What is this disease?
Valgus deformation is the curvature of the foot, characterized by the flattening of its longitudinal arch. As a rule, the inner edge of the foot is lowered ("drops"), and the heel turns out.The foot of a person, by virtue of their location, takes pressure from the whole mass of the human body. For this reason, it has a special anatomical structure, which allows the movements of depreciation, balancing and stabilization. However, an important component for the implementation of these tasks is the good form of stopping.Today, the most important problem of trauma and orthopedics is the valgus distortion of the foot. The meeting is estimated at 30 to 58%, where 2/3 of cases make up congenital disorders.Pathology is largely socially significant, because all the age groups of the population covers, and also helps to court the spine, the early development of osteochondrosis and arthritis of the lower limbs.When you take your feet (if you look at them from behind), a X -type deformation is formed at the ankle: the ankles are in contact, while the heels are at a distance of 5 to 6 centimeters from each other. Most often, pathology is congenital in nature and is diagnosed in children in the hospital (or immediately after the start of walking). A similar condition is adjusted up to 5 years, after which (in the absence of appropriate treatment), a child develops flat feet.Why does that occur?It is believed that the main reason for the appearance of the valgus deformation of the foot is an inadequate function of the posterior tibial muscle or the weakness of the ligament apparatus.Today, other factors in the development of pathology are distinguished:Congenital anomalies with the incorrect location of the bones of the feet or the shortening of the tendons (vertical ram bone, short heap tripon);Posture disorders when the feet deformation compensates for the curvature of the spine;Traumatic lesions (fractures of the bones of the feet, lower legs, hips or knee, ruptures of the ligament and tendon apparatus);Paralysis (immobilization) due to damage to the nervous system for encephalitis, polio, cerebral vascular accidents, violation of headache for hernias, etc. ;Spasm (constant contraction) of the muscles of the lower leg;Concomitant diseases: pathology of the bone system with vitamin D (rushitism), diabetes mellitus, osteoporosis (reduction in bone density), thyroid glands and altered parathyroids, etc. Increase in body weight, including rapid weight gain in menopause or during pregnancy.
The development of pathology is also facilitated by poorly selected shoes or an excessive correction of the club foot in childhood.Degree and stage of the diseaseThe severity of pathology (manifestation power) is divided by degrees:Light with a vault height of 1, 5 to 2 centimeters and an angle of inclination of the heel at 15 degrees;The average, when the ark is flattened in the 1st centimeter, and the angle decreases to 10 degrees;The height at the height of the vault up to 0. 5 cm and the tilt angle of the heel is 5 degrees.Depending on the involvement of certain structures, the following stages of curvature are distinguished:There are no bone deformations, the pain is determined on the inner surface of the ankle (in the fixing area of the posterior tibial muscle);The curvature is light, the heel is slightly rejected;The foot is allocated and the deformation is fixed (not correctly corrected);Madness is observed not only in the foot, but also in the ankle articulation.SymptomsAt the first stage, patients are disturbed by periodic pain after prolonged walks or long vertical loads (standing or sitting on the foot). As a rule, pain syndrome intensifies when walking in poorly selected shoes. The next stage of the disease is associated with the occurrence of the curvature of the foot: patients in a standing position do not rest on the outer edge of the foot, but with all its area. A slight change in the process is observed. 
In the third stage, the protruding of the thawed bone is determined (significantly lower than the ankle on the inner surface of the ankle), as well as a high entertainment of the heel outside (the patient stands on the inside of the heel bone). The advanced valgus deformation of the feet is characterized by a pronounced curvature of the foot itself and the ankle joint. Patients complain of intense pain in the muscles of the bottom of the legs, as well as a significant violation of the approach: the knees rub against each other, while the right and left foot is located at a certain distance.The severe curvature of the feet is often complicated by the deformation of the spine (scoliosis with different positions of the shoulders and wings of the basin), osteochondrosis (damage to the intervertebral disc with the formation of lower hernia) or premature osteoarthritis).How to diagnose?The diagnosis of the curvature of the foot is:The clinical inspection, during which the orthopedist detects a decrease in the arches of the foot, the deviation of the bones of the heel and the ram, the "disappearance" visible from the outside and the projection of the internal ankles.X -Ray - An affordable and informative method with which you can determine the change in the angles of the bone inclination and the linear parameters of their relationship. These indicators are necessary to establish a final diagnosis and clarify the degree of deformation. The method of recording steps to determine the exact functional condition of the member. The method is to record the support time of the individual parts of the foot during the execution of a step. During the study, the phases of the foot rolling are also studied, which reflects the balance of the muscles of the lower limb.Dynamic electromyography, which records the electrical activity of the muscles studied and its dependence on the step phase.PhotoPLESMOGRAPHY with digital treatment that allows you to obtain all standard indicators and to determine the type / degree of curvature with great precision.An additional consultation of a neurologist (with deformations due to spasms or paralysis), endocrinologist (in the case of diabetes or disorders of the thyroid / parathyroid gland) and the gynecologist (when the threatening) may be necessary. If the curvature of the foot appeared in the context of osteoporosis, densitometry is necessary - the study of bone density.
