THE TREATMENT OF HALLUX VALGUS IN THE FOOT OF THE CHILD

The treatment of hallux valgus in the foot of a child between the ages of 1 year and a little larger than door-to-favorable prognosis — the chance of a complete resolution of the problem approaches 100%.

Among the orthopedic diseases in children the change of the foot is the most common pathology. Is a deformation of the lower limb in the inner part. It develops under the influence of different external and internal factors. Changes the shape of the foot: move the axis, the heel looks on the outside, the inner surface of the foot towards the inside, deformed fingers. When stuck knee the distance between the ankles is of 4-5 cm

If you make the search, in the execution of cases of the disease in adolescence you experience problems with the spinal column. That then started the treatment, the less the likelihood of a full recovery.

FACTORS THAT INFLUENCE THE DEVELOPMENT OF HALLUX VALGUS IN A CHILD

Deformity of the foot in children is a congenital anomaly or acquired disease. In all cases it is wrong, the stop position with respect to the other. The changes lead to the fact that the load when you walk falls on their inner surface of the foot. The presence of symptoms in children up to 3 years speaks of changes in the phase of pregnancy. The diagnosis is made after orthopedic a careful examination.

Valgusnaya-deformatsiya-foot

The factors characterized impetus to the development of the disease, are:

  • the lack of power;
  • the wrong diet;
  • the lack of vitamins and minerals in the body (a lack of calcium and/or vitamin D), linked to the fragility and the softness of the bone tissue;
  • the early exit of a child standing;
  • wrong choice of shoes;
  • frequent ACUTE respiratory infections;
  • injury of the ankle;
  • the long immobility of the lower limbs due to being in a cast.

If the child begins to walk (at 1 year) or this will invite the parents, in many cases, the stop is deformed. At a young age occurs in the formation of tangles, which often are not willing to load.

THE CAUSES OF THE FORMATION VALGUS

Congenital anomalies of the osteo-muscular apparatus children — strain, which develop during the pregnancy of my mother, and manifest themselves after birth. The degree of curvature in the case of congenital hallux valgus very serious. This is associated with a variety of developmental defects of the individual elements of the musculoskeletal system, abnormalities of the fetus ' genes or chromosomes. A violation occurs of the position of the bones of the foot, and their forms in the uterus. Distortion stop is already manifest in the first months after the birth of the child to the light.

An example of a rupture genetic syndrome, Edwards – a certain anomaly of the chromosome in which it meets with heavy the degree of curvature of the foot baby – stop-rocking.

Other reasons of congenital valgus, the child still has a series of pathologies are diagnosed with the first weeks of life:

  • in 80% of cases, the dysplasia of the connective tissue with innate with a thigh injury;
  • myodystrophy;
  • cerebral palsy;
  • polio and other infections of the central nervous system;
  • neuropathy – disease of the peripheral nerves.
Deformatsiya-foot

Purchased shape — the result of the impact of one or more of the factors already after birth of the child. Initially the main reason — weak foot, because of this is a violation of its correct position. This condition is diagnosed in the first days after the birth of the child. For the development of the pathology can affect:

  • premature or the birth of a small mass of the body;
  • the excess weight of the child;
  • endocrine disorders (diabetes, hypothyroidism);
  • metabolism disorders (osteoporosis, disorders of fat and carbohydrate metabolism).

THE VISIBLE SIGNS OF PATHOLOGY

Pain in the legs at the end of the day – most frequent complaint of the child during the deformation of the foot. Objectively, the disease manifests itself with the following common characteristics:

  • unstable gait when walking from one side to the other;
  • training on sole calluses;
  • constantly fingers;
  • the difficulty when you try to put your heels together.

Defined three types of disease:

  1. Cross — extension of the forefoot with a marked tension of the muscles and tendons, which are responsible for the extension of the fingers. This causes the child pain.
  2. Longitudinal — shows change of gait, the shape of the foot (if palpation appears strong pain, the fatigue of the long walk because of pain and discomfort.
  3. Combo.

We mainly develop two types of deformities of the foot:

  • X-form (when the compressed knee the distance between the inner surfaces between the ankles is more than 5 cm, the foot how to look towards the outside);
  • varus – On-form.

