THE TREATMENT OF DEFORMITIES IN VARUS-VALGUS OF THE FOOT OF THE CHILD

26 July 2018

The treatment of deformities in varus-valgus of the foot in the child at the age of 1 year and a little more leads to the favorable prognosis of the likelihood of completely eliminating the problem approaches 100%.

Between orthopedic diseases in children the change of foot is the most common pathology. Represents the curvature of the lower extremity in the inner part. It develops under the influence of different internal and external factors. Modifies the shape of the feet: moving of an axis, the heel looks to the outside, the inner surface of the foot inward, and deform the fingers. When densely compressed lap of the distance between tragus-to-wall is of 4-5 see

The delay in the identification, in the cases of the disease in adolescence problems occur with the spine. Of what later the treatment was initiated, the lower the probability of full recovery.

FACTORS THAT INFLUENCE THE DEVELOPMENT OF DEFORMITIES IN VARUS-VALGUS DEFORMATION OF THE CHILD

The deformation of the foot in children is congenital or acquired, of the pathology. In all cases, it is incorrect location of the stop towards the other. The changes mean that the base load to the walk falls on the inside surface of the foot. The presence of symptoms in children under the age of 3 years talks about the changes in the stage of the pregnancy. The diagnosis was orthopedic surgeon after a thorough examination.

The factors to consider are the impetus to the development of the pathology, are:

the lack of power;
is wrong diet;
the lack of vitamins and minerals in the body (deficiency of calcium and/or vitamin D), which leads to the fragility and the softness of your bone tissue;
early to rise the child on her feet.
incorrectly picked up footwear;
frequent optical character recognition;
injuries of the ankle joint;
the prolonged immobility of a lower limb due to the permanence in the plaster.

If the child begins very early to walk (up to 1 year) or force him to the parents, in many cases, the stop is deformed. At an early age is the formation of ligaments, which are often unwilling to a load.

THE CAUSE OF EDUCATION DEFORMITIES IN VARUS-VALGUS OF THE FOOT

Congenital anomalies of development of the skeleton-muscular apparatus of the children of deformation, which develop during the pregnancy of the mother, and is manifest after birth. The degree of curvature in the case of the innate deformities valgus deformation highly expressed. This is due to a variety of psychiatric and developmental disabilities of the different elements of the musculoskeletal system, abnormalities in the fetus ' genes or chromosomes. Violation occurs the location of the bones of the foot and its shape in the uterus. Deformation of the stop is already manifest in the first months after the onset of a baby to the light.

An example of the genetics of the violation is the edwards syndrome is an abnormality of a particular chromosome, in which the degree of curvature of the feet of a newborn – stop of the rocking chair.

Other reasons innate deformities in varus-valgus of the foot in the child is still a number of pathologies are diagnosed with the first few weeks of life:

in 80% of cases of dysplasia of connective tissue with a birth injury of the hip;
myodystrophy;
cerebral palsy;
polio and other infections of the central nervous system;
neuropathy – disease of the peripheral nerves.

Once purchased, the form is the result of the influence of one or several of the factors already after birth of the child. Initially, the main cause is the weak apparatus of the foot, so that there is a violation of their correct position. This condition is diagnosed in the first days after the birth of the child. In the development of the pathology can affect:

prematurity or birth of the small mass of the body;
the excess weight in the child;
endocrine pathology (diabetes, hypothyroidism);
metabolic (osteoporosis, disorders of fat and metabolism of carbohydrate).

THE VISIBLE SIGNS OF THE PATHOLOGY

The pain in the legs at the end of the day it is the most frequent complaint of a child, while the deformation of the feet. Objectively the pathology manifests itself in the following general characteristics:

unstable step as you walk from one side to the other;
the education in the sole of the callus;
constantly rearing of the fingers;
difficulties when trying to put the heel together.

It defines three types of diseases:

Cross — extension the department of foot, with a marked tension of the muscles and tendons, which are responsible for the extension of the fingers. This causes the child pain.
Longitudinal — is manifested in a change of gait, the shape of the feet (if the palpation pain appears), the fatigue of the long-term presence in the legs due to discomfort and pain.
Combined.

