SUDE-Valgus Pode-The Orthopedic Pathology of the most common children.Usually he meets her in the early years of the child's life, because it becomes evident after the child begins to master independent walk.What to do if this curvature is found, we will say it in this article.
What is Valgus deformation
In fact, the deformation of Valgus and the flat feet are several pathologies of the lower ends, but in children it is often that a combination of a decrease in the feet, characteristic of the flat feet and a change in the position of the foot to the load with oral movement, characteristic of the deformation of Valgus, is often observed.
Valgus curvature is such a deformation in which the child in a vertical position is mainly based on the internal part of the feet and the fingers and the heels are lined up in the external direction.
Normally, the setting of the legs should be parallel, that is, when you look at two legs standing behind, you can mentally draw two straight vertical lines.In a child with valgus deformations, these lines are refrained in the area of the ankle joint with a deviation outside, which determines the second name of the deformation in the shape of a pathology-X.
With the flat feet, everything is much more complicated.All children from birth have a plastener like physiological, so it is impossible to consider it a pathology at 1-2 years.However, orthopedists consider the problem fully and a deformation of diagnosis-flat-valgus appears in the child's medical record in the medical record.
It is quite rare, but Valgus curvature can be innate.For some reason, the lower limbs of the fetus in the uterus begin to develop abnormally.These legs are visible almost immediately after the birth of the child's birth and at 2-3 months the diagnosis is generally made quite reasonably.
A plate of Walgo flat is not a sentence.With timely treatment, with a responsible and systematic approach to it of the parents, the function of the foot in the event of slight pathology can be restored in full.It all depends on the degree of the disease.
Plate - Valgus dei feet deformation: how to correct the defect?
Frying the installation of Valgus dell'Artesto: an orthopedic anomaly, which is characterized by changes of deformation in the foot, which is found in both adults and in children.
Deformation is a violation of the surface of the foot, when its central part is moved and the fingers and heels are turned outwards.
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 stronger muscles.The result of this effect is the formation of flat feet.
The deformation of Planealgus of the feet is essentially the same flat feet, a very common defect found in every fifteenth resident of the planet.The disease is difficult to treat and the processing process itself is long and problematic.
The reasons for the development of the pathology
During the evolution, our foot was formed in such a way as to assume and distribute the weight of the human body evenly.The role of the foot is to guarantee maximum amortization during the walk, the race and the jump.
In addition, thanks to the unique anatomical structure of the foot, a person goes in a vertical position, without falling to the right: left, back and forth.The protruding vaults are directed in two directions: transversal and longitudinals.
So, an adult has three points as a support:
- large bone element;
- Holkock of the heel;
- The fifth bone more.
The pathology occurs in young women much more often, as they wear high wheels.Visually, the legs with this deformation resemble the letter "x".At the same time, the bone of the pile and the fingers are directed in a (external) direction and the central part of the foot is moved downwards.
Therefore, the development of deformation contributes to:
- weakness of the binding apparatus;
- Connective tissue diseases;
- weight (with obesity, an additional load is created on the feet, which leads to their deformation);
- Wearing uncomfortable high wheels.
Classification of pathology
Depending on the shape of the cornering of the foot, the pathology can be of three types:
- transversal;
- longitudinal;
- Combined.
The longitudinal installation of the foot is the veneration of the longitudinal arch of the foot.If at the same time there is a violation of the pace;Pain during walking and palpation and deformation changes are also observed visually, we can speak of the longitudinal deformation of the foot.
Transversal deformation is characterized by a specific type of foot: it seems visually flattened.At the same time, the tendons of the fingers are unnaturally elongated and the curvature has a hammer.Patients complain about pain when walking and violations of the pace.
The combined installation of the foot combines signs of transversal and longitudinal anomaly and is called transversal longitudinal dishes.Despite this, there is no pain and various inconveniences.
Deformations are classified as follows:
- Spastic - lift after muscle cramps;
- Developed rachitic following d-hypovitaminosis;
- Structural - abnormal arrangement of the defrosted bone;
- Paralytical: a consequence of polio;
- Hyper -Corningal - appears following a successless correction of the foot club;
- Statistical - with the development of scoliosis and posture disorders;
- compensatory: a defect in the development of the Achille tendon, in which the bones are moved inside;
- Traumatic: develop due to damage, bruises, dislocations and fractures;
Symptoms
As mentioned above, the flat deformation -Walgus develops on the background of the feet congenital.The symptoms of the disease depend on which part of the foot was subjected to curvature.
For example, a fairing deformation develops due to a varied or equally feet.It could be the result of the fibula pathology.The disease is characterized by muscle paralysis both the feet and the lower part of the leg.
In the presence of a "Bump", the symptoms will appear as follows:
- The bones can inflame, swell and get sick;
- The thumb shines inwards, while the same fate is overcome by other fingers, they will also be deformed and protruding in the form of hammers;
- It is impossible to wear tight shoes or heels and sometimes also comfortable;
- Very often, patients with such a pathology wear multiple shoes;
- The curvature of the thumb prevents the normal position of other fingers, they bend and bend strangely;
- The prolonged walk causes pain and heaviness in the legs;
- There are seeds and corn on the sole.
Treatment of pathology
It should be immediately said that the diagnosis of valley of the valgus involves a very long and complex treatment, which takes a long time.It is important to diagnose the disease as soon as possible and start adequate treatment.The weather in this case works against the patient, since timely treatment has been given hope for the rapid elimination of the disease.
