1. Pes cavovarus, the most common. Radiologically the forefoot is plantarflexed in relation to the rearfoot.
2. Pes calcaneocavus , is mainly seen following paralysis of the triceps surae due to poliomyelitis, the calcaneus is dorsiflexed and the forefoot is plantarflexed. Radiologically there is a large talo-calcaneal angle.
3. Pes cavus, the calcaneus is highly arched and is neither dorsiflexed nor in varus position. Forefoot is in plantarflexed position on the rearfoot.

• Anterior Cavus (Forefoot Cavus)

• Metatarsus cavus
• Posterior Cavus
• Combined

• Lateral foot pain from increased weight bearing on the lateral foot,
• instability,
• difficulty walking and problems with footwear
• metatarsalgia,
• pain under the first metatarsal,
• plantar fasciitis,
• painful callosities,
• ankle arthritis,
• achilles tendonitis
• keratosis
• lateral ankle instability
• hindfoot varus
• The forefoot plantar flexion
• hindfoot varus
• lower limb stress fractures
• knee pain
• iliotibial band friction syndrome
• back pain
• tripping

• Correcting a cavovarus foot
• Most of the corrections involve tendon transfers and capsular and facial releases
• Correction of plantar flexion of the first ray by performing a dorsiflexion
• ST tarso-metatarsal arthrodesis.
• Reduction of hindfoot varus by performing a lateralizing calcaneal osteotomy.
• Arthrodesis 1st TMT joint, lateral calcaneal osteotomy for hind foot.

For further details:

TREMORS 

Tremor can cause significant disability and/or emotional distress. 

Tremor is an overactive movement disorder characterized by rhythmic or semirythmic oscillatory movements of one or more body parts. It is due to involuntary contractions of agonist/antagonists muscle pairs. 

Some of the common forms are: 

• Action tremor (AT), 
• Postural tremor(PT), the rest tremor associated with Parkinson disease (PD). 
• Occupational tremor (OT) 

Tremor is also seen in association with various neurological disorders: 

• multiple sclerosis, 
• peripheral nerve entrapment, 
• metabolic disorders (hyperthyroidism) 
• Psychogenic 

At DR BOTOX Pakistan the most common forms of tremors treated are: 

• Essential tremor 
• Dystonic tremor 
• Parkinson disease tremor 

 With Botox treatment DR BOTOX achieve excellent results in patients with tremors.

For further details visit us on.

Hemifacial or half the face spasm (HFS) is a focal movement disorder. It is a: 

• unilateral,  
• involuntary,  
• tonic or clonic contractions or spasms in face muscles innervated by facial nerve. 

It can cause: 

• significant distress to patients,  
• a sense of facial disfigurement and  
• social isolation. 

It can cause: 

• involuntary eye closure and 
•  may impair vision and reading.  
• Drinking, eating and speech may be affected 

At DR BOTOX Pakistan, the primary goal of Botox treatment of HFS is to reduce:  

• involuntary movements and  
• associated functional limitations and disfigurement caused by HFS.  

We strive to improve the patients’ functioning and quality of life. 

Botox is considered the standard care for HFS.  

Dr BOTOX treats HFS by injecting the affected muscles using very thin hypodermic needles thus achieving excellent clinical results. 

To book your appointment for initial assessment contact our practice coordinator. 

• sensation,
• perception,
• cognition,
• communication,
• behavior,
• epilepsy, and
• musculoskeletal problems

Scapula winging is caused by severe injury to the muscles that control the scapula or to the nerves that supply these muscles.
At POACC, winging of scapulae is managed both by conservative and surgical approach.
For your assessment at POACC, contact our practice coordinator.