Deformation of flat -foot prohibition (PVD) or Valgeranna heel is a frequent childhood disease.Bending can have severe consequences in the future - the pathology of the muscular system, if you do not apply preventive measures, do not consult a doctor on time.The initial stages are good to treat, the baby's feet come to the right state and do not cause trouble for the baby and his parents.
What is the deformation of the valgus of the foot in the children
The valgus foot in children looks like an X-shaped adjustment of the child's feet in relation to each other.The ankle of the inner legs are in contact, and the heels are further placed from one another than normal.When walking, the child goes to the inside of the leg.In most cases, deformation is diagnosed by the appearance of foot and clumsy walking.The baby moves without a doubt when you walk hesitates and quickly gets tired.All of these symptoms are detected at home at the initial stage of the disease.
The valgus leg should not be confused with the valgus that places the lower extremities.In this condition, the baby's feet are not obtained from an X-shaped form, but an O. in the newborn valgus, is not a pathology if bending remains after the first steps (the main sign of the disease is the club), doctors prescribe gymnastics, anti-quarus shoes, massage.If the child later continues the club, the foot and leg assignment is prescribed.
Causes and forms of illness
Foot valgus deformation in children has two changes: congenital and acquired forms.The first is formed even before birth, in the abdomen, the appearance of the latter is associated with imperfection, improper development of the muscular system and weakness of the connective tissue.The disease is associated with frequent diseases, for example, acute viral respiratory infections, pneumonia, bronchitis.
In premature infants, the valgus dystrophy of the foot develops with intrauterine hypotrophy.As a result of neuro-muscular diseases (mydistrofia, cerebral palsy, polneuropathy), muscle hypotension, the child can also obtain valgus leg deformity.Other reasons are overweight, dysplasia, or congenital thigh displacement.
The degree of deformation of the leg valgus in a child
The disease in children continues in 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 tendency 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 deformation development are the most difficult.Deviation of the legs from the norm is in this case more than 30 degrees, the pain appears in the choparov joint area - near the ankle.Children are prescribed complex therapy as the initial stage of treatment of the disease.If this option does not have the effect, the deformation of the feet is surgically corrected.
Valgus leg treatment in a child
According to Dr.Komarovsky, Valgus leg is a jointly treated joint disease.The pediatrician is of the opinion that one of the main causes of the disease is the early scene of the child standing - earlier than seven months.Komarovsky recommends that the second month in a suitable form to give the child vitamins to prevent rakites.The doctor advises to walk to the orthopedic carpet, which are used in therapeutic exercises.
The first step towards the cure is a timely definition and diagnosis of the problem.In the case of contacting your doctor immediately in the first phase, only therapeutic treatment will be successful, in more advanced cases you cannot do without the surgeon's intervention.Diagnosis is performed on the basis of podometr - foot size measurement, planography - studies of heel prints, 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 lower leg muscles, magnetic therapy using special equipment.An additional but important procedure will be the regular massage of the areas of the feet, back, lumbar and gluteal joints and leg muscles.In the initial stage, wearing orthopedic shoes helps.The following methods are very effective:
- ozokerite;
- paraffin;
- Sea salt baths or medicinal mud;
- magnetotherapy;
- Diadanimic;
- Exercise therapy (physical education of physiotherapy);
- therapy
Bank
The procedure is useful for improving muscle tone, ligaments.To prepare the bathroom, one -third of a glass of sea salt is needed, ten liters of water are needed at room temperature.Then plant the baby for 15 minutes in the bathroom at the waist.The procedure should be performed daily for one month, the whole course is repeated every four months.You can't swim in such a bath.
Physiotherapy
Electrophoresis is effective in treating flat feet and club.It is important to use appropriate medication by age and perform the procedure according to a given scheme.During the procedure, the product without injections and tablets is delivered to the right place: applied to the bandage and applied to the foot.After connecting a current of a frequency and energy specified for 3-10 minutes.
Wax (paraffin) or ozokeritic boots are very effective in such a diagnosis.The method is contraindicated in the heart, diabetes, vascular pathology.Paraffin acts well in the legs, heat gradually expands capillaries, heals tissues, increases 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 child, 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 plaster - a tool from Chinese medicine.