THE DEGREE OF DEVELOPMENT AND THE SEVERITY OF THE DISEASE

There are four stages of development of pathology:

  • I — a mild form of the disease, is characterized by a deformity of the foot is not more than 15°, are well treated;
  • Phase II — bending of up to 20°, and applies a therapeutic treatment;
  • Grade III — deformation at 30°, requires a long, intensive therapy;
  • Phase IV — heavy – deviation from the norm is more than 30°.

THE DISEASE OF THE BIG TOE OF THE FOOT

Deformation of the big toe of the child can be self-pathology. The curvature of the first finger depends on the negligence of pathology. The correction of the bone is carried out with the application of:

  • physio treatment;
  • the installation of the orthotic;
  • the operating method.

HOW MUCH AND HOW TO TREAT?

Correction changes the stop in children involves the recovery of a normal position of the joints, muscles and ligaments of the foot. The goal of treatment — the ability to walk without pain and discomfort. The therapy must be integrated. For the treatment of hallux valgus in the foot of the child are used:

  • registrar;
  • operational;
  • an alternative method (osteopathy – вылечивать almost all, except for genetically conditioned, pathology).
Valgusnaya-deformatsiya-u-children of light

Conservative includes:

  • pharmacological;
  • kinesiotherapy;
  • orthotics;
  • physiotherapy.

DRUGS

Medicines for X-form of violation of the lower limbs are applied to relieve the inflammation and pain in the joints. Taking NSAIDS (nonsteroidal anti-inflammatory drugs) or CORTICOSTEROIDS given with symptomatic purpose. They act, briefly, are dangerous to the body of a child side effects.

THE NEW TECHNIQUES

A modern method of treatment is kinesiotherapy — innovative methodology of treatment and prevention of diseases of the musculoskeletal system. At its base, the effects on the muscles with the help of a special ribbon – kinesiotherapy. The method name consists of two words: "kinesiot" means movement, "teip" – in reality the tape. Consists in the application of special tapes, elastic material, adhesive, does not cause allergies. The method of the teip was developed a few years ago, a japanese medical Kenzo Cass for the treatment of sports injuries. Later it was widely spread. Kinesiotherapy when hallux valgus in children is widely applied in the last period. This is tied to the security of the method: when you use it lacks the limitation of the movements, the discomfort, do not experience allergies.

Lechenie

The fabric with which it is made teip:

  • the structure of the fibers;
  • good air permeability;
  • it does not trap the sweat;
  • it does not cause pain or discomfort;
  • there are no movements;
  • not afraid of water – you can swim without removing the tape.

The correct application of the teip speeds up the recovery of joints, ligaments and muscles without the use of drugs, may halt the progression of pathological changes. This safe method promotes:

  • cessation of the pain;
  • prevent further progression of the disease;
  • the complete healing.

The rules kinesiotherapy:

  • the teip superimposed only on clean and dry skin;
  • for long-term use of kinesiotype you need to make the edges round;
  • after the bonding of the teip earth, activating.

The ACTION OF MASSAGE

During the plain of the arch of the foot changes the muscle tissue, which leads to the rupture of the circulation and, in the future, the development of irreversible processes. So, massage is essential part of the treatment. This is one of the physiotherapy techniques of exposure. Special skills to perform, requires, then you can do it at home. The course is 10 sessions, if necessary, it is recommended to repeat every 3-4 months. The total time of carrying out of session – 20 to 30 minutes. It starts with a general massage – baby lying on belly with arms along the body with the hands and shot to the side of the head. The movement and the pressure of the hand should cause pain.

Massazh

Baby massage:

  • backrest;
  • the lumbar region;
  • buttocks;
  • the muscles and joints of the legs, of the feet.

The following methods are used:

  • caresses;
  • rubbing;
  • knead;
  • caress;
  • blows with the back of the hand;
  • tickling;
  • to tremble.

Application of massage must:

  • resolve increased tone of the muscles of the foot and leg;
  • help you get rid of excess voltage;
  • strengthen the weak muscles, which contributes to the proper functioning of all muscles;
  • improve the flow of blood to the muscles, ligaments, bones – strengthening their food, normalizes the growth and development of the lower limbs;
  • the healing of the disease in the early stages.

