Deformation Stop Flat (PVD) or Valgeranna Heel is a frequent disease in childhood.Curriculum may have serious consequences in the future - the pathology of the musculoskeletal system, if you do not use preventive measures, do not consult your doctor on time.The early stages are good to treat, the baby's feet come to the right condition and do not cause problems for their children and parents.
What is the deformation of the leg valgus in the child
Valgus' feet in children look like x-shaped x-shaped arrangements than one another.The inner ankle is in contact, and the heel is farther away from each other than usual.When walking, the children step on the inside of the foot.In most cases, deformation is diagnosed by the appearance of the legs and chaos.The baby moves uncertainly, while walking in doubt and getting tired quickly.All of these symptoms are detected at home in the early stages of the disease.
Valgus' feet should not be confused with valgus that set lower legs.In this case, the child's feet are not obtained in the form of X-shaped, but in the form of O. in newborns Valgus, it is not pathological if the curvature remains after the first step (the main sign of the disease is clubfoot), doctors prescribe gymnastics, anti-jurisprudence, massage.If the children then continue the club, the feet and feet are assigned.
The cause and form of a disease
Deformation of foot valgus in children has two variations: congenital and acquired.The first is formed even before birth, in the womb, the second appearance is associated with imperfections, improper development of the musculoskeletal system, and the weakness of the connective tissue.The disease is associated with frequent diseases, for example, acute respiratory virus infections, inflammation of the lungs, bronchitis.
In premature infants, dystrophy valgus feet develop with intrauterine hypotrophy.As a result of neuro-muscular disease (Mydystrophy, cerebral palsy, polio, polyneuropathy), muscle hypotension, children can also get deformation of foot valgus.Other causes are obesity, displacement or congenital thighs.
The degree of deformation of a foot valgus on a child
Disease in children continues four stages of development.The simplest is the first degree, the deviation of the norm is from ten to fifteen degrees, which is easy to correct.The second degree is characterized by a 15-20 degree deviation, it is treated quite complicated.If the angle of tendency to each other is about 20-30 degrees, we are talking about the third stage of the development of the disease.In this case, the correction will be longer.
The fourth stage of deformation development is the most difficult.Foot deviation from the norm in this case is more than 30 degrees, pain appears in the choparov joint area - near the ankle.The children are prescribed complex therapy as an early stage of treatment for the disease.If this option has no effect, the foot deformation is corrected.
Valgus' foot treatment on children
According to Dr.Komarovsky, Valgus' feet are a trivial disease that is easy to treat.Pediatrics are the opinion that one of the main causes of the disease is the early staging of children in the feet - earlier than seven months.Komarovsky recommends from the second month in the right form to provide children's vitamins to prevent rickets.Doctors advise walking on orthopedic carpets, which are used in therapeutic exercises.
The first step towards healing is the definition and timely diagnosis of the problem.In the case of contacting the child's doctor immediately in the first stage, only therapeutic treatment will be successful, in advanced cases that you cannot do without the intervention of the surgeon.Diagnosis is based on podometre - foot size measurement, planity - footprint study, ultrasound.
Orthodox, traumatology is involved in the disease.The therapeutic method of valgus foot in children is eliminated using electrophoresis, electrical stimulation of lower leg muscles and stops, magnetic therapy using special equipment.Additional but important procedures will be the usual foot, back, lumbar and gluteal areas of the joints and muscles.In the early stages, wearing orthopedic shoes help.The following methods are very effective:
- Ozokerite;
- paraffin;
- bath with sea salt or mud medicine;
- magnetotherapy;
- Diadynamic;
- Training therapy (Physiotherapy Physical Education);
- Amplipulse therapy
Bath
This procedure is useful for improving muscle tone, ligaments.To prepare a bath, one third of a glass of sea salt, ten liters of water at room temperature is required.Then plant the children for 15 minutes in the bath to the waist.This procedure should be carried out daily for a month, the entire course is repeated every four months.You can't swim in the bath.
Physiotherapy
Electrophoresis is effective in the treatment of flat feet and clubs.It is important to use age -appropriate medications and perform the procedure according to a specific scheme.During the procedure, the product without injection and the tablet is shipped to the right place: used for bandages and applied to the feet.After connecting a specific frequency and power for 3-10 minutes.
