Deformation of the foot in children

In children, the deformation of the foot dose is quite often in orthopedic practice, and there are healthy children to varying degrees with 100 healthy legs.You should not be afraid of this diagnosis, you need to understand the problem and start it under the guidance of an experienced professional.In most cases, the curvature of the legs is treated at home using body practice therapy, massage and other complementary methods, and surgical intervention is only required at an advanced stage.

What is Valgus and Flat Deformation?

The valgus foot is a change in the axes of the lower limbs in which the legs flood, the heel region and the fingers pull out.By time diagnosis and all recommendations of the doctor, the error is set and the correct foot set is formed.Lack of treatment leads to deformation of the foot flat valley and lifelong change in the functioning of the muscle bone system.

Signs and symptoms of Valgus deformation in a child

Foot deformation in children is diagnosed 1-1.5 years when the baby starts alone.In the case of congenital pathology, orthopedic is noticed for 2-3 months of infant.

Parents themselves can recognize the beginning of the disease, noting that the child is incorrectly stepping on his feet and placing the center of gravity inside.The walk can be clumsy, cosolapih, pronounced flat legs can be observed.If you place the child directly and bring your knees together, there is a distance of 4-5 centimeters between the legs.With deformation, the legs obtain the outlines of the letter "x" on both sides.We compare this pathology with the "Kissing knee" (see picture).

Incorrect load distribution leads to the child's rapid fatigue, often prefers passive toys and avoids physical activity.Older children often complain of lower legs, joints and spine pain, and swelling of the legs may appear in the evening.Gradually, the fingers and heels are deformed and different, the skin on the foot thickens and the corn appears.The shoes of children in the child, whose leg has such deformation, break unevenly - the inside of the sole strives faster.

Anatomy and functional flat legs and causes

Each newborn has anatomical flat feet because muscles, tapes and tendons are constantly relaxed.When the child begins to get up and tries to walk, the league device is strengthened and the proper foot arches form.If this does not happen, orthopedics talk about the development of functional flat legs.

Causes of the development of the flat foot of young children:

• Consequences of lack of calcium and other trace elements during pregnancy.A woman should follow all the recommendations of the doctor, insist on a healthy lifestyle and eat correctly.
• Genetic factor.The pathology is inherited, so if parents have flat legs, the child should be taken into account from the prevention of leg deformation.
• Handed over rick.One of the reasons for the abnormal formation of the foot is the lack of vitamin D.The bones are softened, the muscle bone system is curved and the leg sets flatten.

• Early adjustment of the legs.Although the baby wants to rely on the legs, do not let it do this earlier than 7-8 months.
• Incorrectly selected shoes are too free or crowded on a flat sole.Do not buy shoes for the child for "growth" (care is allowed to be up to one size) as the foot will be in the free position.Barefoot walk on a flat surface (house on the floor).
• The following diseases can provoke the installation of the legs: cerebral paralysis, polio, obesity, congenital dislocation of the thigh.Different leg injuries, long -term stay in plaster.

The degree of development of pathology

There are four degrees of development:

1. The first degree - the baby turns up to 15 degrees with the legs.This is the initial stage of deformation, with a serious approach to the treatment of valgus, can be well corrected and the leg is completely straightened.
2. The second stage is characterized by a difference in 15-20 degrees.You will need a little more time and effort to treat.
3. In addition to the third grade, the difference is 20-30 degrees.Long -term treatment is required (orthopedic shoes, massage, exercise, physiotherapy).
4. The fourth is the hardest, 30 degree legs, the most difficult, curvature.In the absence of complex treatment, surgical correction of the lower limbs is performed.

Treatment methods

In order to achieve a lasting positive result, you should pay enough attention to treatment.After the first results appear, it must be complicated and long, in no way you can stop treating the baby.The normal walk and health of the child depends on the parents' efforts and perseverance.Below is the main types of correcting the valgus deformation of the lower limbs.

Medication

Medical drugs needed for the X -shaped curvature of the lower limbs are used to relieve the inflammation and analgesic of the joints, but it is impossible to get rid of the disease only with the help of medication.Usually, a specialist prescribes intraarticular administration of drugs.

Using orthopedic treatment tools and choice of shoes for children

Special orthopedic devices - various fasteners, bandages and tires - can be used to treat the leg curvature as prescribed by your doctor.It is a prerequisite for achieving a lasting positive result to wear orthopedic shoes.

