Valgo deformation of the foot to children

Valgo deformation of the foot to children occurs quite often in orthopedic practice 100 healthy children with varying degrees of flat feet per 100 healthy.This diagnosis should not be afraid, you need to understand the problem and start solving it under the guidance of an experienced expert.In most cases, feet curvature is treated at home, using therapy with exercise, massage and other auxiliary methods, and only at an advanced stage is the necessary surgical intervention.

What is Valgus and flat deformation?

Valgu's foot is a change in the lower ends axes, in which the foot floods inside, and the heel region and the fingers are projected out.With the timely diagnosis and the implementation of all the doctor's recommendations, the defect is adjusted and the correct foot set is formed.Lack of treatment leads to a deformation of flat foot valves and a lifelong change in the operation of the musculoskeletal system.

Signs and symptoms of valgus deformation in a child

Foot deformation in children is diagnosed for 1-1.5 years, when the baby begins to walk on his own.In case of congenital pathology, the orthopedist will notice the deviation of the norm to the baby's 2-3 months of life.

Parents can recognize the onset of the disease, noting that the child triggers incorrectly in the leg, changing the center of gravity inside.The march can be clumsy, Kosolapih, the pronounced flat feet are observed.If you put the child directly and join the knees, a distance of 4-5 centimeters between the feet is formed.With the development of the deformation on both sides, the legs acquire the contours of the letter "x".There is a comparison of this pathology with "kiss knees" (see photo).

Incorrect load distribution leads to the child's rapid fatigue, usually prefers passive games, avoids physical activity.Older children usually complain about leg pain, joints and spine, at night the swelling of the feet can appear.Gradually, the fingers and heels are deformed and deviate, the skin on the thick feet, the corns appear.The shoes of a child with such foot deformation are ripped unevenly - the interior of the sole is erased faster.

Anatomical and functional planes and their causes

All newborns have anatomical smooth feet, as muscles, ligaments and tendons are constantly relaxed.When the child begins to get up and tries to walk, the ligament device is strengthened and the correct arc of the foot is formed.If this does not happen, orthopedists talk about the development of functional planes.

The reasons for the development of flat feet in young children:

• The consequences of the lack of calcium and other garment during pregnancy.A woman needs to follow all the doctor's recommendations, adhere to a healthy lifestyle and eat right.
• Genetic factor.The pathology can be inherited;Therefore, if the flat feet are present in the parents, due attention should be given to the prevention of feet deformation to the child.
• Resources transferred.One of the causes of pathological formation of the foot is the lack of vitamin D. Bones are softened, the musculoskeletal system is curved and the whole foot is flat.

• Early configuration on the legs.Although the baby may like to trust his legs, don't let him do it before 7-8 months.
• The incorrectly selected shoes are very free or tight in flat soles.Do not buy shoes for the child "for growth" (the supply may have the maximum size) as the foot will be in a free position.Walking barefoot on a flat surface (house on the floor).
• The following diseases can cause scams to install the feet: cerebral palsy, polio, obesity, congenital thigh dislocation.Several feet injuries, long -term stay in plaster.

The degree of development of the pathology

There are four degrees of developmental curiosity development:

1. The first degree - the baby rotates the feet no more than 15 degrees.This is the early stage of deformation, with a serious approach to the treatment of Valgus, can be well corrected and the foot is completely straightened.
2. The second stage is characterized by a deviation of the foot of 15 to 20 degrees.For treatment, you will need a little more time and effort.
3. With the third degree, the deviation is 20 to 30 degrees.Prolonged treatment is required (the use of orthopedic shoes, massage, exercise therapy, physiotherapy).
4. 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 ends is performed.

Treatment Methods

To achieve a persistent positive result, you must pay due attention to treatment.It should be complex and long, after the first results, in no case should you stop treating the baby.Normal march and child health depends on parents' efforts and perseverance.Below are the main types of Valgus deformation correction from the lower ends.

Drug therapy

Medical drugs for curvature X -shaped lower extremities are used to relieve inflammation and joint diabolho, but it is impossible to get rid of the disease only with the help of drug therapy.Generally, an expert prescribes intra -articular drug administration.

Orthopedic treatment with the use of devices and the choice of shoes for children

As prescribed by a doctor, to treat the curvature of the feet, it is possible to use special orthopedic devices - various fasteners, bandages and tires.A prerequisite to achieve a persistent positive result is to wear orthopedic shoes.