Candles (paraffin) or ozokerithic boots are very effective in such a diagnosis.This method is contraindicated in the heart, diabetes, blood vessel pathology.Paraffin acts well on the feet, gradually develops capillaries, heals tissues, improves blood flow, improves metabolic processes.Inflammation, muscle cramps are removed perfectly with candle shoes.
In addition to exercise therapy, doctors prescribe swimming classes: such physical activity is fun for the baby, having a beneficial effect on the muscles, bones and joints.Tibetan treatment methods are considered effective - acupuncture, pharmacopuntur, specific massage techniques.As an additional method, doctors prescribe magnetic plaster - tools from Chinese medicine.
Massage
Massage improves blood circulation, stimulates tissue nutrition, which improves muscle tone.You cannot choose specific techniques on your own: it is recommended by the attending physician.The main emphasis during massage is placed on calf muscles, flexors and leg extensors.The course course can be conducted by a specialist or at home after consultation.
The baby is located on the stomach, with a backup on the table or bed, his feet are hung, the pillow is placed under the lower leg.They began to massage from the back with their hands wiping along the spine from the lower back to the neck, then turning to rub with the tip of the finger.To finish the back massage should be cared for.In the same way, lumbosacral massages the area, then moving to the back massage.
His back attacks the cross, then rub it with the back of the finger.In the end, you have to go back to wiping.The foot wiped first, then go to the hips, kneading the back muscles of the foot.After the feet, patry and stroke conclusions.Massage with analogy begins and ends by wiping, among them the heels are rubbed, carved.
Training
In the treatment of valgus in children, it is useful to walk with various objects: balls, toys between the feet along the surface of the needle or stone-shaped stone.The installation of valgus from the stop is cured with a training complex: jumping in place with feet wide, sitting in this position, but you can't stand for so long.Between relaxing exercises for the baby's rest.Treadmill in the form of an account greatly affects the strengthening of one leg.
All exercises are intended to develop their foot, bone and muscle work.To do this, you can do elements with a pencil: roll on the floor with your feet, try lifting your feet with your fingers.Walk with your child alternately on the heel, socks, outer edges.Other exercises are associated with squats, turns, bending the back of the feet, and the feet.Older children can be done more complicated:
- Ask the children to get up smoothly, raising the socks, making it in it.
- Bend your feet in a sitting position, then lift the heel from the floor simultaneously and alternate.
- With sliding movements, do one foot along the lower leg, try to install it.
Orthopedic shoes
The flat feet in children need certain orthopedic shoes that will hold the baby's feet in the right position.Any shoes of this species should have a stable heel with the support of the enemy, the high back and the boot.Foot fixation should be clear, the heel is at a height slightly larger than the other leg: such a height will be a preventive for flat feet development.Orthopedia is advised to buy the right path and domestic shoes.
Orthopedic insoles will be an alternative if you buy different options for therapeutic shoes do not allow finances: they are more functional and cheaper.Like orthopedic shoes, insoles are selected only with experts, because in the market, pioneer pioneer is represented in many types.Than they are popular:
- Detorsion Ortiz P-3;
- P-5 orthopedic liner;
- Ortiz Children P-8;
- Liner for flat feet P-16;
- Talocrural Group P-19 Pin-Pin key holders.
Surgical intervention
Surgical intervention is required with congenital vertical arrangement of RAM bones or shortening of Achilles Tendon.With vertical RAM, in addition to operation, the combined Dobbs methodology helps.The legs were first brought to the right position with the help of gypsum dressings, after which the collision joints set with a kirshner knitting needle and full pererutieus achillotomy were done with an eight -week gypsum impairment.
After removing the gypsum, the erit is set (the bar maker to take the foot with the boot), then the orthopedic shoe.Possible type of surgical intervention:
- Resezsection joint collision;
- Arthrodesis joint collision;
- transfer of muscle length fibula tendons;
- Other arthroplastic operations.
Prevention of Valgus Feet in Children
Deformation of feet in children develops if parents put children in the feet up to seven months.The following methods should be implemented for the prevention of valgus foot development in children:
- Massage from the first month of life.
- Regular gymnastics to strengthen muscles and ligaments.
- A healthy diet, fresh food.
- The use of vitamin D, which positively affects children's muscles and prevents the development of rickets.
- Babies should be in size.
- Running a regular path.
In addition, doctors advise not to load children's feet up to 7-8 months and regularly conduct orthopedic prevention and neurologists aged one, three, six and twelve months.Shoes do not need orthopedic, but the right insole and the right foot settings in the boot will protect against the appearance of flat feet or clubs.