THE TREATMENT OF the foot, VALGUS of THE CHILD

The treatment of the foot, and valgus in children aged 1 year and older results in a favorable prognosis — the probability of complete resolution of the problem approaches 100%.

Among orthopedic disorders in children change in the foot – the most common pathology. Is a curvature of the lower extremity in the inside. Developed under the influence of various external and internal factors. The shape of the foot changes: axis offset, the heel look outwards, to look at the inner surface of the foot, inward deformation of the fingers. When the distance between the knees, had ankles is 4-5 cm.

In the later identification, in advanced cases of the disease in puberty, problems with the spine. The later the treatment is started, the less likely full recovery is.

FACTORS THAT INFLUENCE THE DEVELOPMENT OF HALLUX VALGUS IN A CHILD

Foot deformities in children, a congenital or acquired anomaly, pathology. In all cases, the incorrect Position is the stop in relationship to each other. The changes lead to the main falls load when you go to your inner surface of the foot. The existence of symptoms in children under 3 years about the changes on the stage of the pregnancy. The diagnosis of the orthopedist, after a thorough investigation.

Valgusnaya-deformatsiya-stopy

The factors, which include the impetus for the development of the pathology:

  • Malnutrition;
  • a wrong diet;
  • a lack of vitamins and minerals in the body (deficiency of calcium and/or Vitamin D) leading to hair breakage and softness of bone tissue;
  • early mobilization of the child to the feet;
  • wrong choice of shoes;
  • frequent respiratory infections;
  • Injury of the ankle;
  • prolonged immobility of the lower extremities due to retention in the occupation.

When the child begins early to walk (up to 1 year) or of his parents have been pushing, in many cases, the stop is deformed. At an early age, the formation of the bands, to provide which often are not ready for to happen.

REASONS FOR THE FORMATION OF the foot, VALGUS

Congenital malformations of muscle-muscular system kids — deformations, which develop during pregnancy in the mother and after birth is manifested. The degree of curvature in the case of congenital Hallux valgus is very pronounced. It is associated with a variety of malformations of individual elements of the musculoskeletal system, malformations in fetuses of genes or chromosomes. Is a violation of the arrangement of the bones of the foot and its forms in utero. Deformation of the Stop is manifested already in the first months after the appearance of the baby on the light.

An example of the genetic disorder Edwards syndrome-abnormality of a certain chromosome where a severe curvature of the foot of the newborn – foot rocking chair.

On the other causes of congenital Hallux valgus feet of the child a number of pathologies, the incorrectly of the first weeks of life still belongs to:

  • in 80% of cases of dysplasia of the connective tissue with congenital injuries of the hip;
  • myodystrophy;
  • infantile cerebral palsy;
  • Polio and other infections of the Central nervous system;
  • Neuropathy – pathology of the peripheral nerves.
Deformatsiya-stopy

Acquired Form — the result of the impact of one or more of the factors already after birth of the child. Originally, the main reason — a weak apparatus of the foot, which is why it is a violation of his right Position. This condition is diagnosed in the first days after the birth of the child. On the development of the pathology can affect:

  • Premature birth or the birth of the small mass of the body;
  • obesity in children;
  • endocrine disorders (Diabetes, hypothyroidism);
  • Metabolic disorders (osteoporosis, disorders of Lipid and carbohydrate metabolism).

THE VISIBLE SIGNS OF PATHOLOGY

Pain in the legs at the end of the day – is the most common complaint of the child in the case of foot deformities. Lens pathology manifests itself by the following characteristics in common:

  • unstable gait when walking from side to side;
  • the formation of calluses on the sole;
  • constantly divorced with the fingers;
  • Difficulties when trying to get the heels together.

Defines three types of diseases:

  1. The transverse extension of the forefoot with a strong tension of the muscles and tendons, which are responsible for the stretching of the fingers. It is caused in children the pain.
  2. Longitudinal is the change in the gait, the shape of the sole of the foot (when sampling occurrence of severe pain), exhaustion after the long stay on the legs because of the discomfort and pain.
  3. Combined.

