Sweat-valgus foot-the most common children's orthopedic pathology.Usually he meets him in the early years of his child's life because it becomes apparent after the baby starts an independent walk.What to do if they find such curvature, we'll say this in the article.
What is the deformation of valgus
In fact, the various pathologies of the valgus deformation and flat legs are the various pathologies of the lower limbs, but in children the most often changes in the leg decrease, the characteristic of the flat legs and the position of the leg at the load, the change in the valgus deformation is most often observed.
Valgus curvature is a deformation in which a child in a vertical position is primarily based on the inside of the foot, the fingers and heels are placed in the outside.
Usually, the setting of the legs should be parallel, that is, when looking at two standing legs, you can draw two straight vertical lines mentally.For children with valgus deformation, these lines are refracted in the ankle joint area and is determined by external deviation, which determines the second name of the pathology-X-shaped deformation.
With flat legs, everything is much more complicated.All children have a child with a physiological flat foot, so it is impossible to look at this pathology at the age of 1-2.However, orthopedics are comprehensively considering the problem and diagnosis-thick deformation appears in the child's medical records in the medical records.
This is quite rare, but the curvature of the valgus can be congenital.For some reason, the lower limb of the fetus in the uterus develops abnormally.Such legs are visible almost immediately after the baby is born, and within 2-3 months the diagnosis is usually made quite reasonably.
The flat Walgus foot is not a sentence.With timely treatment, responsible and systematic approach to parents, the function of the foot can be completely restored in the case of mild pathology.It all depends on the degree of disease.
Flat - Valgus deformation of the legs - How to correct the error?
Installation of Stop fried water - an orthopedic disorder characterized by deformation changes in the foot, which are found in both adults and children.
Deformation is a violation of the foot surface, when the middle part is moved downwards, the fingers and heels turn outward.
The cause of the abnormal development of the foot lies in the weakness of leagues, muscles and tendons when they are attracted to their feet under the influence of stronger muscles.The result of this effect is the formation of flat legs.
Planealgus deformation of the legs is essentially the same flat leg, a very common mistake, which is all fifteenth on the planet.The disease is difficult to treat and the treatment process itself is long and problematic.
Causes of the development of pathology
During the evolution, our feet developed in such a way that it picks up and evenly distributes the weight of the human body.The role of the foot is the biggest depreciation while walking, running and jumping.
In addition, thanks to the unique anatomical structure of the foot, a person is in a vertical position without falling to the right - left, back.The protruding vaults of the legs are in two directions: transverse and longitudinal.
So an adult has three points as support:
- the element of the great plus bone;
- Heel Hillock;
- The fifth plus bone.
Pathology is much more common in young women as they wear high -ranking shoes.Visually, legs with such deformation resemble the letter "x".At the same time, the pile bone and fingers are directed in one direction (outside) and discharged the middle part of the foot.
Thus, the development of deformation contributes to:
- weakness of the league device;
- Connective tissue disease;
- weight (obesity, additional load on the legs, which leads to deformation);
- Wearing uncomfortable, high -ranking shoes.
Classification of pathology
Depending on the shape of the leg curvature, the pathology can be three types:
- diagonal;
- longitudinal;
- Combined.
Longitudinal installation of the leg is respecting the longitudinal arc of the foot.If, at the same time, violates walking;Pain during walking and palpation, and deformation changes are visually observed, and we can talk about the longitudinal deformation of the foot.
The transverse deformation is characterized by a specific type of foot - it looks visually flat.At the same time, the fingers provide unnaturally and the curvature has a hammer.Patients complain of pain and violation of walking.
Combined leg installation combines signs of both transverse and longitudinal disorders and is called longitudinal flat legs transverse.Nevertheless, there is no pain and various discomfort.
Deformations are classified as follows:
- Spastic - formed after muscle spasms;
- Rachitic development as a result of D hypovitaminosis;
- structural - abnormal arrangement of the defrosted bone;
- Penulic - a consequence of polyomyelitis;
- Hyper - correction - appear as a result of unsuccessful correction of the Clubfoot;
- Statistical - with the development of skoliosis and posture disorders;
- The error of the development of the Achilles tendon in which the bones shift;
- Traumatic - resulting as a result of damage, bruises, dislocations and fractures;
Symptoms
As mentioned above, the flat -walgus deformation develops in the background of congenital flat legs.The symptoms of the disease depend on which part of the foot was subjected to curvature.
For example, a balanced deformation develops due to a variation or equivalent leg.It may be the result of the pathology of the fibula.The disease is characterized by musculosity of both legs and lower legs.
In the presence of "Bump", the symptoms appear as follows:
- Bones can inflammation, swell and become ill;
- The thumb shines inward while the same fate is exceeded by other fingers, which also deform and swell in the form of hammers;
- It is impossible to wear narrow shoes or heels, and sometimes even comfortable;
- Patients with such pathology are very often multiple sizes;
- The curvature of the thumb prevents other fingers from normal, they are strangely bowed and bowed;
- Prolonged walk causes pain and difficulty in the legs;
- There are corn and corn on the sole.
Pathology treatment
Immediately it should be said that diagnosing the flat foot of the Valgus involves a very long and complex treatment that takes a lot of time.It is important to diagnose the disease as soon as possible and start with proper treatment.In this case, the time works against the patient because timely treatment has been hoped for quickly to eliminate the disease.