Develop, basically, two types of deformation of the feet:

X-form (direct compressed lap of the distance between the inner faces between the ankles more than 5 cm, the distance as if looking out);
varus – Of-way.

THE DEGREE OF DEVELOPMENT AND THE SEVERITY OF THE DISEASE

There are four distinct stages in the development of the pathology:

I — a mild form of the disease — is characterized by the deformation of the feet not more than 15°, well treated;
Stage II — curvature of up to 20° c, is applied to the therapeutic treatment;
Grade III — deformation up to 30°, requires a long intensive therapy;
Stage IV — heavy – deviation from the norm is more than 30°.

THE PATHOLOGY OF THE THUMB OF THE FOOT

The deformation of the thumb, the child may be independent of the pathology. The curvature of the first finger depends on the negligence of the pathology. Review of the bone is performed with the application:

ma physio treatment;
the installation of the orthosis;
operation of the method.

WHY AND HOW TO TREAT?

The correction of the changes feet of the children means the restoration of 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 deformities in varus-valgus of the foot of the child are used:

conservative;
online;
an alternative method (osteopathy – allows you to heal almost any type, in addition to the genetically conditioned, pathology).

Conservative includes:

pharmacological;
kinesiotherapy;
orthotics;
physiotherapy.

MEDICATIONS

Medications when X-figuratively of the violation of the lower extremities are applied to relieve the inflammation and pain of the joints. The reception of the nsaids (nonsteroidal anti-inflammatory drugs) or gcs is assigned to symptomatic end. Act briefly, are dangerous for the children of the body to the side effects.

THE NEW TECHNIQUES OF

The modern method of treatment is the kinesiotherapy — the innovative technique of treatment and prevention of diseases of the musculoskeletal system. Its basis is the impact on the muscles with the help of the special ribbon – kinesiotherapy. The method name consists of two words: "kinesiot" means the movement, "teip" – in reality the tape. Consists of placing special tape of elastic material in the base, which is not of the allergy. The method of teip designed several years ago, the japanese doctor kenzo kase for the treatment of sports injuries. In the future, has received a wide circulation. Kinesiotherapy when deformities varus-valgus deformation of foot in children is widely applied in recent times. This is due to the security of the methodology: when used, there is no restriction of movement, discomfort, do not produce allergies.

The fabric that is made teip:

has the structure of the fibers;
well passes air;
do not delay in the pot;
does not produce pain or discomfort;
not restricting the movement;
not afraid of the water – you can swim without having to remove the tape.

Correct gluing of the teip speeds up the recovery of joints, ligaments and muscles without the use of drugs, you can stop the progression of lesions. This safe method helps to:

the cessation of the pain;
prevent further progression of the disease;
the complete cure.

The rules of kinesiotherapy:

teip is fused with the skin clean and dry;
for more of a long-term use of kinesiotype must edges round;
after sticking teip crushed and, at the same time.

THE ACTION OF MASSAGE

To the plane of the arch of the soles of the feet changes the muscle tissue, which leads to the alteration of the circulation of the blood, and subsequently with the development of the irreversible processes. So the massage is an indispensable part of the treatment. This is one of the treatments of physical therapy techniques of exposure. Special skills for their execution, you do not need, so that you can make at home. The course is 10 sessions, if necessary, it is recommended to repeat every 3 or 4 months. The total realization time of a session is 20 to 30 minutes. It should start with a massage – the child in a lying position on the belly with the arms extended along the body with the hands and rotated to one side of the head. The movement and the pressure of the hands should cause pain.

The child to massage:

support;
lumbar area;
the buttocks;
the muscles and joints of the legs, the feet.

You use the following methods:

rubbing;
Swedish;
kneading;
a pat;
the blows with the back of the palm of the hand;
pinch;
to tremble.

The application of massage must:

fix increased tone of the muscles of the foot and the leg;
help to get rid of excess tension;
strengthen the weaker muscles, which contributes to the proper functioning of the whole muscular system of the device.
improve blood flow to the muscles, ligaments, bones, which reinforces its power, and normalizes the growth and development of the lower extremities;
the cure of disease in the early stages.

