Tap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.
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LateralityChoose oneFirst line
TypeChoose one
SymptomsChoose one
Heel cordChoose one
Neurologic examChoose one
PlanChoose one
StretchingChoose any
ShoesChoose any
X-rayChoose any
ReferralChoose one
Follow-upChoose one
Counseling paragraphChoose oneParagraph
CounselingNot in the note with these choices
A stiff flat foot is less common and can come from small foot bones that are joined together, so the x-ray and the specialist will guide the next step. Recommended supportive care with ice and motrin as needed, with an emphasis on well-fitting shoes and limiting activities that hurt. Return precautions given including foot pain that keeps getting worse, limping, sores on the inner foot, frequent ankle sprains, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.
What the sources cover
Flexible vs rigid
Painless vs activity-related pain
Tight heel cord (Silfverskiold)
Neurologic exam (neuromuscular flatfoot, cavus)
Observation for painless flatfoot
Trial of inserts
Achilles stretching, calf strengthening
X-ray for tarsal coalition
Orthopedics (rigid; persistent pain), podiatry
Development and natural history
Return precautions in the template
foot paina stiff footsores or calluses on the inner footfrequent ankle sprains
Pediatric Pes Planus: A State-of-the-Art Review. Pediatrics 2016;137(3):e20151230 (Carr, Yang, Lather). (read in full; a review in Pediatrics, not AAP policy)
Few formal guidelines cover this topic, so the template also leans on expert opinion.