TREATMENT OF VALGUS FOOT IN CHILDREN

Treatment of valgus feet in children 1 year of age and a little older leads to a favorable prognosis — the probability of full resolution of the problem approaches 100%.

Among the orthopedic diseases in children with change of foot is the most common pathology. Represents the curvature of the lower extremities on the inner side. Develops under the influence of various external and internal factors. The shape of the foot: the shifted axis, the heel looks on the outside, the internal surface of the foot inward, deformed fingers. When packed tightly between the knees distance between ankles is 4-5 cm

When detected late, in advanced cases of the disease in adolescence is a problem with the spine. Later treatment is started, the less likely a full recovery.

FACTORS THAT AFFECT THE DEVELOPMENT OF HALLUX VALGUS CHILDREN

Deformation of foot in children is a congenital abnormality or acquired disease. In all cases, it is in the wrong place at the stop in relation to each other. The changes lead to a large load, when walking, falls on the inner surface of the legs. The presence of symptoms in children up to 3 years, said that changes in the stage of pregnancy. The diagnosis made by the orthopedic surgeon after examination.

The factors that are the impetus for the development of the pathology are:

• the lack of food.
• the wrong diet;
• lack of vitamins and minerals in the body (lack of calcium and/or vitamin D), reflecting the fragility and softness of the bone tissue;
• at the beginning of a child stood on his feet;
• different pairs of shoes;
• often acute infection;
• injured ankle;
• prolonged immobility of the lower extremities, because it is plaster.

If the child starts early in the walk (up to 1 year) or it is forced to parents, in many cases, the foot is deformed. At an early age is the formation of ligaments, which often are not ready to load.

CAUSES OF FORMATION OF HALLUX VALGUS FOOT

Congenital malformations of the musculoskeletal system in children — strain, which develops during pregnancy in the mother, and appear after birth. The curvature of the case of congenital hallux valgus is very pronounced. This is due to the number of defects in individual parts of the musculoskeletal system, abnormalities in genes or chromosomes. Breaking the bones of the foot and its shape in the womb. The deformation of the stop can be seen already in the first month after the appearance of a baby into the world.

An example is the genetic disorder Edwards syndrome – abnormality of a specific chromosome, which is found in the heavy curvature of the legs is newborn stop rocking.

Other causes of congenital valgus foot, the child applies to several diseases, which are diagnosed in the first year of life:

• 80% of cases of connective tissue dysplasia, which is congenital hip injuries;
• myodystrophy;
• cerebral palsy;
• polio and other infections of the central nervous system;
• neuropathy – disease of the peripheral nerves.

The acquired form is the result of exposure to one or more factors after birth. Initially, the main reason is the poor equipment of the foot, which is contrary to its correct position. This condition is diagnosed in the first days after birth. The development of the pathology can affect:

• preterm or born small weight in the index;
• overweight in children;
• endocrine pathology (diabetes, hypothyroidism);
• metabolic disorders (osteoporosis, disorders of lipid and carbohydrate metabolism).

VISIBLE SIGNS OF PATHOLOGY

Foot pain at the end of the day – the most common complaint of a child with a deformity. Objectively the pathology manifested by the following common features:

• unsteady gait when walking from side to side;
• education is the only blisters;
• constantly divorced the fingers;
• difficulties, when you try to put your heels together.

Is determined by three types of disease:

1. Cross — file extension of the foot with the expressed tension of muscles and tendons responsible for straightening the fingers. This causes the child pain.
2. Longitudinal — shows change of gait, the shape of the foot (if palpation is difficult, pain), fatigue for a long stay on his feet because of discomfort and pain.
3. Combo.

Develop mainly two types of deformity:

• X-form (direct, tight knees the distance from the internal surface between the ankles is greater than 5 cm, leg as if the outward);
• varus – O-shaped.

THE EXTENT TO WHICH THE DEVELOPMENT AND SEVERITY OF THE DISEASE

There are four stages of disease:

• — Mild form of the disease characterized by a deformity of the foot is not more than 15°, treated well;
• Phase II — the curvature is not more than 20°, is used for the treatment purposes;
• III degree — deformation up to 30°, require long intensive therapy;
• Stage IV — severe – deviation from the norm is more than 30°.

PATHOLOGY OF THE GREAT TOE

Deformity of the big toe, can be a pathology. The curvature of the first toe is dependent on the degree of pathology. The fixation of bone is carried out using:

• physio-therapy;
• the installation of orthoses;
• action-method.

THAN AND HOW TO TREAT?

Repair changes in the legs in children is associated with restoration of the normal position of the joints, muscles and tendons in the legs. The goal of treatment is the opportunity to walk without pain and discomfort. Treatment must be comprehensive. The treatment of valgus feet of the child using:

• conservative;
• operational;
• the alternative method (osteopathy – you can cure almost anything, except for the genetically induced, disease).

Conservative includes:

• medication;
• kinesio therapy;
• rehabilitation department;
• physiotherapy.

MEDICATION

Medicines is X-shaped breach in the lower extremities is used to relieve the inflammation and pain in the joints. Nsaids (non-steroidal anti-inflammatory drugs) or corticosteroids has been demonstrated, which is the compulsive item. They are short-term, dangerous for children side effects.

