FLAT-FOOTED Stop Defformation (PVDS) or Valgeranna Heel is a frequent disease in childhood.The curvature may have serious consequences in the future - the pathology of the musculoskeletal system, if you do not apply preventive measures, do not consult a doctor in time.The initial stages are good to treat, the baby's legs come to the right condition and do not cause trouble to the child and his parents.
What is valgus deformation of the foot in children
Valgus foot in children looks like a x-shaped arrangement of the child’s feet relative to each other.The internal ankles are in contact, and the heels are located further from each other than normal.When walking, the child steps on the inside of the foot.In most cases, deformation is diagnosed by the appearance of the foot and clumsy gait.The baby moves uncertainly, when walking hesitates and quickly gets tired.All of these symptoms are detected at home at the initial stage of the disease.
Valgus foot should not be confused with Valgus setting the lower extremities.In this condition, the child’s legs are not acquired by a X-shaped shape, but an o-shaped one.In newborns Valgus, it is not a pathology if the curvature remains after the first steps (the main sign of the disease is clubfoot), doctors prescribe gymnastics, anti-quarus shoes, massage.If the child later continues Clubfoot, assignment of legs and feet is prescribed.
Causes and forms of the disease
Valgus deformation of the feet in children has two variations: congenital and acquired forms.The first is formed even before birth, in the womb, the appearance of the second is associated with imperfection, improper development of the musculoskeletal system, and the weakness of the connective tissue.The disease is associated with frequent diseases, for example, acute respiratory viral infections, pneumonia, bronchitis.
In premature babies, valgus dystrophy of the foot develops with intrauterine hypotrophy.As a result of neuro-muscular diseases (MyDystrophy, cerebral palsy, polio, polyneuropathy), muscle hypotension, the child can also get valgus deformation of the feet.Other reasons are obesity, dysplasia or congenital dislocation of the thigh.
Degree of valgus deformation of the feet in a child
The disease in children proceeds at four stages of development.The easiest is the first degree, the deviation from the norm is from ten to fifteen degrees, which is easy to correct.The second degree is characterized by a deviation of 15-20 degrees, it is treated somewhat more complicated.If the angle of inclination of the foot to each other is about 20-30 degrees, we are talking about the third stage of the development of the disease.In this case, the correction will be longer.
The fourth stages of development of deformation are the most difficult.The deviation of the feet from the norm is in this case more than 30 degrees, pain appears in the area of the choparov joint - near the ankle.The child is prescribed complex therapy as the initial stage of treatment for the disease.If this option does not bring the effect, the deformation of the feet is corrected surgically.
Treatment of valgus foot in a child
According to Dr. Komarovsky, the valgus foot is a frivolous disease that is easily treated.The pediatrician is of the opinion that one of the main causes of the disease is the early staging of the child on the legs - earlier than seven months.Komarovsky recommends from the second month in a suitable form to give the child vitamins to prevent rickets.The doctor advises walking in orthopedic rug, which are used in therapeutic exercises.
The first step towards cure is a timely definition and diagnosis of the problem.In the case of contacting a children's doctor immediately at the first stage, only therapeutic treatment will be successful, in more advanced cases you can not do without the intervention of the surgeon.Diagnosis is carried out on the basis of Podometre - measurement of the size of the foot, Plantography - studies of prints of the soles of the feet, ultrasound.
Orthodox, traumatologists are engaged in such diseases.The therapeutic method of the valgus foot in a child is eliminated using electrophoresis, electrical stimulation of the muscles of the lower leg and stop, magnetic therapy using special equipment.An additional but important procedure will be regular massage of the feet, back, lumbar and gluteal areas of the joints and muscles of the legs.At the initial stage, the wearing of orthopedic shoes helps.The following methods are very effective:
- ozokerite;
- paraffin;
- baths with sea salt or medicinal mud;
- magnetotherapy;
- Diadynamic;
- Exercise therapy (physiotherapy physical education);
- amplipulse therapy
Baths
The procedure is useful for improving muscle tone, ligaments.To prepare the bath, a third of a glass of sea salt, ten liters of water at room temperature are needed.Then plant the child for 15 minutes in the bath to the waist.The procedure should be carried out every other day for a month, the entire course is repeated every four months.You can’t swim in such a bath.
Physiotherapy
Electrophoresis is effective in the treatment of flat feet and Clubfoot.It is important to use drugs suitable by age and carry out the procedure according to a certain scheme.During the procedure, the product without injections and tablets is delivered to the right place: applied to the bandage and applied to the legs.After connecting a current of a certain frequency and power for 3-10 minutes.
