Deviations in the development of the feet have about 40% of children under the age of 4.5-5 years.In most situations, children are diagnosed with a valgus deformation.With this pathology, the child's foot is flat and seems to fall inwards, between them.The external sides of the feet are slightly raised.If you look at the child's feet from above, they form the letter H.
Valgus deformation of the foot in children - causes
The deviation in question occurs due to sufficiently developed ligaments.Under the influence of the gravity of the body, they are deformed, the bones are moved and bend.The valgus foot of the child is formed for many reasons that are conditioned in 2 groups:
- congenital;
- Acquired.
Congenital deformation valgus of the foot
The problem develops during the period of intrauterine formation of the arts of the fetus.The flat valgus foot occurs due to the improper position and the growth of the bones.Less commonly, it folds against the background of intrauterine damage and joint dysplasia.The deformation of Valgus Del Pieda in newborn children is diagnosed immediately after childbirth or during the first months of the child's life.At this stage, it is easy to adjust the shape of the foot, restore its height and correct curves.
Deformation of the deformation acquired
This type of pathology occurs for external reasons that affect the musculoskeletal system.Initially, Valgus deformation in children is not too evident.The express signs of the problem are observed at the age of 10-12 months, when the child tries to walk alone.A plate of Walgus flat in an acquired type child develops for the following reasons:
- not premature;
- weakness of connective tissues;
- serious infections transferred to tender age (bronchitis, pneumonia, acute respiratory viral infections and others);
- Intrauterine muscle hypotrophy;
- rickets;
- MioD Scopoophy;
- polio;
- cerebral paralysis;
- Poliauropathy;
- Mechanical lesions and arts of arts with long -term wearing plaster dressing;
- obesity;
- The environment too early of the child on the legs, premature attempts to teach him to walk;
- Improper selection of shoes;
- Small mobility;
- Football deficiency in the body;
- unbalanced and poor nutrition;
- Endocrine diseases.
Signs of Valgus Foot in children
The first symptoms of the violation described are visible closer to the first year of the child's life.The parents note that the child is not based on the entire foot during the walk, but only inside.The differences between the altered feet and the healthy legs are clearly shown in the photo below.The signs of pathology depend on the degree of deformation valgus of the foot in children:
- The light stadium is characterized by the flattening of the legs without a significant foot of Minabantur.The deviation of the ankles from a straight line, an perpendicular heel, is up to 15 degrees.
- The deformation of Valgus del Pieda in children of moderate gravity is also accompanied by flattening of the feet, but are scattered by 15-20 degrees.
- A severe degree of disease combines pronounced dishes and a large ankle corner of the ankle-20-30 degrees.
- The extremely serious stadium is characterized by a strong flattening of the vault of the feet.The ankles of Minabantur exceeds an angle of 30 degrees.
Non -specific symptoms of the development of defects:
- clumsy and mixing pace;
- effort during running and active games;
- Unpleasant sensations in the legs area;
- The mood, the irritability of the child.
Valgus deformation of the foot in children - Treatment
The therapy methods are selected individually for each child in accordance with the degree of pathology.There are 2 options with which it is possible to make the deformation with a flat -adjusted feet not with surgical and operational methods.In the first case, the therapy provides for the use of special sunglasses and orthopedic shoes, massage, physiotherapy exercises.The surgery is very rare (about 7% of children), when the standard approach does not work or the disease is already diagnosed in a serious phase.
Orthopedic shoes for children with Valgus deformation
The boots and sandals to the child with the problem in question are taken only to order.Orthopedic shoes for Valgus deformation are made on the basis of individual mittits or accurate measurements that the doctor makes.It is undesirable to purchase these products yourself.The production in series of shoes is performed on the basis of the average parameters that do not correspond to the specific corner of the deviation and to the flattening of the feet.
With the help of a pair of sandals or boots, the foot of the valgus in the child is not corrected: the treatment involves their long consumption.The growth of the legs and the gradual restoration of their shape requires a timely replacement of the shoes.You can't buy it for the future or wear small size.The child's feet should be rigidly fixed at the bottom of the lower part of the leg, heel and sock.
Solitions with deformation of the foot of the foot in children
These accessories are made, like shoes, strictly individually.The adequate treatment of the valgus of the foot deformation passes from several phases from complicated to simple.The dimensions, the shape of the spinker must be selected according to the degree of flattening of each foot and the corner of its detour.A slight deformation valgus of the foot in children is quickly corrected, 3-5 couples of devices in question will be needed.With an average and serious degree of the disease, sunny ones must often be changed for several years.
Massage with foot deformation valgus in children
Manual therapy plays a very important role in the treatment of pathology.The procedures must be performed by a qualified specialist.Parents can massage independently with Valgus deformation only after training with a manual therapist.Manipulations include work on the muscles:
- back;
- sacrifice and low part of the back;
- ass;
- flanks;
- goals;
- front surface of the legs.
During the massage, the movements of the passive therapeutic joints are performed simultaneously.A course of procedures performed correctly contributes to:
- improve the conduction of the nerves;
- normalize the mobility of the feet;
- strengthen muscle corset;
- Breeding the general tone of the body.
Massage carpet with one foot valgus for children
This accessory is used as auxiliary manual therapy.The relief carpet helps:
- adjust the height of the foot of the foot;
- improve blood circulation;
- increase flexibility and mobility of the feet;
- Greased pain during walking and running.
The dimension of irregularities and protrusions to the accessory is selected according to the age of the crumb and the speed with which it progresses the deformation with a flat value.For children under the age of 3, it is better to buy a carpet with low and small elements located to each other.A larger child of the indicated era can be offered to run along a surface more in relief with great irregularities that imitate shells or marine stones.
Physical exercise therapy for the deformation of the valley of the foot in children
The gymnastic complex should recommend an orthopedist in accordance with the degree of pathology, age and ability of the child.It is desirable that the main treatment of Valgus deformation with physical education is carried out under the guidance of a specialist.At home, you can perform a simple gymnastics, offering children's lessons in a playful way.Easy Exercises with Valgus Del foot deformation in children:
- Walk on stones, balls, a staircase from a rope;
- capture with the fingers of the legs of small objects: pencil, scarf, coins;
- Rollering at the foot of a rolling pin, ball;
- paint with inches;
- "Gose Step" - Movement, crouched;
- walk with the support on the outside and inside the foot, on socks, heels;
- "Crocodile" - The child goes in his arms, his parents hold their legs;
- Squats from an erect position (through) on a gym stick (it can be replaced with an MOP).
Valgus Deformation of the Foot - Operation
The optimal age for surgery is considered 8-12 years.The operation is prescribed if the extremely serious flat -toe of the feet is diagnosed with a deviation corner of more than 30 degrees.The surgeon individually selects the safest and most invasive treatment methods.The Valgus Del foot deformation in children is regulated by the following types of operations:
- strengthen the tibial muscle tendon;
- Tugchiatato Artro -erez;
- extension of the Achille tendon;
- Gradual imposition of external fixation devices.