The deformation of flat feet stops (PVDs) or valgerana jump is a frequent 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 time.The early stages are good to treat, the baby's legs reach the right condition and do not cause problems for children and their parents.
What is deformation of Valgus from the foot to children
Valgo's foot in the children looks like an X -shaped arrangement of the child's feet towards each other.The internal ankles are in contact and the heels are located from each other than normal.When walking, the child steps inside the foot.In most cases, deformation is diagnosed by the appearance of the foot and clumsy march.The baby moves uncertain when walking hesitates and quickly tires.All of these symptoms are detected at home at the early stage of the disease.
Valgus's foot should not be confused with Valgus defining the lower ends.In this condition, the child's legs are not acquired by an X-shaped form, but one in the form of O. In the newborns Valgus, it is not a pathology if the curvature remains after the first steps (the main sign of the disease is the club's foot), doctors prescribe gym, anti-compile shoes, massage.If the child later continues the club, the 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 onset of the second is associated with imperfection, inadequate development of the musculoskeletal system and the weakness of connective tissue.The disease is associated with frequent diseases, for example, acute respiratory viral infections, pneumonia, bronchitis.
In premature babies, Valgus's dystrophy of the foot develops with intrauterine hypotrophy.As a result of neuro-muscular diseases (Mystrophy, cerebral palsy, polio, polyneuropathy), muscle hypotension, the child can also obtain deformation by valgus from the feet.Other reasons are obesity, dysplasia or congenital laxation of the thigh.
Degree of deformation of valgus from the feet in a child
The disease in children proceeds in four stages of development.The easiest is the first degree, the deviation of the standard is ten to fifteen degrees, which is easy to correct.The second degree is characterized by a deviation of 15 to 20 degrees, it is treated a little more complicated.If the foot angle of the foot is about 20 to 30 degrees, we are talking about the third stage of disease development.In this case, the correction will be longer.
The stages of deformation development are the most difficult.Deviation from the feet of the standard is in this case to more than 30 degrees, the pain appears in the area of Choparov's joint - near the ankle.The child is prescribed complex therapy as an early stage of treatment for the disease.If this option does not bring the effect, feet deformation will be surgically corrected.
Treatment of Valgus foot in a child
According to Dr. Komarovsky, Valgus's foot is a frivolous disease that is easily treated.The pediatrician is the opinion that one of the main causes of the disease is the initial staging of the child in the legs - before seven months.Komarovsky recommends since the second month properly to give the child vitamins to avoid rickets.The doctor advises to walk in orthopedic carpet, which are used in therapeutic exercises.
The first step towards healing is a definition and diagnosis timely of the problem.If you get in touch with the child doctor immediately at the first stage, only therapeutic treatment will be successful, in more advanced cases you cannot do without the surgeon's intervention.The diagnosis is made based on podometric - foot size measurement, onset - studies of foot impressions, ultrasound.
Orthodox, traumatologists are involved in such diseases.The therapeutic method of the Valgus foot in a child is eliminated using electrophoresis, electrical stimulation of the leg and stop muscles, magnetic therapy using special equipment.An additional but important procedure will be a regular massage of the feet, back, lumbar and gluteal areas of the joints and leg muscles.In the early stages, the use of orthopedic shoes helps.The following methods are very effective:
- ozokeritis;
- paraffin;
- Baths with sea salt or medicinal mud;
- Magnetotherapy;
- Diabrinamic;
- Exercise Therapy (Physical Education of Physiotherapy);
- Therapy with ampulse
Bath
The procedure is useful for improving muscle tone, ligaments.To prepare the bath, one third of a glass of sea salt is required, it takes ten liters of water at room temperature.Then plant the child for 15 minutes in the bath at the waist.The procedure should be performed every 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 treating flat feet and club feet.It is important to use appropriate medications by age and perform the procedure according to a particular scheme.During the procedure, the product without injections and tablets is delivered in the right place: applied to the dressing and applied to the legs.After connecting a current of a certain frequency and power for 3 to 10 minutes.