The wax (paraffin) or ozokeritic boots are very effective in such a diagnosis.The method is contraindicated in the heart, diabetes, pathologies of blood vessels.Paraffin acts well on the legs, heating gradually expands the capillaries, heals tissues, enhances blood flow, improves metabolic processes.Inflammation, muscle cramps are perfectly removed with wax boots.
In addition to exercise therapy, doctors prescribe swimming classes: 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.As an additional method, doctors prescribe magnetic plasters - a tool from Chinese medicine.
Massage
Massage improves blood circulation, stimulates tissue nutrition, which increases muscle tone.You should not select a certain technique on your own: it is recommended by the attending physician.The main emphasis during massage is placed on the calf muscles, flexors and extensors of the feet.The course of procedures can be carried out by specialists or at home after consultation.
The baby lies on the tummy, with his back up on the table or bed, his legs hang, a pillow is placed under the lower leg.They begin to massage from the back with stroking hands along the spine from the lower back to the neck, then turning into rubbing with the fingertips.To finish the massage of the back should be stroked.In the same way, Lumbosacral massage the area, then move to the massage of the buttocks.
The buttocks strok the cross, then rub them with the back of the fingers.At the end, you should return to stroking.The legs are stroking first, then go to the hips, knead the muscles of the back surface of the leg.After the legs, patry and stroke in conclusion.The massage of the feet by analogy begins and ends with stroking, between them the heels are rubbed, kneaded.
Exercises
In the treatment of Valgus in children, it is useful to walk with various objects: balls, toys between the legs along needle or stone-shaped surfaces.The valgus installation of the stop is well cured by a complex of exercises: jumping in place with wide legs, sitting in this position, but you can’t stand so for a long time.Between the exercises take a break to relax the baby.A treadmill in the form of accounts perfectly affects the strengthening of the sole of the legs.
All exercises are aimed at developing the work of the foot, its bones and muscles.To do this, you can perform elements with a pencil: roll on the floor with your feet, try to raise your legs with your fingers.Walk with your child alternately on the heels, socks, the outer edge of the foot.Other exercises are associated with squats, turns, bending the back of the feet, as well as soles.Older children can be performed more complicated:
- Ask the child to get up smoothly, raise socks of the legs up, turning them inside.
- Bend your legs in a sitting position, then raise the heels from the floor synchronously and alternately.
- With sliding movements, carry out the toe of one leg along the lower leg, try to clasp it.
Orthopedic shoes
Flat-Footed feet in children require a certain orthopedic shoe that will hold the baby’s leg in the correct position.Any shoes of this species should have a stable heel with support for an adversary, a high hard back and a boot.The fixation of the leg should be clear, the heel is at an altitude slightly larger than the rest of the foot: such an elevation will be a prevention for the development of flat feet.Orthopedians are advised to buy the right street and domestic shoes.
Orthopedic insoles will be an alternative if you buy different options for therapeutic shoes do not allow finances: they are more functional and are cheaper.Like orthopedic shoes, insoles are selected only with a specialist, since in the market the liner-soupinators are represented in a huge variety.Of them are popular:
- Detorsion Ortiz P-3;
- Orthopedic liner P-5;
- Children's Ortiz P-8;
- Liner for Flat-Footed feet P-16;
- Hard Lock-Pin-Holder Talocrural group P-19.
Surgical intervention
Surgical intervention is necessary with a congenital vertical arrangement of the ram bone or shortening of the Achilles of the tendon.With vertical RAM, in addition to the operation, the combined DOBBS methodology helps.The foot is first taken to the correct position with the help of gypsum dressings, after which the Collision-Mustainable joint is fixed with Kirshner’s knitting needles and the full percutaneous Achillotomy is performed with the imposition of gypsum for eight weeks.
After removing the gypsum, Erit is prescribed (a bar-fixer to take the foot with boots), then orthopedic shoes.Types of possible surgical intervention:
- Recezsection of the Collision joint;
- Arthrodesis of the Collision joint;
- tendon transplantation of a long fibula of muscle;
- Other arthroplastic operations.
Prevention of valgus foot in a child
Flat-Footed deformation of the feet in children develops if parents put the child on the legs up to seven months.The following methods should be carried out for the prevention of the development of valgus foot in the child:
- Massage from the first months of life.
- Regular gymnastics for strengthening muscles and ligaments.
- Healthy diet, fresh food.
- The use of vitamin D, which positively affects the muscles of the child and prevents the development of rickets.
- The baby should be in size.
- Conducting regular walks.
In addition, doctors advise not to load the child’s legs up to 7-8 months and regularly conduct preventive examinations of orthopedists and neurologists aged one, three, six and twelve months.Shoes do not have to be orthopedic, but the correct insole and the correct setting of the legs inside the boot will protect from the appearance of flat feet or Clubfoot.