Diseases Of The Musculoskeletal System

Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, rehabilitation, treatment without surgery, exercise, massage

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Common disease is a valgus foot deformity in children. Pathology is visible to the naked eye, but you can look at photos of the deformed foot, if necessary, to diagnose the disease. At the first signs should see a doctor.

The content of the article:

  • 1 Valgus deformity - what is it?
  • 2 Causes of valgus deformity of the foot and the big toe
  • 3 symptoms
  • 4 At what age is shown
  • 5 When you need to see a doctor
  • 6 Diagnostics
  • 7 the degree of pathology
  • 8 Foot baths
  • 9 Physiotherapy
    • 9.1 electrophoresis
  • 10 Massage
  • 11 Physiotherapy
  • 12 medicines
  • 13 What kind of shoes to choose
  • 14 Is it possible to completely cure without surgery
  • 15 When needed surgical correction
  • 16 How to conduct operations in children
  • 17 Rehabilitation after surgery
  • 18 Consequences if not treated
  • 19 Videos about valgus deformity of the foot

Valgus deformity - what is it?

Staging walk is incorrect if the following features:

  1. Reducing the height of the arch.
  2. The curvature of the axis of the legs posing in the cross direction resembles the letter H.Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massage
  3. A child rests on the foot, which goes inside.
  4. insta story viewer
  5. Sloppy and clumsy gait.
  6. Pain when walking.
  7. Deployed outside the heel and toes.
  8. When connecting the legs to the knee area in place of the ankle will span more than 4 cm.

Hallux valgus are subject:

  • Feet;
  • fingers;
  • knee-joint.

Causes of valgus deformity of the foot and the big toe

Valgus foot deformity in children (photo captures the essence of pathology) developed for the following reasons:

  • diseases that have appeared due to viruses - acute respiratory, inflammation of the lungs;
  • muscle hypotonia in the field;
  • malfunction of the locomotor system;
  • obesity;
  • violation of mineral metabolism and bone formation;
  • premature babies to term;
  • a child on his feet before the recommended time;
  • way of life, which is characterized by low mobility;
  • bad heredity;
  • neuromuscular disease - cerebral palsy, polio, myodystrophy;
  • diabetes;
  • malfunction of the thyroid gland;
  • chronic diseases of the intestinal tract;
  • vitamins overabundance entering the body;
  • mineral deficiency;
  • flat feet;
  • damage in the muscles, joints, ligaments;
  • shoes or improper;
  • abnormal development of tissues or body parts;
  • uncoupling the articular surfaces of the femoral head;
  • scoliosis;Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massage
  • weak connective tissue.

The disease develops as a result of a sprain, which is fixed on the inside of the joint. Sometimes internal muscles develop faster than the outer elements. Intraband joint portion increases, and the outside decreases. This leads to the development of a defect in the structure.

symptoms

The features characteristic for the disease:

  1. The child can not put heels together, and when viewed from the back, from the ankles legs in different directions.
  2. Clearly visible curvature of the legs.
  3. Children are no different activity, they are characterized by fatigue.
  4. There are unpleasant sensations in the legs when walking and in the spinal department.
  5. When the child stands, it rests on the inside of the foot.
  6. By the end of the day swollen feet, possible seizures.
  7. With the side legs review remind knee grasshopper, they seemed to bend back that says about the weakening of the ligamentous apparatus.
  8. On a shoe heel brought down, and the inside of the bottom excessively worn.
  9. Is heard shuffling on the ground, and the gait becomes awkward and clumsy.

At what age is shown

Valgus deformity of the foot (photo attached) can be congenital and acquired forms. When a child is growing properly in the womb, we are talking about congenital disorders. At external examination is diagnosed in 2-3 months.

For the acquired form is characterized by abnormal development of muscles, joints and the whole locomotor system. The pathology appears to 2-2.5 years, when the child begins to move more actively. The initial changes are already noticeable to 1.5 years.

When you need to see a doctor

The primary symptoms - a reason for immediate treatment to the doctor, because the pathology is evolving rapidly.

Diagnostics

Valgus foot deformity in children (photo below indicates the stage at which it is necessary to consult a doctor) is determined by the district pediatrician. To confirm the diagnosis, need inspection traumatologist orthopaedist.

Appointed a number of studies:

  • ultrasound of the joints;
  • X-ray projection in 3 planes;Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massage
  • foot print preparation via plantography;
  • determination of the length of the foot, the width and height to determine the rate of change of the longitudinal arch of the foot - podometrics.