TreatmentAmong the main methods of processing the curvature of the feet valgus, preservatives and operational staff are distinguished. Do not destroy the painful joints with ointments and injections!Conservative approachThis type of help aims to get rid of the symptoms of the disease, but does not eliminate the deep cause of the pathology.The technique includes:The use of orthopedic soles to support the bone I plus, the arc of the foot, as well as the elimination of the valgus lesions of the middle and the back of the foot; Collage - Fixing the foot and ankle using special adhesive tapes with appropriate elasticity. The adhesive tape is raised 24 hours a day within 3-5 days, after which they are replaced;Sew orthopedic shoes according to individual standards;The use of orthosis and other fixing devices on the foot and ankle.Conservative methods also include physiotherapeutic procedures (Ozokerte, paraffin applications, electrophoresis, magnetic effects), a massage and a complex of physiotherapy exercises, developed for a specific clinical case. Be careful! Today, most experts prefer surgical treatment methods, as conservative therapy is ineffective (depending on statistics, it is useless in 60% of cases).Surgery
The operating volume and its type depend on the direct stage of the disease. Thus, the first degree of valgus deformation is treated by syvectomy (elimination of the tendon shell for the correction of the general tension) or the osteotomy (dissection) of the heel in order to return to the anatomically correct position. At the second stage in the development of the disease, the transplantation of the trendy turns of the fingers is used. Such an intervention is generally carried out in the context of the dissection of the heel or a lobed arthrodesis of RAM (surgical immobilization of the joint between RAM and scaphoid bones). The curvature of degree III requires an arthrodesis of several foot joints at the same time: the freest, five cup-cubic and desired by RAM. Such immobilization of three tensions is often supplemented by the dissection of the heel bone. In stage IV of pathology, reconstructive operations are necessary not only on the foot, but also on the ankle. In this case, the instability of the ligament apparatus is adjusted using transplants (of their own body or artificial materials). The volume of operations on the foot itself is the same as with the degree of curvature III.
Recovery periodRehabilitation includes walking without support on the leg operated for 2 months. At the same time, the patient must wear a removable gypsum of 1, 5 to 3 months. Active movements of the operated foot are recommended to start after 1, 5 months after surgery. In the 3rd month, a complex for strengthening physical education was introduced. However, thereafter, patients are prohibited from walking joy and active sports activities. It should be noted that it is possible to judge the final result of surgery only six months later.Preventive measures
The prevention of the distortion of the judgment includes the following measures:Early correction of congenital anomalies with poor arrangement of the feet bones or a shortening of the tendon grains (vertical thaw bone, short heel tendon);Correction of posture disorders (scoliosis, etc. );Appropriate treatment of traumatic lesions (fractures of the bones of the feet, the lower leg, the thigh or the knee, the ruptures of the ligament and tendon apparatus); Correct rehabilitation after paralysis (immobilization) due to damage to the nervous system for encephalitis, polio, cerebral vascular accidents, violation of cerebrospinal roots for hernias, etc. ;Relief of the spasm (constant reduction) of the muscles of the lower leg;Therapy for concomitant diseases: pathologies of the bone system with vitamin D (rachitism), diabetes mellitus, osteoporosis (reduction in bone density), an altered function of the thyroid and parathyroid glands, etc. ;A decrease in body weight to normal (especially with a rapid weight gain in postmenopause or due to pregnancy);Selection of orthopedic shoes or the use of supinators;Moderate Club foot correction without "hyper -correction" treatment - leading to the excretion of secondary valgus of the feet.Prevention of the progression of the disease is to use conservative methods and early reconstructive operations. In this case, physical activity is limited to prevent destruction and curvature of the ankle joints. Do not forget that the timely treatment of the deformation of the valgus of the feet not only improves the quality of life of the patients, but also prevents the development of osteochondrosis and the osteoarthritis of the knee or hip joints!
