Flat -legged Stop deformation (PVD) or Valgeranna heel in childhood is a common disease.In the future, the pathology of the muscle bone system may have serious consequences for curvature, if you do not apply preventive measures, do not consult a doctor on time.It is good to treat the initial stages, the baby's legs are in the right condition and do not cause trouble for the child and his parents.
What is the valley deformation of children in children
Valgus foot in children looks like the X -shaped arrangement of the child's legs.The inner ankle is in contact and the heel is farther than normal.While walking, the child enters the foot.In most cases, deformation is diagnosed with the appearance of the leg and clumsy walking.The baby moves uncertainly when walking is hesitant and fast tired.All these symptoms are detected at home at the initial stage of the disease.
The valgus leg should not be confused by adjusting the lower limbs.In this situation, the child's legs are not x -shaped, but O -shaped.Newborns are not a pathology in valgus if the curvature remains after the first steps (the main sign of the disease is the club foot), doctors prescribe gymnastics, anti-kquarus shoes and massage.If the child continues the Clubfoot later, it prescribes the distribution of legs and legs.
Causes and forms of illness
The valgus deformation of the legs has two variations in children: congenital and acquired forms.The first one is formed before birth, in the uterus, the second appearance is related to imperfection, the inadequate development of the muscle bone and the weakness of the connective tissue.The disease is common diseases such as acute respiratory viral infections, pneumonia, and bronchitis.
In premature babies, foot dystrophy develops with intrauterine hypotrophy.As a result of neuro-muscular diseases (mydystrophy, brain paralysis, polio, polyneuropathy) and muscle hypotension, the child can also obtain the valgus deformation of the feet.Further reasons include congenital dislocation of obesity, dysplasia or thigh.
Legs in children deforming the legs
Children's illness takes place in four stages of development.The simplest is the first degree, the deviation from the norm is between ten and fifteen degrees, which is easy to correct.The second stage is characterized by a difference of 15-20 degrees and is treated slightly more complicated.If the angle of the foot is approx.20-30 degrees, then we are talking about the third stage of the disease.In this case, the correction will be longer.
The fourth phase of deformation is the most difficult.Legs difference from the norm in this case is more than 30 degrees, pain appears in the Choparov joint area - near the ankle.The child is prescribed in complex therapy as the initial stage of the treatment of the disease.If this option does not have the effect, the leg deformation will be improved by surgery.
Treatment of Valgus foot in a child
According to Dr. Komarovsky, the valgus foot is a light disease that can be easily treated.The pediatrician is of the opinion that one of the main causes of the disease is the early stages of the child on the legs - within seven months.Komarovsky recommends that the child vitamins for the prevention of ricks in the second month.The doctor advises you to walk on an orthopedic carpet used in therapeutic exercises.
The first step towards healing is to determine and diagnose the problem in time.If you immediately contact a pediatrician in the first phase, only therapeutic treatment will be successful, in more advanced cases, it cannot be done without the surgeon's intervention.The diagnosis is done on the podometre - the measurement of the foot size, the planning - measurement of the soles of the legs, and ultrasound.
Orthodox traumatologists are involved in such diseases.The therapeutic method of childhood valgus foot is eliminated by electrophoresis, electrical stimulation of the lower leg muscles and Stop, magnetic treatment, and special equipment.Another but important method of massage of legs, back, lumbar and leg muscles and muscles.In the initial stages, wearing orthopedic shoes help.The following methods are very effective:
- ozokerite;
- paraffin;
- Baths with sea salt or medication mud;
- magnetic therapy;
- Diadynamic;
- Exercise therapy (physiotherapy physical education);
- amplipulse therapy
Bath
The procedure is useful to improve muscle tone, tapes.To prepare the bath, one -third of a glass of sea salt and ten liters of water at room temperature.Then plant the child for 15 minutes into the bath to the waist.The procedure should be done for one month every other day, and the entire course is repeated every four months.You can't swim in such a bath.
Physiotherapy
Electrophoresis is effective in treating flat legs and club feet.It is important to use the appropriate drugs according to age and to perform the procedure according to a given scheme.During the procedure, the product is transported to the right place without injections and tablets: it is applied to the bandage and applied to the legs.After connecting a certain frequency and power for 3-10 minutes.