Massage
Massage improves blood circulation, stimulates tissue nutrition, which increases muscle tone.You should not choose a certain technique itself: it is recommended by the attending physician.The main emphasis during massage is placed on the beef muscles, flexors and extensors of the legs.The course of procedures can be performed by specialists or at home after consultation.
The baby lies on the belly, with the back up on the table or in the bed, his feet hang, a pillow is placed under the lower leg.They begin to massage from the back with their hands hit along the spine from the lower back to the neck, then turning into rubbing with fingers.To complete the spine massage must be hit.In the same way, lumbosakral area massage, then move to the buttock massage.
The buttocks hit the cross, then rub with the back of the fingers.In the end, you have to go back to the stroke.The legs are hit first, then go to the hips, cook the back surface muscles of the foot.Behind the legs, patry and kick in the end.The foot massage from the analogy begins and ends with strokes, between them the heels are rubbed, cooked.
exercise
In the treatment of valgus in children, it is useful to walk with different objects: balls, toys between the legs along the needles or stone surfaces.The installation of the valgus stop is well healed by a complex exercise complex: jumping in place with wide legs, sitting in this position, but you can't stay so for a long time.Between the exercises take a break to relax the child.A routine in the form of accounts perfectly affects the strengthening of the legs alone.
All exercises are aimed at developing the work of the foot, bone and its muscles.To do this, you can perform elements with a pencil: roll on the floor with your feet, try to raise your feet with your fingers.Walk with your child alternately on the heel, socks, outer edge of the foot.Other exercises are accompanied by meetings, curves, bending the back of the legs as well as heel.Older children can be performed more complicated:
- Ask the child to get up smoothly, raise socks up, turning them inside.
- Bend your feet in a sitting position, then lift the heels from the floor synchronously and alternatively.
- With sliding movement, perform the toe of one foot along the lower leg, try to grab it.
Orthopedic shoes
Flat feet in children require a certain orthopedic shoe that will keep the baby's foot in the right position.Anydo shoes of this species should have a durable heel with support for an opponent, a strong spine and a boot.The leg fixation should be clear, the heel is at a height slightly larger than the rest of the foot: such an altitude will be a prevention for the development of flat feet.Orthopedians are advised to buy the right way and home shoes.
Orthopedic foundations will be an alternative if you buy different opportunities for therapeutic shoes do not allow finances: they are more functional and cheaper.Like orthopedic shoes, the beds are chosen only with one specialist, as in the market, line soupinators are represented in a great variety.Of them are known:
- ORTIZ P-3;
- Orthopedic P-5 chimney;
- ORIZ children P-8;
- Chimney for feet with flat p-16 feet;
- Tallocural group strong for the PIN-Pin ankle holder.P-19.
Surgical intervention
Surgical intervention is required with a congenital vertical arrangement of the ram bone or shortening of the tendon Achilles.With vertical RAM, in addition to surgery, combined Dobbs methodology helps.The foot was first taken in the appropriate position with the help of gypsum dresses, after which the collision joining is fixed with the Kirshner knitting needles and the complete percutaneous acilotomy is performed with the imposition of gypsum for eight weeks.
Once you have removed the gypsum, Eri is described (a fixer to get the foot with boots), then orthopedic shoes.Types of possible surgical intervention:
- Acceptance of the clash joining;
- Arthrodesis of the collision joining;
- Tendon transplant of a long muscle fibula;
- Other arthroplastic operations.
Preventing the valgus foot in a child
Flat -legged deformity of children develops if parents put their child standing for up to seven months.The following methods should be done to prevent valgus foot development in children:
- 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 baby's muscles and prevents the development of rickets.
- The baby should be in size.
- Performing regular walks.
Moreover, doctors advise not to load the baby's feet for up to 7-8 months and to regularly perform preventive examinations of orthopedists and neurologists aged one, three, six and twelve months.Shoes do not have to be orthopedic, but the correct bedding and accurate legs inside the luggage will protect against the appearance of flat legs or club.