Why does that occur?It is believed that the main reason for the appearance of the valgus deformation of the foot is an inadequate function of the posterior tibial muscle or the weakness of the ligament apparatus.Today, other factors in the development of pathology are distinguished:Congenital anomalies with the incorrect location of the bones of the feet or the shortening of the tendons (vertical ram bone, short heap tripon);Posture disorders when the feet deformation compensates for the curvature of the spine;Traumatic lesions (fractures of the bones of the feet, lower legs, hips or knee, ruptures of the ligament and tendon apparatus);Paralysis (immobilization) due to damage to the nervous system for encephalitis, polio, cerebral vascular accidents, violation of headache for hernias, etc. ;Spasm (constant contraction) of the muscles of the lower leg;Concomitant diseases: pathology of the bone system with vitamin D (rushitism), diabetes mellitus, osteoporosis (reduction in bone density), thyroid glands and altered parathyroids, etc. Increase in body weight, including rapid weight gain in menopause or during pregnancy.The development of pathology is also facilitated by poorly selected shoes or an excessive correction of the club foot in childhood.Degree and stage of the diseaseThe severity of pathology (manifestation power) is divided by degrees:Light with a vault height of 1, 5 to 2 centimeters and an angle of inclination of the heel at 15 degrees;The average, when the ark is flattened in the 1st centimeter, and the angle decreases to 10 degrees;The height at the height of the vault up to 0. 5 cm and the tilt angle of the heel is 5 degrees.Depending on the involvement of certain structures, the following stages of curvature are distinguished:There are no bone deformations, the pain is determined on the inner surface of the ankle (in the fixing area of the posterior tibial muscle);The curvature is light, the heel is slightly rejected;The foot is allocated and the deformation is fixed (not correctly corrected);Madness is observed not only in the foot, but also in the ankle articulation.SymptomsAt the first stage, patients are disturbed by periodic pain after prolonged walks or long vertical loads (standing or sitting on the foot). As a rule, pain syndrome intensifies when walking in poorly selected shoes. The next stage of the disease is associated with the occurrence of the curvature of the foot: patients in a standing position do not rest on the outer edge of the foot, but with all its area. A slight change in the process is observed. In the third stage, the protruding of the thawed bone is determined (significantly lower than the ankle on the inner surface of the ankle), as well as a high entertainment of the heel outside (the patient stands on the inside of the heel bone). The advanced valgus deformation of the feet is characterized by a pronounced curvature of the foot itself and the ankle joint. Patients complain of intense pain in the muscles of the bottom of the legs, as well as a significant violation of the approach: the knees rub against each other, while the right and left foot is located at a certain distance.The severe curvature of the feet is often complicated by the deformation of the spine (scoliosis with different positions of the shoulders and wings of the basin), osteochondrosis (damage to the intervertebral disc with the formation of lower hernia) or premature osteoarthritis).How to diagnose?The diagnosis of the curvature of the foot is:The clinical inspection, during which the orthopedist detects a decrease in the arches of the foot, the deviation of the bones of the heel and the ram, the "disappearance" visible from the outside and the projection of the internal ankles.X -Ray - An affordable and informative method with which you can determine the change in the angles of the bone inclination and the linear parameters of their relationship. These indicators are necessary to establish a final diagnosis and clarify the degree of deformation. The method of recording steps to determine the exact functional condition of the member. The method is to record the support time of the individual parts of the foot during the execution of a step. During the study, the phases of the foot rolling are also studied, which reflects the balance of the muscles of the lower limb.Dynamic electromyography, which records the electrical activity of the muscles studied and its dependence on the step phase.PhotoPLESMOGRAPHY with digital treatment that allows you to obtain all standard indicators and to determine the type / degree of curvature with great precision.An additional consultation of a neurologist (with deformations due to spasms or paralysis), endocrinologist (in the case of diabetes or disorders of the thyroid / parathyroid gland) and the gynecologist (when the