Sweat Valgus: The most common child orthopedic pathology.Usually, he finds it in the first years of the child's life, because he becomes obvious after the baby begins to dominate the independent walk.What to do if such a curvature is, we will say it in this article.
What is the deformation of the valge?
In fact, the deformation of the valge and flat feet are different pathologies of the lower extremities, but in children it is more frequently than 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 in the load with an oral displacement, characteristic of the deformation of the valgo, is observed more frequently.
The curvature of Valgus is a deformation in which the child in vertical position is mainly based on the internal part of the feet, and the fingers and heels are implemented in the external direction.
Normally, the leg configuration must be parallel, that is, when looking two legs behind, you can mentally draw two straight vertical lines.In a child with Valgo deformations, these lines are refracted in the area of the ankle joint with an abroad 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 from birth have a physiological flat foot, so it is impossible to consider this a pathology at 1-2 years.However, orthopedists consider the problem thoroughly, and a diagnostic-volved-validity deformation appears in the child's medical record in the Medical Registry.
It is quite rare, but Valgus's curvature can be innate.For some reason, the lower extremities of the fetus in the uterus begin to develop abnormally.These legs are visible almost immediately after the baby's birth, and at 2-3 months the diagnosis is usually done quite reasonably.
A flat Walgus foot is not a prayer.With timely treatment, with a responsible and systematic approach to parents, foot function in case of mild pathology can be restored in its entirety.It all depends on the degree of the disease.
Flat - Feet Valgo Deformation - How to correct the defect?
Valgus installation of the stop: an orthopedic anomaly, which is characterized by changes in foot deformation, which is found in both adults and children.
Deformation is a rape of the foot surface, when its middle part moves down, and the fingers and heels turn out.
The reason for the abnormal development of the foot lies in the weakness of ligaments, muscles and tendons, when the foot is attracted to them under the influence of the strongest muscles.The result of this effect is the formation of flat feet.
The deformation of plain plans is essentially the same flat feet, a very common defect found in each fifteenth resident of the planet.The disease is difficult to treat, and the process of treatment itself is long and problematic.
The reasons for the development of pathology
During the evolution, our foot was formed in such a way that he assumed and distributed evenly the weight of the human body.The role of the foot is to guarantee the greatest depreciation when walking, running and jumping.
In addition, thanks to the unique anatomical structure of the foot, a person goes vertically, without falling to the right, left, back and forth.The outstanding vaults of the feet are directed in two directions: transverse and longitudinal.
So, an adult has three points as support:
- element of great more bone;
- Heel Hillock;
- The fifth more bone.
The pathology occurs in young women much more frequently, since they wear high -tina shoes.Visually, the legs with such deformation resemble the letter "X".At the same time, the bone of the pile and the fingers are directed in one direction (outside), and the middle part of the foot moves down.
Therefore, deformation development contributes to:
- weakness of the ligament apparatus;
- Connective tissue diseases;
- Weight (with obesity, an additional load is created in the feet, which leads to its deformation);
- Using uncomfortable high -heeled shoes.
Pathology classification
Depending on the form of foot curvature, the pathology can be of three types:
- transverse;
- longitudinal;
- Set.
The longitudinal installation of the foot is the veneration of the longitudinal arc of the foot.If at the same time there is a rape of the march;Pain during walking and palpation, and deformation changes are even visually observed, we can talk about longitudinal foot deformation.
Transversal deformation is characterized by a specific type of foot: it seems visually flattened.At the same time, the tendons of the fingers are stretched unnaturally, and the curvature has a hammer.Patients complain of pain when walking and rape of the march.
The combined installation of the foot combines signs of transverse and longitudinal anomaly and is transversely called: longitudinal flat feet.Despite this, there is no pain or different inconveniences.
Deformations are classified as follows:
- Spastic - arises after muscle cramps;
- Raquic development as a result of D-Hypovitaminosis;
- Structural arrangement - abnormal of the defrosted bone;
- Paralytic: a consequence of polyomyelitis;
- Hyper -Correctional: It appears as a result of the failed correction of Clubfoot;
- Statistics: with the development of scoliosis and posture disorders;
- Compensatory: a defect in the development of the Achilles tendon, in which the bones are changed inside;
- Traumatic: Develop as a result of damage, bruises, dislocations and fractures;
Symptoms
As mentioned above, Walgus's flat deformation develops at the bottom of congenital flat feet.The symptoms of the disease depend on which part of the foot underwent curvature.
For example, equalized deformation develops due to an equally drive or foot.It may be the result of the pathology of fibula.The disease is characterized by the muscular paralysis of both feet and the lower leg.
In the presence of a "bump", the symptoms will appear as follows:
- The bones can swell, swell and get sick;
- The thumb shines inward, while the same destination is overcome by other fingers, they will also be deformed and bulky in the form of hammers;
- It is impossible to wear narrow shoes or heels, and sometimes even comfortable;
- Very often, patients with such pathology wear more sizes shoes;
- The thumb curvature avoids the normal position of other fingers, they bend strangely and also bend;
- The prolonged walk causes pain and heaviness on the legs;
- There are corns and calluses in the sole.
