like position of toes

Diagnosis

• Physical examination by a healthcare provider
• Imaging tests such as X-rays or MRI to assess bone structure
• Neurological evaluation if an underlying disorder is suspected

Treatment Options

• Orthotic devices to provide arch support and relieve pain
• Physical therapy to improve strength and flexibility
• Surgical options may include tendon transfer or osteotomy to correct severe deformities

Prognosis and Follow-Up

• With treatment, many patients experience relief from symptoms and improved function.
• Regular follow-up is essential, particularly if the underlying cause is neurological, to monitor for progression.

Complications

• Increased risk of foot and ankle injuries
• Development of calluses or corns due to improper pressure distribution
• Progressive pain and deformity if left untreated

Lifestyle & Prevention

• Regularly stretch and strengthen foot and ankle muscles
• Wear appropriate footwear with adequate support
• Early intervention if symptoms of neurological conditions appear

When to Seek Professional Help

• Persistent foot pain or discomfort
• Noticeable changes in foot shape or arch height
• Difficulty walking or increased frequency of ankle sprains

Additional Resources

• American Podiatric Medical Association (APMA): www.apma.org
• Charcot-Marie-Tooth Association (CMTA): www.cmtausa.org

Tips for Medical Coders

• Ensure correct coding by verifying the condition is acquired and affects the left foot.
• Avoid miscoding by distinguishing from congenital clawfoot or affecting both feet.