threatening) may be necessary. If the curvature of the foot appeared in the context of osteoporosis, densitometry is necessary - the study of bone density.TreatmentAmong the main methods of processing the curvature of the feet valgus, preservatives and operational staff are distinguished. Do not destroy the painful joints with ointments and injections!Conservative approachThis type of help aims to get rid of the symptoms of the disease, but does not eliminate the deep cause of the pathology.The technique includes:The use of orthopedic soles to support the bone I plus, the arc of the foot, as well as the elimination of the valgus lesions of the middle and the back of the foot; Collage - Fixing the foot and ankle using special adhesive tapes with appropriate elasticity. The adhesive tape is raised 24 hours a day within 3-5 days, after which they are replaced;Sew orthopedic shoes according to individual standards;The use of orthosis and other fixing devices on the foot and ankle.Conservative methods also include physiotherapeutic procedures (Ozokerte, paraffin applications, electrophoresis, magnetic effects), a massage and a complex of physiotherapy exercises, developed for a specific clinical case. Be careful! Today, most experts prefer surgical treatment methods, as conservative therapy is ineffective (depending on statistics, it is useless in 60% of cases).Surgery
The operating volume and its type depend on the direct stage of the disease. Thus, the first degree of valgus deformation is treated by syvectomy (elimination of the tendon shell for the correction of the general tension) or the osteotomy (dissection) of the heel in order to return to the anatomically correct position. At the second stage in the development of the disease, the transplantation of the trendy turns of the fingers is used. Such an intervention is generally carried out in the context of the dissection of the heel or a lobed arthrodesis of RAM (surgical immobilization of the joint between RAM and scaphoid bones). The curvature of degree III requires an arthrodesis of several foot joints at the same time: the freest, five cup-cubic and desired by RAM. Such immobilization of three tensions is often supplemented by the dissection of the heel bone. In stage IV of pathology, reconstructive operations are necessary not only on the foot, but also on the ankle. In this case, the instability of the ligament apparatus is adjusted using transplants (of their own body or artificial materials). The volume of operations on the foot itself is the same as with the degree of curvature III.
Recovery periodRehabilitation includes walking without support on the leg operated for 2 months. At the same time, the patient must wear a removable gypsum of 1, 5 to 3 months. Active movements of the operated foot are recommended to start after 1, 5 months after surgery. In the 3rd month, a complex for strengthening physical education was introduced. However, thereafter, patients are prohibited from walking joy and active sports activities. It should be noted that it is possible to judge the final result of surgery only six months later.Preventive measuresThe prevention of the distortion of the judgment includes the following measures:Early correction of congenital anomalies with poor arrangement of the feet bones or a shortening of the tendon grains (vertical thaw bone, short heel tendon);Correction of posture disorders (scoliosis, etc. );Appropriate treatment of traumatic lesions (fractures of the bones of the feet, the lower leg, the thigh or the knee, the ruptures of the ligament and tendon apparatus); Correct rehabilitation after paralysis (immobilization) due to damage to the nervous system for encephalitis, polio, cerebral vascular accidents, violation of cerebrospinal roots for hernias, etc. ;Relief of the spasm (constant reduction) of the muscles of the lower leg;Therapy for concomitant diseases: pathologies of the bone system with vitamin D (rachitism), diabetes mellitus, osteoporosis (reduction in bone density), an altered function of the thyroid and parathyroid glands, etc. ;A decrease in body weight to normal (especially with a rapid weight gain in postmenopause or due to pregnancy);Selection of orthopedic shoes or the use of supinators;Moderate Club foot correction without "hyper -correction" treatment - leading to the excretion of secondary valgus of the feet.Prevention of the progression of the disease is to use conservative methods and early reconstructive operations. In this case, physical activity is limited to prevent destruction and curvature of the ankle joints. Do not forget that the timely treatment of the deformation of the valgus of the feet not only improves the quality of life of the patients, but also prevents the development of osteochondrosis and the osteoarthritis of the knee or hip joints!
