From the Guidelines
Pes planus is not directly caused by lumbar degenerative disc disease, and the two conditions should be managed separately. The provided evidence [ 1 ] discusses various musculoskeletal issues associated with 22q11.2 deletion syndrome, including scoliosis, skeletal anomalies, and foot problems like pes planovalgus, but does not establish a direct link between lumbar degenerative disc disease and pes planus. Some key points to consider in the management of pes planus and lumbar degenerative disc disease include:
- Pes planus can be caused by various factors such as congenital conditions, obesity, injury, or rheumatoid arthritis [ 1 ].
- Lumbar degenerative disc disease can cause symptoms like back pain, leg pain, and neurological issues, but it does not directly cause pes planus [ 1 ].
- Indirect relationships between the two conditions may exist, such as nerve compression affecting muscle function in the lower extremities or altered gait mechanics due to lumbar pain [ 1 ].
- Treatment for pes planus typically involves appropriate footwear, orthotics, and physical therapy, while lumbar degenerative disc disease requires a separate management plan focusing on the spine [ 1 ]. Key considerations for managing these conditions include:
- Routine scoliosis screening and neurologic evaluation at diagnosis [ 1 ].
- Investigation of any seizure or neurological issue, including bloodwork, EEG, and MRI [ 1 ].
- Early interventions like physical, occupational, and speech therapies to maximize function [ 1 ].
From the Research
Relationship Between Pes Planus and Lumbar Degenerative Disc Disease
- There is no direct evidence in the provided studies to suggest that pes planus can be caused by lumbar degenerative disc disease 2, 3, 4, 5, 6.
- The studies focus on the management and treatment of pes planus, its causes, and effects on the lower limb, but do not mention lumbar degenerative disc disease as a potential cause of pes planus.
- The etiologies of acquired pes planus in adults mentioned in the studies include posterior tibial tendon dysfunction, but do not include lumbar degenerative disc disease 2.
- The studies discuss various treatment options for pes planus, including foot orthoses, low-dye tape, and surgical interventions, but do not explore the relationship between pes planus and lumbar degenerative disc disease 3, 4, 5, 6.
Potential Indirect Relationships
- While there is no direct evidence linking pes planus to lumbar degenerative disc disease, it is possible that altered biomechanics or gait patterns associated with pes planus could contribute to or exacerbate lower back problems, including lumbar degenerative disc disease.
- However, this potential relationship is not explored in the provided studies, and further research would be needed to investigate any possible connections between pes planus and lumbar degenerative disc disease.