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Orthopedist treatment of flat feet in children

14 Jul 18

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Flat feet - what is it?

Flatfoot is a disease characterized by deformation of the foot. Currently, 45% of the entire adult population is affected by the disease.

According to the nature of development, the following are distinguished:

  • longitudinal flatfoot – flattening of the longitudinal arch of the foot;
  • transverse flatfoot – flattening of the transverse arch of the foot.
  • In rare cases, flat feet in children are congenital.

    The disease develops as a result of changes in the shape of the arches of the feet. Causes of flat feet:

  • hereditary factor, weak bones, muscles of the feet, legs, excess weight, sedentary lifestyle, wearing uncomfortable shoes or high-heeled shoes (static flat feet);
  • fractures of the ankle, foot, calcaneus (traumatic flatfoot);
  • consequence of rickets (rickets flatfoot);
  • consequence of poliomyelitis (paralytic flatfoot).
  • Symptoms of flat feet

    Symptoms characteristic of flat feet in adults and children are:

  • rapid fatigue of the legs when walking;
  • feeling of heaviness, cramps, swelling in the legs at the end of the working day;
  • shoes quickly wear down and wear out on the inside;
  • high-heeled shoes cause discomfort for women;
  • increase in the width of the foot (transverse flatfoot) or length (longitudinal flatfoot);
  • pain in the hips, legs, lower back.
  • It is easier to prevent a disease than to deal with the consequences.

    To determine how to treat flat feet, an orthopedic doctor conducts the following studies:

    Treatment of flat feet

    Treatment of flat feet will help to completely get rid of the disease only in childhood. Treatment includes:

  • massages;
  • manual therapy;
  • physiotherapeutic procedures;
  • wearing orthopedic shoes;
  • therapeutic exercises;
  • foot baths;
  • surgical intervention (for severe deformation of the thumb).
  • Treatment of flat feet in children is the same as treatment in adults.

    If you do not determine how to cure flat feet, there is a risk of complications, including the following:

    At risk are:

  • women (especially pregnant women);
  • overweight people;
  • people leading a predominantly sedentary lifestyle;
  • people whose professions involve standing for long periods of time (waiters, hairdressers).
  • To prevent flat feet, patients are recommended to:

  • often walk barefoot on grass, sand, or uneven surfaces;
  • ensure correct gait;
  • do exercises that strengthen the muscles of the lower leg and foot;
  • choose high-quality shoes with good arch support;
  • Avoid staying in the same position for a long time.
  • Komarovsky about flat feet in children

    Dr. Komarovsky says the following about flat feet in children: 80% of parents worry about this topic in vain, and unscrupulous manufacturers of various drugs for the treatment of pathology profit from parental illiteracy. The golden rules of a famous pediatrician regarding the prevention and treatment of flat feet, which parents can take into account.

    Flat feet is a foot deformity in which the arches are flattened, shock-absorbing properties are impaired, and internal systems and organs suffer. At school age, flat feet are diagnosed in 40% of children.

    How to avoid such deplorable statistics - Dr. Komarovsky claims that if from birth one hour a day is devoted to stress on the muscles of the foot, flat feet will not form.

    Evgeniy Olegovich is a well-known pediatrician, candidate of medical sciences, doctor of the highest category, TV presenter of the author’s program “Doctor Komarovsky’s School.”

    According to medical research, pathological foot disorders are divided into 2 types - congenital flatfoot and acquired. Each form must be treated without fail in order to avoid serious consequences - scoliosis, rickets, varicose veins, clubfoot, and changes in gait.

    According to Evgeniy Olegovich, a child’s foot is formed before the age of 12, and therefore it is quite possible to correct flat feet before this period without expensive treatment and surgery.

    Congenital curvature of the foot occurs during fetal development and progresses under the influence of certain factors:

  • Deficiency of vitamins and microelements in the mother’s body;
  • Bad habits – smoking, alcoholism;
  • Diabetes;
  • Endocrine disorders.
  • Such a curvature of a child’s foot can be noticed at 2 months of life; it is important to remember that the pathology is rapidly progressing, and in advanced cases, even surgery will not be able to give the desired result.

    Acquired deformity is often associated with mistakes made by parents in the development of the child’s musculoskeletal system - obesity, lack of activity, early getting on their feet (incorrect use of walkers), purchasing shoes without arch support, unfair treatment of the identified pathology.

    Dr. Komarovsky urges parents not to panic, because all children have flat feet, and if the load on the legs is properly organized, then as they grow up, the musculoskeletal system will normalize.