Degree and stage of the diseaseThe severity of pathology (manifestation power) is divided by degrees:Light with a vault height of 1, 5 to 2 centimeters and an angle of inclination of the heel at 15 degrees;The average, when the ark is flattened in the 1st centimeter, and the angle decreases to 10 degrees;The height at the height of the vault up to 0. 5 cm and the tilt angle of the heel is 5 degrees.Depending on the involvement of certain structures, the following stages of curvature are distinguished:There are no bone deformations, the pain is determined on the inner surface of the ankle (in the fixing area of the posterior tibial muscle);The curvature is light, the heel is slightly rejected;The foot is allocated and the deformation is fixed (not correctly corrected);Madness is observed not only in the foot, but also in the ankle articulation.SymptomsAt the first stage, patients are disturbed by periodic pain after prolonged walks or long vertical loads (standing or sitting on the foot). As a rule, pain syndrome intensifies when walking in poorly selected shoes. The next stage of the disease is associated with the occurrence of the curvature of the foot: patients in a standing position do not rest on the outer edge of the foot, but with all its area. A slight change in the process is observed. In the third stage, the protruding of the thawed bone is determined (significantly lower than the ankle on the inner surface of the ankle), as well as a high entertainment of the heel outside (the patient stands on the inside of the heel bone). The advanced valgus deformation of the feet is characterized by a pronounced curvature of the foot itself and the ankle joint. Patients complain of intense pain in the muscles of the bottom of the legs, as well as a significant violation of the approach: the knees rub against each other, while the right and left foot is located at a certain distance.The severe curvature of the feet is often complicated by the deformation of the spine (scoliosis with different positions of the shoulders and wings of the basin), osteochondrosis (damage to the intervertebral disc with the formation of lower hernia) or premature osteoarthritis).How to diagnose?The diagnosis of the curvature of the foot is:The clinical inspection, during which the orthopedist detects a decrease in the arches of the foot, the deviation of the bones of the heel and the ram, the "disappearance" visible from the outside and the projection of the internal ankles.X -Ray - An affordable and informative method with which you can determine the change in the angles of the bone inclination and the linear parameters of their relationship. These indicators are necessary to establish a final diagnosis and clarify the degree of deformation. The method of recording steps to determine the exact functional condition of the member. The method is to record the support time of the individual parts of the foot during the execution of a step. During the study, the phases of the foot rolling are also studied, which reflects the balance of the muscles of the lower limb.Dynamic electromyography, which records the electrical activity of the muscles studied and its dependence on the step phase.PhotoPLESMOGRAPHY with digital treatment that allows you to obtain all standard indicators and to determine the type / degree of curvature with great precision.An additional consultation of a neurologist (with deformations due to spasms or paralysis), endocrinologist (in the case of diabetes or disorders of the thyroid / parathyroid gland) and the gynecologist (when the threatening) may be necessary. If the curvature of the foot appeared in the context of osteoporosis, densitometry is necessary - the study of bone density.TreatmentAmong the main methods of processing the curvature of the feet valgus, preservatives and operational staff are distinguished. Do not destroy the painful joints with ointments and injections!Conservative approachThis type of help aims to get rid of the symptoms of the disease, but does not eliminate the deep cause of the pathology.The technique includes:The use of orthopedic soles to support the bone I plus, the arc of the foot, as well as the elimination of the valgus lesions of the middle and the back of the foot; Collage - Fixing the foot and ankle using special adhesive tapes with appropriate elasticity. The adhesive tape is raised 24 hours a day within 3-5 days, after which they are replaced;Sew orthopedic shoes according to individual standards;The use of orthosis and other fixing devices on the foot and ankle.Conservative methods also include physiotherapeutic procedures (Ozokerte, paraffin applications, electrophoresis, magnetic effects), a massage and a complex of physiotherapy exercises, developed for a specific clinical case. Be careful! Today, most experts prefer surgical treatment methods, as conservative therapy is ineffective (depending on statistics, it is useless in 60% of cases).Surgery
The operating volume and its type depend on the direct stage of the disease. Thus, the first degree of valgus deformation is treated by syvectomy (elimination of the tendon shell for the correction of the general tension) or the osteotomy (dissection) of the heel in order to return to the anatomically correct position. At the second stage in the development of the disease, the transplantation of the trendy turns of the fingers is used. Such an intervention is generally carried out in the context of the dissection of the heel or a lobed arthrodesis of RAM (surgical immobilization of the joint between RAM and scaphoid bones). The curvature of degree III requires an arthrodesis of several foot joints at the same time: the freest, five cup-cubic and desired by RAM. Such immobilization of three tensions is often supplemented by the dissection of the heel bone. In stage IV of pathology, reconstructive operations are necessary not only on the foot, but also on the ankle. In this case, the instability of the ligament apparatus is adjusted using transplants (of their own body or artificial materials). The volume of operations on the foot itself is the same as with the degree of curvature III.