Two types of Deformation of the foot usually develop:

  • X-shaped (in the case of direct compressed the distance between the knees between the inside of the ankle areas are more than 5 cm, of the foot, such as to the outside look);
  • varus – O-shaped.

DEGREE OF DEVELOPMENT AND THE SEVERITY OF THE DISEASE

There are four stages in the development of the pathology:

  • I — light Form of the disease — characterized by the deformation of the foot more than 15°, is treated well;
  • Phase-II of curvature of up to 20°, therapeutic treatment is applied;
  • Grade III — deformation up to 30°, requires long periods of intensive therapy;
  • IV level — severe – deviation from the Norm is more than 30°.

PATHOLOGY THE Big TOE OF the foot

Deformation of the size of the child pathology toe be self -. The curvature of the first finger depends on the neglect of the pathology. Correction of the bone is performed with the application:

  • Physio Treatment;
  • Installation of orthotics;
  • op-method.

WHAT IS AND HOW TO TREAT?

Correction changes the stop in children means the restoration of the normal Position of the joints, muscles and ligaments of the legs. The goal of treatment — the ability to walk without pain and discomfort. The therapy must be comprehensive. For the treatment of Hallux valgus feet of the child are used:

  • conservative;
  • operational;
  • Alternative method (osteopathy can cure almost any, except for the genetically induced, pathology).
Valgusnaya-deformatsiya-u-detej

Conservative Services:

  • drug;
  • kinesio therapy;
  • orthotics;
  • Physiotherapy.

DRUGS

Drugs in the X-shaped injury of the lower extremities applied for the relief of the inflammatory and analgesia of the joints. The intake of NSAIDs (non-steroidal anti-inflammatory drugs), or GKS assigned with symptomatic target. You seem short, dangerous for the body of the child side effects.

NEW METHODS

The modern method of treatment kinesio therapy is an innovative method for the treatment and prevention of disorders of the musculoskeletal System. In its basis – the impact on the muscles with a special tape – kinesio therapy. The name of the method is formed from two words: "kinesiot" means movement, "teip" – the actual Band. It consists in the superimposition of the specific bands made of elastic Material, adhesive on the base, not the calling allergies. The method teip developed a few years ago by a Japanese doctor Kenzo Kase for the treatment of sports injuries. In the future, it is widely used. Kinesio therapy for Hallux-valgus deformation of foot in children is widespread lately. This is the methodology: if you are using the lack of restrictions on movement, complaints of allergies occur.

Lechenie

The fabric, from the teip is:

  • the structure of the fibers;
  • good air through;
  • do not delay welding;
  • does not cause pain or discomfort;
  • do not hold down movements;
  • not afraid of water can swim, without a Band.

The correct gluing of teip speeds up the recovery of joints, ligaments and muscles, without stopping the use of drugs, the progression of the pathological changes. This safe method promotes:

  • Cessation of the pain;
  • Prevention of further progression of the disease;
  • the full restore.

Rules kinesio therapy:

  • teip acts only on clean, dry skin;
  • for prolonged use kinesio type whose edges have to do rounds;
  • after gluing teip pound, activated it.

EFFECT OF THE MASSAGE

The flat arch with the feet muscle tissue changes, which leads to disorders of blood circulation, and in the future – to the development of irreversible processes. Therefore, Massage is an indispensable part of the treatment. It is one of the action methods. Special skills for its implementation is not required, so you can do at home. The course of the 10 sessions, if needed, we recommend to repeat every 3-4 months. Total time for the implementation of a session – 20-30 minutes. You start with the common Massage a child in the prone position on the belly, stretched out beside the body with the hands and turned her head tilted to the side. Movement and pressure of the hands, pain must cause.

Massazh

Baby massage:

  • the backrest;
  • The lumbar area;
  • Buttocks;
  • Muscles and joints of the legs, foot massage.

You can use the following methods:

  • stroking;
  • Attrition;
  • knead;
  • Slap;
  • Blows to the back with the hand;
  • pluck;
  • to tremble.

Application of the Massage should be:

  • increased Tonus eliminate the muscles of the foot and lower leg;
  • help get rid of excess voltage;
  • weak muscles, strengthen the correct working of the entire muscle apparatus;
  • the blood supply to the muscles, ligaments, bones – it strengthens your diet, normalizes the growth and development of the lower extremities;
  • the cure in the early stages of the pathology.

