Flat-Footed Stop Deformation (PVDS) or Valgeranna Heel is a common disease in childhood.The curvature can 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 good time.The initial phases are easy to treat, the baby's legs get into the right condition and do not cause any problems for the child and his parents.
What is Valgus deformation of the foot in children
Valgus foot in children looks like an X-shaped arrangement of the child's feet compared to each other.The inner ankles are in contact and the paragraphs are further as normal.When walking, the child steps on the inside of the foot.In most cases, the deformation is diagnosed by the appearance of the foot and the awkward gait.The baby moves unsafe when you hesitate and quickly get tired.All of these symptoms are detected at home in the early stages of the disease.
Valgus foot should not be confused with valgus that determine the lower extremities.In this state, the child's legs are not through an X-shaped shape, but an O-shaped.In newborn valgus it is not a pathology if the curvature remains after the first steps (the main sign of the disease is club foot) prescribe doctors gymnastics, anti-quartus shoes, massage.If the child continues the club foot later, the assignment of legs and feet is prescribed.
Causes and forms of the disease
The valgus deformation of the feet in children has two variations: innate and acquired forms.The first is formed before birth, in the womb the appearance of the second is associated with the imperfection, the improper development of the musculoskeletal system and the weakness of the connective tissue.The disease is associated with frequent diseases, such as acute breathing virus 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 receive valgus deformation of the feet.Other reasons are obesity, dysplasia or innate dislocation of the thigh.
Degree of the valgus deformation of the feet in a child
The disease in children takes place in four stages of development.The simplest is the first degree, the deviation from the norm is between ten and fifteen degrees, which is easy to correct.The second degree is characterized by a deviation of 15 to 20 degrees and is treated a little more complicated.If the angle of inclination of the foot is about 20 to 30 degrees, we talk about the third stage of the development of the disease.In this case, the correction will be longer.
The fourth stages of the development of the deformation are the most difficult.In this case, the deviation of the feet from the norm is more than 30 degrees, in the area of the Choparov joint there is pain near the ankle.The child is prescribed complex therapy as an initial stage of treatment for the disease.If this option does not bring the effect, the deformation of the feet is surgically corrected.
Treatment of valgus foot in a child
According to Dr.Komarovsky is the Valgus foot a smooth disease that can be treated easily.The pediatrician is of the opinion that one of the main causes of the disease is the child's early staging on his feet - earlier than seven months.Komarovsky recommends in a suitable form from the second month to give the vitamins of the child's revenge.The doctor recommends going in the orthopedic carpet that is used in therapeutic exercises.
The first step towards remedies is a timely definition and diagnosis of the problem.In the event of a pediatrician immediately contacted in the first phase, only therapeutic treatment will be successful, in more advanced cases you cannot make up without the surgeon's intervention.The diagnosis is carried out on the basis of the podometer - measurement of the size of the foot, plantography - studies of prints of the soles of the feet, ultrasound.
Orthodox traumatologists are involved with such diseases.The therapeutic method of the valgus foot in a child is eliminated using the electrophoresis, the electrical stimulation of the muscles of the lower leg and the stop, magnet therapy using special devices.An additional but important process will be a regular massage of the feet, back, lumbar and buttocks of the joints and muscles of the legs.In the initial phase, wearing orthopedic shoes helps.The following methods are very effective:
- Ozokerit;
- Paraffin;
- Baths with sea salt or medical mud;
- Magnetotherapy;
- Diaynamic;
- Exercise therapy (physiotherapy sports lessons);
- Amplipulse therapy
Bathroom
The process is useful to improve the muscle tone and the ligaments.To prepare the bathroom, a third of a glass sea salt are required ten liters of water at room temperature.Then plant the child in the bath in the bath for 15 minutes.The procedure should be carried out every other day for one month, the entire course is repeated every four months.You can't swim in such a bath.
Physiotherapy
The electrophoresis is effective in the treatment of flat feet and clincfoot.It is important to use medication that are suitable according to age and carry out the procedure according to a certain scheme.During the procedure, the product is delivered in the right place without injections and tablets: applied to the association and applied to the legs.After connecting a current of a certain frequency and performance, 3-10 minutes.
The wax (paraffin) or ozokeritic boots are very effective in such a diagnosis.The method is contraindicated in the heart, diabetes and pathologies of blood vessels.Paraffin acts well on the legs, gradually expands the capillaries, heals fabric, improves blood flow, improves metabolic processes.Inflammation, muscle cramps are perfectly removed with wax boots.