Wax boots (paraffin) or ozoceritics are very effective in this diagnosis.The method is against -heart in the heart, diabetes, pathologies of blood vessels.The paraffin acts well on the legs, heating gradually expands capillaries, cure 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: this 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 in magnetic stock - a tool of 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 assistant doctor.The main emphasis during massage is placed in the calf muscles, flexors and feet extensors.The course of procedures can be performed by experts or at home after consultation.
The baby lies in the belly, with his back on the table or bed, the legs hanging, a pillow is placed under the leg.They begin to massage in the back with acaricious hands along the back of the back to the neck to the neck and then turn into rubbing with the fingertips.Finishing the back massage should be caressed.Similarly, massage the lumbosacra area and then move to the buttocks.
The buttocks caress the cross and then rub them with the back of their fingers.In the end, you must caress again.The legs are caressing first and then go to the hips, knead the muscles of the rear surface of the leg.After the legs, Patry and strokes in conclusion.The massage of the feet by analogy begins and ends with caressing, among them the heels are rubbed, wrinkled.
Exercises
In the treatment of Valgus in children, it is useful to walk with various objects: balls, toys between the legs along the needle or stone -shaped surfaces.The installation of Valgus from the stop is well healed by an exercise complex: jumping in place with wide legs, sitting in this position, but you can't take it so long.Among the exercises, take a break to relax the baby.A account in the form of accounts perfectly affects strengthening the sole of the legs.
All exercises aim to develop the work of the foot, their bones and muscles.To do this, you can perform elements with a pencil: roll on the floor with your feet, try to lift your legs with your fingers.Walk with your son alternately on the heels, socks, the outer edge of the foot.Other exercises are associated with squats, curves, bending the back of the feet as well as the soles.Older children can be performed more complicated:
- Ask the child to get up gently, raise socks from the legs up, turning it inside.
- Fold your legs in a sitting position and then lift your heels on the floor synchronously and alternately.
- With sliding movements, perform the toe finger along the leg, try to tighten it.
Orthopedic shoes
The boring feet in children require a certain orthopedic shoe that keeps the baby's leg in the right position.Any shoe of this species should have a stable jump, supported by an opponent, a tall rear and a boot.Fixing the leg should be clear, the heel is at a slightly higher altitude than the rest of the foot: such elevation will be a prevention for the development of boring feet.Orthopedics are advised to buy the Right Street and household 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.As orthopedic shoes, the insoles are selected only with one expert, as in the market line suffering are represented in a wide variety.They are popular:
- Detortion Ortiz P-3;
- Orthopedic line P-5;
- Children's Ortiz P-8;
- P-16-footed foot lining;
- Talocural Group of Hard Lock-Pin-Holder P-19.
Surgical intervention
Surgical intervention is necessary with a congenital vertical arrangement of the RAM bone or shortening of the tendon aquiles.With the 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 plaster dressings, after which the fixable collision joint is fixed with Kirshner knitting needles and complete percutaneous acylilotomy is performed with plaster imposition for eight weeks.
After removing the plaster, Erit is prescribed (a bar finger to take the foot with boots), then the orthopedic shoes.Types of possible surgical intervention:
- Reception of the collision board;
- Collision articulation arthrodesis;
- tendon transplantation of a long fibula of the muscle;
- Other arthroplastic operations.
Prevention of Valgus foot in a child
Flame foot deformation in children develops if parents put the child on their legs within seven months.The following methods should be performed to prevent the development of the child's foot in the child:
- Massage from the first months of life.
- Regular gymnastics to strengthen muscles and ligaments.
- Healthy diet, fresh food.
- The use of vitamin D, which positively affects the child's muscles and prevents the development of rickets.
- The baby should be in size.
- Conducting regular walks.
In addition, doctors advise not to carry the child's legs up to 7-8 months and regularly perform preventive orthopedist and neurologists ages between one, three, six and twelve months.The shoes do not need to be orthopedic, but the correct insole and the correct configuration of the legs inside the boot will protect from the appearance of boring feet or club feet.