Name of the Condition

• Congenital Pes Planus, Right Foot
• Commonly referred to as flatfoot or flat feet when present in both feet.

Summary

• Congenital pes planus is a condition where a child is born with an abnormally low or absent arch in the foot, specifically affecting the right foot. It often leads to the entire foot making contact with the ground.

Causes

• It is a congenital condition, meaning it is present at birth. The exact cause is often unclear but may involve genetic factors that affect foot development.

Risk Factors

• Family history of flatfoot.
• Genetic conditions that affect muscle tone or skeletal development.

Symptoms

• Difficulty standing on tiptoe.
• Feet turning outward.
• Pain in the foot, ankle, or lower leg, especially when active.
• Shoes wearing out on one side more quickly.

Diagnosis

• Physical examination by a healthcare provider.
• Imaging tests like X-rays to assess the structure of the foot.
• Observation of foot posture and gait while walking.

Treatment Options

• Often, no treatment is necessary for asymptomatic cases.
• Orthotic devices to provide arch support.
• Physical therapy to strengthen foot and ankle muscles.
• Surgery in severe cases where flatfoot causes significant pain or functional limitations.

Prognosis and Follow-Up

• Many children with congenital pes planus experience little to no symptoms and lead normal lives.
• Regular monitoring by a pediatrician or orthopedic specialist to ensure no progression of symptoms or development of complications.

Complications

• If symptomatic and untreated, it may lead to foot pain, poor posture, or problems with walking.

Lifestyle & Prevention

• Encouraging children to engage in activities that strengthen foot and leg muscles.
• Wearing supportive footwear.

When to Seek Professional Help

• Persistent pain in the foot or leg.
• Changes in walking pattern or frequent tripping.
• Difficulty participating in physical activities due to foot discomfort.

Additional Resources

• The American Podiatric Medical Association: APMA Website
• National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS): NIAMS Website

Tips for Medical Coders

• Ensure the laterality of the condition is correctly noted as "right foot" to differentiate from conditions affecting the left foot or both feet.
• Avoid confusing congenital pes planus (Q66.51) with acquired flatfoot deformities, which have different ICD codes.