    Incorrect development of the arch of the foot is detected in children after 3-5 years of age; the disorder can be suspected by the child’s clubfoot, when when the baby walks, emphasis is placed on the outer or inner part of the foot. Shoes wear out more on one side than the other. Only an orthopedist can make a correct diagnosis.

    Treatment of hallux valgus is aimed at strengthening the ligamentous apparatus, foot muscles, and proper formation of the arch. Among the methods for correcting a child’s foot are the following methods:

  • Daily gymnastics - walking on massage mats that imitate an uneven surface, rotating the feet in different directions, bending/extending the fingers, rolling toys on the floor, grasping small objects with the toes, drawing on paper, walking in a “duck step”;
  • Foot massage to eliminate swelling and pain. Doctor Evgeniy Olegovich is skeptical about this procedure, considering it useless at the stage of treating flat feet; it is better to organize the active activity of the toddler, and use massage as a tool for satisfying and relaxing the body;
  • Physiotherapy - electrophoresis, currents, magnets, to increase muscle tone, strengthen tendons, improve blood flow;
  • Wearing high-quality shoes - durable soles, breathable insoles, arch supports, stable heel, rounded toe, comfortable fit. The size of shoes for growth should not exceed 12 mm. An orthopedist can prescribe individual orthopedic insoles for a child to treat and prevent flat feet;
  • Walking barefoot on grass, pebbles, sea sand;
  • Complete nutrition to provide the growing body with the necessary vitamins and microelements, necessarily calcium and vitamin D.
  • Komarovsky says about the treatment of flat feet in children: “The best pastime for a child is active games, and if you do not provide a TV and tablets in return for this, then the child will not have problems with the development of his feet.”

    The ideal solution for the prevention of pathology is a wall bars, where you can walk on a log or climb a ladder. Parents can also add devices for pulling up, to strengthen the abdominal muscles and activate the entire motor system.

    If flat feet are detected in a child at 2 years of age and preventive measures are taken by the age of 5, the disease can be completely eliminated without the use of medications and surgical agents.

    If flat feet are detected late and proper medical care is not provided, then the disease can cause curvature of the spine, problems with the pelvis, and the cervical region of the central nervous system. In the future, the patient may find himself in a wheelchair.

    Flat feet in children according to Komarovsky is a banal foot deformity, but if parents are negligent it can lead to irreversible consequences.

    Treatment of flat feet

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    Doctors diagnose “flat feet” when the foot loses its normal height and becomes flatter.

    For a person, such changes threaten many problems, because due to disturbances in the position of the bones, depreciation during movement worsens.

    Simply put, the smaller the bend, the greater the load on the joints and spine when moving. It is they who are responsible for absorbing shocks, which very quickly leads to wear and tear of fabrics and joints.

    Flat feet are expressed in painful and unpleasant sensations in the legs - from the tips of the toes to the hips, as well as in the lower back.

    As a rule, due to disturbances in the rise of the foot, first of all, the ankle, knee and hip joints begin to suffer, and the natural curvature of the spine is disrupted.

    In both children and adults, flat feet can lead to the development of vascular complications, for example, varicose veins (in adults).

    You should not let the development of the disease take its course - in the later stages, irreversible consequences are possible.

    It is worth remembering that in particularly difficult cases, treating flat feet is impossible without the help of a surgeon.

    Flat feet: main types of pathology

    Disorders can be either congenital or acquired.

  • In the first case, the cause is an intrauterine malformation of bone tissue.
  • In the second case, violations may result from an injury (foot or ankle fracture), heavy loads, or previous diseases (rickets, polio, paralysis).
  • Doctors, based on the structural features of the foot, use a slightly different classification and distinguish three types of pathology:

  • longitudinal, characterized by flattening of the longitudinal arch of the foot;
  • transverse flatfoot, when the height of the transverse instep is reduced;
  • combined – a case when the disease is complicated by two types of disorders.
  • To independently determine violations (especially the longitudinal type), just look at your own footprint - for example, on sand or loose earth. At home, just wet your feet and walk on newsprint.

    An important condition is to stand straight, resting entirely on the entire surface of the foot. There is no need to roll, transfer weight from toe to heel and back.

    Ideally, the footprint pattern should contain two separate parts - the heel and toe.

    If your flatfoot is not strong, there will be a small bridge along the outer side.

    The more pronounced the pathology, the thicker and larger it is.

