V -Valgus Foot - The most common orthopedic pathology.She generally meets her in the first years of the child's life, because she becomes obvious after the baby begins to master the independent march.What if such a curvature is found, we will say in this article.
What is the deformation valgus
In fact, the deformation of the valgus and the flat feet are different pathologies of the lower limbs, but in children, it is most often a combination of a decrease in the arc of the feet, characteristic of the flat feet and a change in the position of the foot at the load with an oral displacement, characteristic of the deformation of the valgus, is most often observed.
Valgus curvature is such a deformation in which the child in a vertical position is based mainly on the inner part of the feet, and the fingers and heels are deployed in the exterior direction.
Normally, the leg adjustment must be parallel, that is to say that when you look at two legs standing behind, you can mentally trace two straight vertical lines.In a child suffering from deformations of valgus, these lines are refracted in the area of the ankle joint with an outside deviation, which determines the second name of the deformation in the form of pathology-X.
With flat feet, everything is much more complicated.All children of birth have a physiological flat foot, so it is impossible to consider this as a pathology at 1 to 2 years.However, the orthopedists consider the problem in depth and a diagnostic-flat-valgus deformation appears in the child's medical file in the medical file.
It's quite rare, but Valgus curvature can be innate.For any reason, the lower limbs of the fetus in the uterus begin to develop abnormally.These legs are visible almost immediately after the birth of the baby, and at 2-3 months, the diagnosis is generally quite reasonable.
A flat Walgus foot is not a sentence.With a timely treatment, with a responsible and systematic approach to parents, the function of the foot in the event of light pathology can be restored in full.It all depends on the degree of the disease.
Flat - Foot valgus deformation - How to correct the defect?
Installation of frying valgus of the stop - an orthopedic anomaly, which is characterized by changes in deformation in the foot, which is found in adults and children.
Deformation is a violation of the surface of the foot, when its median part is moved downwards and the fingers and heels are turned outwards.
The reason for the abnormal development of the foot lies in the weakness of ligaments, muscles and tendons, when the foot is attracted by them under the influence of stronger muscles.The result of this effect is the formation of flat foot.
Pluealgus deformation of the feet is essentially the same flat feet, a very common defect that is found in all residents of the planet.The disease is difficult to treat and the processing process itself is long and problematic.
The reasons for the development of pathology
During the evolution, our foot was formed so as to take and distribute the weight of the human body evenly.The role of the foot is to ensure the greatest depreciation during walking, race and jump.
In addition, thanks to the unique anatomical structure of the foot, a person goes in a vertical position, without falling right - left, from front to back.The protruding vaults of the feet are directed in two directions: transverse and longitudinal.
Thus, an adult has three points as a support:
- element of the big bone more;
- Heeled houlet;
- The fifth more bone.
Pathology occurs much more often in young women because they wear high themed shoes.Visually, the legs with such deformation resemble the letter "X".At the same time, the bone and fingers of the heap are directed in a direction (outside), and the middle part of the foot is offset.
Thus, the development of deformation contributes to:
- weakness of the ligament apparatus;
- Connective tissue diseases;
- Weight (with obesity, an additional load on the feet is created, which leads to their deformation);
- Wear uncomfortable shoes.
Pathology classification
Depending on the form of curvature of the foot, the pathology can be of three types:
- transverse;
- longitudinal;
- Combined.
The longitudinal installation of the foot is the veneration of the longitudinal arch of the foot.If, at the same time, there is a violation of the approach;Pain during walking and palpation and deformation changes are even visually observed, we can talk about the longitudinal deformation of the foot.
The transverse deformation is characterized by a specific type of foot - it seems visually flattened.At the same time, the tendons of the fingers are stretched abnormally and the curvature has a hammer.Patients complain in pain when walking and violating walking.
The combined installation of the foot combines signs of both the transverse and longitudinal anomaly and is called transverse - longitudinal feet.Despite this, there is no pain and various drawbacks.
The deformations are classified as follows:
- SPASTIC - occur after muscle cramps;
- Richitic-development following D-Hypovitaminosis;
- Structural arrangement - abnormal thawed bone;
- paralytic - consequence of polio;
- Hyper -correction - appears following an unsuccessful correction of the club foot;
- Statistics - With the development of scoliosis and posture disorders;
- Compensatory - a defect in the development of the Achilles tendon, in which the bones are moved inside;
- Trauma - develop following damage, bruises, dislocations and fractures;
Symptoms
As mentioned above, the platform deformation develops in the context of the congenital flat feet.Symptoms of the disease depend on which part of the foot was subjected to a curvature.
For example, equal deformation is developing due to a varying or equinarily foot.This can be the result of the pathology of the pearl.The disease is characterized by muscle paralysis of the lower feet and legs.
In the presence of a "bump", the symptoms will appear as follows:
- The bones can become inflamed, swell and fall sick;
- The thumb sparkling inwards, while the same spell is exceeded by other fingers, they will also be deformed and bulging in the form of hammers;
- It is impossible to wear shoes or narrow heels, and sometimes even comfortable;
- Very often, patients with such pathology wear shoes several more sizes;
- The curvature of the thumb prevents the normal position of the other fingers, they fold strangely and also bend;
- Prolonged walking causes pain and heaviness in the legs;
- There are horns and horns on the sole.
Pathology treatment
It should be immediately said that the diagnosis of the valgus flat feet implies a very long and complex treatment, which takes a long time.It is important to diagnose the disease as soon as possible and start adequate treatment.Time in this case works against the patient, as the appropriate treatment has had the hope of rapid elimination of the disease.