Wax (paraffin) or ozokeritic boots are very effective in such a diagnosis.The method is contraindicated in the heart, diabetes, and blood vessels.Paraffin affects the legs well, the heating gradually expands the capillaries, heals tissues, improves blood flow, and improves metabolism.Inflammation, muscle spasms are perfectly removed with wax boots.
In addition to 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 effective - acupuncture, pharmacopuncture, certain massage techniques.Further method, doctors prescribe magnetic plaster - a tool from Chinese medicine.
Massage
Massage improves blood circulation and stimulates tissue nutrition, which increases muscle tone.Do not choose a certain technique alone: your doctor recommends it.During the massage, the main emphasis is on calf muscles, flexors and leg extensions.The procedures can be done by professionals or at home after consultation.
The baby lies on his stomach, on the back of the table or on the bed, his legs hang, placing a pillow under the lower leg.They start massaging from the back, from the lower back to the neck along the spine, then rubbed with fingertips.To finish your back massage.Likewise, massage the area with the lumbosac and move to the bottom massage.
The buttocks injure the cross and rub them with the back of the fingers.In the end you have to return to caress.The legs first stroke, then go to the hips, knead the muscles of the back of the foot.After the legs, Patry and stroke concludes.Massage of the legs with analogy starts and ends with caressing, including the corner and kneaded.
Exercise
In children, it is useful to walk with various objects: balls, toys between the feet along the needle or the stone -shaped surfaces.The installation of the stop valgus is well cured by the complex of exercises: jumping with wide legs, sitting in this position, but cannot stop for a long time.Between exercises take a break to relax your baby.The treadmill in the form of accounts perfectly affects the sole of the feet.
The purpose of all exercises is to develop the work of the leg, bones and muscles.To do this, you can make elements with a pencil: scroll on the floor with your feet, try to lift your feet with your fingers.Walk with your child alternately around the corner, socks, on the outer edge of the foot.Other exercises are associated with squatting, turning, the back of the legs and the soles.Older children can be more complicated:
- Ask the child to stand up smoothly, lift the feet socks and turn them in.
- Bend your feet in a sitting position, then lift the corner from the floor in sync and alternate.
- With slippery movements, make one foot to the toe along the lower leg, try to fix it.
Orthopedic
Children require a certain orthopedic shoe for a flat -footed leg that keeps the baby's leg in the right position.This species should have a stable heel, supporting the opponent, high hard back and boot.The foot fixation should be clean, the heel is at a height that is slightly larger than the rest of the leg: such a height will be prevented from the formation of flat legs.We recommend that the orthopedics buy the right street and homemade shoes.
Orthopedic insoles will be alternative to buying various options for therapeutic shoes, not allowing finances: they are more functional and cheaper.Like orthopedic shoes, insoles are only selected with one specialist, as liners on the market are depicted in a huge variety.They are popular:
- Detorsion Ortiz P-3;
- Orthopedic lining P-5;
- Children Ortiz P-8;
- Lining for flat-footed P-16;
- HARD Locking Talokrurel P-19.
Surgical intervention
Surgery is required by congenital vertical arrangement of Aries bones or shortening of tendons.With the vertical RAM besides the operation, the combined Dobbs methodology helps.The leg is first placed in the right position with the help of plaster volumes, then the collision-judged joint is secured with Kirshner knitting needles and the entire percutaneous achievement is performed for eight weeks with the plaster output.
After removing the gypsum, the ERIT is prescribed (a rod recorder to take the leg with boots) and then orthopedic shoes.Types of possible surgical intervention:
- Receiving the collision joint;
- Artrodesisse of the collision joint;
- a long muscle fiber tendon;
- Other artroplastic operations.
Valgus leg prevention in a child
Flane -legged deformation of the legs develops in children when parents place the child on the feet for seven months.The following methods should be performed to prevent the formation of the valgus leg in the child:
- Massage from the first months of life.
- Regular gymnastics to strengthen muscles and tapes.
- Healthy diet, fresh food.
- The use of vitamin D, which positively affects the child's muscles and prevents the development of the rick.
- The baby should be in size.
- Driving regular walks.
In addition, doctors advise not to fill the child's legs for 7-8 months and to regularly conduct a preventive examination of one, three, six, six, and twelve months of orthopedics and neurologists.The shoes do not need orthopedics, but the proper insole and the legs properly adjusting the boot inside protect the appearance of flat legs or club foot.