To see the condition of the tissue, to study the ligaments, muscles of the ankle and the shin bone, carried ultrasound joints.

X-rays show the location of the feet side by side, a possible reduction or violations in the arrangement of the stop sections:

  • rear;
  • front;
  • average.

Podometrics need to identify the load distribution on the foot. When there are no clinical signs, diagnosis, this helps to find pathological changes. Plantography verifies foot print on morphological parameters. On the basis of the received image is established diagnosis.

the degree of pathology

There are several stages of the disease:

  1. Step 1 - correction needed orthopedic insoles and shoes. Tolerance - 15 degrees.
  2. stage 2 - permissible departure from the norm - up to 20 degrees. As treatment needed: physiotherapy, massage, special exercises, paraffin therapy, electrophoresis.
  3. stage 3 - the deviation of the interior of - 25 degrees. Combined therapy: physiotherapy, massages, exercise, foot mud baths, wearing shoes and orthopedic insoles, receiving vitamins, magnetic therapy, acupuncture, therapeutic swimming.
  4. The final stage - a deviation of more than 30 degrees, which is solved generally surgically.
    Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massage
    Stage valgus deformity in children

In some cases, appointed painkillers.

Foot baths

Foot baths is useful to do at each level of pathology. The treatment improves the tone of muscles and ligaments. Bath better to take 2 hours after a meal and an hour before going to bed with a decoction of herbs. They have a relaxing and tonic effect.

Baths made with chamomile, burdock root, sea salt, coniferous concentrate.

To prepare sufficient 1 tsp grass collecting 250 ml water. The broth is added 1 tsp baking soda. For the salt bath should be taken 1/3 Art. salt in 10 liters of liquid. Is based on a standard baby bath is put 3 tablespoons salt. It should be free of flavorings and colorings. The optimum water temperature - 36-37 degrees.Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massage

Foot baths do with the use of blue clay, it is added to water and diluted to the consistency of sour cream. The resulting mixture is added to sea salt, a few drops of turpentine.

To relieve pain, swelling and inflammation are recommended baths with salt and iodine. To 1 liter of water have 3 tablespoons salt and 10 drops of iodine. Duration of procedure - 20-30 minutes. massage mat is recommended to put on the bottom to enhance the effect and walk on it. The course of treatment - about 2 weeks, the procedure is carried out in a day.

Physiotherapy

Valgus foot deformity in children diagnosed at different stages.

Photo you can understand the degree of complications and choose one of the types of physical therapy:

  1. Massage - mechanical and reflex effects on areas of the body. The muscles of the lower limbs are strengthened, toned up and stabilize. It improves blood circulation, normal growth, and increased appetite.
  2. electrophoresis - electrotherapy method by which the body is subjected to an electrical pulse.
  3. Special exercises - gymnastics.
  4. phonophoresis - treatment with ultrasonic waves, which arrive through medicines.
  5. air baths - dosed impact air on naked body.
  6. compresses - dry and wet healing dressing.
  7. Cryotherapy - treatment with cold.
  8. myostimulation - impact on the current muscle with low power.
  9. aeropiezotherapy - effects on the high or low pressure.
  10. Acupuncture - the introduction of needles into acupuncture points of the body.
  11. Physiotherapy - physical exercise.
  12. manual therapy - the impact of the therapist's hands to the body.
  13. Swimming - water release excessive load on the bone system and joints. The process itself strengthens muscles.
  14. magnetotherapy - magnetic waves.
  15. taping - superimposition of special elastic bands that support the muscles and tendons. The technique removes the pain, prevents progress of the disease. Possibly a complete cure.

electrophoresis

The essence of the procedure is that with the electric current drug ions penetrate through the skin, mucous membranes, entering the body.Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massage

Treatment is prescribed on the basis of:

  • age,
  • medical history;
  • stage of the disease.

There are a number of contraindications:

  • fever;
  • cancerous growths;
  • disorders of the heart;
  • cerebral ischemia;
  • skin diseases;
  • pregnancy;
  • wounds, cuts;
  • allergy;
  • bleeding tendency and problems with coagulation;
  • purulent and inflammatory processes;
  • unstable blood pressure.

For the procedure you require:

  • 2 diapers - one under his feet, the other from the top;
  • elastic bandage;
  • medications;
  • gauze or filter paper.

The liquid is warmed to room temperature. As the treating agent used is usually 'Eufillin "calcium and phosphorus. Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massageElectrical currents have a stimulating and warming effect, contributing to the penetration of drugs. Duration of treatment - 3-10 minutes. The course of treatment is prescribed individually.

