Deformation of the valgus of the foot in children

Deformation of the foot valgus in children often occurs in orthopedic practice-there are 100 healthy children with varying degrees of flat feet per 100 healthy.This diagnosis should not be scared, you need to understand the problem and start solving it under the direction of an experienced specialist.In most cases, leg bending is treated at home using exercise therapy, massage and other auxiliary methods, and only surgical intervention is required at an advanced stage.

What is valgus and flat deformity?

Valgus foot is a change in the axes of the lower extremities, in which the foot floods inside, and the region and fingers of the heel are elongated from the outside.With timely diagnosis and implementation of all doctor's recommendations, the defect is adjusted and the correct group of the foot is formed.Lack of treatment leads to a flat-valgus deformation of the foot and a lifelong change in the functioning of the muscular system.

Signs and symptoms of valgus deformity in a child

Foot deformity in children is diagnosed by 1-1.5 years, when the child begins to walk on his own.In case of congenital pathology, the orthopedist will notice the deviation from the rate at 2-3 months of the baby's life.

Parents can recognize the onset of the disease themselves, pointing out that the child mistakenly opens up, shifting the center of gravity inside.The newspaper can be clumsy, kosolapih, pronounced highlighted.If you place the baby directly and attach your knees, a distance of 4-5 centimeters between the legs is formed.With the development of deformation by both sides, the legs acquire the sketches of the letter "X".There is a comparison of this pathology with "kissing knees" (see photo).

Incorrect distribution of load leads to the child's rapid fatigue, often he prefers passive games, avoids physical activity.Elderly children often complain of pain in the lower leg, joints and spine, until evening the legs may appear.Gradually, the fingers and heels are deformed and deviated outside, the skin on the feet thickens, corn appears.The shoes in a child with such an foot deformity are unevenly torn - the single interior is deleted faster.

Flat anatomical and functional feet and their causes

All newborns have flat anatomical legs, as muscles, ligaments and tendons are constantly smooth.When the child begins to rise and tries to walk, the ligamentous apparatus is strengthened and the exact arc of the foot is formed.If this does not happen, orthopedists talk about the development of flat functional legs.

Reasons for developing flat feet in young children:

• The consequences of calcium deficiency and other trace elements during pregnancy.A woman should follow all the doctor's recommendations, adhere to a healthy lifestyle and eat properly.
• Genetic factor.Pathology can be inherited, so if flat feet are present in parents, proper attention should be paid to preventing the deformation of the legs in the child.
• Transferred Rikes.One of the causes of pathological foot formation is the deficiency of vitamin D. The bones are softened, the muscular system is curved, and the group of the foot is flattened.

• Early setting up.Although the child may want to be supported, do not let him do so earlier than 7-8 months.
• Incorrectly selected shoes are very inexpensive or compressed, on flat heels.Do not buy shoes for the baby "for growth" (the supply is allowed to be maximum a size), as the foot will be in a free position.Walking barefoot on a flat surface (house on the floor).
• The following diseases can provoke foot installation: cerebral paralysis, polio, overweight, congenital thigh displacement.Various walking injuries, long -term stay in gypsum.

The degree of development of pathology

There are four degrees of developing squamous curiosity Tond:

1. The first degree - the baby turns the legs no more than 15 degrees.This is the initial phase of deformation, with a serious approach to the treatment of the valgus, can be well corrected, and the foot is fully directed.
2. The second stage is characterized by a foot deviation of 15-20 degrees.For treatment, you will need a little more time and effort.
3. With the third degree, the deviation is 20-30 degrees.Prolonged treatment (use of orthopedic shoes, massage, exercise therapy, physiotherapy) is required.
4. The fourth is the most difficult bending of the legs of more than 30 degrees.In the absence of the effect of complex treatment, surgical correction of the lower extremities is performed.

Treatment methods

To achieve a constant positive result, you must pay close attention to treatment.It should be complex and long, after appearing the first results, in no case should you stop treating the baby.The normal child and health of the child depends on the efforts and perseverance of the parents.Below are the main types of valgus deformation correction of the lower extremities.

Drug therapy

Medical medicines for X -shaped bending of the lower extremities are used to relieve inflammation and joint pain, but it is impossible to get rid of the disease only with the help of medication therapy.Usually a specialist describes intra -articular drug administration.

