The deformation of the feet of the foot in children occurs quite frequently in orthopedic practice, there are 100 healthy children with various degrees of flat per 100 healthy.This diagnosis should not be afraid, you must understand the problem and start solving it under the guidance of an experienced specialist.In most cases, the curvature of the feet is treated at home using exercise therapy, massage and other auxiliary methods, and only in an advanced stage a surgical intervention is required.
What is the valgo and flat deformation?
Valgo's foot is a change in the axes of the lower extremities, in which the foot is flooded inside, and the heel region and fingers stand out.With the timely diagnosis and the implementation of all the doctor's recommendations, the defect is adjusted and the correct set of foot is formed.The lack of treatment leads to a deformation of the flat valleys of the foot and a change for life in the operation of the musculoskeletal system.
Signs and symptoms of the deformation of the valgo in a child
The deformation of the foot in children is diagnosed 1-1.5 years, when the baby begins to walk alone.In the case of congenital pathology, the orthopedist will notice the deviation from the norm to the 2-3 months of the baby's life.
Parents can recognize the beginning of the disease themselves, pointing out that the child incorrectly steps on the leg, changing the center of gravity inside.The march can be clumsy, Kosolapih is observed, pronounced flat feet are observed.If you place the child directly and gather the knees, a distance of 4-5 centimeters between the feet is formed.With the development of deformation on both sides, the legs acquire the contours of the letter "X".There is a comparison of this pathology with "kisses on their knees" (see the photo).
The incorrect load distribution leads to the fast fatigue, often prefers passive games, avoids physical activity.Older children often complain of pain in the lower leg, joints and spine, at night, swelling of their feet may appear.Little by little, the fingers and heels deform and deviate, the skin on the feet is thick, the calluses appear.The shoes in a child with such deformation of the foot are unevenly torn: the inside of the sole is erased faster.
Anatomical and functional flat feet and their causes
All newborns have planes anatomical feet, since muscles, ligaments and tendons are constantly relaxed.When the child begins to get up and tries to walk, the ligament apparatus is strengthened and forms the correct arch of the foot.If this does not happen, orthopedists talk about the development of functional flat feet.
The reasons for the development of flat feet in young children:
- The consequences of the lack of calcium and other elements trace during pregnancy.A woman must follow all the doctor's recommendations, adhere to a healthy lifestyle and eat well.
- Genetic factor.The pathology can be inherited, so if the flat feet are present in the parents, due attention must be given to the prevention of the deformation of the foot in the child.
- Transferred Rickets.One of the causes of the pathological formation of the foot is the lack of vitamin D the bones soften, the musculoskeletal system is curved and the whole of the foot is flattened.
- Early configuration on the legs.Although the baby can trust the legs, it does not allow him to do this before 7-8 months.
- Selected shoes are incorrectly too free or narrow, in plants.Do not buy shoes for the child "for growth" (the supply is allowed to be a maximum of a size), since the foot will be in a free position.Walking barefoot on a flat surface (house on the floor).
- The following diseases can cause the installation of the feet: cerebral palsy, polio, obesity, congenital dislocation of the thigh.Several feet injuries, long -term stay in the plaster.
The degree of development of pathology
There are four degrees of development of the squamous curiosity of Tond:
- The first grade: the baby turns the feet no more than 15 degrees.This is the initial stage of deformation, with a serious approach to the treatment of the valge, it can be corrected well and the foot is completely straightened.
- The second stage is characterized by a deviation from the foot of 15-20 degrees.For treatment, you will need a little more time and effort.
- With the third degree, the deviation is 20-30 degrees.Prolonged treatment is required (the use of orthopedic shoes, massages, exercise therapy, physiotherapy).
- The room is the most difficult curvature of the feet of more than 30 degrees.In the absence of the effect of complex treatment, surgical correction of the lower extremities is carried out.
Treatment methods
To achieve a persistent positive result, you must pay due attention to treatment.It must be complex and long, after the appearance of the first results, in no case should you stop treating the baby.The normal march and the child's health depend on the efforts and perseverance of the parents.Below are the main types of correction of the deformation of the lower extremities.
Drug therapy
Medical medications for X -shaped curvature of the lower extremities are used to relieve inflammation and pain pain of joints, but it is impossible to get rid of the disease only with the help of pharmacological therapy.In general, a specialist prescribes the intra -articular administration of drugs.
Orthopedic treatment with the use of devices and the choice of children's shoes
As prescribed by a doctor, to treat the curvature of the feet, it is possible to use special orthopedic devices: several fixatives, bandages and tires.A previous requirement to achieve a persistent positive result is to wear orthopedic shoes.