Massage

Valgus foot deformity in children (photo tells the degree of complication) corrected massages. For this auspicious cool and fresh air without drafts, you need a cream or massage oil.

exercise the principle:

  • in the back - gently smoothed, starting from the waist finishing the neck;
  • in the gluteal zone permissible light patting, rubbing and strokes;
  • Foot massage starts from the thigh to the lower leg. Necessary quality razrabatyvanie muscles to the skin became rosy hue;
  • Feet pounded on the heel to the toes. The procedure finishes with light stroking.

Course Duration - 1 month, sessions of 10-15 minutes. Massage improves blood flow to the legs of the child. After the onset of 2 years, doctors prescribe only a foot massage.

Physiotherapy

Children older than 2 years old suitable physiotherapy. Therapy helps:

  • to overcome the curvature of the legs;
  • get rid of the deformity;
  • strengthen muscles and ligaments;
  • normalize the blood flow to the lower portions of the body;
  • relieve pain, heaviness and fatigue;
  • to give the correct form of the feet.

It is established that the daily physiotherapy promotes the complete disposal of the disease by 1 and 2 stages.

Doctors recommend to do the following exercises:

  • Walking on orthopedic carpet and grass, sand or gravel. Displaying do exercise in the morning and evening. Stepping on the mat with his bare feet under the supervision of an adult.Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massage
  • Bicycle. Podiatrists soveyut buy kids from 2-3 years 3-wheeled transport. With this foot muscles are activated and strengthened their vault. Permissible imitation bicycle.
  • Caterpillar. Suitable for children of school age. The child sits on a chair, puts the foot completely on the floor, flexing the fingers, feet should move forward and backward. The required amount - 7-10 times on a daily basis. At school children can do the exercise right at the desk.
  • They are scattered on the floor pens, and the child must collect their toes.
  • Walking on toes, such as ballet dancers do.
  • The kid has to go straight, with primary emphasis on the outer part of the foot.
  • Squats, in which the knees are divorced, not the heel off the floor, and the toes apart.
  • On the sand or in the water drawn patterns fingers legs.
  • Exercise frog. Baby feet bend in knees drawn to her stomach and turn outwards. At the end of the child's body returns to the usual position.Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massage
  • Walking along the curb or a board width of 15 cm, can not go over the edge.
  • Sitting in the lotus position.
  • Foot massage baby prickly ball.
  • Walking on gymnastic stick to socks and heels touching the floor.
  • Imitation goose movement.
  • Walking, placing his feet Christmas tree.
  • The rotation of the feet, drawing a circle.
  • feet stroking one another from the bottom up.
  • Lifting and lowering of the body shell with a child holding hands. The legs remain straight.
  • Performing squats while standing on a gymnastic stick.

The course of treatment is prescribed after a full diagnosis and diagnosis.

medicines

Drug treatment is indicated when:

  • Disease formed due to rickets or giperavitaminoza - prescribers, adjusts metabolism, fortifying and biostimulating;
  • with a strong pain syndrome appointed anesthetizing ointments and gels - Voltaren Emulgel, FID, Ibuprofen;
  • at elevated temperature - Paracetamol, Nurofen;
  • preparations leading into the joints during exacerbation - Hydrocortisone, Diprospan.

Drugs relieve pain and inflammation in the joints, but with their help it is impossible to get rid of the disease.

There intraarticular administration. Of the most common drugs:

1. diprospan - it has anti-inflammatory, anti-allergic and immunosuppressive effect. Produced in transparent vials in form of suspension. The dosage is determined individually depending on the disease, its severity and possible reactions. Standard dose - 2.1 ml.Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massage

Side effects:

  • Blood pressure drops;
  • hiccups;
  • flatulence;
  • inflammation of the pancreas;
  • dizziness;
  • pain in the head;
  • depression;
  • sleep disturbances;
  • disruptions of the menstrual cycle;
  • diabetes drug.

2. Alflutop - stimulate the recovery process, reduces inflammation, relieves pain. Produced in a solution for injection in ampoules made of dark glass. The standard dosage - 1-2 ml. Side effects: skin irritation, recurring increase in pain.

What kind of shoes to choose

Valgus foot deformity in children (photo suitable footwear is easy to find on the Internet) provides a variety of special shoes:

  1. The back should be high and hard.
  2. Reinforced sidewalls to leg in a straight position and did not go to hand.
  3. The leg is firmly fixed in the shoe.
  4. Orthopedic supports.

For children with pathology need shoes with laces or Velcro to any leg (thin or full) is well fixed in the shoe.