NEW TECHNIQUES

Modern treatment is kinesio therapy is an innovative method for the treatment and prevention of diseases of the musculoskeletal system. It is based on the effects on the muscles by using a special tape – kinesio therapy. The method name consists of two words: "kinesio" means movement, "teip" – a real band. Is to apply a special tape of elastic material, adhesive, does not cause allergies. Method teip developed several years ago, Japanese dr. Kenzo KASE for the treatment of sports injuries. In the future, is the most common. Kinesio therapy with hallux valgus in children is widely used in recent years. This is due to the safety methods: when using the no limit, in mobility, pain, who do not have allergies.

The fabric, which is made teip:

• it is a structure of fibers;
• good air permeability;
• does not absorb sweat;
• does not cause pain or discomfort;
• does not hinder movement;
• not afraid of water – you can swim without removing the tape.

The right bonding teip speed up the recovery, joints, ligaments and muscles without any drugs that can stop the progression of pathological changes. This safe method will help:

• the cessation of the pain;
• to prevent further progression of the disease;
• the perfect cure.

Rules kinesio therapy:

• teip applies only to clean, dry skin;
• long-term use kinesiotype need the edges to make it round;
• after catching teip to the ground, activating it.

MASSAGE ACTION

Flat arch of the feet changes in the muscle tissue, which leads to disruption of blood circulation, and in the future – the development of irreversible processes. Therefore, massage is a necessary part of the treatment. This is one of the physiotherapeutic methods of influence. Special skills for its implementation is not needed, so you can do at home. The course is 10 sessions, if necessary, it is recommended to repeat every 3-4 months. The entire time of 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, his head. Movement and hand pressure is injured.

Baby massage:

• back;
• in the lumbar region;
• the buttocks;
• the muscles and joints in the legs, feet.

Use the following methods:

• stroking;
• rubbing;
• kneading;
• Pat;
• blow the back of his hands;
• stretched;
• shake.

The use of massage is:

• remove the increased tone of the muscles of the foot and lower leg;
• to help get rid of unnecessary stress;
• strengthen the weak muscles, which promotes decent work throughout the muscular system;
• improve the blood circulation in the muscles, ligaments, bones – it strengthens their power, and normalizes the growth and development of the lower limbs;
• to heal pathology in the early stages.

Baby less than 2 weeks, this method removes the most serious health problems, such as hip dysplasia. In this case, the structure-management has in particular developed the technique on and vibration massage. They help distribute the load on the joints. Feedback – to improve the blood circulation and the disappearance of pain.

Physiotherapy

Physical therapy hallux valgus in children allows to correct disorders of the joints and cure the disease at an early stage. Widely used in:

• foot bath;
• wrap to stop the wax;
• electrophoresis calcium;
• amplipulse therapy(effect on the body of the sinusoidal currents generated by the apparatus Amplipulse);
• wearing the right shoes;
• therapeutic swimming;
• physical therapy;
• the magnetic therapy.

A PLEASANT AND USEFUL GYMNASTICS

The initial stage of deformity in children is treated with special exercises. Their regular use helps to fix almost all diseases of the joints. Elements of medical gymnastics you have to do on a daily basis. The purpose of the physiotherapy course separately, dependent on the deformation. With elements of the game that the child can carry items many times.

The daily needs:

• walk on toes and heels (the first time out, and then packed in the toes) for 5 minutes;
• to compress and decompress the toes sitting on the floor legs extended;
• pick up small objects;
• walk barefoot on an uneven surface (this can be done at home stones ), the outer edge of the foot;
• roll the foot roller or small ball in the tree;
• rotate the foot from left to right and vice versa;
• squat without lifting feet on the floor.

The child needs to:

• walking along a narrow path – it can be done at home with fabric or just draw;
• walk the pavement in the street and in the summer, barefoot in the ground, sand, grass.

PROPER FOOTWEAR IN THE TREATMENT OF A VERY IMPORTANT

Mismatched shoes over time can change the shape of the foot and flexes the big toe. The quality of shoes conducive to the normal development of the muscles of the legs. When it is selected, you need to consider:

• compliance with the foot size, comfort and convenience;
• manufacturer of natural materials;
• no sharp nose and the heel of the Shoe teen.

A good shoe is a closed rigid heel arch support. Not be prolonged wearing sandals without a heel fixed.

Care of the feet is recommended a special orthopedic devices

• the insole;
• bracket;
• side;
• line.

WALK OR WALK BAREFOOT?

The best prevention of foot problems — walking barefoot. This must be done not only on a flat surface (the floor), but also terrain. If there is no possibility that the children run along the ground, grass, and various bumps, the alternative is the Swedish wall, where parents can buy and install nursery kids. He works the muscles and ligaments of the foot, while climbing. Recommend barefoot baby mat convex elements, which can be bought in baby store or in the orthopedic salon.

WHEN SURGICAL TREATMENT IS NECESSARY?

Treatment of club-foot in children is held by a conservative. Radical intervention is used when there is no effect on the treatment of older children, which is based on the musculoskeletal system is formed, there is no active growth on the ligaments. Surgical repair consists of several stages of surgeries and a long rehabilitation period, considered the fourth stage of the disease, when:

• severe pain in the legs constantly worried;
• develop rigidity (stiffness) of the joint.

Direct surgical intervention much. Therefore, the activities are designed on the basis of the extent of the disease, the mouth, the presence of the deviation angle of the limb.

POSSIBLE CONSEQUENCES OF HALLUX VALGUS IN CHILDREN

Sore feet leads to a change in the entire musculoskeletal system of the device. This is due to the fact that the uneven load. Occur:

• shortening or deformity and leg;
• osteochondrosis;
• scoliosis at different spine.

Child:

• deteriorate walking;
• it is absolutely impossible, exercise (Jogging, active games), because of the pain and inflammation in the joints.