When choosing such shoes, you should pay attention to the following points:
- Shoes must be made of natural and respiratory materials;
- The child must feel comfortable with her, he must not crush him or rub him anywhere;
- It is necessary to have a hard and tall butt so that the ankle and heel joint register in the correct position;
- the presence of fasteners regulating shoes in the width of the foot;
- The presence of a small and wide heel, ideally: Thomas's heel "(inside the foot is a little longer than abroad).
Medical Physical Education and exercises for daily execution at home
The exercises must be carried out daily, these are some of them:
- Alternating walking on socks and walking on the heels (first with high fingers, then the fingers of the feet) for 5 minutes;
- Sitting on the floor with extended legs to tighten and unbutton the fingers of the feet;
- You can offer the child to try to lift several small objects from the floor;
- Walking on an unequal surface, for example, can bring home with river pebbles or buy a massage carpet;
- walking on the outer edge of the foot;
- Know a wooden roller or a small ball;
- Rotation by feet from left to right and vice versa.
Massage and physiotherapy
The massage is done at home, courses for 2-3 weeks, then a break.This will help strengthen the muscles and relieve them of stress, no special skills are required for this.The total massage time is 20-30 minutes.He must start with a general massage: the child in his stomach lying down, the hands extend along the body, the head turns to the side.Hand movements should not cause baby pain:
- It is easy to caress palms along the back, gradually increasing the pressure;
- stroke the witches with the edge of the palm, slightly pinched;
- Order the skin folds in the direction of the back to the shoulders;
- The rear massage ends stroking;
- stroking the legs from the heels to the buttocks and back, it is easy to pinch;
- Mark your legs and femoral muscles;
- Finish caressing your legs.
- Rub the feet with the edge of the palm, gradually increasing the pressure;
- The thumb of the hand "draw" the number 7 in the sole;
- With one hand, hold the leg next to the heel, the second, rub the ankle joint;
- It is easy to pull your leg on your fingers "on yourself."
If necessary, the doctor can prescribe physiotherapy, for example: magnetotherapy, acupuncture, electrophoresis, paraffin wraps.This will improve metabolism in the problem area and help achieve the complete absorption of medicines.
Surgical intervention
In exceptional cases, when complex therapy does not give a result, parents are invited to solve the problem surgically.The modern methods used in surgery allow you to dispense with metal structures and use plaster.The doctor corrects the direction of the ligaments and levels the angle of location of the feet.After correction, the recovery period and the mandatory use of orthopedic shoes follow.
Is it possible to completely cure deformation?
With a timely attractiveness for a specialist and a serious approach to treatment, it is very possible to straighten to escamoso.At the same time, the treatment must begin at the age of two, then to school, can completely get rid of the curvature of the feet.In children over 2 years and with an advanced deformation of the lower extremities, it is quite difficult to cure the ailment until the end, but it can greatly improve the situation.
What can be the consequences if the curvature is not treated?
The scamming feet in children will not be corrected by themselves, so the symptoms of pathology cannot be ignored.Such feet deviation leads to a change throughout the musculoskeletal system.Due to the distributed load unevenly, there are problems with knee and coxofemoral joints, as well as with the spine.In the child, not only the loot of the march, but also becomes an impossible physical activity (running, active games), because this causes pain and inflammation in the joints.
- From the newborn period, it is necessary to observe the development of the baby's legs, inspect them for injuries, make easy massages and gymnastics.Timely to undergo preventive exams in the orthopedist and in his absence, in the surgeon.
- You should not put the baby too early on the legs, for fragile legs of the legs and joints, this is a great load.When he feels strength, he will try to get up, attached to support.For the same reason, the use of walkers and jumpers is undesirable, at least up to eight months.
- Special attention should be paid to the march: it must be correct and correspond to age.With the slightest doubt, you must consult a specialist.
- Children's shoes should be of high quality, with a small heel and orthopedic template (we recommend reading: plants with flat feet).From seven months, when the child begins to stand on his legs, it is recommended to use light sandals with a hard back, so the foot will look at the correct position, the load in the muscles and the joints will be distributed uniformly.If there is a deformation of the 1-2 degree stop, it is advisable to buy orthopedic shoes in specialized stores and pharmacies.
- Ricket prevention.The child must spend enough time in the street, since vitamin D is formed on the skin under the influence of sunlight.For prevention, you can give the child vitamin D in a dose prescribed by a doctor.It is necessary to provide a complete and balanced diet.
- In summer, it is useful to give the child to run barefoot, small pebbles have a massage effect.At home, use a massage carpet with several daily irregularities for several minutes.
- Exercise strengthens the musculoskeletal system and prevents the development of flat feet.If possible, you can record a child to swim or in the sports section (we recommend reading: How is swimming for newborns in the bathroom or pool?).