The treatment of valgus flatfoot includes;
- medical physical education aimed at correcting the shape of the leg and strengthening muscles;
- physiotherapy procedures;
- wearing orthopedic shoes, soles, supervisors;
- the use of orthopedic orthosis, breaks and other concealers;
- Regular massage of the lower limbs and lumbosacral - krytsovo - gluteal space.
SLANEALGATE steps in children
It should be noted immediately that each of the above refers to an adult with this pathology, but everything else in young children.
Almost every child was born with flat legs and clear why.After all, their legs were not experienced at the time and only take the first steps when they put them on their feet.
Of course, they made their feet incorrectly during this period because they do not know how to walk.
Therefore, it is worth distinguishing the functional smoothing of the foot and anatomical vault.Physiological smoothing is only a stage of orthopedic development of the lower limbs, and this is the norm.
With sufficient loads (if they are on uneven surfaces), the child's deformation is quickly adjusted.This usually happens three years.In addition, for up to three years on the child's sole, there is a natural layer of fat that covers the foot of the foot.
You can only see it if you put the child in socks.
The process of designing the foot of the foot lasts for several years.Therefore, talking about anatomically formally formed legs is worth the earliest.However, all children are different, so this process was formed earlier and later for someone.
It depends on how advanced and healthy the child is, whether different from the development of the bone muscle system, the endocrine and nervous system violations.
But unfortunately, there are cases where flat legs become obvious pathology.
In the risk group, children whose first year of life is a violation of muscle bone, a decrease in muscle tone, delay of psychomotor development and obesity.The consequences of such violations will be flat deformation of the legs.
The difference in the angle of the legs is measured by the axis line of children orthopedics.In this case, the body weight of the body is unevenly divided into the legs and experiences a part of the foot of the maximum load.In this case, the inner edge of the foot, where the longitudinal vault develops.Therefore, therapists call this plane -valgus pathology.
Massage
Massage is the main treatment method in complex therapy.It helps to relax the bone muscle system, improve blood circulation and a trophy of the sole muscle.The child's feet in the following order Massage:
- Just before the massage begins, the legs caress;
- Hips and knees are treated with light stroke;
- The back surface muscles are kneaded with surface pressure;
- rub the muscles;
- Complete the child's foot with palms;
- Complete the final caress.
The total massage also begins with the smoothing, which increases the bloodstream on the infant limbs.The movements are made from the corner to a popliteal fossa.During the massage, the emphasis is placed on muscle relaxation and the baby does not have to grind.
If more energetic rubbing needs to be made in certain areas, they should be easy and energetic at the same time.The reminders are performed with fingertips.The main emphasis is caressing and shaking.
Medical physical education
Gimnastic exercises are performed on a medicinal carpet to treat flat legs, which must be uneven (relief).Performing exercises on such a carpet, but there is a mechanical massage of the legs.Exercises are suitable for children between two or three years of age.
Exercises on the carpet:
- retreating from one foot to another, transmission of body weight;
- Standing on one leg, the other sliding movements along the carpet;
- With your hands on the belt, make circular movements with your body on one side or the other;
- Place one leg in front of the other, then put up the sock and lower the corner;
- Lean on the heel with one leg and the other to the toe, but at the same time roll from the toe to the heel;
- Walking on the carpet leaning on the outer edge of the foot.
Surgery
Surgery treatment is extremely rare for correction of flat legs.The overheads of the foot vault are made according to the Grace method.The error is also corrected during adolescence, but the technique of artrodesis is used in which the leg bones are moved to repair the vault.
The most effective option is the surgical correction of a 4-5 year old, flat-footed child.At this age, the quick restoration of the ligaments and joints and the relocation of the bones are the best results.
Shoe selection
Equal-valgus deformation of the legs is eliminated with correctly selected shoes.It is very important that support from the lower and side parts of the foot is revealed.For treatment, orthopedies are selected by individual standards.This allows the muscles to function normally and distribute the load evenly on the legs.Pediatricians are very beneficial from wearing special shoes:
- Reducing the load of the muscle bone system,
- The negative consequence of deformation can be eliminated,
- Normal posture and walking develops,
- Muscles and league devices develop correctly.
Consequences
If you do not find a flat valley foot in the child in time, there will be serious complications in the future that can cause disability.Above all, they result in incorrect walking, resulting in the structure of the knee and the hip joint.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 valley.In advanced cases, the child will show problems with the spine during adolescence.
It is possible to prevent such an infringement by performing simple gymnastics every day.Do not try to put the baby on your feet if you are less than 9 months.It is worth avoiding overloading the child's muscle system.
Practice advice
As the statistics show, during the preventive examination of school children, children with a degree flat -footed should be approx.40% is detected.Most of them girls.Such a prevalence is due to the fact that the early stages of the valgus often remain unnoticed.
Prevention of flat legs is particularly important in school years when the child grows intensively.
The decisive period is between 3 and 7 years: at this time, the shoes are well secured to fix the foot and corresponds to the size.
Do not buy expensive orthopedic shoes if the diagnosis has not yet been made or your doctor has not made such a recommendation.In some cases, further support for the legs may result in the opposite results.