Flat foot stop deformation (PVDs) or Valgeranna heel is a frequent disease in childhood.The curvature can have serious consequences in the future: the pathology of the musculoskeletal system, if it does not apply preventive measures, do not consult a doctor in time.The initial stages are good to treat, the baby's legs reach the right condition and do not cause problems for the child and his parents.
What is the deformation of Valgo of the foot in children?
Valgo's foot in children seems like an X -shaped disposition of the child's feet in relation to each other.The internal ankles are in contact, and the heels are located with each other normal.When walking, the child steps the inside of the foot.In most cases, deformation is diagnosed by the appearance of the foot and the clumsy march.The baby moves with uncertainty, when walking doubts and quickly tires.All these symptoms are detected at home in the initial stage of the disease.
Valgo's foot should not be confused with the valge that establishes the lower extremities.In this condition, the child's legs are not acquired by an X-shaped shape, but an O-shaped form in the newborn, it is not a pathology if the curvature remains after the first steps (the main sign of the disease is ClubFoot), doctors recipe gymnastics, anti-quarus shoes, massage.If the child later continues ClubFoot, the assignment of legs and feet is prescribed.
Causes and forms of the disease
The deformation of the feet feet in children has two variations: congenital and acquired forms.The first forms even before birth, in the uterus, the appearance of the second is associated with imperfection, the 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 Valgo del Foot develops with intrauterine hypotrophy.As a result of neuromuscular diseases (Mydistrophia, cerebral palsy, polyomyelitis, polyneuropathy), muscle hypotension, the child can also obtain the deformation of the feet of the feet.Other reasons are obesity, dysplasia or congenital dislocation of the thigh.
Degree of feet valge deformation in a child
The disease in children proceeds to four stages of development.The easiest is the first degree, the deviation of the standard is ten to fifteen degrees, which is easy to correct.The second degree is characterized by a deviation of 15-20 degrees, it is somewhat more complicated.If the angle of inclination of the foot 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 stages of deformation development are the most difficult.The deviation of the feet of the norm is in this case more than 30 degrees, the pain appears in the Choparov joint area, near the ankle.The child is prescribed complex therapy as the initial stage of treatment for the disease.If this option does not bring the effect, the deformation of the feet is corrected surgically.
Valgo foot treatment in a child
According to Dr. Komarovsky, Valgo's foot is a frivolous disease that is easily.The pediatrician believes that one of the main causes of the disease is the early stages of the child in the legs, before seven months.Komarovsky recommends from the second month in an adequate way to give the child vitamins to prevent rickets.The doctor advises to walk on the orthopedic carpet, which are used in therapeutic exercises.
The first step towards the cure is a definition and a timely diagnosis of the problem.In the case of contacting a children's doctor immediately in the first stage, only therapeutic treatment will succeed, in more advanced cases it cannot do without surgeon's intervention.The diagnosis is carried out on the basis of the measurement of the size of the foot, planting - studies of impressions of the soles of the feet, ultrasound.
Orthodox, traumatologists are dedicated to such diseases.The therapeutic method of the feet of a child is eliminated using electrophoresis, electrical stimulation of the muscles at the bottom of the leg and magnetic therapy using special equipment.An additional but important procedure will be the regular massage of the areas of feet, back, lumbar and buttocks of the joints and muscles of the legs.In the initial stage, the use of orthopedic shoes helps.The following methods are very effective:
- Ozokerita;
- paraffin;
- bathrooms with marine salt or medicinal mud;
- Magnetotherapy;
- Dididamic;
- Exercise therapy (Physiotherapy Physical Education);
- Expansion therapy
Spa
The procedure is useful to improve muscle tone, ligaments.To prepare the bathroom, a third of a glass of sea salt, ten liters of water are needed at room temperature.Then ask the child for 15 minutes in the bathroom to 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 bathroom.
Physiotherapy
Electrophoresis is effective in the treatment of flat feet and club foot.It is important to use adequate drugs by age and carry out the procedure according to a certain scheme.During the procedure, the product without injections and tablets is delivered to the right place: it applies to the bandage and applies to the legs.After connecting a current of a certain frequency and energy for 3-10 minutes.
Wax boots (paraffin) or ozokeritics are very effective in that diagnosis.The method is contraindicated in the heart, diabetes, blood vessel pathologies.Paraffin acts well in the legs, heating gradually expands capillaries, heals tissues, improves blood flow, improves metabolic processes.Inflammation, muscle cramps are perfectly eliminated with wax boots.