In addition to training therapy, doctors prescribe swimming courses: Such a physical activity is pleasant for the baby and has an advantageous effect on muscles, bones and joints.Tibetan treatment methods are considered effective - acupuncture, pharmaceutical function, certain massage techniques.The doctors prescribe magnetic plaster as an additional method - a Chinese medicine tool.
massage
The massage improves blood circulation, stimulates the tissue nutrition that increases the muscle tone.You should not select a specific technology yourself: it is recommended by the treating doctor.The focus during the massage is on the calf muscles, flexors and distance of the feet.The procedure can be carried out after advice from specialists or at home.
The baby lies on the stomach, with your back on the table or bed, hanging its legs, a pillow is placed under the lower leg.You start massaging from the vertebral column from the lower back to the neck with stroking hands and then turn your fingertips to rub.In order to end the massage of the back, strokes should be made.In the same way, lumbosacral massage the area and then move to the massage of the buttocks.
The buttocks caress the cross and then branches with the back of the fingers.In the end you should return to stroke.The legs stroke first, then go to the hips and knead the muscles of the rear surface of the leg.After the legs, Patry and stroke.The massage of the feet through analogy begins and ends with stroking, the heels are rubbed between them.
Exercises
When treating valgus in children, it is useful to go with different objects: balls, toys between the legs along the needle or stone shape.The Valgus installation of the stop is healed well by a practice complex: step in with extensive legs, sit in this position, but you cannot stand long.Between the exercises take a break to relax the baby.A treadmill in the form of accounts has a perfect effect on strengthening the sole of the sole.
All exercises aim to develop the work of the foot, its bones and muscles.To do this, you can do elements with a pencil: roll on the floor with your feet, try to lift your legs with your fingers.Alternate with your child on your heels, socks and the outer edge of the foot.Other exercises are connected with squats, curves, the back of the feet and soles.Older children can be carried out more complicated:
- Ask the child to stand up smoothly and to lift the socks of the legs and turn it inside.
- Bend your legs in a seated position and lift the heels synchronously and alternately from the floor.
- With sliding movements, carry the toes of a leg along the lower leg and try to close it.
Orthopedic shoes
Flat foot feet in children require a certain orthopedic shoe that keeps the baby's leg in the right position.All shoes of this kind should have a stable heel with the support for an opponent, a high hard back and a boot.The fixation of the leg should be clear, the heel is at a height that is slightly larger than the rest of the foot: such a survey is a prevention for the development of flat feet.Orthopicher is recommended to buy the right street and slippers.
Orthopedic insoles are an alternative if you buy various options for therapeutic shoes that do not allow finances: they are functional and cheaper.Like orthopedic shoes, insoles are only selected with a specialist, since the liner soupinators are represented in a large variety on the market.Of them are popular:
- Detorsion Ortiz P-3;
- Orthopedic Liner P-5;
- Children's Ortiz P-8;
- Liner for flat feet P-16;
- Hard-Lock-pin holder talic group P-19.
Surgical intervention
Surgical intervention is required with a congenital vertical arrangement of the rambost or a shortening of the Achilles of the tendon.With vertical RAM, the combined DobBS methodology helps in addition to the operation.The foot is first brought into the right position with the help of plaster dressings, according to which the collision building-containing joint is fixed with Kirshner's knitting needles and the full percutaneous Achillotomy is carried out for eight weeks with the impression of plaster from plaster.
After removing the plaster, Erit is prescribed (a bar fixer to take your foot with boots) and then orthopedic shoes.Types of possible surgical interventions:
- Recez section of the collision joint;
- Arthrodesis of the collision joint;
- Tendon transplantation of a long muscle fibula;
- Other arthroplastic operations.
Prevention of the valgus foot in a child
A flat foot deformation of the feet in children develops when parents set the child to their feet for seven months.The following methods should be carried out to prevent the development of the valgus foot in the child:
- Massage from the first months of life.
- Regular gymnastics to strengthen the muscles and ligaments.
- Healthy eating, fresh food.
- The use of vitamin D, which positively influences the child's muscles and prevents the development of rickets.
- The baby should be in size.
- Take regular walks.
In addition, doctors advise not to load the child's legs up to 7 to 8 months and regularly carry out preventive examinations of orthopedic surgeons and neurologists between one, three and twelve months.Shoes do not have to be orthopedic, but the right interior sole and the correct adjustment of the legs in the boot protect against the appearance of flat feet or climb.