Recovery periodRehabilitation includes walking without support on the leg operated for 2 months. At the same time, the patient must wear a removable gypsum of 1, 5 to 3 months. Active movements of the operated foot are recommended to start after 1, 5 months after surgery. In the 3rd month, a complex for strengthening physical education was introduced. However, thereafter, patients are prohibited from walking joy and active sports activities. It should be noted that it is possible to judge the final result of surgery only six months later.Preventive measuresThe prevention of the distortion of the judgment includes the following measures:Early correction of congenital anomalies with poor arrangement of the feet bones or a shortening of the tendon grains (vertical thaw bone, short heel tendon);Correction of posture disorders (scoliosis, etc. );Appropriate treatment of traumatic lesions (fractures of the bones of the feet, the lower leg, the thigh or the knee, the ruptures of the ligament and tendon apparatus); Correct rehabilitation after paralysis (immobilization) due to damage to the nervous system for encephalitis, polio, cerebral vascular accidents, violation of cerebrospinal roots for hernias, etc. ;Relief of the spasm (constant reduction) of the muscles of the lower leg;Therapy for concomitant diseases: pathologies of the bone system with vitamin D (rachitism), diabetes mellitus, osteoporosis (reduction in bone density), an altered function of the thyroid and parathyroid glands, etc. ;A decrease in body weight to normal (especially with a rapid weight gain in postmenopause or due to pregnancy);Selection of orthopedic shoes or the use of supinators;Moderate Club foot correction without "hyper -correction" treatment - leading to the excretion of secondary valgus of the feet.Prevention of the progression of the disease is to use conservative methods and early reconstructive operations. In this case, physical activity is limited to prevent destruction and curvature of the ankle joints. Do not forget that the timely treatment of the deformation of the valgus of the feet not only improves the quality of life of the patients, but also prevents the development of osteochondrosis and the osteoarthritis of the knee or hip joints!
SymptomsAt the first stage, patients are disturbed by periodic pain after prolonged walks or long vertical loads (standing or sitting on the foot). As a rule, pain syndrome intensifies when walking in poorly selected shoes. The next stage of the disease is associated with the occurrence of the curvature of the foot: patients in a standing position do not rest on the outer edge of the foot, but with all its area. A slight change in the process is observed. In the third stage, the protruding of the thawed bone is determined (significantly lower than the ankle on the inner surface of the ankle), as well as a high entertainment of the heel outside (the patient stands on the inside of the heel bone). The advanced valgus deformation of the feet is characterized by a pronounced curvature of the foot itself and the ankle joint. Patients complain of intense pain in the muscles of the bottom of the legs, as well as a significant violation of the approach: the knees rub against each other, while the right and left foot is located at a certain distance.The severe curvature of the feet is often complicated by the deformation of the spine (scoliosis with different positions of the shoulders and wings of the basin), osteochondrosis (damage to the intervertebral disc with the formation of lower hernia) or premature osteoarthritis).How to diagnose?The diagnosis of the curvature of the foot is:The clinical inspection, during which the orthopedist detects a decrease in the arches of the foot, the deviation of the bones of the heel and the ram, the "disappearance" visible from the outside and the projection of the internal ankles.X -Ray - An affordable and informative method with which you can determine the change in the angles of the bone inclination and the linear parameters of their relationship. These indicators are necessary to establish a final diagnosis and clarify the degree of deformation. The method of recording steps to determine the exact functional condition of the member. The method is to record the support time of the individual parts of the foot during the execution of a step. During the study, the phases of the foot rolling are also studied, which reflects the balance of the muscles of the lower limb.Dynamic electromyography, which records the electrical activity of the muscles studied and its dependence on the step phase.PhotoPLESMOGRAPHY with digital treatment that allows you to obtain all standard indicators and to determine the type / degree of curvature with great precision.An additional consultation of a neurologist (with deformations due to spasms or paralysis), endocrinologist (in the case of diabetes or