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The paediatric flat foot proforma (p FFP) directs this evidence based approach.[13] Three randomized controlled trials (RCTs) and one quasi RCT have investigated the use of foot orthoses in children. The Cochrane Library systematic review analyzing the studies could not make a single recommendation, concluding that customised foot orthoses should be reserved for children with himalaya rumalaya forte price in india foot pain and arthritis, for unusual morphology, or unresponsive cases. There is an identified need for further research in this area.[14] Surgery is rarely indicated for paediatric flat foot (unless rigid) and only at the failure of thorough conservative management.[7][15].

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