    Main causes of flat feet

    Typically, a broken arch is the result of a combination of factors. First of all, this is a violation of muscle tone and ligament strength. Similar phenomena occur with low human activity, sedentary work and lack of regular physical exercise.

    As a result, the foot simply does not work as nature intended, and under the influence of circumstances it begins to “sag” (longitudinal type of pathology).

    The second reason is strong pressure on the lower limbs. This is possible if a person is overweight - in addition to strong pressure on the arch of the foot, extra pounds deteriorate the shock-absorbing properties and wear out the joints faster. High load can also occur during pregnancy - in this case, the weight of the fetus and amniotic fluid significantly increases the risk of disorders.

    Of course, a hereditary factor cannot be ruled out: in some patients, doctors note a genetic predisposition, manifested in the form of weak ligaments and muscles of the foot, and less often, changes in bone tissue.

    In everyday life, flat feet are “earned” by wearing incorrectly selected shoes:

  • too tight
  • in high heels,
  • without anatomical insole.
  • In addition, injuries (bruises, fractures, sprains and tears of ligaments, damage to muscle fibers) and serious illnesses (primarily rickets and polio) can provoke the first stage of arch dysfunction.

    Typical symptoms and manifestations of flat feet

    The first warning sign should be pulling and pain in the lower extremities after exercise, walking (including in heels), and also at the end of the working day. Flat feet can also manifest themselves in the form of cramps and heaviness.

    In the later stages, pain is felt not only in the lower legs, but also in the hip joints and lower back. Very often, such symptoms are accompanied by headaches and nervous breakdown.

    At the first signs of deviations from the norm, you should consult an orthopedist.

    Symptoms of flat feet are very easy to confuse with varicose veins, so a specialist should carry out the diagnosis and prescribe adequate therapeutic measures.

    At home, it is very easy to make a mistake: for example, if the veins are dilated, massage may be contraindicated.

    Degrees of flat feet: how pathology develops

    Depending on the degree of change in the foot, doctors distinguish three degrees of flat feet.

    Degree 1. Very difficult to diagnose at home. A slight omission looks like a cosmetic defect, or is even accepted as a minor deviation from the norm. Pain occurs only as a result of prolonged exertion (for example, after a long hike) and quickly disappears after rest.

    As a rule, the bones at this stage of the disease are not deformed, and the height of the foot can range from 25 to 35 mm.

    Degree 2. Height violations are already visible to the eye. A person’s gait changes, the gait becomes heavy, and clubfoot often occurs. The pain when moving spreads all the way to the knee and does not go away for a long time.

    The instep height can vary from 17 to 23 mm, and the surface of the foot is significantly deformed.

    A. transverse flatfoot grade 1-2 b. longitudinal flatfoot 1-2 degrees

    Degree 3. Disturbances in the structure of the foot entail a decrease in the functionality of the entire musculoskeletal system. Due to poor shock absorption when walking, pain occurs in the joints and muscles, and the knees and lower back begin to ache. The spine has to take on additional functions, resulting in an increased risk of diseases such as scoliosis, osteochondrosis, and herniated discs.

    The pain in the third stage is acute and sharp, the ability to engage in physical activity is reduced to zero.

    In order to simply move around, a person already needs special orthopedic shoes, individually tailored.

    The surface of the foot is greatly deformed: calluses and corns appear, the toes change in length and shape, and the heel bends outward. Lifting height – less than 17 mm.

    Treatment methods for flat feet

    Doctors recommend correcting the instep defect as early as possible. The fact is that in adult patients it is impossible to return the foot to its natural state. Yes, there will be improvements, but you shouldn’t expect a full return of functionality.

    The situation is different in children - at their age the bones and ligaments are mobile, and therefore flat feet can be completely cured.

    For children, doctors select special correction methods that painlessly return the feet to the standard state.

    Treatment of flat feet in adult patients

    After diagnosis, you should not delay the prescribed procedures, since each passing year reduces the likelihood of a favorable outcome.

    People cannot live without movement, and even a sedentary lifestyle puts stress on the feet. As a result, the deformation only intensifies every day.

    All methods of improving the health of adult patients come down to reducing pain and restoring muscle tone and ligament strength.

    In the first case they worked well

  • physical therapy (physical therapy),
  • physiotherapy (electrophoresis, massage, magnetic therapy, phonophoresis),
  • medicinal baths.
  • The instructions given by the doctor must be followed exactly, especially for individual exercises and massage. Regular exercise can strengthen ligaments and increase muscle tone in a short time.

    In some cases, special orthopedic insoles are used to treat flat feet, which must be used at any opportunity.