disorders of the thyroid / parathyroid gland) and the gynecologist (when the threatening) may be necessary. If the curvature of the foot appeared in the context of osteoporosis, densitometry is necessary - the study of bone density.TreatmentAmong the main methods of processing the curvature of the feet valgus, preservatives and operational staff are distinguished. Do not destroy the painful joints with ointments and injections!Conservative approachThis type of help aims to get rid of the symptoms of the disease, but does not eliminate the deep cause of the pathology.The technique includes:The use of orthopedic soles to support the bone I plus, the arc of the foot, as well as the elimination of the valgus lesions of the middle and the back of the foot; Collage - Fixing the foot and ankle using special adhesive tapes with appropriate elasticity. The adhesive tape is raised 24 hours a day within 3-5 days, after which they are replaced;Sew orthopedic shoes according to individual standards;The use of orthosis and other fixing devices on the foot and ankle.Conservative methods also include physiotherapeutic procedures (Ozokerte, paraffin applications, electrophoresis, magnetic effects), a massage and a complex of physiotherapy exercises, developed for a specific clinical case. Be careful! Today, most experts prefer surgical treatment methods, as conservative therapy is ineffective (depending on statistics, it is useless in 60% of cases).Surgery
The operating volume and its type depend on the direct stage of the disease. Thus, the first degree of valgus deformation is treated by syvectomy (elimination of the tendon shell for the correction of the general tension) or the osteotomy (dissection) of the heel in order to return to the anatomically correct position. At the second stage in the development of the disease, the transplantation of the trendy turns of the fingers is used. Such an intervention is generally carried out in the context of the dissection of the heel or a lobed arthrodesis of RAM (surgical immobilization of the joint between RAM and scaphoid bones). The curvature of degree III requires an arthrodesis of several foot joints at the same time: the freest, five cup-cubic and desired by RAM. Such immobilization of three tensions is often supplemented by the dissection of the heel bone. In stage IV of pathology, reconstructive operations are necessary not only on the foot, but also on the ankle. In this case, the instability of the ligament apparatus is adjusted using transplants (of their own body or artificial materials). The volume of operations on the foot itself is the same as with the degree of curvature III.
Recovery periodRehabilitation includes walking without support on the leg operated for 2 months. At the same time, the patient must wear a removable gypsum of 1, 5 to 3 months. Active movements of the operated foot are recommended to start after 1, 5 months after surgery. In the 3rd month, a complex for strengthening physical education was introduced. However, thereafter, patients are prohibited from walking joy and active sports activities. It should be noted that it is possible to judge the final result of surgery only six months later.Preventive measuresThe prevention of the distortion of the judgment includes the following measures:Early correction of congenital anomalies with poor arrangement of the feet bones or a shortening of the tendon grains (vertical thaw bone, short heel tendon);Correction of posture disorders (scoliosis, etc. );Appropriate treatment of traumatic lesions (fractures of the bones of the feet, the lower leg, the thigh or the knee, the ruptures of the ligament and tendon apparatus); Correct rehabilitation after paralysis (immobilization) due to damage to the nervous system for encephalitis, polio, cerebral vascular accidents, violation of cerebrospinal roots for hernias, etc. ;Relief of the spasm (constant reduction) of the muscles of the lower leg;Therapy for concomitant diseases: pathologies of the bone system with vitamin D (rachitism), diabetes mellitus, osteoporosis (reduction in bone density), an altered function of the thyroid and parathyroid glands, etc. ;A decrease in body weight to normal (especially with a rapid weight gain in postmenopause or due to pregnancy);Selection of orthopedic shoes or the use of supinators;Moderate Club foot correction without "hyper -correction" treatment - leading to the excretion of secondary valgus of the feet.Prevention of the progression of the disease is to use conservative methods and early reconstructive operations. In this case, physical activity is limited to prevent destruction and curvature of the ankle joints. Do not forget that the timely treatment of the deformation of the valgus of the feet not only improves the quality of life of the patients, but also prevents the development of osteochondrosis and the osteoarthritis of the knee or hip joints!
