Dr. Edwin Harris

Dr. Edwin Harris

Philip Bresnahan, DPM, FACFAS; and Edwin Harris, DPM, FACFAS and ABPM Diplomate, featured in Point-Counterpoint article in Podiatry Today discussing the treatment of asymptomatic pediatric flatfoot.  Dr. Harris has been a Diplomate of ABPM since 1978.

Dr. Bresnahan argues that it may be beneficial to treat asymptomatic flatfoot before it gets worse or leads to a secondary condition for a child.

Dr. Harris recommends regular observation for children with asymptomatic flexible flatfoot and deferring treatment until symptoms or a negative deviation from spontaneous correction become apparent.

By Philip Bresnahan, DPM, FACFAS We have recognized flatfoot deformity — and its many synonyms including valgus foot deformity, pes planovalgus or talipes valgus — as a condition requiring observation or treatment for many years. However, controversies exist on several fronts. If the condition does not cause pain, as is frequently the case in a child or in less than severe cases, should you even consider treatment?1 Next, what type of treatment is the best choice for those affected? Also, how effective is treatment at controlling the nature of the deformity? Finally, what is the cost of not treating the condition? – See more

By Edwin Harris, DPM, FACFAS The question is: should we treat a condition simply because that is what we have always done? The term asymptomatic pediatric flatfoot needs clarification since it is a part of a spectrum of conditions traditionally grouped together. There is no universally acceptable definition for flatfoot.1 Symptomatic or not, pediatric flatfoot is not a single entity and is not a single anatomical lesion. Pediatric flatfoot has undergone reclassification for better understanding and development of achievable treatment options.2 I will not consider rigid pronation deformities, pronation with tarsal coalition, iatrogenic flatfoot and other variations in this discussion — although they may be asymptomatic — because they are by definition pathological deformities requiring appropriate treatment.3 – See more 

Complete article in Podiatry Today online.