    Due to their shape, they evenly distribute a person’s weight and have a shock-absorbing effect when walking.

    If we are talking about transverse flatfoot, surgical intervention cannot be avoided. During the operation, a small bone is removed, tendons are transferred, followed by osteotomy of the bones and correction of the deformity and arch.

    This correction is quite traumatic, so more modern methods of intervention have been used recently.

    In particular, the surgeon, through certain manipulations (corrective osteotomies), changes the transverse elevation and angle of convergence of the bones, which leads to a harmonious redistribution of the load on the feet and ligaments.

    Recovery after surgery requires time and physical therapy. It is necessary to strengthen the muscle fibers and joints so that in the future the foot can work as naturally as possible.

    For overweight patients, as well as people leading a sedentary lifestyle, doctors prescribe diets and additional activity. All this allows you to relieve stress from your legs and spine, and therefore improve your overall well-being.

    A. appearance of the foot before surgery, b. foot after surgery.

    What is the basis for treatment of flat feet in children?

    Surgery in childhood is very rare. As a rule, pathology can be corrected with the help of insoles, shoes and various bandages (especially in the case of transverse flatfoot).

    It is very important to pay attention to the tone of the muscle fibers - it is their weakness that, first of all, entails disturbances in the height of the foot.

    Physiotherapy, therapeutic massages, exercise therapy, hardening, walking barefoot on stones, grass and other uneven surfaces - all this increases blood flow in the lower extremities, develops tendons and muscle tissue. Contrast baths have proven themselves well - dousing them with cold and warm water alternately.

    It is very important to choose the right shoes for children - children should only walk on a flat, smooth floor with their shoes on!

    The sooner parents notice the first symptoms of flat feet and contact an orthopedist, the higher the chance of full recovery. Progress is impossible without the attention and care of adults.

    Prevention of flat feet in adults and children

    Doctors say that preventing the occurrence of flat feet is much easier than curing it.

    Therefore, adults who spend most of the day on their feet are advised to take regular breaks, during which they do special exercises.

    In addition, while working, you should carefully monitor the position of your legs - your feet should be parallel, thereby evenly distributing your body weight.

    Massage has a good preventive effect: you can knead the limbs with your hands or using special massage devices. If possible, it is recommended to remove your shoes and walk barefoot on the lawn, lawn, beach, paths and massage mat.

    Particular attention should be paid to the choice of shoes: for the sake of fashion or momentary desires, you should not buy shoes that do not fit, are too loose or tight, and cause discomfort when worn.

    A special orthopedic insole will be a useful acquisition - in addition to evenly distributing body weight across the foot, it also helps to improve its shock-absorbing properties.

    In children, prevention must begin from the first days of life. Firstly, you should listen to the advice of doctors - preventing rickets, vaccinations against polio, as well as measures aimed at treating neurological diseases will help in the fight against flat feet.

    As soon as the baby begins to walk, parents should purchase well-fitting shoes. The heel should be hard and high - it is better to save all kinds of straps for older children. It is necessary to have an orthopedic insole inside – it will help the baby’s foot develop correctly.

    Whenever possible, children should be allowed to go barefoot - running on the lawn, beach, or street is very useful. On flat and smooth surfaces (for example, the floor in a house), it is better for children to walk in shoes. Recent studies have shown that the risk of developing flat feet is three times lower in those who regularly run barefoot.

    For older children, special gymnastics are used: walking on their toes and heels, the outer and inner surfaces of the feet, jumping, raising their heels, rolling small balls or sticks. Simple exercises not only develop muscle fibers, but also strengthen ligaments and improve blood circulation.

    Don't waste your time and money! Don't risk your health!

    Contact a qualified orthopedist at the first symptoms of the disease. In our clinic we will help you quickly get rid of your illness.

    Flat feet in children - treatment at home

    Every parent dreams of seeing their child healthy. And when their baby takes his first steps, they ask questions about how to avoid flat feet. Let's find out everything about this disease, how to treat flat feet in children at home, consider its types and causes.

    All about flat feet in children

    Deformation of the foot due to lowering of its arches (longitudinal or transverse) is called flat feet.

    Types of flat feet in children:

  • longitudinal flatfoot - expressed by the fact that the longitudinal arch of the foot becomes flat, and the foot is in almost complete contact with the floor. The foot increases slightly in length.
  • transverse flatfoot - expressed by compaction of the transverse arch. The foot becomes a little smaller.
  • longitudinal-transverse - expressed in modification of both arches of the foot.
  • flat-valgus feet - when the height of the arches is reduced and their axis is curved. If you look at the child’s feet, you can visually draw an “X”.
  • The diagnosis of “flat feet” can be given to children only after 3-5 years. Until this age, the arch of their feet is weakly expressed and is physiologically normal.