When choosing such shoes, you should pay attention to the following points:

• The shoes should be made from natural breathing materials;
• The child must have a good time, not to crush and rub;
• You need a hard, high donkey so that the ankle joint and heel are in the right position;
• the presence of fasteners that control the shoes in the width of the foot;
• The presence of a small, wide heel, ideally-"Thomas heel" (slightly longer than the outside).

Medical Physical Education and Exercises for Daily Construction At Home

Exercises should be done daily, here are some of them:

• alternating walks of socks and corners walk (first raised and then toes) for 5 minutes;
• Sit on the floor with stretched legs to press and roll up the toes;
• You can offer the child to try to lift different small objects from the floor;
• For example, on an uneven surface you can walk with pebbles with a river or buy a massage carpet;
• walking on the outer edge of the foot;
• Knowledge of a wooden roller or a small ball;
• Rotate with the legs from left to right and vice versa.

Massage and physiotherapy

The massage is done at home for 2-3 weeks and then a break.This helps to strengthen the muscles and relieve them from stress, which does not require special skills.The total massage time is 20-30 minutes.You should start a general massage - a child in the stomach, hands are stretched along the body, the head should be turned to the side.Hand movements should not cause pain to the baby:

• It is easy to stroke your palms along the back, gradually increasing the pressing;
• Pat the witches with the edge of the palm, slightly pinched;
• Arrange the skin of the skin towards the lower part of the shoulders;
• Finish the back massage with caress;
• Stroking the legs from the corner to the bottom and back, easy to pinch;

• Mark the legs and femur muscles;
• Finish the caress of your legs.
• Rub the leg with the edge of the palm, gradually increasing the pressing;
• The thumb of the hand "pulls" the sole 7;
• With one hand, hold your feet next to the heel, the second - rub the ankle joint;
• It is easy to tighten your feet at your fingers "yourself".

If necessary, your doctor may prescribe physiotherapy: magnetic therapy, acupuncture, electrophoresis, paraffin packaging.This improves metabolism in the problem area and promotes the absorption of the drugs.

Surgical intervention

In exceptional cases, when complex therapy does not result, parents are invited to resolve the problem.Modern methods used in surgery allow it to be done without metal structures and without plaster.The doctor corrects the direction of the leagues and compensates for the legs of the legs.After the correction, the recovery period and mandatory wearing orthopedic shoes are followed.

Is it possible to completely cure deformation?

With time appeal to the specialist and a serious approach to treatment, the epithelium is balanced.At the same time, treatment should be started up to the age of two, and then you can completely get rid of the leg curvature of the legs.In children over 2 years of age and advanced deformation of the lower limbs, it is quite difficult to cure the disease until the end, but it can improve the situation much.

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

The flat legs of children do not repair themselves, so the symptoms of pathology cannot be ignored.Such a difference in legs leads to a change in the entire muscle bone system.Unevenly distributed loads cause problems with the knee and coxofemoral joints and the spine.Not only does the child deteriorate, but also impossible physical activity (running, active toys) as it causes pain and inflammation in the joints.

• From the newborn period, the infant's legs should be observed, the injuries, light massage and gymnastics should be examined.In time to perform preventive tests at the orthopedic and its absence - the surgeon.

• You should not put your feet too early - the fragile muscles of the legs and joints are a huge load.When he felt the power, he tries to get up, following support.For the same reason, the use of pedestrians and jumpers is undesirable for at least eight months.
• Particular attention should be paid to walking - this must be right and to meet the age.If you have the slightest doubt, consult a specialist.
• Children's shoes should be of a high standard with a small heel and orthopedic sole (we recommend that you read: Insoles for children with flat legs).From seven months, when the child begins to stand on his feet, it is recommended to wear a light sandal with hard back, so the foot is secured in the right position and the load on the muscles and joints is evenly distributed.If Stop has a deformation of 1-2 degrees, it is advisable to buy orthopedic shoes in special stores and pharmacies.
• Prevention of Rickkets.The child should spend enough time on the street as vitamin D is formed in the skin under sunlight.To prevent a child, a child may add vitamin D in a dose prescribed by a doctor.A complete, balanced diet should be provided.
• In the summer, it is useful to run the child barefoot, the small pebbles have a massage effect.At home daily use massage carpet with various irregularities.
• Exercise strengthens the muscle bone system and prevents the development of flat legs.If possible, you can fix a child for swimming or in the Sports section (do we recommend reading newborns in the bathroom or pool?).