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Dr. Peter F. Gregory, D.P.M.

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   17316 Farmington Road
    Livonia, MI 48152
    734-522-7676

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Flatfoot Correction

Our team of specialists and staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive patient library covering an array of educational topics. Browse through these diagnoses and treatments to learn more about topics of interest to you. Or, for a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided.

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Adult-acquired flatfoot or posterior tibial tendon dysfunction usually leads to a gradual loss of the arch. The posterior tibial muscle is a deep muscle in the back of the calf and has a long tendon that extends from above the ankle and attaches into several sites around the arch of the foot. The muscle acts like a stirrup on the inside of the foot to help support the arch. The posterior tibial muscle stabilizes the arch and creates a rigid platform for walking and running. If the posterior tibial tendon becomes damaged or tears, the arch loses its stability and as a result, collapses, causing a flatfoot.

Surgery is often performed to give the patient a more functional and stable foot. Several procedures may be required to correct a flatfoot deformity, depending on the severity of the problem. These may include:

  • Tenosynovectomy—a procedure to clean away (debridement) and remove any of the inflamed tissue around the tendon.
  • Osteotomy—removal of a portion of the heel bone (calcaneus) to move the foot structure back into alignment.
  • Tendon Transfer—in which replacement fibers from another tendon are inserted to help repair damage.
  • Lateral Column Lengthening—A procedure that implants a small piece of bone, usually removed from the hip, outside of the heel bone to create the proper bone alignment and rebuild the arch.
  • Arthrodesis—Fusing of one or more bones together to eliminate any joint movement, which stabilizes the foot and prevents any further deterioration or damage.

Patient Education

Patient Education Menu
  • What is a Podiatrist?
  • When To Call a Doctor
  • Foot Problems
    • General Statistics
    • Achilles Problems
      • Achilles Tendonitis
      • Peroneal Tendon Dislocation/Dysfunction
      • Xanthomas of the Achilles Tendon
    • Arch and Ball Problems
      • Flat Feet (over pronation)
      • Metatarsalgia (foot pain in ball)
      • Plantar Fibromas (lumps in the arch of the foot)
      • Sesamoiditis
      • Capsulitis
    • Common Foot Injuries
      • Ankle Sprain Injuries
      • Broken Ankle
      • Fractures
      • Osteochondritis (stiff ankle)
      • Osteochondromas
      • Shin Splints
      • Sports Injuries
    • Deformities
      • Amniotic Band Syndrome
      • Bunions
      • Claw Toe
      • Clubfoot
      • Dysplasia (Epiphysealis Hemimelica)
      • Enchondroma
      • Flat Feet
      • Gordon Syndrome
      • Haglund's Deformity
      • Hallux Limitus (Stiff Big Toe Joint)
      • Hallux Rigidus (Stiff Big Toe)
      • Hallux Varus
      • Hammertoes
      • Jackson Weiss Syndrome
      • Mallet Toes
      • Metatarsalgia
      • Osteomyelitis (Bone Infections)
      • Overlapping or Underlapping Toes
      • Peroneal Tendon Dislocation/Dysfunction
      • Sesamoiditis
      • Spurs
      • Tarsal Coalition
      • Posterior Tibial Tendon Dysfunction
    • Diabetes and Your Feet
    • Diseases of the Foot
      • Arthritis
      • Cancer
      • Freiberg's Disease
      • Gout
      • Kaposi's Sarcoma (AIDS related)
      • Kohler's Disease
      • Maffucci's Syndrome
      • Ollier's Disease
      • Raynaud's Disease
      • Seiver's Disease
      • Sever's Disease
      • Charcot Foot
    • Heel Problems
      • Haglund's Deformity
      • Heel Callus
      • Heel Fissures
      • Plantar Fasciitis (heel spur)
    • Nail Problems
      • Black Toenails
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      • Nail Fungus
    • Skin Problems
      • Allergies
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    • Toe Problems
      • Bunions
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      • Subungal Exotosis (bone spur under toenail)
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    • Vascular/Nerve Problems
      • Acrocyanosis
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    • Ankle Problems
      • Ankle Sprain
      • Chronic Lateral Ankle Pain
      • Osteochondritis
    • Fungus Problems
      • Common Fungal Problems
      • Athlete's Foot (Tinea Pedis)
      • Fungal Nails
  • Foot Care
    • Basic Foot Care Guidelines
    • Self-Assessment Quiz
    • Athletic Foot Care
    • Blisters
    • Bunion Prevention
    • Burning Feet
    • Children's Feet
    • Corns and Calluses
    • Diabetic Foot Care
    • Foot Care For Seniors
    • Fungus Problems
      • Athlete's Foot
      • Common Fungal Problems
      • Fungal Nails
      • Other Tips
      • Prevention
    • Ingrown Nails
    • Nutrition For Your Feet
    • Foot Odor and Smelly Feet
      • Prevention
      • Treating Foot Odor
    • Pedicures
    • Foot Self-exam
    • Women's Feet
      • High Heels
      • Pregnancy
      • Stockings?
      • Women Over 65
    • Your Feet at Work
    • Exercise Those Toes!
  • Medical Care
    • Pain Management
      • General Information and Tips
      • Pain Management for Specific Conditions
    • Diagnostic Procedures
      • Computed Tomography
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    • Orthotics
    • Surgical Procedures
      • Achilles Surgery
      • Ankle Surgery
      • Arthritis Surgery
      • Arthroscopy
      • Bunion Surgery
      • Cyst Removal
      • Flatfoot Correction
      • General Information
      • Heel Surgery
      • Metatarsal Surgery
      • Nerve Surgery (Neuroma)
      • Toe Surgery
      • Hammertoe Surgery
    • Therapies
      • Athlete's Foot Treatment
      • Cryotherapy
      • Extracorporeal Shock Wave
      • Neurolysis
      • Physical Therapy
      • Iontophoresis
  • Fitness and Your Feet
    • Aerobics
    • Exercise Those Toes!
    • Fitness And Your Feet
    • Sports and Your Feet
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    • Stretching
    • Walking and Your Feet
    • General Information About Fitness and Your Feet
    • Work Footwear
  • Shoes
    • Anatomy of a Shoe
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    • Your Footprint
    • Wear Patterns
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    • Getting a Proper Fit
  • Links
    • Government
    • Online Resources
    • Associations/Groups
  • Foot Anatomy
  • Overview of Feet and Ankle Problems
  • Basic Foot Care Guidelines

Our Location

Peter F. Gregory, D.P.M.
17316 Farmington Road
Livonia, MI 48152

734-522-7676

Office Hours

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Saturday:
09:00 AM - 04:30 PM
09:00 AM - 04:30 PM
closed
09:00 AM - 04:30 PM
09:00 AM - 04:00 PM
09:00 AM - 12:00 PM
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