Orthopedic treatment with the use of equipment and the choice of children's shoes

As prescribed by a doctor, to treat leg bending, it is possible to use special orthopedic devices - different fixers, bandages and tires.A prerequisite to achieve a constant positive result is the coating of orthopedic shoes.

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

• Shoes should be made of natural and respiratory materials;
• The child should feel comfortable in it, should not press or rub it;
• It is necessary to have a hard, high ass so that the ankle joint and heel joints are recorded in the right position;
• the presence of fasteners that adjust the shoes at the leg width;
• The presence of a small, wide, ideally heel-"Thomas's heel" (in the inside of the foot is slightly longer than from the outside).

Physical Medical Education and Exercises for Daily Execution at home

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

• alternating walking in the socks and walking on the heel (first with raised, then fingers followed) for 5 minutes;
• Sitting on the floor with legs stretched to squeeze and unlock fingers;
• You can offer the child to try to lift different small objects from the floor;
• Walking on an uneven surface, for example, can be brought home with river pebbles or buy a massage rug;
• walking to the outer edge of the foot;
• Recognizing a wooden roller or a small ball;
• Rotation from legs from left to right and vice versa.

Massage and physiotherapy

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

• It is easy to hit the palms along the back, gradually increasing the pressure;
• Pat witches with the edge of the palm, a little pinch;
• Sort skin folds in the direction of the lower back on the shoulders;
• Complete the spine massage by hitting;
• By hitting the legs from the heel to the buttocks and back, it is easy to pin at the top;

• Mark the femur's feet and muscles;
• Wrap by hitting your feet.
• Rub your feet with the edge of the palm, gradually increasing the press;
• the thumb of the hand "draw" the number 7 in the sole;
• With one hand, hold the foot near the heel, the second - rub the ankle;
• It is easy to pull your foot out of your fingers "over yourself".

If necessary, the doctor may prescribe physiotherapy, for example: magnetotherapy, acupuncture, electrophoresis, paraffin coils.This will improve metabolism in the problem area and help achieve the full absorption of drugs.

Surgical intervention

In exceptional cases, when complex therapy does not work, parents are invited to solve the problem in surgical way.Modern methods used in operation allow you to do without metal structures and wear gypsum.The doctor corrects the direction of the ligaments and the levels of the angle of the location of the legs.After the correction, the recovery period and the mandatory coating of the orthopedic shoes continues.

Is it possible to fully cure the deformation?

With a timely appeal for a specialist and a serious approach to treatment, it is quite possible to run squamous.At the same time, treatment should be started until the age of two, then at school you can get rid of leg bending.In children over 2 and with advanced deformity of the lower extremities, 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 bending?

Squamous feet in children will not be corrected on their own, so the symptoms of pathology cannot be ignored.Such a deviation of the feet leads to a change in the entire muscular system.Due to the unevenly distributed load, there are problems with the knee joints and cohabitants, as well as with the spine.In children, not only walking breaks down, but also becoming impossible physical activity (jogging, active games), because it causes pain and inflammation in the joints.

• Starting from the newborn period, it is necessary to observe the development of the baby's feet, to inspect them for injuries, massage and light gymnastics.In time to undergo preventive examinations on orthopedic, and in its absence - to the surgeon.

• You don't have to put the baby too early in the leg - for the fragile leg muscles and joints, this is a huge load.When he feels the strength, he will try to rise, adhering to support.For the same reason, the use of prollar and jumper is undesirable, at least up to eight months.
• Particular attention should be paid to walking - should be correct and correspond to age.In the slightest doubt, you should consult a specialist.
• Children's shoes should be of high quality, with a small heel and orthopedic heel (recommend you read: bedding for children with flat feet).From seven months, when the child begins to stand, it is recommended to wear light sandals with a strong spine, so the foot will be fixed to the right position, the load on the muscles and joints will be evenly distributed.If there is a 1-2 degree stop deformation, it is advisable to buy orthopedic shoes in specialized stores and pharmacies.
• Prevention of rickets.The child should spend enough time on the road, as vitamin D is formed on the skin under the influence of sunlight.For prevention, you can give your baby vitamin D at a dose prescribed by a doctor.It is necessary to provide a full, balanced diet.
• In summer, it is useful to give the child running barefoot, small pebbles have a massage effect.At home, use a massage carpet with different irregularities daily for a few minutes.
• Exercise strengthens the muscular system and prevents the development of flat feet.If possible, you can register a child for swimming or in the sports section (we recommend you read: How is swimming for newborns in the bathroom or pool?).