Pathology treatment
It must immediately say that the diagnosis of flat feet of the valgo implies a very long and complex treatment, which takes a long time.It is important to diagnose the disease as soon as possible and begin proper treatment.Time in this case works against the patient, since timely 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 strengthening the muscles;
- physiotherapeutic procedures;
- dressing orthopedic shoes, templates, supervisors;
- the use of orthopedic orthosis, breakage and other correctors;
- Regular massage of the lower extremities and the lumbosacral site - Krytsovo - gluteus.
Planning steps in children in children
It should be noted immediately that all of the above refers to an adult with 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 experience loads and only take the first steps when they stand up.
Naturally, during this period they put their legs incorrectly, because they do not know how to walk.
Therefore, it is worth distinguishing the functional flattening of the foot and anatomical vault.Physiological flattening is only a stage of orthopedic development of the lower extremities and is the norm.
With sufficient loads (when walking on unequal surfaces), the child's deformation fits quickly.This generally occurs for three years.In addition, up to three years in the child's sole, there is a layer of natural fat that covers the arch of the foot.
You can see it only if you put the child in socks.
The arc formation process is long, it has been for several years.Therefore, to talk about anatomically formed correctly is worth not before five years.However, all children are different, therefore, this process is previously formed and for someone later.
It depends on how much the child develops and physically greets, whether he has deviations from the development of the bone muscle system, rapes of the endocrine and nervous system.
But, unfortunately, there are cases in which flat feet become an obvious pathology.
In the risk group, children who in the first year of life were diagnosed with violations in the development of the musculoskeletal system, a decrease in muscle tone, a delay in psychomotor development and obesity.The consequence of such violations will be the deformation without plane of the feet.
The deviation of the angle of the feet of the axis line of children's orthopedists is measured in degrees.In this case, the body weight of the body is distributed unequally to the legs and experiences a certain part of the foot of the largest load.In this case, it is the internal edge of the foot, where the longitudinal vault must be formed.Therefore, therapists call this plane -Patology of the Valgo.
Massage
Massage is the main method of treatment in complex therapy.It helps to relax the bone muscular system, improve the blood and trophic circulation of the muscle apparatus of the sole.The child's legs are massages in the following sequence:
- Immediately before the beginning of the massage, the legs are stroking;
- The hips and knees are also treated with light strokes;
- The muscles of the posterior surface with surface pressure are loved;
- Rub the muscles;
- carry out palming the child's legs with a palm;
- Carry out the final caressing.
The general massage also begins with steel, which increases blood flow to the baby's limbs.The movements are carried out from the heel to a popliteal grave.During massage, the emphasis is put in muscle relaxation, the baby does not need to grind.
If in some areas it is necessary to make several energy friction, then they must be light and energetic at the same time.The reainers are held with the fingertips.The main emphasis is to caress and trem a.
Medical Physical Education
The gymnastic exercises to treat flat feet are carried out on a medicinal carpet, which must have an unequal surface (relief).Performing exercises on such a carpet, at the same time there is a mechanical massage of the feet.The exercises are suitable for children of two or three years of age.
Carpet exercises:
- withdrawing from one leg to another, the transfer of body weight;
- Standing on one leg, other sliding movements along the carpet;
- When putting your hands in the belt, make circular movements with the body on either side;
- Put one leg in front of the other, then invent in socks and lower the heels;
- Go to the heel with one foot and the other on the finger of the foot, at the same time, make the foot roll from the foot to the heel;
- Walking on the carpet depending on the outer edge of the foot.
Surgical treatment
Surgical treatment with the purpose of correction of flat feet is extremely rare.The excesses of the foot vault are made according to the grace method.The defect is also corrected in adolescence, however, the arthrodesis technique is used, in which they carry out a gradual replacement of the bones of the foot to correct the vault.
The most effective option is the surgical correction of a defect in a 4-5-year-old boy with flat feet.At this age, rapid restoration of ligaments and joints occurs, as well as the replacement of bones gives the best result.
Shoes selection
The deformation of the equine legs is eliminated using properly selected shoes.It is very important that the support of the bottom and side of the foot is.For treatment, orthopedic shoes are selected by individual standards.Allow the muscles to function normally and distribute the load on the feet.Pediatricians are very beneficial when wearing special shoes:
- lowering the load in the musculoskeletal system,
- The negative consequence of deformation is eliminated,
- The normal position and march are formed,
- Muscles and ligamentary devices are developing correctly.
Consequences
If you do not find a flat feet in the child in time, then in the future there will be serious complications that can cause disability.In the first place, an incorrect march occurs, as a result of which the knee structure and hip joint are altered.Then the spine is curved, which presses the internal organs and does not allow them to function normally.
Forecast and prevention
Early treatment allows you to completely get rid of the flat fence.In advanced cases, in adolescence, the child will show problems with the spine.
It is possible to avoid such rape doing simple gymnastics every day.Do not try to stand the baby if you are less than 9 months.It is worth avoiding overloading the child's musculoskeletal system.
Practical advice
As the statistics show, about 40% of children with a shade of flat feet are detected annually during the preventive exams of schoolchildren.Most of them are girls.Such prevalence is due to the fact that Valgus's early stages often go unnoticed.
The prevention of flat feet is especially important in school years, when the child is growing intensely.
The decisive period is 3 to 7 years: it is at this time that the shoes are well fixed to fix the leg and correspond to the size.
Do not buy expensive orthopedic shoes if the diagnosis has not yet been performed or the doctor has not given this recommendation.In some cases, additional feet support can give the opposite result.