When choosing these shoes, you need to pay attention to the following points:

• Shoes should be made of natural and respiratory materials;
• The child must feel comfortable in it, should not crush or rub it anywhere;
• It is necessary to have a rigid and tall ass, so that the joint and heel and heel are recorded in the correct position;
• the presence of fasteners who regulate the shoes in the width of the foot;
• The presence of a small, wide jump, ideally- “Thomas's heel” (inside the foot, is slightly longer than the outside).

Medical Physical Education and Daily Exercises at Home

The exercises should be performed daily, here are some of them:

• Alternating walks in socks and walking on the heels (first with the fingers raised and then arrested) for 5 minutes;
• Sitting on the floor with extended legs to tighten and drop the toes;
• You can offer the child to try to create several small objects on the floor;
• Walking on an irregular surface, for example, can be brought home with river pebbles or buy a massage rug;
• walking on the outer edge of the foot;
• Meet a wooden roll or a small ball;
• Rotation by the feet from left to right and vice versa.

Massage and Physiotherapy

The massage is performed at home, courses for 2-3 weeks, then a break.This will help strengthen muscles and relieve them of stress, no special skills are required for it.The total massage time is 20 to 30 minutes.You should start with a general massage - the child lying in the stomach, the hands are extended along the body, the head is facing the side.Hand movements should not cause pain to the baby:

• It is easy to stroke the palms of the back, gradually increasing the pressing;
• Pat the witches with the edge of the palm, slightly pinch;
• Classify the folds of the skin toward the lower back on the shoulders;
• Finish the massage in the back caressing;
• caressing the legs of the heels for buttocks and back, it is easy to pinch;

• Mark the legs and femoral muscles;
• Finish stroking your legs.
• Rub your feet with the edge of the palm, gradually increasing the pressing;
• the thumb of the hand "draws" the number 7 on the sole;
• With one hand, hold the leg by the heel, the second - rub the ankle joint;
• It is easy to pull your leg by your fingers "yourself".

If necessary, the doctor may prescribe physical therapy, for example: magnetotherapy, acupuncture, electrophoresis, paraffin wrapping.This will improve metabolism in the problem area and help achieve complete absorption of medicines.

Surgical intervention

In exceptional cases, when complex therapy does not result, parents are invited to solve the problem surgically.Modern methods used in surgery allow you to do it without metal structures and using plaster.The doctor corrects the ligament direction and levels the location angle of the feet.After correction, the recovery period and the mandatory use of orthopedic shoes are followed.

Is it possible to completely cure deformation?

With an appropriate appeal to a specialist and a serious approach to treatment, it is quite possible to straighten scast.At the same time, treatment should be started up to two years old and, for school, you can completely get rid of the curvature of your feet.In children over 2 years old and advanced deformation of the lower ends, it is quite difficult to cure the disease to the end, but you can greatly improve the situation.

What can be the consequences if you do not treat curvature?

Scale feet in children will not be corrected by themselves;Therefore, the symptoms of pathology cannot be ignored.This deviation from the feet leads to a change in the entire musculoskeletal system.Due to the unequally distributed load, there are problems with the knee and the pit -padded joints, as well as with the spine.In the child, not only spoils, but also becoming impossible physical activity (running games, active), because it causes pain and inflammation in the joints.

• From the newly managed period, it is necessary to observe the development of the baby's legs, inspect them for injuries, make easy massage and gymnastics.Opposite to undergo preventive examinations at the orthopedist and his absence - in the surgeon.

• You should not put the baby very early on the legs - for fragile legs of the legs and joints, this is a huge load.When he feels the strength, he will try to get up, joining the support.For the same reason, the use of walkers and jumps is undesirable, at least up to eight months.
• Special attention should be given to march - it must be correct and correspond to age.In shorter, you should consult a specialist.
• Children's shoes should be of high quality, with a small jump and orthopedic insole (we recommend reading: boring feet children).From seven months, when the child begins to be in the legs, it is recommended to use light sandals with hard back, so that the foot is fixed in the correct position, the load in the muscles and joints will be evenly distributed.If there is a deformation of the 1-2 degree stop, it is advisable to buy orthopedic shoes at specialized stores and pharmacies.
• Prevention of rickets.The child should spend enough time on the street as vitamin D is formed on the skin under the influence of sunlight.For prevention, you can give the child vitamin D at a dose prescribed by a doctor.It is necessary to provide 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 rug with several irregularities daily 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 to swim for newborn in the bathroom or pool?).