Sweat-Valgus foot-patological orthopedic children are most common.She usually finds her in the first year of childhood life, as she becomes clear after the baby begins to master free.What to do if such curvature is found, we will tell in this article.
What is the deformation of the valgus
In fact, the deformation of the valgus and flat feet is a different pathology of the lower leg, but in children, most often that the combination of reduction in the foot gate, flat leg features, and changes in the foot position at the load with oral displacement, the valgus deformation features, most commonly observed.
Valgus curvature is a deformation where children in a vertical position are based on the inside of the legs, and the fingers and heels are deployed to the exterior.
Usually, the foot fixation should be parallel, that is, when you see two feet standing behind, you can draw two straight vertical lines.In children with valgus deformation, these lines are wrapped in the ankle joint area with an external deviation, which determines the second name of the pathological-form deformation.
With flat feet, everything is more complicated.All children from birth have physiological flat feet, so it is impossible to consider this pathology at 1-2 years.However, orthopedis considers a comprehensive problem, and a diagnosis-flat-valgus deformation appears in a child's medical record in medical records.
It is rare, but valgus curvature can be natural.For some reason, lower fetal limbs in the uterus begin to develop abnormally.Such feet can be seen almost immediately after the birth of a baby is born, and in 2-3 months the diagnosis is usually made quite reasonable.
The flat-walgus leg is not a sentence.With timely treatment, with a responsible and systematic approach to parents, the foot function if light pathology can be fully restored.It all depends on the level of the disease.
Flat - Valgus' foot deformation - how to correct defects?
Installing the stop valgus installation -an orthopedic anomaly, characterized by a deformation in the foot, which is found in both adults and children.
Deformation is a violation of the foot surface, when the center is moved, and the fingers and the heels turn out.
The reasons for the abnormal development of the feet lie on the weakness of the ligaments, muscles and tendons, when the feet are attracted to them under the influence of stronger muscles.The result of this effect is the formation of flat feet.
Planealgus Deformation of the Feet is basically the same flat foot, a very common defect in every fifteenth population of this planet.The disease is difficult to treat, and the treatment process itself is long and problematic.
Reason -Secondary Development of Pathology
During evolution, our feet are formed in such a way to take and across the human body.The role of the foot is to ensure the biggest depreciation while walking, running and jumping.
In addition, thanks to the unique anatomical structure of the foot, one goes in a vertical position, without falling to the right - left, back and forth.The foot -standing dome is directed in two directions: horizontal and longitudinal.
So, adults have three points as support:
- Bone elements are added;
- Hillock Heel;
- Bone plus fifth.
Pathology occurs in young women more often, as they wear high shoes.Visually, the foot with such deformation resembles the letter "X".At the same time, the bones and fingers of the pile are directed in one direction (outside), and the middle of the foot is moved.
Therefore, the development of deformation contributes to:
- weakness of ligamentous apparatus;
- Connective tissue disease;
- heavy (with obesity, additional load on the feet is created, leading to their deformation);
- Wear uncomfortable shoes.
The pathological classification
Depending on the shape of the foot curvature, the pathology can be three types:
- horizontal;
- longitudinal;
- Combined.
Longitudinal installation is the honor of the longitudinal gate.If at the same time there is a violation of walking;Pain during walking and palpation, and deformation changes are observed even when visually, we can talk about longitudinal deformation.
Horizontal deformation is characterized by a particular type of foot - it visually visually.At the same time, the finger tendons are not stretched, and the curvature has a hammer.The patient complains of pain while walking and violating the violation.
Foot combinations combine the second signs -two horizontal and longitudinal anomalies and are called longitudinal flat feet.However, there are no pain and various difficulties.
Deformation is classified as follows:
- Spastic - arises after muscle cramps;
- Rachitic-development as a result of d-hypovitaminosis;
- structure - abnormal arrangement of liquid bones;
- Paralytic - due to poliomyelitis;
- Hyper -Correctional - appears as a result of unsuccessful club correction;
- Statistics - with the development of scoliosis and posture disorders;
- Compensation - a defect in the development of the Achilles tendon, where the bone is moved in;
- Traumatic - develops due to damage, bruises, dislocation and bone fractures;
Symptom
As mentioned above, the flat deformation of the flattering with a congenital flat foot background.Symptoms of the disease depend on the part of the foot subject to the curvature.
For example, the deformation that is equated developed due to variety or equinar feet.This may be the result of fibula pathology.The disease is characterized by paralysis of both legs and lower legs.
With the presence of "bumps", the symptoms will appear as follows:
- Bones can be inflamed, swollen and painful;
- Thumbs glisten inside, while the same fate is defeated by other fingers, they will also be defective and bulging in the form of hammers;
- It is not possible to wear narrow shoes or heels, and sometimes comfortable;
- Frequently, patients with pathology wear shoes of some size;
- The curvature of the thumb prevents the normal position of the fingers -the other, they bend and even bend;
- Walking causes pain and weight in the feet;
- There are corn and corn in one.
Pathological treatment
It should be immediately said that the diagnosis of valgus flat feet involves very long and complex treatment, which takes a lot of time.It is important to diagnose the disease as soon as possible and begin adequate treatment.The time in this case works against the patient, as timely treatment has been given hope for the rapid elimination of the disease.