Valgus Flatfoot treatment includes;
- Physical medical education, which aims to correct the shape of the foot and the strengthening of the muscles;
- physiotherapy procedures;
- Wear orthopedic shoes, sunshine, supervisors;
- the use of orthopedic orthosis, breakage and other drafts;
- Regular massage of the lower limbs and the lumbosacral gluteal site - Krytsovo.
Passing of planealgate in children
It should be noted that everything above refers to an adult with the presence of this pathology, but in young children everything is different.
Almost all the children were born with the flat feet, and it is clear why.After all, their feet at that moment did not experience loads and took their first steps only when they are put on the feet.
Of course, during this period they put their legs incorrectly, because they don't know how to walk.
Therefore, it is worth distinguishing the functional flattening of the vault of the foot and anatomical.Physiological flattening is only a stage of orthopedic development of the lower ends and is the norm.
With sufficient loads (when walking on irregular surfaces), the child's deformation is quickly regulated.This usually happens of three years.In addition, up to three years on the only one of the child, there is a layer of natural fat that covers the arc of the foot.
You can only see it if you put the baby on the socks.
The process of formation of the arch of the foot is long, it takes several years.Therefore, talking about a correctly anatomical format foot is worth before five years.However, all children are different, so this process is formed previously and for someone later.
It depends on how physically developed and healthy the child is, whether he has deviations from the development of the bone muscle system, violations by the endocrine and nervous system.
But, unfortunately, there are cases in which the flat feet become an obvious pathology.
In the risk group, the children to whom in the first year of life violations were diagnosed in the development of the musculoskeletal system, a decrease in muscle tone, a delay in psychomotor development and obesity.The consequence of these violations will be a flat deformation of the feet.
The deviation of the corner of the feet from the line of the children's orthopedists is measured in degrees.In this case, the body weight of the body is distributed in a non -uniform way 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 should form.Therefore, therapists call this pathology of the air value.
Massage
Massage is the main method of treatment in complex therapy.It helps to relax the bone: muscle system, improve the blood and trophic circulation of the sole muscle system.The child's legs are massaging in the following sequence:
- Immediately before the start of the massage, the legs are caressing;
- The hips and knees are also treated with clear traits;
- The muscles of the rear surface with surface pressure are kneaded;
- rub the muscles;
- Make a patly for the baby's legs with a palm;
- Make the final caress.
The overall massage also begins with mating, which increase the blood flow to the child's limbs.The movements are performed by the heel to a popliteal pit.During the massage, the emphasis is placed on muscle relaxation, the child does not need to grind.
If in some areas it is necessary to create different energy scrolls, then they should be light and energetic at the same time.Memories are made with the tip of the fingers.The main emphasis is to caress and shake.
Medical physical education
Gymnastics exercises in order to treat the flat feet are performed on a medicinal carpet, which should have an irregular (relief) surface.Conduct exercises on such a carpet, at the same time there is a mechanical feet massage.The exercises are suitable for children of two or three years.
Exercises on the carpet:
- retire from one leg to another, the transfer of body weight;
- standing on one leg, other sliding movements along the carpet;
- By putting your hands on the belt, you do circular movements with the body in one or the other side;
- Put a leg in front of the other, then invent the socks and lower the heels;
- Place the heel with one foot and the other at the tip, at the same time rolling the foot from the tip to the heel;
- Walk on the carpet by relying on the outer edge of the foot.
Surgical treatment
The surgical treatment for the purposes of correction of the flat feet is extremely rare.The excesses of the vault of the foot are made according to the Grace method.The defect is also correct in adolescence, however, the arthrodese technique is used, in which they perform a gradual redemption 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 son with plates.At this age, a rapid restoration of ligaments and joints occurs, as well as the repositioning of the bones gives the best result.
Selection of shoes
The equine-valga deformation of the feet is eliminated using correctly selected shoes.It is very important that the support from the lower and lateral part of the foot is discovered.For treatment, orthopedic shoes are selected according to individual standards.Allows the muscles to operate the load on the feet normally and uniformly.Pediatricians are very useful from wearing special shoes:
- Lower the load on the musculoskeletal system,
- The negative consequence of the deformation is eliminated,
- normal posture and pace are formed,
- The muscles and the binding apparatus are developing correctly.
Consequences
If you do not find a plate in a flat valgus in the child in time, in the future there will be serious complications that can cause disabilities.First of all, an incorrect pace is produced, following which the structure of the knee and hip joint is disturbed.So the spine is curved, which presses on 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 foot.In advanced cases, in adolescence, the child will show problems with the spine.
It is possible to prevent this violation by performing a simple gymnastics every day.Don't try to put the child standing if he is less than 9 months old.It is worth avoiding the overload of the child's musculoskeletal system.
Practical advice
As the statistics show, about 40% of children with a degree of flat feet is detected every year during the preventive tests of the schoolchildren.Most of them are girls.This prevalence is due to the fact that the first phases of Valgus often go unnoticed.
The prevention of the flat feet is particularly important in the school years, when the child is growing intensely.
The decisive period ranges from 3 to 7 years: it is at this moment that the shoes are well fixed to repair the leg and corresponds to the size.
Do not buy expensive orthopedic shoes if the diagnosis has not yet been done or the doctor has not given this recommendation.In some cases, further support for the feet can give the opposite result.