    Important! When examining children up to three years old, this diagnosis could be applied to 90% of those examined, and up to two years old - to 100%. Full formation of the foot ends at 8-9 years.

    1. Flat feet in children of the 1st degree - we can say the normal condition of the foot at the age of one to three years. It does not bother you, it is equally developed on both legs, it does not require treatment, you only need to take preventive measures.
    2. Flat feet of the second degree are very rare. It is expressed by pain when moving. Mandatory treatment is required, otherwise severe forms may subsequently develop.
    3. The third degree is a rare phenomenon; most often it is a congenital defect, which can occur on either two or one leg. Expressed by severe pain when moving. Accompanied by diseases of the musculoskeletal system.
    4. How to determine flat feet in a child worries every parent. This is not difficult to do, just watch your baby.

      Important! Your always active and mobile baby began to complain of pain in his legs after playing or walking, you should pay attention to this, perhaps this is the first sign of illness.

      While playing, he tries to sit more and more often, gets tired faster, avoids active games, running, his legs and shoes should be examined. If a child is over three years old and his arches have begun to harden or the shoes he wears are not washed evenly, the inside of the shoe is more worn out, go to the doctor.

      Also pay attention to his gait, if he is clubbing - he puts his feet so that his toes point outwards or when walking he puts his feet on the inner arch of the foot, this is a reason to go to an orthopedist. And only he can confidently make or refute the diagnosis.

      Often the older generation advises checking a child for flat feet using a simple method - lubricate the feet with oil and place them on paper. After it sits for a few minutes, look at the marks. This method cannot be used on children; the result may be erroneous.

      The causes of flat feet are:

    5. congenital - when weak ligaments and weak muscles are inherited;
    6. acquired - the most common cause of the disease. It can occur due to a sedentary lifestyle when the foot does not have enough load.
    7. The child must climb the wall bars, slides, and all kinds of equipment in the playground. Be sure to go barefoot. During the study, it was noticed that children who walk barefoot a lot are much less susceptible to flat feet.

      The child’s shoes must be new and cannot be worn out. The resulting deformation under the former owner's leg will not allow the load on the foot to be distributed correctly. Many doctors believe that if there is no predisposition to the disease, then it is impossible to harm. Either he exists or he doesn’t. But orthopedic insoles cannot be neglected in any case.

      If the diet is of insufficient quality, there is a risk of disease; the child must receive sufficient amounts of vitamin D, and phosphorus-calcium metabolism must be established.

      Important! The disease is also associated with injuries of varying severity to the ankle joint, a long stay in a cast.

      Valgus flatfoot in children treatment

      Valgus flatfoot is congenital, and an experienced doctor can determine it. It is often determined when a child learns to walk and the legs begin to bear weight. The main changes occur in the knee joints, the heel turns outward. The child begins to complain of pain.

      Treating such flat feet is a long process. But following all the recommendations you can achieve good results. First you need to purchase special orthopedic shoes with hard backs with outwardly sloping heels or corrective insoles. You also need to teach your child to walk barefoot on pebbles and sand.

      With severe flat feet, it is possible to apply splints, use corrective pads, surgery, and massage.

      Treatment at home

      If a child has flat feet, what should his parents do? How to cure flat feet in children at home?

      If first-degree flatfoot does not cause painful discomfort, you don’t have to worry too much. It will be enough to take preventive measures: massage, exercises, orthopedic insoles.

      The second and third degrees require a more responsible approach. Physiotherapy, surgery.

      But for any type and degree of flat feet, the right shoes are required, orthopedic, perhaps even ordered individually. You can roll the rolling pin with your feet or roll an abacus. Walk on an orthopedic mat. This is a kind of massage that can be done in between times.

      Not only the foot takes part in the massage, it is done along the entire leg, including the lower back and sacral region. The massage is done after relaxing baths (with sea salt, chamomile, pine needles). The massage is done in two sessions of 10-15 minutes each. In the morning and in the evening. It is also useful to carry out 3-5 minutes of massage before and after gymnastics.

      Exercises for the treatment of flat feet in children.

