Pain in the scapula and the thoracic spine may be caused by various conditions. Some causes of thoracic spine and scapula pain may be injury to the shoulder or mid-back, viral illnesses and diseases of the spine. The muscles you control, such as in your legs, are the most susceptible to cramps. Leg cramps aren't a serious health concern, but can be extremely painful and interfere with your daily routines, including sleep. Unilateral leg pain is discomfort that occurs in one leg. This pain may be in the bones, joints or muscles of the leg and may be caused by injury or disease. Deep infrapatellar bursitis presents with fluctuance and swelling that obliterate the depression on each side of the patellar tendon overlying the tibial tuberosity. Loss of full flexion and extension generally is observed. The adventitious cutaneous bursa may be palpable as a swelling over the tibial tuberosity (adventitial bursae are those formed later in life through degeneration and do not have an endothelial lining). Semimembranosus tendonitis also can occur with running or cutting activities. This tendonitis is characterized by swelling over the posteromedial aspect of the knee and tenderness with resisted flexion or valgus strain. An insertional enthesopathy of the semimembranosus muscle also has been described. Laminectomy, also referred to as a decompression, is the surgical removal of the lamina (hard covering of the spinal canal). Laminectomy is typically preformed on individuals who have been diagnosed with spinal stenosis. In some cases, a laminectomy might be performed during a repair of disk herniation. Removal of the lamina enlarges the spinal canal area, relieving pressure on nearby nerves. A six- to 12-week recovery period is typical after a laminectomy. Compartment syndrome of the lower legs, or chronic exertional compartment syndrome, is a condition that causes pain in the lower leg muscles during exercise. Several tests are used to diagnose compartment syndrome. Unless your child has symptoms and her doctor has recommended that she avoid certain activities, there is no need to limit your child's physical activity because of fallen arches. Physical activity will not worsen flatfoot, according to the American Academy of Family Physicians, and neither will walking barefoot or wearing a particular kind of shoe. Outlook Flat feet are often associated with excessive pronation , which is the action that causes the foot's arch to descend down and inward (flattening) as the foot strikes the ground. Pronation is a normal and necessary foot motion. Overpronation, however, means that feet pronate to an excessive degree while standing, walking or running. Pes plano valgus is usually flexible, meaning that the joints of the foot and ankle are mobile. A relatively uncommon form of pes plano valgus can be caused by a tarsal coalition, and is not very flexible or mobile (please see the Kaiser Santa Rosa Department of Foot and Ankle Surgery’s document about tarsal coalitions for more information). Kidithotics. These are excellent prefabricated plastic orthotics designed for children with shoe sizes less than 2. Your child can be fitted for these and they can be purchased at the Depot Store Map in the reception area of the Department of Foot and Ankle Surgery.