The child up to the age of 2 weeks in this way, we remove the most serious health problems, including hip dysplasia in the joints. In this case, it applies the therapy, is especially designed the methodology of a bitmap, and the vibration massage. With its help to redistribute the load on the joints. The result of the influence – improves the supply of blood and the disappearance of the pain.

PHYSIOTHERAPY

The application of physiotherapy with deformities in varus-valgus deformation of foot in children allows to correct the violations in the joints and cure the disease in the early stages. Are widely used:

foot baths;
wrap stop the wax;
the electrophoresis with the application of calcium;
amplipulse therapy(effects on the body sinusoidal currents, ovaries apparatus Amplipulse);
the use of proper footwear;
medicinal swimming;
therapeutic exercise;
the magnetic therapy.

PLEASANT AND USEFUL GYMNASTICS

In the early stages of the deformation of the feet of the child is to perform specific exercises. A regular use helps to correct almost all of the infractions in the joints. To do this, the elements of treatment of gymnastics it is necessary to do every day. The appointment of a course of physiotherapy in an individual way, dependent on the characteristics of the deformation. Include game play elements, so that the child can make the items as many times as you want.

Every day you should:

walking on tip toes and with the heels (first with high and then compressed with the fingers of the feet for 5 minutes;
compress and decompress the toes of the feet, sitting on the floor with the feet;
lift the small objects;
walking barefoot on an uneven surface (this can be done houses of cobble, ), on the outer edge of the foot;
bring the foot roller or a small ball of wood;
rotate the foot from left to right and vice versa;
put yourself in the place of stop of the floor.

The child must:

walking by the narrow path – it can be done in house fabric or draw;
walking on the sidewalk of the street, and in the summer barefoot on the earth, the sand, the grass.

RIGHT FROM THE SHOES ON THE TREATMENT IS VERY IMPORTANT

Incorrectly picked up shoes with the passage of time can deform the foot and twist the thumb in the leg. High quality shoes contributes to the normal development of the muscles of the feet. When the choice must take into account:

the compliance of size of the foot, the comfort and the comfort;
manufacture from natural materials;
the lack of sharp noses and heel in the shoe for the adolescent.

Correct shoes must have a closed, rigid in the heel, the template. Do not allow the prolonged use of sandals without the fixed heel.

For the treatment of foot it is recommended that special orthotics:

sole;
lock;
bandage;
the bus.

TO GO OR NOT TO GO BAREFOOT?

The best prevention of problems of the feet — barefoot. This should be done not only on a flat surface (the floor in the apartment), but because of the rugged terrain. If there is a possibility of a child running through the land, grass, and various hummocks, an alternative is the wall of sweden, which parents can buy and mount in the children's room of the child. With him working all the muscles and ligaments of the foot as you climb it. It is recommended to walk barefoot children floor mats with the signaling of the items that you can buy in the store of the children or orthopedic of the cabin.

WHEN IT IS NECESSARY TO SURGICAL TREATMENT?

The treatment of the curvature of the foot in childhood is celebrated conservative by. Radical intervention applied in the absence of treatment effect in the older children, when the base of the locomotor already formed, there is active growth of the ligaments. The surgical correction consists of several stages of the interventions and operational for a long period of rehabilitation, is carried out in the fourth stage of the disease, when:

intense pain in the foot constantly worry about;
develops the rigidity (stiffness) of the joint.

Species direct intervention of many. Therefore, the operation is planned in function of the rate of the disease of the foot, of the availability of the angle of deflection of the limb.

THE POSSIBLE CONSEQUENCES OF DEFORMITIES IN VARUS-VALGUS DEFORMATION OF FOOT IN CHILDREN

The sick of the foot changes the entire musculoskeletal apparatus. This is due to problems with the load. Occurs:

the shortening or deformation of the feet;
the osteochondrosis;
scoliosis of different departments of spine.

The child:

it spoils the gait;
are impossible of activity (jogging, active games) for the pain and inflammation in the joints.