      1. Sitting on the floor, we alternately bend and straighten our feet – 10-15 times each.
      2. Sitting on the floor, we twist our feet in different directions, several times each.
      3. While standing, we rise on our toes, then lower ourselves onto our heels - repeat 10 times.
      4. Walking on heels and toes.
      5. We stand on our toes and do half squats – 5 times.
      6. We lift small objects with our toes (pens, balls).
      7. Let's draw circles. Curls, squares on the floor with your toes, and if you can, then take a pen (pencil) with your toes and try to draw something.
      8. We move and spread our toes.

      Prevention of flat feet in preschool children

      To prevent the disease, children need to walk on pebbles, grass, and earth. If this is not possible, then scatter peas, beans, and chestnuts on the floor. Play more outdoor games, placing a stick on the floor and taking side steps on the stick. It must be held strictly across the feet. You can walk with your feet alternating between toes and heels. Draw geometric shapes with your toes.

      Important! Introduce sea fish, cottage cheese, hard cheese, and jellied meat into your diet.

      Preventive measures, outdoor games, rational balanced nutrition of the child will help you avoid problems with flat feet in children.

      Flat feet and treatment

      Flat feet are not just a cosmetic problem. Foot deformation not only spoils the gait, but also leads to disruption of the musculoskeletal system and organ function. Treating flat feet requires a lot of effort and time, but 60% of the population does not take the disease seriously. An improperly formed foot significantly limits the child’s range of possible hobbies in the future. Children have difficulty in dancing and sports, and their posture deteriorates.

      How to recognize flat feet

      Due to their height, weight and body position when moving, a person’s skeletal system is subject to significant stress when walking, running or standing. The foot has three points of support: the calcaneal tubercle and the bases of the big and small toes. Muscles and ligaments are responsible for moving and maintaining the correct shape of the foot in the form of an arched arch. This system creates something like a spring.

      The first symptoms of flat feet are noticeable even without medical education:

    8. clumsy gait of a child, clubfoot;
    9. shoes trampled to one side;
    10. in older age, complaints of pain in the arch, calf muscles, and sometimes cramps appear;
    11. tired legs; sometimes the pain reaches the ankle;
    12. in adults, corns appear on the soles;
    13. a bone (or bump) appears at the big toe, with a sharp inclination to the side;
    14. the foot takes on a flattened appearance, the shape of the ax is visible.

      It is easy to detect the disease by making a wet foot print on paper or plantography. The footprint of a healthy foot looks like an imprint of the heel, ball and toes. A complete imprint of the sole indicates deformation. With an X-shaped leg structure, there is a risk of misdiagnosis. To carry out the test correctly, the leg is placed straight. If you conduct the study while standing in your usual position, you will get a flat foot. Therefore, the diagnosis should only be made by an orthopedist.

      Important! Before age 4, flat feet cannot be diagnosed. The baby's leg has a fatty thickening. The footprint appears flat, but there may be no cause for concern.

      What functions does the foot lose with flat feet?

      Only humans have a sufficiently perfect skeletal and muscular system to walk upright. The body has more than 10 mechanisms that allow us to be aware of our position in space, maintain balance, and perform complex movements. Human feet are part of a complex movement algorithm. And perform the following functions:

      Important! When walking, all functions are realized simultaneously. The support function is also a push function. Provides body acceleration.

      Impaired support function prevents you from running quickly or playing sports. Pain during physical activity. The spring function is possible due to the ability of the foot to spread out and then quickly return to its original form. Thanks to the structure, the foot springs during a jump and with each step. This is how the body protects itself from microtraumas and displacements. The importance of depreciation can be easily understood with a simple example. If you jump onto your heels unsuccessfully, a person feels a strong “reverse” push. There may be a short-term pain sensation in the head and abdominal area. When the arch subsides, the shocks are felt more strongly by the joints, spine and other organs. For a person, such “shaking” is hardly noticeable, and manifests itself in the consequences:

    15. disruption of internal organs;
    16. problems with the spine: curvature, pinched nerve, prolapsed discs, etc.;
    17. decreased physical activity.

    Important! The shocks are transmitted along the spine to the brain. The resulting microconcussions provoke frequent headaches.

    Three points of support serve as a balancer, helping to maintain balance and better control your body. A deformed leg impairs coordination and stability.

    How to treat flat feet? Orthopedist's opinion and advice

    Treatment of the disease is not postponed. Flat feet have three degrees of severity. With the latter, arthrosis and osteoporosis and other severe joint diseases develop. Such ailments greatly hinder movement and are accompanied by pain. It is difficult to completely get rid of the disease. Only improve the condition or stop further deterioration. There are several common ways to fight.

