The stopped stop deformation (PVD) or the heel of valgen is a common disease in childhood.Curvin can have serious consequences in the future - the pathology of the musculoskeletal system, if you do not apply preventative measures, do not consult on time.The initial stages are good for treatment, the baby's feet reach the right condition and do not create problems for the baby and his parents.
What is valgus deformation of the foot in children
Valgus leg in children looks like an X-shaped arrangement of the child's legs relative to each other.The internal ankles are in contact and the heels are located further from each other than normal.When walking, the child steps on the inside of the foot.In most cases, the deformation is diagnosed by the appearance of the foot and the clumsy gait.The baby moves uncertain when walking hesitates and quickly tires.All these symptoms are found at home in the early stages of the disease.
Valgus the foot should not be confused with valgus, which puts the lower limbs.In this state, the child's legs are not acquired by X-shape, but O-shaped.In newborns, valgus is not a pathology if the curvature remains after the first steps (the main sign of the disease is clubfoot), doctors prescribe gymnastics, anti-boots, massage.If the child continues to continue clubfoot, the leg and legs are prescribed.
Causes and forms of the disease
Valgus deformation of the feet in children has two variations: congenital and acquired forms.The first is formed before birth, in the womb the appearance of the second is associated with imperfection, improper development of the musculoskeletal system and the weakness of the connective tissue.The disease is associated with frequent diseases, such as acute respiratory viral infections, pneumonia, bronchitis.
In premature babies, Valgus dystrophy of the foot develops with intrauterine hypotrophy.As a result of neuro-muscle diseases (mydistrophy, cerebral palsy, polio, polyneuropathy), muscle hypotension, the child may also receive deformation of the valgus of the legs.Other causes are obesity, dysplasia or congenital thigh dislocation.
Valgus deformation degree in a child
The disease in children occurs in four stages of development.The easiest is the first degree, the deviation from the norm is from ten to fifteen degrees, which is easy to adjust.The second degree is characterized by a deviation of 15-20 degrees, it is treated a little more complicated.If the angle of slope of the foot to each other is about 20-30 degrees, we are talking about the third stage of the development of the disease.In this case, the correction will be longer.
The fourth stages of deformation are the most difficult.The deviation of the legs from the norm is in this case more than 30 degrees, the pain occurs in the area of the joint of Shoparov - near the ankle.The child is prescribed complex therapy as the initial stage of treatment of the disease.If this option does not bring the effect, deformation of the legs is corrected surgically.
Valgus foot treatment in a child
According to Dr. Komarovsky, Valgus' foot is a frivolous disease that is easily treated.The pediatrician is of the opinion that one of the main causes of the disease is the early placement of the child on the feet - earlier than seven months.Komarovski recommends from the second month in a suitable form to give the child vitamins to prevent rickets.The doctor advises walking in an orthopedic carpet used in therapeutic exercises.
The first step to treatment is timely definition and diagnosis of the problem.In the case of contact with a child's doctor immediately in the first stage, only therapeutic treatment will be successful, in more advanced cases you cannot do without the intervention of the surgeon.The diagnosis is made on the basis of podometre - measuring the size of the foot, platography - studies of foot soles of the soles of the legs, ultrasound.
Orthodox, traumatologists deal with such diseases.The therapeutic method of the Valgus foot in a child is eliminated by electrophoresis, electrical stimulation of the lower leg muscles and stopping, magnetic therapy with the help of special equipment.An additional but important procedure will be a regular massage of the legs, back, lumbar and gluteal areas of the joints and muscles of the legs.At the initial stage, wearing orthopedic shoes helps.The following methods are very effective:
- Ozokerite;
- paraffin;
- Sea salt baths or healing mud;
- magnetotherapy;
- Diadynamic;
- Exercise therapy (physiotherapy physical education);
- Amplipulus
Baths
The procedure is useful for improving muscle tone, relationships.To prepare the bathroom, one third of a glass of sea salt is required, ten liters of water is required at room temperature.Then plant the child for 15 minutes in the bath to the waist.The procedure should be performed every other day for a month, the whole course is repeated every four months.You cannot swim in such a bathroom.
Physiotherapy
Electrophoresis is effective in the treatment of flat legs and club.It is important to use medication suitable for age and to perform the procedure according to a particular scheme.During the procedure, the product without injections and tablets is delivered to the correct place: applied to the dressing and applied to the legs.After connecting the current at a certain frequency and power for 3-10 minutes.
Wax (paraffin) or ozochet boots are very effective in such a diagnosis.The method is contraindicated in the heart, diabetes, pathologies of the blood vessels.Paraffin works well on the legs, heating gradually expands the capillaries, heals tissues, enhances blood flow, improves metabolic processes.Inflammation, muscle cramps are perfectly removed with wax boots.
