Treatment of valgus feet in children in the age of 1 year and a little older leads to a favourable prognosis — the probability of full resolution of the problem approaches 100%.
Among the orthopedic diseases in children the change of foot is the most common pathology. Represents a curvature of the lower limb in the inner side. Develops under the influence of various external and internal factors. The shape of the foot: the shifted axis, the heel looks to the outside, the inner surface of the foot inward, deformed fingers. When tightly compressed knees distance between ankles is 4-5 cm
When detected late, in advanced cases of the disease in adolescence have a problem with the spine. The later treatment is started, the less likely a full recovery.
Deformation of foot in children is a congenital anomaly or acquired disease. In all cases, it is the wrong location of the stop relative to each other. Changes lead to the fact that the main load when walking, falls on the inner surface of the foot. The presence of symptoms in children up to 3 years says about the changes at the stage of pregnancy. The diagnosis is made by an orthopedic surgeon after a thorough examination.
The factors that are the impetus for the development of pathology include:
If the child begins early to walk (up to 1 year) or it is forced parents, in many cases, the foot is deformed. At an early age is the formation of ligaments, which often are not ready to load.
Congenital malformations of the musculoskeletal system of children — strain that develop during pregnancy in mom, and appear after birth. The degree of curvature in the case of congenital hallux valgus is very pronounced. This is due to a variety of defects of individual elements of the musculoskeletal system, abnormalities in genes or chromosomes. Breaking the bones of the foot and their shape in utero. Deformation of the stop is already apparent in the first months after the appearance of a baby into the world.
An example is the genetic disorder Edwards syndrome – abnormality of a particular chromosome, which is found heavy the degree of curvature of the foot is newborn stop rocking.
Other causes of congenital valgus foot, the child applies a number of pathologies, which are diagnosed in the first weeks of life:
The acquired form is the result of exposure to one or more factors after birth. Initially, the main reason is the weak apparatus of the foot, which is a violation of its correct position. This condition is diagnosed in the first days after birth. On the development of the pathology can be affected by:
Foot pain at the end of the day – the most common complaint of a child with the deformity. Objectively pathology manifests the following common characteristics:
Is determined by three types of disease:
Develop mainly two types of deformity:
There are four stages of disease:
Deformity of the big toe, there may be pathology. The curvature of the first toe is dependent on the extent of pathology. The correction of the bone is carried out using:
Correction changes of the feet in children involves restoring the normal position of the joints, muscles and ligaments of the feet. The goal of treatment is the possibility of walking without pain and discomfort. Therapy must be comprehensive. For the treatment of valgus of the foot the child uses:
Medical drugs in an X-shaped breach of the lower extremities are used to relieve inflammation and pain of the joints. The NSAIDs (non-steroidal anti-inflammatory drugs) or corticosteroids is assigned with symptomatic target. They are short-term, dangerous for children side effects.
Modern treatment is kinesiotherapy is an innovative method of treatment and prevention of diseases of the musculoskeletal system. It is based on the effects on the muscles by using a special tape – kinesiotherapy. The method name formed from two words: "kinesiot" means movement, "teip" – the actual tape. Is to apply a special tape of elastic material adhesive, does not cause allergies. Method teip developed several years ago a Japanese doctor Kenzo KASE for the treatment of sports injuries. In the future is widespread. Kinesiotherapy with hallux valgus in children is widely used in recent years. This is due to the safety methods: when using no restriction of movement, discomfort, not having allergies.
The fabric from which is made teip:
The correct gluing teip speeds up the recovery of joints, ligaments and muscles without the use of drugs that can stop the progression of pathological changes. This safe method helps:
In the flat arch of the feet changes muscle tissue, leading to disruption of blood circulation, and in the future – to the development of irreversible processes. Therefore, massage is an indispensable part of the treatment. This is one of the physiotherapeutic methods of influence. Special skills for its implementation is not required, so you can make at home. The course is 10 sessions, if necessary, it is recommended to repeat every 3-4 months. The total time for one session is 20-30 minutes. We should start with a General massage – the child lying down on stomach with stretched along the body hands and turned sideways with his head. Movement and hand pressure must hurt.
Use the following methods:
The use of massage must:
The baby in under 2 weeks this method eliminated the most serious health problems, including hip dysplasia. In this case, structural therapy is a specially developed technique of spot and vibration massage. With their help, redistributed the load on the joints. Feedback – improve blood circulation and disappearance of pain.
The use of physical therapy in hallux valgus in children allows to correct disturbances in the joints and cure the disease in its early stages. Widely used:
In the early stages of the deformity the child is treated with specific exercises. Their regular use helps to correct almost all the disorders in the joints. The elements of medical gymnastics you need to perform daily. The purpose of the physical therapy course individually, dependent on deformation. Included elements of the game that the child can carry items many times.
Mismatched shoes over time can deform the foot and bend the big toe. Quality shoes contributes to the normal development of the muscles of the foot. When it is selected you need to consider:
Proper shoes must have a closed rigid heel arch support. Not allowed prolonged wearing of sandals without heel fixed.
For the treatment of foot recommended special orthopedic appliances
The best prevention of problems with feet — walking barefoot. This must be done not only on a level surface (floor), but also on rough terrain. If there is no opportunity for the child to run along the ground, grass and different bumps, the alternative is the Swedish wall, which parents can buy and mount in the nursery of the child. He works the muscles and the ligaments of the foot while climbing on it. Recommended for walking barefoot baby mats with convex elements, which can be bought in baby store or orthopedic salon.
The treatment of club-foot in children is held by a conservative. Radical intervention is used when there is no effect of the treatment of older children, where the basis of the musculoskeletal system is formed, there is no active growth of ligaments. Surgical correction consists of several stages of surgeries and long rehabilitation period, is held on the fourth stage of the disease when:
Direct surgical intervention much. Therefore, the operation is scheduled based on the degree of disease of the foot, the presence of the deviation angle of the limb.
Sore feet lead to a change in the entire musculoskeletal apparatus. This is due to the uneven load. Occurs: