Plana hallux of the foot in children — how to avoid the consequences?

Plana hallux foot the child is a serious pathology, which treatment should be selected individually. Once the baby starts walking, passes a small window of time before his walk will cease to be awkward and insecure. But some adults notice that their child continues to clumsily step on the inner surface of the foot. This defect is called valgus foot.

General information about the disease

Experts note that for the deformation characterized by the lowering of the arch of the foot and the axis of the limb becomes X-shaped. Heel and fingers unfold out, lowered middle part of the foot. The campaign becomes awkward, and a little when walking quickly gets tired and complains of leg pain.

Visible signs of pathology

Knowing what is valgus foot in children, parents can check whether there is defect at the crumbs. To do this, the child should stand up straight and impact the knees. In this position, the distance between the edges of the ankles must be more than 5 cm.

Some symptoms are visible when walking:

  • the baby does not occur on the whole foot, but only on the inner part;
  • foot X-shape;
  • awkward gait uncertain steps;
  • shuffling feet when walking;
  • fatigue during walk.
Curvature

All of these symptoms (except the first two) can be seen in children who are taking their first steps. But with the development of skill while walking, as a rule, all the symptoms disappear. Another thing, if the kid has long walks alone, and the last symptoms left. Do not panic, but to show a baby the doctor must.

Causes Plana hallux defect

There are two forms of the disease — congenital and acquired. Signs of children under 3 years indicates that in utero changes. But the origin of the disease in children over the age of finds the doctor, based on the results of their surveys.

The reasons influencing the development of the defect include:

  • mechanical damage to the foot injury;
  • chosen the wrong size and uncomfortable shoes;
  • infectious disease suffered by the child;
  • poorly developed joint and muscle tissue, not allowing to keep the foot in correct position
  • rickets, after which the bones weaken, which affects the change of the feet;
  • disorders in the endocrine system;
  • unbalanced diet (lack of minerals and vitamins).

To clarify the reasons for the development of valgus of the foot are doing the correct research, then the doctor picks up further treatment.

The extent of the disease

There are 4 degrees of valgus disorders that differ in severity of occurrence and the severity of the defect:

  • First degree. Normal angle of deflection of not more than 15 degrees. At this stage, the pathology responds well to conservative treatment methods.
  • Second degree. The deflection angle does not exceed 20 degrees. This condition is successfully corrected by massage, gymnastics, physiotherapy.
  • Third degree. The deflection angle not more than 30 degrees. Defect correction is difficult, treatment is quite long, but with proper therapy, persistence of parents and doctors, the prognosis is favorable.
  • Fourth degree. A deviation from the norm exceeds 30 degrees. In this case the conservative treatment fails, surgical intervention.

As can be seen, the first two stages of the disease respond well to conservative treatment — correction is quite simple and not lengthy. With the third and fourth degree much more complicated.

Diagnosis of valgus flat foot

Diagnose a disease from a child orthopedic surgeon. Diagnosed on the basis of examination and assigned additional tests, which include computer plantography, x-rays of the feet, podometry. If the diagnosis is made without these studies, you should consult another doctor.

Often children with valgus pathology sent for a consultation with a neurologist to rule out problems with the Central and peripheral nervous system. Once found all the causes which result in deformation of the feet, the doctor sets the type of lesions according to etiology:

Crooked legs
  • The deformation is static. Such a loss is detected when incorrect posture.
  • The structural deformation. In this case, the defect is congenital causes. Usually when this curvature stop the talus is located correctly with a deviation in direction.
  • Compensatory deformation. The baby happens of the functional deformation of the foot with a shortened Achilles tendon and chamfered legs.
  • Deformity correction. This defect occurs if a child is improperly treated or not treated with conventional flat feet.
  • Spastic nervous strain. The reason for the curvature — incorrect operation of the cerebral cortex. As a result, there are frequent spasms of the extremities.
  • Deformation nerve. Usually a consequence of complicated by encephalitis or polio, transferred in early childhood.
  • Corruptio est instabilis. Formed in rickets.
  • The consequences of the injury. To changes of the foot can cause fractures of the bones of the foot (the ankle), torn ligaments, injuries to hip and thigh.

Treatments

Treatment of PLANO-valgus of the foot in a child is chosen depending on age and degree of deformation. If pathology is congenital, that is used for special studies. If you find disease, splints carry out the installation, fixing of dressing or splint, which are fixed limbs. The locking element is selected by the doctor-orthopedist. Acquired defect of the foot can be corrected comprehensively.