Valgus flatfoot treatment includes;
- Medical physical education, which aims to correct the shape of the foot and the strengthening of muscles;
- physiotherapeutic procedures;
- Wear orthopedic shoes, soles, supervisors;
- The use of orthopedic orthosis, breaks and other correctors;
- Regular massage of the lower limbs and the Lombosacral site - Krystsovo - Gluéal site.
Demuses in children in children
It should be noted immediately that everything above refers to an adult in the presence of this pathology, but in young children, everything is different.
Almost all children are born with flat feet, and it is clear why.After all, their feet at that time did not know loads and they only take the first steps that when they are put on their feet.
Naturally, during this period, they put their legs badly, because they do not know how to walk.
Consequently, it is worth distinguishing the functional flattening of the vault of the foot and anatomical.Physiological flattening is only a stage of orthopedic development of the lower limbs and is the norm.
With sufficient loads (walking on unequal surfaces), the child's deformation is quickly adjusted.This usually occurs three years.In addition, up to three years on the child's sole, there is a layer of natural fat which covers the arc of the foot.
You can only see it if you put the child on socks.
The process of training of the arc of the foot is long, it takes several years.Therefore, talking about anatomically formed foot is not worth more than five years.However, all children are different, therefore, this process is formed earlier, and for someone later.
It depends on the quantity of the child developed physically and healthy, if he has differences in the development of the bone muscle system, violations of the endocrine and nervous system.
But, unfortunately, there are cases where flat feet become an obvious pathology.
In the risk group, children who, during the first year of life, received a diagnosis of violations of the development of the musculoskeletal system, a decrease in muscle tone, a shift in psychomotor development and obesity.The consequence of such violations will be deformation without flat feet.
The deviation of the angle of the feet compared to the axis line of the children's orthopedists is measured in degrees.In this case, the body weight of the body is unevenly distributed to the legs and experiences a certain part of the foot of the greatest load.In this case, it is the inside of the foot, where the longitudinal vault should form.Consequently, therapists call this Valgus Pathology plan.
Massage
Massage is the main method of treatment in complex therapy.It helps to relax the bone muscle system, improve blood circulation and the muscular apparatus of the sole.The child's legs are a massage in the following sequence:
- Immediately before the start of the massage, the legs caress;
- Hips and knees are also treated with light features;
- The muscles of the posterior surface with surface pressure are petristed;
- rub the muscles;
- Perform tapping the child's legs with a palm;
- Perform the final caresses.
The overall massage also begins with frames, which increases blood flow to the members of the baby.Movements are made from the heel to a popliteal pit.During massage, the accent is on muscle relaxation, the baby does not need to grind.
If in some areas, it is necessary to do several energetic frictions, they should be light and energetic at the same time.The summits are made with the fingers.The emphasis on frames and tremors.
Medical physical education
Gymnastics exercises to treat flat feet are done on a medicinal carpet, which should have an uneven surface (relief).Do exercises on such a carpet, at the same time, there is a mechanical feet massage.The exercises are suitable for children aged two or three.
Carpet exercises:
- withdrawing from one leg to the other, the transfer of body weight;
- Standing on one leg, other sliding movements along the carpet;
- By putting the hands on the belt, make circular movements with the body in one or the other side;
- Put one leg in front of the other, then compose socks and lowering the heels;
- Press the heel with one foot, and the other on the toe, at the same time make the foot of the foot of the toe;
- Walk on the resting carpet on the outer edge of the foot.
Surgical treatment
Surgical treatment for flat -feet correction is extremely rare.The excess of the foot vault are carried out according to the method of grace.The defect is also corrected in adolescence, however, the technique of arthrodesis is used, in which they make a progressive repositioning of the bones of the foot to correct the safe.
The most effective option is the surgical correction of a defect in a child 4 to 5 years on flat feet.At this age, fast food of ligaments and joints occurs, as well as the repositioning of bones gives the best result.
Selection of shoes
The deformation of the Equin of the feet valgus is eliminated using properly selected shoes.It is very important that the support of the lower and lateral part of the foot is proven to be.For treatment, orthopedic shoes are selected according to individual standards.It allows muscles to operate normally and distribute the load uniformly on the feet.Pediatricians are very beneficial to wear special shoes:
- Lower the load to the musculoskeletal system,
- The negative consequence of the deformation is eliminated,
- a normal posture and approach are formed,
- Ligament muscles and devices are developing properly.
Consequences
If you cannot find a flat valgus foot in the child in time, then in the future, there will be serious complications that can cause a handicap.First of all, an incorrect approach is produced, as a result of which the structure of the knee and the hip joint is disturbed.Then, the spine is curved, which presses the internal organs and does not allow them to operate normally.
Forecasts and Prevention
Early treatment allows you to completely get rid of the flat valgus foot.In advanced cases, in adolescence, the child will show problems with the spine.
It is possible to prevent such a violation by performing simple gymnastics every day.Do not try to put the baby on his feet if he is less than 9 months old.It is worth avoiding overloading the child's musculoskeletal system.
Practical advice
As statistics show, around 40% of children with a degree of flat feet are detected each year during preventive exams for schoolchildren.Most of them are girls.Such a prevalence is due to the fact that the first stages of the Valgus often go unnoticed.
Prevention of flat feet is particularly important during school years, when the child develops intensively.
The decisive period is 3 to 7 years: this is when the shoes are well fixed to repair the leg and corresponds to the size.
Do not buy expensive orthopedic shoes if the diagnosis has not yet been made or if the doctor has not given such a recommendation.In some cases, additional support for the feet can give the opposite result.