    Orthopedic shoes. Used for prevention and after diagnosis. The opinions of orthopedists were somewhat divided. On the one hand, the orthotic is believed to secure the leg in the correct position and thereby promote alignment. An alternative expert opinion: such shoes can be used if a small child is unsteady on his feet. When heavy shoes help your baby gain stability, they are less likely to fall. Many experts believe that manufacturers exaggerate the effectiveness of their product and the need for all children to wear such shoes for preventive purposes. But low-quality orthopedic shoes will turn the course of the disease in the completely opposite direction. Orthopedists tend to believe that comfortable, lightweight shoes that fit well on the foot are in no way inferior to orthopedic ones. It is important to choose the right size, and not for growth. Give preference to natural materials, and the sole should be soft.

    Orthopedic insole. Widely used for corrective purposes. Redistributes the load on the foot, helps it take the correct position, acts as a shock absorber, reduces pain and leg fatigue. Can be used already at the first stage of the disease. For a good effect, the correct selection of insoles is important. It is recommended to consult an orthopedist before purchasing. An unsuitable model also causes the disease to worsen.

    Surgical method. Used for severe deformations. It does not completely eliminate the disease, as it does not correct the weakness of muscles and ligaments. Repeat surgery is often required.

    Orthopedic mats. Compared to all the options above, orthopedic mats have a number of advantages. First of all, they are interesting for the children themselves; a useful game turns into a child’s favorite hobby. They are more accessible and safer, because the mats are made of hypoallergenic materials and do not change color, shape, or hardness over time.

    There is a concept of “hereditary flatfoot”. Only weakness of muscle ligaments is inherited. From birth, all babies have a flat foot. The arches acquire an arched shape during the child’s activity, when the baby learns to walk. Flat feet in close relatives or parents is not a diagnosis, but a reason for mothers to pay special attention to ways to prevent the problem. Studies have shown that rural children and tribal people practically do not suffer from flat feet. Walking barefoot turned out to be the main preventive measure. Orthopedists also recommend doing special exercises 2-3 times a day and using simple foot massagers. For children, the best preventative measure is walking on grass, pebbles, and earth. What happens is this: Barefoot walks through barbs force the baby to stand on his toes and tuck his toes. Small injections stimulate muscle contractions, thereby strengthening them. Blood circulation improves.

    Interesting fact! No representative of the animal world has a shock-absorbing foot of such a structure. Even a kangaroo's paws don't spring.

    Prevention and treatment from an early age

    It’s hard to imagine walking barefoot in the city. ORTO PUZZLE home rugs create the same effect in a city apartment. There are reliefs of different shapes on the surface. A more pronounced pattern, with large elements, is intended for the treatment of flat feet, and a small one - for prevention and for the youngest children. We recommend starting classes with 1-2 minutes and gradually increasing to 10-15 minutes per day. There are no contraindications. If your child likes it, you can play and strengthen the legs several times a day. The convenient puzzle format makes it possible for everyone to purchase a rug. You can start practicing from the baby’s first steps and 2-3 fragments will be enough. The assortment of our store is constantly updated with new items. The rug can be expanded by purchasing new pieces at any time. It is useful to decorate the passage to the kitchen with an orthopedic rug. The baby will be able to stimulate the muscles of the arch several times a day, without interrupting his usual activities. For other family members, massage will also be useful. The bright design attracts the opportunity to fantasize and create new combinations. While charging, colors and shapes are easily remembered. The assortment includes ORTO PUZZLE parts with traditional hemispheres and pimples, as well as with cones, imitation grass and pebbles, shells, thorns, etc.

    Important! The products are fully certified. Made from environmentally friendly material. Does not deform, has no foreign odor. Sold from 1 unit.

    For the correct formation of the foot, it is important to ensure proper physical activity and create conditions close to the natural environment. Violations of the structure of the arches of the legs lead to diseases of the joints and spine in adulthood; posture is disturbed even from childhood. And timely prevention will help maintain health and ensure the harmonious development of your beloved child while having fun playing on ORTO PUZZLE mats.

    Methods of surgical treatment of flat feet

    Unfortunately, most adults do not pay attention to flat feet and do not undergo treatment until they are scheduled for surgery.

    Most adults do not pay attention to the problem and do not carry out treatment until flatfoot surgery is scheduled. Why is this happening? How is flat feet treated surgically?

    Subtleties and varieties of the disease

    You can often read that flat feet are a deformation of the arches of the feet, but few places explain what exactly this means. The transverse arch of the foot is the correct arrangement of bones between the toes. The longitudinal arch of the foot is the arrangement of bones along the inner edge.