In the case of a child under the age of 2 weeks, in this way, serious health problems, including dysplasia of the hip joints. In this case, the structural therapy is a specially-developed techniques to the point and vibration massage. With your help, the strain on the joints. Effect – improvement of circulation and pain disappear.

PHYSIOTHERAPY

The application of physiotherapy for Hallux-valgus deformation of foot in children disorders in the joints and heal and correct the disease in the early stages. Widely used:

  • Foot baths;
  • Wrap Stop waxed;
  • Electrophoresis with the application of calcium;
  • amplipulse therapy(effects on the body-sinusoidal currents, вырабатываемыми apparatus Amplipulse);
  • wearing the right shoes;
  • therapeutic swimming;
  • Remedial gymnastics;
  • magnetic therapy.

BEAUTIFUL AND USEFUL EXERCISES

In the early stages of the foot deformities in children, the implementation of the special exercises treated. To fix your regular use of almost all of the injuries helps in the joints. For these elements of the therapeutic exercises should be made daily. The purpose of the course is on exercise therapy individually, depending on the characteristics of the Deformation. The elements of the game, allow the child to meet the elements of the desired number of times.

Daily:

  • walk on toes and heels (first with raised, clenched the toes) for 5 minutes;
  • compress and decompress your toes sitting on the floor with your legs straight;
  • lifting of small objects;
  • barefoot walking on uneven ground (this can be at home on pebble ), and on the outer edge of the foot;
  • Scroll down pillow or a small ball of wood;
  • rotate the feet from left to right and Vice versa;
  • duck Stop without interruption from the floor.
Fiziolechenie

The child should:

  • walking on the narrow path – you can draw houses made of fabric or simply;
  • walk across the border on the road and in the summer, walking barefoot on earth, Sand, grass.

THE RIGHT SHOES IN THE TREATMENT IS VERY IMPORTANT

Wrong choice of shoes, over time, deform can dislocate the foot and the big toe. Quality shoes contributes to the normal development of the muscles of the foot. At the time of their selection must take into account:

  • Adaptation to the feet for convenience and comfort;
  • the production from natural materials;
  • no sharp lugs, and the heel in the shoes for a teenager.

The right shoes should have a closed hard heel, instep. Not allowed prolonged wearing of sandals without a fixed heel.

For the treatment of the foot, and special orthopedic devices are recommended:

  • Footbed;
  • The clamping piece;
  • Bandage;
  • Bus.

Walk OR Barefoot?

The best prevention of problems with the feet — barefoot. This has not only on a flat surface (the floor in the apartment), but also in the area. To run if there is no way a child of earth, grass, and various bumps, the Alternative of wall bars is, the parents buy and assemble in the nursery of the child. With him, all the muscles and ligaments of the foot to run when climbing. Recommended for the barefoot kids floor mats with convex elements, which you can buy in a children's store or an orthopedic cabin.

Gimnastika

IF IT IS REQUIRED, THE SURGICAL TREATMENT?

Curvature of the foot in childhood is conservative. Radical interventions will apply in the absence of the effect of the treatment in older children, if the base of the support and movement apparatus are already formed, there is no active growth of the bands. The surgical correction consists of several stages, surgery and a long Rehabilitation, in the fourth stage of the disease, if:

  • severe pain in the foot constantly interferes;
  • developed rigidity (stiffness) of the joint.

Types of direct surgery a lot. So the Operation is planned on the basis of the stage of disease of the foot, the presence of the adjustment angle of the limb.

POSSIBLE CONSEQUENCES OF HALLUX-VALGUS DEFORMATION OF foot IN CHILDREN

Bad feet lead to a change in the entire muscle-skeletal apparatus. It is with the unbalanced load. Occurs:

  • Shortening or deformity of the feet;
  • Osteochondrosis;
  • Scoliosis of different departments of spine.

The Child:

  • spoils gait;
  • impossible to physical stress (running, active games) because of the pain and inflammation in the joints.