How to diagnose?The diagnosis of the curvature of the foot is:The clinical inspection, during which the orthopedist detects a decrease in the arches of the foot, the deviation of the bones of the heel and the ram, the "disappearance" visible from the outside and the projection of the internal ankles.X -Ray - An affordable and informative method with which you can determine the change in the angles of the bone inclination and the linear parameters of their relationship. These indicators are necessary to establish a final diagnosis and clarify the degree of deformation. The method of recording steps to determine the exact functional condition of the member. The method is to record the support time of the individual parts of the foot during the execution of a step. During the study, the phases of the foot rolling are also studied, which reflects the balance of the muscles of the lower limb.Dynamic electromyography, which records the electrical activity of the muscles studied and its dependence on the step phase.PhotoPLESMOGRAPHY with digital treatment that allows you to obtain all standard indicators and to determine the type / degree of curvature with great precision.An additional consultation of a neurologist (with deformations due to spasms or paralysis), endocrinologist (in the case of diabetes or disorders of the thyroid / parathyroid gland) and the gynecologist (when the threatening) may be necessary. If the curvature of the foot appeared in the context of osteoporosis, densitometry is necessary - the study of bone density.TreatmentAmong the main methods of processing the curvature of the feet valgus, preservatives and operational staff are distinguished. Do not destroy the painful joints with ointments and injections!Conservative approachThis type of help aims to get rid of the symptoms of the disease, but does not eliminate the deep cause of the pathology.The technique includes:The use of orthopedic soles to support the bone I plus, the arc of the foot, as well as the elimination of the valgus lesions of the middle and the back of the foot; Collage - Fixing the foot and ankle using special adhesive tapes with appropriate elasticity. The adhesive tape is raised 24 hours a day within 3-5 days, after which they are replaced;Sew orthopedic shoes according to individual standards;The use of orthosis and other fixing devices on the foot and ankle.Conservative methods also include physiotherapeutic procedures (Ozokerte, paraffin applications, electrophoresis, magnetic effects), a massage and a complex of physiotherapy exercises, developed for a specific clinical case. Be careful! Today, most experts prefer surgical treatment methods, as conservative therapy is ineffective (depending on statistics, it is useless in 60% of cases).Surgery
The operating volume and its type depend on the direct stage of the disease. Thus, the first degree of valgus deformation is treated by syvectomy (elimination of the tendon shell for the correction of the general tension) or the osteotomy (dissection) of the heel in order to return to the anatomically correct position. At the second stage in the development of the disease, the transplantation of the trendy turns of the fingers is used. Such an intervention is generally carried out in the context of the dissection of the heel or a lobed arthrodesis of RAM (surgical immobilization of the joint between RAM and scaphoid bones). The curvature of degree III requires an arthrodesis of several foot joints at the same time: the freest, five cup-cubic and desired by RAM. Such immobilization of three tensions is often supplemented by the dissection of the heel bone. In stage IV of pathology, reconstructive operations are necessary not only on the foot, but also on the ankle. In this case, the instability of the ligament apparatus is adjusted using transplants (of their own body or artificial materials). The volume of operations on the foot itself is the same as with the degree of curvature III.
Recovery periodRehabilitation includes walking without support on the leg operated for 2 months. At the same time, the patient must wear a removable gypsum of 1, 5 to 3 months. Active movements of the operated foot are recommended to start after 1, 5 months after surgery. In the 3rd month, a complex for strengthening physical education was introduced. However, thereafter, patients are prohibited from walking joy and active sports activities. It should be noted that it is possible to judge the final result of surgery only six months later.Preventive measuresThe prevention of the distortion of the judgment includes the following measures:Early correction of congenital anomalies with poor arrangement of the feet bones or a shortening of the tendon grains (vertical thaw bone, short heel tendon);Correction of posture disorders (scoliosis, etc. );Appropriate treatment of traumatic lesions (fractures of the bones of the feet, the lower leg, the thigh or the knee, the ruptures of the ligament and tendon apparatus); Correct rehabilitation after paralysis (immobilization) due to damage to the nervous system for encephalitis, polio, cerebral vascular accidents, violation of cerebrospinal roots for hernias, etc. ;Relief of the spasm (constant reduction) of the muscles of the lower leg;Therapy for concomitant diseases: pathologies of the bone system with vitamin D (rachitism), diabetes mellitus, osteoporosis (reduction in bone density), an altered function of the thyroid and parathyroid glands, etc. ;A decrease in body weight to normal (especially with a rapid weight gain in postmenopause or due to pregnancy);Selection of orthopedic shoes or the use of supinators;Moderate Club foot correction without "hyper -correction" treatment - leading to the excretion of secondary valgus of the feet.Prevention of the progression of the disease is to use conservative methods and early reconstructive operations. In this case, physical activity is limited to prevent destruction and curvature of the ankle joints. Do not forget that the timely treatment of the deformation of the valgus of the feet not only improves the quality of life of the patients, but also prevents the development of osteochondrosis and the osteoarthritis of the knee or hip joints!