In a groundbreaking study published in Phlebology: The Journal of Venous Disease, researchers led by Şahika Burcu Karaca and Hatice Ağır have shed light on a potential link between pes planus, commonly known as flat feet, and the risk of venous insufficiency. This research has the potential to revolutionize our understanding of venous disorders during ambulation and the impact of foot arch structure on venous return.
Pes planus, a condition where the arches of the feet are flattened, has long been associated with various musculoskeletal issues. However, this study aimed to investigate whether individuals with flat feet may also face an increased risk of venous insufficiency.
Methods
The research team, comprising Şahika Burcu Karaca and Hatice Ağır, examined a cohort of 59 patients, with 29 presenting bilateral pes planus and 30 with normal arches for comparison. The study utilized several measures and evaluations to determine the potential relationship between pes planus and venous insufficiency. The methods included:
- Djian Annonier Angle Measurement: This assessment helped gauge the extent of arch flattening in the pes planus group.
- Bilateral Lower Extremity Venous Doppler Ultrasonography (USG): This technology allowed for detailed examination of the patients’ venous system.
- Foot Function Index (AFI): This index was employed to assess foot function in both groups.
- Comprehensive Classification System for Chronic Venous Disorders (CEAP) Clinical Scoring: This scoring system is widely used to classify and evaluate venous disorders.
- Short Form-36 (SF-36): A questionnaire-based assessment of patients’ health-related quality of life.
Results
The findings of this study revealed significant disparities between the pes planus group and the control group. Key results included:
- Statistically significant differences in AFI total scores, AFI pain scores, AFI disability scores, and AFI activity limitation scores.
- Bilateral lower extremity Doppler USG examinations showed distinct variations between the two groups.
- The pes planus group exhibited higher CEAP clinical scores, indicative of a higher prevalence of venous insufficiency.
Conclusion
The implications of this study are profound. The results suggest a potential correlation between pes planus and venous insufficiency, highlighting the importance of considering foot arch structure in the evaluation of venous disorders. However, the researchers, Şahika Burcu Karaca and Hatice Ağır, emphasize the need for further research involving larger sample sizes to confirm and elaborate on these findings.
For more details on this research, please refer to the article published in Phlebology: The Journal of Venous Disease here. This research could potentially alter our approach to diagnosing and managing venous insufficiency, opening new doors for treatment and prevention.
For more articles and information on phlebology, visit the official website of Phlebology: The Journal of Venous Disease here.