In addition to exercise therapy, doctors recipe swimming classes: this physical activity is pleasant for the baby, it has a beneficial effect on the muscles, bones and joints.Tibetan treatment methods are considered effective: acupuncture, pharmacopuntura, certain massage techniques.As an additional method, doctors recipe magnetic plasters, a tool of Chinese medicine.
Massage
Massage improves blood circulation, stimulates tissue nutrition, which increases muscle tone.You should not select a certain technique on your own: it is recommended by the treating doctor.The main emphasis during massage is put on the calf muscles, flexors and feet extensors.The course of procedures can be performed by specialists or at home after consultation.
The baby lies in the belly, with the back on the table or bed, the legs hang, a pillow is placed under the bottom of the leg.They begin to massage from the back with their hands stroked along the column from the lower back to the neck, then they become rubbing with the fingertips.To finish the back massage, it must be caressed.In the same way, the lumbosacro massage the area, then move to the massage of the buttocks.
The buttocks caress the cross, then rub them with the back of the fingers.In the end, you must caress again.The legs are stroking first, then they go to the hips, love the muscles of the posterior surface of the leg.After legs, walking and swallowing a line in conclusion.The massage of the feet by analogy begins and ends with caressing, among them the heels are rubbed, kneaded.
Ceremonies
In the treatment of the valgo in children, it is useful to walk with several objects: balls, toys between the legs along the needle or stone surfaces.The installation of Valgus de la Parada is well cured by an exercise complex: jumping in its place with wide legs, sitting in this position, but cannot endure much time.Among the exercises, take a break to relax the baby.A account running ribbon perfectly affects the strengthening of the sole of the legs.
All exercises are aimed at developing the work of the foot, their bones and muscles.To do this, you can make elements with a pencil: ride the floor with your feet, try to lift your legs with your fingers.Walk with your child alternately on the heels, socks, the outer edge of the foot.Other exercises are associated with squats, turns, folding the back of the feet, as well as soles.Older children can be made more complicated:
- Ask the child to lift himself gently, lift the leg socks up, turning them inside.
- Fold your legs in a sitting position, then lift the heels of the floor synchronously and alternately.
- With sliding movements, make the tip of one leg along the bottom of the leg, try to stop it.
Orthopedic shoes
The feet of flat legs in children require a certain orthopedic shoe that will keep the baby's leg in the right position.Any shoe of this species must have a stable heel with support for an adversary, a high back and a boot.The fixation of the leg must be clear, the heel is at an altitude slightly larger than the rest of the foot: such elevation will be a prevention for the development of the flat feet.Orthopedic are recommended to buy the right street and domestic shoes.
Orthopedic templates will be an alternative if you buy different options for therapeutic shoes do not allow finance: they are more functional and are cheaper.Like orthopedic shoes, the templates are selected only with a specialist, since in the market lining superpinators are represented in a great variety.Of them are popular:
- Ortiz P-3 details;
- Orthopedic Linner P-5;
- Children Ortiz P-8;
- FLAT FEET COAT P-16;
- TALOCRAL GROUP OF HARDING HARDING P-19.
Surgical intervention
Surgical intervention is necessary with a congenital vertical disposition of the RAM bone or shortening of the Achilles of the tendon.With vertical RAM, in addition to the operation, the combined Dobbs methodology helps.The foot is first leads to the correct position with the help of dressings for the plaster, after which the collision articulation can be fixed with the Kirshner weaving needles and the complete percutaneous achillotomy is performed with the imposition of plaster for eight weeks.
After removing the plaster, Erit is prescribed (a bar fixer to take foot with boots), then orthopedic shoes.Types of possible surgical intervention:
- Receives from the Collision Board;
- Arthrodesis of the collision joint;
- Tendon transplant of a long muscle fibula;
- Other arthroplastic operations.
Valgo's foot prevention in a child
The deformation of the feet of the flat feet in children develops if 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 foot in the child:
- 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 avoids the development of rickets.
- The baby must be in size.
- Realization of regular walks.
In addition, doctors advise not to load the child's legs up to 7-8 months and regularly perform preventive exams of orthopedists and neurologists of one, three, six and twelve months.The shoes do not have to be orthopedic, but the correct template and the correct configuration of the legs inside the boot will protect from the appearance of flat feet or club foot.