Dis-stopping on flat foot (PVD) or the Valgeranna heel is a frequent disease in childhood.The curvature can have serious consequences in the future - the pathology of the musculoskeletal system, if you do not apply preventive measures, do not consult a doctor in time.The first steps are good to treat, the baby's legs arrive on the right condition and do not cause problems for the child and their parents.
What is the valgus deformation of the foot in children
The valgus foot in children looks like an x -shaped arrangement of the child's feet compared to each other.The internal ankles are in contact and the heels are located further from each other than normal.By walking, the child walks inside the foot.In most cases, deformation is diagnosed by the appearance of the foot and the clumsy approach.The baby moves uncertain when walking hesitates and gets tired quickly.All these symptoms are detected at home at the initial stage of the disease.
The valgus foot should not be confused with the valgus by fixing the lower limbs.In this condition, the child's legs are not acquired by an X-shaped form, but a form in O. In newborns Valgus, it is not a pathology if the curvature remains after the first steps (the main sign of the disease is the foot of the club), the doctors prescribe gymnastics, anti-quarus shoes, massage.If the child later continues the club foot, an assignment of the legs and feet is prescribed.
Causes and forms of the disease
The deformation valgus of the feet in children has two variations: congenital and acquired forms.The first is formed before birth, even in the uterus, the appearance of the second is associated with imperfection, an inappropriate development of the musculoskeletal system and the weakness of the connective tissue.The disease is associated with frequent diseases, for example, acute respiratory viral infections, pneumonia, bronchitis.
In premature babies, the dystrophy of the foot valgus develops with an intrauterine hypotrophy.Due to neuro-muscular diseases (mydystrophy, cerebral paralysis, polio, polyneuropathy), muscle hypotension, the child can also obtain a deformation of the feet.Other reasons are obesity, dysplasia or congenital dislocation of the thigh.
Degree of deformation valgus of the feet in a child
Children's disease takes place at four stages of development.The simplest is the first degree, the gap compared to the standard is ten to fifteen degrees, which is easy to correct.The second degree is characterized by a deviation of 15 to 20 degrees, it is treated a little more complicated.If the angle of inclination of the foot compared to each other is around 20 to 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 stages of deformation development are the most difficult.The gap in relation to the standard is in this case more than 30 degrees, the pain appears in the area of the choparov joint - near the ankle.The child is prescribed complex therapy as an initial stage of the treatment of the disease.If this option does not bring the effect, the deformation of the feet is corrected surgically.
Valgus foot treatment in a child
According to Dr. Komarovsky, the valgus foot is a frivolous disease that is easily treated.The pediatrician is of the opinion that one of the main causes of the disease is the early staging of the child on the legs - earlier than seven months.Komarovsky recommends the second month in an appropriate form to give children vitamins to avoid rissitism.The doctor advises to walk in an orthopedic carpet, which is used in therapeutic exercises.
The first step towards healing is a timeless definition and diagnosis of the problem.In the case of immediately contacting a doctor for children in the first stage, only therapeutic treatment will succeed, in more advanced cases that you cannot do without the surgeon's intervention.The diagnosis is made on the basis of the podometer - measurement of the foot size, plantography - Studies on prints of the foot plants, ultrasound.
Orthodox trauma is engaged in such diseases.The therapeutic method of the valgus foot in a child is eliminated using electrophoresis, electrical stimulation of the lower leg muscles and stop, magnetic therapy using special equipment.An additional but important procedure will be the regular massage of the feet, back, lumbar and glued areas of the joints and leg muscles.At the initial stage, wearing orthopedic shoes help.The following methods are very effective:
- Ozokerte;
- paraffin;
- baths with sea salt or medicinal mud;
- magnetotherapy;
- Diaodynamics;
- Exercise therapy (Physiotherapy Physiotherapy);
- amplip therapy
Thermal baths
The procedure is useful for improving muscle tone, ligaments.To prepare the bath, a third of a glass of sea salt, ten liters of water at room temperature are necessary.Then plant the child for 15 minutes in the bath until the waist.The procedure must be carried out every two days for a month, the entire course is repeated every four months.You can't swim in such a bath.
Physiotherapy
Electrophoresis is effective in the treatment of flat feet and club feet.It is important to use drugs adapted to age and carry out the procedure according to a certain diagram.During the procedure, the product without injections and tablets comes in the right place: applied to the bandage and applied to the legs.After connecting a current of a certain frequency and power for 3 to 10 minutes.