It is worth paying attention to the following:

  • practical shoes made of genuine leather;
  • thick sole presence of a non-slip material;
  • modified elongated heel that controls the lowering of the inside of the legs.Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massage

Correctly chosen insole supports further division limbs. A special model - the EP-2, which is perfect when valgus.

Podiatrists recommend wearing corrective shoes 4-6 hours a day.

The shoes should be comfortable, broad, with a heel not higher than 4 cm. Developed special clips (tires) who dress in the sleep period. Doctors advise to eat right and keep active.

We have proved the following brands of shoes:

  1. Kotofey - manufacturer - Yegoryevsk. The company produces shoes for all seasons. Dimensions - from nursery to teenage series. Occasion - from casual to dressy. Shall be warranted for goods - 30 days. Natural materials used for manufacturing.
  2. Artemon - own production in Moscow. Produced under the label Akvella. It has certificates complex orthopedic shoes. Shown at ICP, ploskovalgusnoy foot deformation. Range of sizes - from 24 to 40.
  3. Minimen - Turkish shoes. Produce all kinds of footwear, including orthopedic line. Sizes from 18 to 39.
  4. Ortopedia - Moscow-based company with 10 years of experience. Made shoes that comply with all the norms of natural materials. The manufacturer offers not only corrective shoes, but also prevention.
  5. Rabbit orthopedic - shoes from the manufacturer from Moscow. Natural materials used in the manufacturing process. Sizes from 17 to 40.
  6. LAS Ortho - Moscow companyWhich produces shoes for children and adults. Own production. Certifications and quality tests. 10 years of experience.
  7. Ortofoot - manufacturer - Kiev. The company produces insoles antivalgusnuyu antivarusnuyu and shoes.

Is it possible to completely cure without surgery

Light stage disease do not require surgery, but will have to carry out a systematic daily work on baby foot correction.

To avoid surgery follow guidelines:

  • mandatory operation of orthopedic shoes,
  • reception of medicines;
  • massage, physical therapy, mud, air foot baths, electrophoresis;
  • the use of special inserts, rolls, proofreaders.

The essence of conservative treatment - elimination of symptoms, to prevent the disease developing.

When needed surgical correction

The indication for surgery is the inefficiency of therapeutic treatment and pronounced functional disorders. When the degree of curvature is gaining momentum, is assigned to surgical correction.

How to conduct operations in children

During the operation changing joint angle, thereby changing physiological bone location. The doctor may adjust the tension of the ligaments of the foot and ligaments will support and stabilize the joints. Operation is selected depending on the disease, diagnosis.Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massage

During the recovery period required physiotherapy, the use of orthopedic insoles and appropriate footwear.

Following surgery, it is important to follow the recommendations of the attending physician.

The main stages of operation:

  1. Create conditions for joint stiffness.
  2. Regulated foot deformity reshaping, bone size.
  3. Bone fragments are fixed by using titanium plates. Sometimes damaged joints is replaced by an implant.
  4. Area cosmetic surgery is closed suture, sterile dressing is applied.

Rehabilitation after surgery

At 1 day after surgery, be sure to stay in bed to develop joints, can could move his toes.

On day 3, you allowed to get up and walk, using a brace. It relieves the burden of the foot.Valgus foot deformity in children with the thumb. Photos, what it is, extent, causes. Surgery, exercise, massage

The hospital must be located about 2 weeks. Without orthosis you can walk after 6 weeks. Full rehabilitation occurs after 4-6 months. After this period allowed sports and high-heeled shoes.

Possible swelling in the foot and ankle surgery, continued for 3 months. To reduce swelling cold packs shown. In the supine position the legs should be at a height of (is enclosed cushion or pillow).

At the stage of recovery is important to follow the doctor's recommendation not to move the latch. Tissue heal faster and recovery is more effective if carried out regular massage, medical gymnastics and physiotherapy.

Consequences if not treated

Valgus deformity of the foot does not pass on their own.

Pathology can cause the following diseases:

  • change the length of the limbs;
  • flattening of the arches of the foot;
  • deformation of the pelvis;
  • degenerative changes in articular cartilage;
  • scoliosis;
  • changes in the ankle and knee joints.

Sometimes severe degree of disease leads to disability.

Pathology - valgus deformity of the foot - is complex and not always amenable to conservative treatment (photo difficult cases presented), but in children is relatively frequent.

Registration of the article: Vladimir the Great

Videos about valgus deformity of the foot

Elena Malysheva tell about hallux valgus feet:

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