The child is under the age of 2 weeks with this method are resolved to the serious health problems, including hip dysplasia. In this case you apply the therapy structural is especially developed points, and vibration massage. With their help redistributing the load on the joints. The result-impact – improving the vascularity and disappearance of the pain.

PHYSIOTHERAPY

The application of physiotherapy with hallux valgus in children allows to correct disturbances in the joints and вылечивать the disease in the early stages. Are widely used:

  • footbaths;
  • wrap stop wax;
  • electrophoresis with the application of calcium;
  • amplipulse therapy(effects on the body синусоидальными current, вырабатываемыми machine Amplipulse);
  • wear suitable shoes;
  • medicine swimming;
  • therapeutic exercise;
  • the magnetic therapy.

BEAUTIFUL AND USEFUL GYMNASTICS

In the early stages of deformation of the foot of the child is the treaty of perform special exercises. Their regular use helps to solve almost all the joint problems. For this the elements of medical gymnastics it is necessary to perform all the days. The purpose of the course of individual THERAPY, depends on the characteristics of the deformation. Included are elements of the game for the child can perform the elements, the number of times you want.

Every day you need to:

  • walking on tip toes and heels (the first with raised arms, then squeezed the fingers of the foot) for 5 minutes;
  • compress and decompress your toes, sitting on the floor with the legs outstretched;
  • lift from the ground, small objects;
  • walking barefoot on an uneven surface (you can do at home to pebble ), on the outer edge of the foot;
  • roll the foot cushion or a small wooden ball;
  • rotate the foot from left to right and vice versa;
  • squat without lifting feet from the ground.
Fiziolechenie

A child is in need of:

  • to walk a narrow path – you can do it at home in fabric or just draw;
  • walking on the sidewalk in the street, while in the summer barefoot on the earth, sand, grass.

RIGHT SHOES IN THE TREATMENT IS VERY IMPORTANT

Wrong choice of shoes with the passing of time can deform the foot and contort a finger. Shoes promotes the normal development of the muscles of the foot. If the choice must take into account:

  • accordance with the size of the foot, the comfort and the comfort;
  • the manufacturer of natural materials;
  • also the noses sharp and of the heel of a shoe for a teenager.

Right shoes should have closed hard on the heel, footbed. It is not permitted long to wear sandals without a fixed heel.

For the treatment of the foot recommended special mattresses services:

  • insole;
  • still;
  • bandage;
  • the bus.

TO GO OR NOT TO GO BAREFOOT?

The best prevention of problems with your feet — walking barefoot. This must be done not only on a flat surface (the floor in an apartment), but also on rough terrain. If not the chance to the child to rush on the ground, grass, and various bumps, the alternative is back, which parents can purchase and mount in the bedroom of a child. Works all the muscles and ligaments of the foot during a wall for her. Are recommended to walk barefoot in carpets for children with the important items that you can buy in a shop or orthopedic well-being.

Gimnastika

WHEN YOU NEED SURGICAL TREATMENT?

Treatment of curvature of the foot in the pediatric age group carries on to the conservatives. Radical intervention apply in the absence of treatment effect in the older children, when the base of the system muscle-skeletal are already formed, there is active growth of the ligaments. The surgical correction consists of several phases of surgeries and a long rehabilitation period, which is held in the fourth stage of the disease, when:

  • intense pain in the foot constantly concerned about;
  • develops rigidity (stiffness), which is common.

Types of direct intervention many. Therefore, the operation expected according to the degree of disease of the foot, the presence of a deviation angle of a limb.

THE POSSIBLE CONSEQUENCES OF HALLUX VALGUS IN CHILDREN

The sick of the foot lead to a change in all of the osteo-muscular system. This is due to the non-uniform load. Occurs:

  • shortening or deformity of the foot;
  • low back pain;
  • scoliosis the different departments of vertebral column.

The child:

  • deteriorates gait;
  • become impossible, physical exercise (jogging, active games) because of the pain and inflammation in the joints.