Wax (paraffin) or ozokeratic boots are very effective in such a diagnosis.The method is contraindicated in the heart, diabetes, the pathologies of blood vessels.Paraffin acts well on the legs, heating gradually widens the capillaries, heals the tissues, improves blood circulation, improves metabolic processes.Inflammation, muscle cramps are perfectly eliminated with wax boots.
In addition to the therapy for the exercise, doctors prescribe swimming lessons: such physical activity is pleasant for the baby, has a beneficial effect on muscles, bones and joints.Tibetan treatment methods are considered to be effective - acupuncture, pharmacopucture, certain massage techniques.As an additional method, doctors prescribe magnetic plaster - a tool for Chinese medicine.
Massage
Massage improves blood circulation stimulates tissue nutrition, which increases muscle tone.You should not select a certain technique for yourself: it is recommended by the attending physician.The main accent during massage is placed on calf muscles, flexors and feet extensors.The course of procedures can be carried out by specialists or at home after consultation.
The baby went on the belly, back on the table or bed, his hanging legs, a pillow is placed under the bottom of the leg.They start to massage from the back with hands by caressing the spine from lower back to the neck, then transforming by rubbing with their fingers.To finish the back massage, must be caressed.In the same way, the lumbosacral massages the area, then moves towards the massage of the buttocks.
The buttocks caress the cross, then rub them with the back of the fingers.In the end, you should return to Strooking.The legs are caressing first, then go to the hips, knead the muscles of the rear surface of the leg.After the legs, the terrace and the stroke in conclusion.The massage of the feet by analogy begins and ends with frames, between them, the heels are rubbed, frightened.
Exercises
In the treatment of the valgus in children, it is useful to walk with various objects: balls, toys between the legs along the needle or stone -shaped surfaces.The installation of Valgus of the stop is well cured by a complex of exercises: jump in place with wide legs, sitting in this position, but you cannot bear for a long time.Between the exercises, take a break to relax the baby.A treadmill in the form of accounts perfectly affects the strengthening of the leg sole.
All exercises aim to develop the work of the foot, its bones and its muscles.To do this, you can perform items with a pencil: drive on the floor with your feet, try to raise your legs with your fingers.Walk with your child alternately on the heels, the socks, the outer edge of the foot.Other exercises are associated with squats, turn, folding the back of the feet, as well as the soles.Older children can be more complicated:
- Ask the child to get up well, lift the legs of the legs, turning them inside.
- Fold your legs in a sitting position, then lift the heels on the floor synchronously and alternately.
- With sliding movements, make the toe of one leg along the lower leg, try shortening it.
Orthopedic shoes
Flat feet in children need a certain orthopedic shoe that will hold the baby's leg in the right position.All the shoes of this species should have a stable heel with support for an opponent, a hard back and a boot.The fixing of the leg must be clear, the heel is at a slightly larger altitude than the rest of the foot: such an altitude will be a prevention for the development of the flat feet.Orthopedians are advised to buy the right street and domestic shoes.
Orthopedic soles 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, the interior soles are only selected with a specialist, because on the market, the liners are represented in a wide variety.Of them are popular:
- Detorte Ortiz P-3;
- P-5 orthopedic liner;
- Ortiz P-8 for children;
- Lining for flat foot p-16;
- Group Talocrurur P-19 of the hard-pin pi-19.
Surgery
Surgical intervention is necessary with a congenital vertical arrangement of the RAM OS or a shortening of the tendon Achilles.With the vertical RAM, in addition to the operation, the Dobbs combined methodology helps.The foot is first brought to the right position using the gypsum dressings, after which the unit of the uniform collision is fixed with the Kirshner knitting needles and the complete percutaneous Achillotomy is carried out with the imposition of gypsum for eight weeks.
After removing the gypsum, Erit is prescribed (a bar-fixer to take the foot with boots), then orthopedic shoes.Types of surgery possible:
- Reception of the collision joint;
- Arthrodesis of the collision joint;
- Tendon transplantation of a long muscle forth;
- Other arthroplastic operations.
Valgus foot prevention in a child
The deformation on a flat foot in the children develops if the parents put the child on their legs up to seven months.The following methods must be carried out for the prevention of the development of the valgus foot in children:
- Massage of the first months of life.
- Regular gymnastics to strengthen muscles and ligaments.
- Healthy diet, fresh food.
- The use of vitamin D, which positively affects the child's muscles and prevents the development of richitism.
- The baby should be in size.
- Carry out regular walks.
In addition, doctors advise not to load the child's legs up to 7 to 8 months and to regularly carry out preventive examinations of orthopedic and neurologists aged one, three, six and twelve months.The shoes should not be orthopedic, but the good insole and the correct adjustment of the legs inside the boot will protect the appearance of the flat feet or the club foot.