Baths

The positive therapeutic effect achieved by a number of procedures. Important role in treatment and have a foot bath. For the procedure required water temperature is about 40 degrees. In warm water add sea salt. In this treatment solution the baby's legs should be 30 minutes.

To enhance the action in a container of water, put the massage pad and ask him to walk on it. The procedure strengthens the muscles without undue stress on the foot. At first glance this process seems useless, but when used regularly to cure foot possible.

Massage

Massage — a method that also aims to release tension in the muscles of the muscles and ligaments become elastic and strong. It promotes the normal development of the limbs and improve circulation.

Massage with Plana hallux the feet starts from the back, then a massage of the lower back and buttocks, then the legs to the feet. Let's consider the stages of therapeutic massage:

The movements are smooth and pumping, is directed along the back to the neck. Then bent fingers rubbing your back, one hand moving up and the other down. Complete back massage rubbing movements.

The spine and perform massage of the lower back.

The gluteal region, to stroke the back party of fingers or perform light Pat.

Foot massage from thigh to knee dimples, then the entire back of the leg stretch.

Calf flexing and relaxing movements, rubbing, shaking.

Special attention should be given to massage. Rubbing and stroking the groove between the toes and the heel.

Physical therapy

In addition to the baths and massage, the doctor may prescribe other supplemental procedures. Usually in valgus the foot is recommended:

  • boots or ozocerite baths;
  • wax wrap;
  • swimming treatment;
  • electrophoresis;
  • Exercise;
  • acupuncture;
  • magnetic therapy;
  • an application of mud;
  • walking barefoot on pebbles, sand, Mat.

Physiotherapy

To strengthen the effect of massage will help special exercises that you can do at home:

  • rotate your feet inward;
  • flexion of the back side of the foot;
  • flexion of foot and toes;
  • grip soles small toys, pens, pencils (doctors suggest to draw with a pencil that holds the feet);
  • the rotation of the feet.

In order to be sure of the correct exercise, it is recommended to attend a specialist. And then, given the intricacies of all the exercises you can do at home without assistance.

Special shoes

Massage

Shoes with hallux valgus defect must be orthopedic and meet some of the requirements:

  • Hard, high boots — side part and the heel should be stiff and high. It is necessary for a tight fit talus-calcaneal and ankle.
  • Adjustable and comfortable fasteners that firmly lock the foot, but it can't hurt.
  • The upper edge should be soft.
  • The presence of heel and right sole. Orthotics in the heel called "Thomas heel" — its interior length of the outer 1.5 times.
  • Genuine leather outside and inside, the surface of the insole is smooth.
  • Size of orthopedic shoes should be selected so that the difference between the length of the insole and the foot length was not less than 1 cm and not more than 1.5 cm Medical shoes easy to adjust to any completeness of any foot and leg lift.

Purchase of orthopedic shoes must be in a special shop or the orthopedic salon. She just bought a new one. You cannot use someone else's shoes, and orthopedic shoes are deformed with the features of the foot.

To wear such shoes, it is recommended not only on the street but at home. Wear it helps to relieve excess load on the muscles, proper support of the foot and the formation of a correct gait.

Surgical treatment

In advanced and severe cases are shown in Plana hallux the feet in children, surgical treatment. There are several types of surgical intervention. But the essence of any operation is the cutting of the ligaments or the attachment of ligament to the bone so that her mobility was minimal.

Surgery is rarely carried out against children. Usually in most cases positive results can be achieved through preventative measures.

First and foremost, parents should carefully monitor the gait of their child, and in what position is the foot. When the first signs of the defect and when in doubt, you need time to respond and consult a doctor. In the first year of your baby to visit a podiatrist should be 2 times a year.

Subject to certain rules it is possible to prevent the development of disease:

  • No need to save on shoes for kids. It should be comfortable and chosen strictly on size. Should not buy shoes with soft, thin sole.
  • To teach your baby to exercise from early childhood. Gymnastics promotes strengthening of immune system, bones and muscles. In the day to practice it in about 15 minutes.
  • Massage course must be held 2 times a year.
  • A beneficial effect on the feet has a walking orthopedic Mat.
  • Allow the baby walk barefoot on sand, grass, small pebbles. If possible once a year to bring the child to the sea.
20.08.2018