![]() Some evidence of a normal longitudinal arch having been lost following disease or injury affecting the foot will be required to establish that the condition was acquired and that clinical onset was after the commencement of service. Clinical onset may be in childhood, when it becomes apparent that the arch has failed to develop, or may be later in life if due to an acquired cause. ![]() The longitudinal arch of the foot normally develops in children at around age 3 to 5 years. Posterior tibialis tendinopathy* (this condition may coexist with pes planus, but is covered by a separate SOP).The relevant medical specialist is an orthopaedic surgeon. Establishing whether the pes planus is congenital/developmental or acquired may be more difficult. Confirming the diagnosisÄiagnosis of pes planus is made on clinical grounds, based on the appearance of the foot on weight bearing and the presence of symptoms (pain) or the need for treatment (including orthotics). SOP factors are mostly relevant for acquired forms of pes planus, but the clinical worsening factors may apply to congenital and developmental forms (if worsening of a pre-exisitng condition has occurred). The SOP covers pes planus that manifests with medial foot pain or requires medical treatment. This arch may not develop normally (congenital or developmental pes planus), or it may form and be subsequently lost or partially lost (acquired pes planus - due to disease or injury affecting the anatomical structures that form the arch). The medial longitudinal arch of the foot develops during the first decade of life. ![]() Children are born with flexibly flat feet. Current RMA Instruments Reasonable Hypothesis
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