In addition to exercise therapy, doctors prescribe swimming classes: such physical activity is enjoyable for the baby, has a beneficial effect on the muscles, bones and joints.Tibetan treatment methods are considered effective - acupuncture, pharmacopuncture, certain massage techniques.As an additional method, doctors prescribe magnetic plasters, a tool from Chinese medicine.
Massage
Massage improves blood circulation, stimulates tissue nutrition, which increases muscle tone.You should not choose a particular technique on your own: it is recommended by your doctor.The main focus of the massage is placed on the muscles of the calf, flexors and extensions of the legs.The procedures can be performed by specialists or at home after consultation.
The baby lies on the abdomen, with his back on the table or bed, his legs hang, a pillow is placed under the bottom.They begin to massage from the back with their hands on the spine from the lower back to the neck, and then turn into friction with the tips of the fingers.To complete the back massage, it must be suppressed.In the same way, the lumbosacral massages the area, then moves to the buttock massage.
The dot of the ass taps the waist, then rub them with the back of your fingers.At the end you have to go back to caress.The legs first caress, then go to the hips, mix the muscles of the posterior surface of the leg.After the legs, patties and struck in conclusion.The massage of the legs by analogy begins and ends with a leak, between them the heels are rubbed, mixed.
Exercise
In the treatment of Valgus in children, it is useful to walk with different objects: balls, toys between the legs on surfaces with a needle or stone shape.The installation of Valgus on the stop is well cured of a complex of exercises: jumping on the spot with wide legs sitting in this position, but you cannot stand for so long.Between your exercises, rest to relax your baby.A treadmill in the form of accounts perfectly affects the strengthening of the sole of the legs.
All exercises are aimed at developing the work of the foot, its bones and muscles.To do this, you can perform pencil items: Roll on the floor with your feet, try to lift your feet with your fingers.Walk with your child sequentially on the heels, socks, the outer edge of the foot.Other exercises are related to squats, turns, bending of the backs of the legs, and soles.Larger children can be more complicated:
- Ask the child to get smooth, to lift socks upwards, turning them inside.
- Bend your legs in a sitting position, then lift your heels from the floor synchronously and alternatively.
- With sliding movements, take the legs to one leg along the lower legs, try to fasten it.
Orthopedic shoes
Flat leg legs in children require a certain orthopedic shoe that will keep the baby's legs in the right position.All shoes of this type should have a stable heel with support for an opponent, a high hard back and a shoe.The fixing of the legs should be clear, the heel is at an altitude, slightly larger than the rest of the foot: such a height will be to prevent the development of flat legs.Orthopedists are advised to buy the right street and home shoes.
Orthopedic insoles will be an alternative if you buy different options for therapeutic shoes, do not allow finances: they are more functional and more expensive.Like orthopedic shoes, the insoles are only chosen with a specialist, as the liner's boards are represented in a huge variety.They are popular:
- Detorsion Ortiz P-3;
- Orthopedic lining P-5;
- Children's Ortiz P-8;
- Fta lining with flat leg P-16;
- Talocral group with hard key P-19.
Surgery
Surgical intervention is required with a congenital vertical arrangement of the RAM bone or the shortening of the tendon achilles.With vertical RAM, in addition to the operation, the combined DOBBS methodology helps.The foot is first occupied in the correct position with the help of gypsum dressings, after which the collision that collides is fixed with knitting needles and complete percutaneous achillomy is done with the imposition of plaster for eight weeks.
After removing the gypsum, ERIT is prescribed (bar-physical-physical to take the legs with boots), then orthopedic shoes.Types of possible surgery:
- Reception section of the collision joint;
- Collision arthrodesis;
- Transplantation of long muscle tendon transplantation;
- Other arthroplastic surgeries.
Valgus foot prevention in a child
Deformation of the legs in children develops if the parents put the child on their feet for up to seven months.The following methods must be carried out to prevent the development of a valgus foot in the child:
- Massage from the first months of life.
- Regular gymnastics to strengthen muscles and ligaments.
- Healthy diet, fresh food.
- The use of vitamin D, which has a positive effect on the child's muscles and prevents the development of rickets.
- The baby should be size.
- Conducting regular walks.
In addition, doctors advise not to charge the child's legs for up to 7-8 months and regularly conduct preventive examinations of orthopedists and neurologists at the age of three, six and twelve months.The shoes should not be orthopedic, but the correct insole and the correct setting of the legs inside the trunk will prevent the appearance of flat legs or club.