Valgus flatfoot treatment includes;
- Physical education of medicine, aimed at correcting foot shape and muscle strengthening;
- physiotherapy procedures;
- wearing orthopedic shoes, insoles, supervisors;
- the use of orthopedic orthosis, rest and readers of evidence;
- Normal massage from the lower leg and lumbosacral site - krytsovo - gluteal.
The footsteps of the plan on the children
It should immediately state that all of the above refer to adults with the presence of this pathology, but in young children are all different.
Almost all children are born with flat feet, and clear why.After all, their feet at that time were not burdened and they only took the first step when they were placed on the feet.
Naturally, during this time they put their feet incorrectly, as they did not know how to walk.
Therefore, it is worth the distinguishing flattening functioning of the foot and anatomy.Physiological medicine is just one stage of lower orthopedic development of the foot and is a norm.
With sufficient load (when walking on uneven surfaces), the child's deformation is quickly adjusted.This usually happens by three years.In addition, up to three years in one child, there is a natural fat layer that covers the foot arch.
You can only see it if you put the child on the socks.
The process of forming a foot gate is long, it takes several years.Therefore, talk about the right -handed legs anatomically worth earlier than five years old.However, all children are different, so this process is formed earlier, and for one later.
It depends on how many children are physically and physically developed, whether they have a deviation from the development of the bone muscle system, infringement by the endocrine and nervous system.
But, unfortunately, there are cases when flat feet become clear pathology.
In the risk group, children who in the first year of life were diagnosed with violations in the development of the musculoskeletal system, decreased muscle tone, lagging in the development of psychomotor, and obesity.The consequences of such violations would be a deformation of the feet.
The angle of the foot from the orthopedic axis of children is measured in degrees.In this case, the weight of the body is not distributed to the legs and experiences certain parts of the biggest load.In this case, it is the inner edge of the foot, where the longitudinal safe should be formed.Therefore, the therapist calls the pathology of this aircraft.
Massage
Massage is a major method of treatment in complex therapy.It helps to loosen the bone system - muscle, improve blood circulation and trophic single muscle tools.Children's feet are massage in the following order:
- Immediately before the start of the massage, the feet wiped;
- Hips and knees are also treated with light stroke;
- Posterior surface muscle with carved surface pressure;
- Scrub the muscles;
- Performing a child's feet with the palm of the hand;
- Run the last.
The whole massage also begins by wiping, which increases blood flow to the limbs.Movement is carried out from the heel to the popliteal fossa.During the massage, the emphasis is placed on muscle relaxation, the baby does not need to grind.
If in some areas it is necessary to make some vibrant scrubbing, then they should at the same time light and energetic.Reminen is carried out with the tip of the finger.The main emphasis is to wipe and shake.
Physical Education Medicine
Gymnastics exercises to treat flat feet are performed on a drug carpet, which should have an uneven (discharge) surface.Carry out training on such a carpet, at the same time there is a mechanical sequence of feet.Training is suitable for children two or three years old.
Training on carpet:
- retreat from one foot to another, weight transfer;
- Stand on one foot, the other sliding movement along the carpet;
- By placing your hands on the belt, make a circular movement with the body on one or the other;
- Put one foot in front of the other, then make socks and lower the heel;
- leaning on the heel with one foot, and the other on the feet, at the same time making the foot roll from the foot to the heel;
- Walking on the carpet depends on the outer edge of the foot.
Surgical
Surgical treatment for flat foot correction purposes is extremely rare.The advantages of footboxes are made according to the grace method.These defects are also corrected in adolescence, however, arthrodesis techniques are used, in which they carry out the bone -graded repositions to fix the safe.
The most effective option is the correction of 4-5 years of defect surgery with flat feet.At this age, rapid recovery of ligaments and joints occur, as well as bone restructuring gives the best results.
Selection of shoes
Equin-valgus foot deformation is eliminated using the properly selected shoes.It is very important that the support from the bottom and sides of the foot will appear.For treatment, orthopedic shoes are selected by individual standards.It allows the muscles to function normally and evenly distribute the load on the feet.Pediatricians are very useful for wearing special shoes:
- lower the load on the musculoskeletal system,
- Negative consequences of deformation are eliminated,
- The usual posture and style are formed,
- The ligamentous muscles and devices develop properly.
Consequence
If you do not find a flat-valgus foot at that time, then there will be serious complications that may cause defects.First of all, improper style is produced, resulting in the knee and hip joint structure.Then the spine is curved, which presses on the internal organs and does not allow them to function normally.
Forecast and prevention
Early treatment allows you to completely remove flat-valgus feet.In the case of advanced, in adolescence, children will show problems with the spine.
It is possible to avoid such violations by doing simple gymnastics every day.Don't try to put the baby on his feet if he is less than 9 months old.It should be avoided to unload the musculoskeletal system of children.
Practical advice
As the statistics show, about 40% of children with one degree flat footed each year during the school prevention examination.Most of them are girls.Such a prevalence is due to the fact that the early stage of Valgus is often unknown.
Prevention of flat feet is very important in the year of school, as children grow intensively.
The determination period is from 3 to 7 years: currently the shoes are well set to fix the feet and match their size.
Do not buy expensive orthopedic shoes if the diagnosis has not been made or the doctor has not yet made such a recommendation.In some cases, additional support for the feet can produce opposite results.