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"High Arched Feet (Pes Cavus): If Neglected, a Source of Gait Imbalance and Foot Disorders"

Pes cavus, a condition where the arch of the foot is formed higher than normal, is relatively less known than flatfoot. However, it is a challenging condition where weight is not distributed across the entire sole, causing excessive pressure to concentrate only on the heel and the forefoot, leading to various complications. Seoul Gunwoo Orthopedic Clinic, located near Gangil Station in Gangdong-gu, Seoul, is a specialized foot and ankle hub that patients from Hanam and Misa visit for university-hospital grade precision diagnosis. The clinic focuses on fundamentally resolving chronic pain and gait imbalance caused by high arches. Director Hong-Joon Choi of the clinic is a Ph.D. from Korea University and a former researcher at the Harvard Medical School Foot and Ankle Research Institute, possessing an experienced professional background with over 80,000 clinical cases and more than 9,000 foot and ankle surgeries.

Because patients with pes cavus have a narrow contact area on the sole, they cannot properly absorb shock while walking. This often leads to plantar fasciitis, metatarsalgia, and in severe cases, ankle instability and stress fractures. To identify the exact status of the high arch, Seoul Gunwoo Orthopedic Clinic utilizes foot-specific CT and high-resolution ultrasound. In particular, the clinic scientifically measures how pressure is biased toward the heel and forefoot during walking through gait analysis systems and body type analysis equipment. Based on the advanced diagnostic protocols he has established since his time at Harvard, Director Hong-Joon Choi practices honest medicine by providing detailed explanations while directly reviewing imaging data so that patients can clearly understand their foot alignment.

Treatment proceeds in stages depending on the severity of symptoms. For early-stage pes cavus, customized corrective insoles (orthotics) that support the arch and distribute pressure are prescribed, along with manual and physical therapy to relieve tension in the muscles surrounding the foot. Additionally, extracorporeal shock wave therapy and cryotherapy (cold spray therapy) using sub-zero gas are combined to control accompanying inflammation. However, for severe cases where pain persists despite conservative treatment or where toe deformities are present, corrective osteotomy or tendon transfer—incorporating Director Choi's know-how from over 9,000 surgeries—may be considered. After surgery, patients receive professional care in a pleasant inpatient ward equipped with rooms ranging from private to four-person occupancy and regain a normal gait pattern through systematic rehabilitation exercise therapy. Covering Gangdong-gu, Hanam, and Misa, Seoul Gunwoo Orthopedic Clinic provides optimal medical services so that patients can walk comfortably on the ground once again.

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