Is Peroneal Spastic Flatfoot Causing Chronic Ankle Pain?
A 14-year-old male athlete comes into your office with a chief complaint of ankle pain. He says he had the pain right after a soccer match. His parents and coach concluded that he had sprained his ankle. However, despite treatment, which consisted of rest, ice and the use of an Ace wrap, the patient’s pain continued for two months. He has pain in his ankle when standing and walking, and is not able to run or return to play. Upon further questioning, you find out that neither his foot nor his ankle were ever swollen or ecchymotic, and he cannot recall an exact instance of twisting his ankle. This is the most common presenting scenario of a patient with a peroneal spastic flatfoot and until this condition is considered as a potential diagnosis, this young athlete will find himself going from doctor to doctor continually being treated for an ankle sprain. The patient with peroneal spastic flatfoot complains of pain, chronic ankle sprains and flatfoot. Pain occurs in the subtalar or midtar