    If there are deviations in any components of the musculoskeletal skeleton, deformation is distinguished:

    • longitudinal;
    • transverse;
    • both vaults.
    • Foot deformity can be diagnosed in a young child.

      It should be noted that the pathology can be congenital and acquired. It must be said that the age of manifestation of the pathology is not important. It can occur in both children and adults.

      Unfortunately, the situation is such that rarely do any adults take the presence of the disease seriously and carry out timely treatment at stages 1 or 2. More often you can observe a picture when a patient is brought to the hospital to have flat feet treated surgically. Experts distinguish 3 degrees of development of the disease, the main difference between which is the degree of flattening, complaints and pain in the person himself.

      Orthopedists most often associate diagnosing the disease in adults with:

    • sudden gain (presence) of excess weight;
    • weak muscles and ligaments of the legs;
    • suffered serious illnesses (rickets, polio);
    • profession.
    • Excess weight causes the development of flat feet.

      In order for the treatment of flat feet to be as effective as possible in adult patients, the orthopedist must conduct a series of examinations to determine the type and degree of development of the pathology. When is treatment for pathology effective?

      Experts' opinions on this issue are divided. Some doctors believe that there is no need to treat and prevent the disease in the absence of obvious pain. Others argue that prevention is necessary to prevent the development of flat feet in more severe forms.

      The development of flat feet provokes a change in the biomechanical movements of the entire musculoskeletal system, an increase in the tone of the muscular-ligamentous system.

      In the presence of such complications, joint overstrain, valgus deformity, various types of arthrosis, scoliosis, osteochondrosis and more occur in the body.

      The development of flat feet provokes changes in the biomechanical movements of the entire musculoskeletal system. This can lead to the appearance of osteochondrosis.

      Today, several types of treatment are used:

    • Conservative. This type of treatment contains a wide range of different measures, the action of which is aimed at treating (preventing) flat feet at stages 1 and 2 of development.
    • Operational. This type of treatment is used in the most difficult situations, when the patient feels pain and cannot move independently.
    • Conservative way

      Conservative treatment in adults involves working to strengthen the muscles and ligaments in the foot, lower leg, back, and spine. Such measures are most relevant at the first and second stages of pathology.

      With this pathology, a change in the position of the bones of the sole is observed (they diverge), which is accompanied by a displacement of the inner part near the first toe, an increase in the “bump”. If a disease of this type is not treated, then the subsequent development of the disease in adults will require only surgical treatment.

      Conservative therapy involves:

    • refusal of low-quality shoes, models with heels higher than 5 cm;
    • limiting stress, activity, organizing proper rest, using a cool compress;
    • use of orthopedic accessories to model the correct shape of the foot;
    • drug treatment, the use of anti-inflammatory drugs, corticosteroids to reduce pain and relieve swelling;
    • therapeutic massage, gymnastics, water procedures.
    • The use of a set of preventive measures ensures a guaranteed positive result, stability of the course of the disease and even improvement of the condition.

      Gymnastics is of great benefit to diseased feet.

      Surgical intervention in adults is carried out in the most acute forms of the disease, accompanied by pain and inability to move independently. To return the leg to its primary (“reference”) state, qualified orthopedists can recommend one of the following types of operations:

      • osteotomy - dissection of deformed ligaments;
      • excision of the broken bone or heel spur;
      • synovectomy involves the elimination of the articular membrane, which is an obstacle to normal movement;
      • arthrodesis - surgical intervention to properly fix the bones;
      • tendon transposition involves replacing the damaged part with a healthy one.
      • The type of surgical intervention is determined only by the doctor, depending on the results of the medical examination, the symptoms of the pathology, and the individuality of the patient’s body.

        It should be noted that the type of surgical intervention is determined only by the doctor, depending on the results of the medical examination, the symptoms of the pathology, and the individuality of the patient’s body.

        Depending on the chosen method of surgical intervention, the rehabilitation itself, its duration and the need to use additional funds are selected.

        On average, rehabilitation after surgery can take 2-4 weeks. Its duration depends both on the patient himself (following recommendations, the presence of bad habits, individual characteristics of the body), and on the type and quality of the operation.

        In conclusion, it should be noted that flat feet is a serious disease that can progress at any age and have varying consequences and degrees of severity. That is why it is necessary to remember that prevention is the best care for your own body, the key to good health and safe treatment.

        Surgical treatment of flat feet

        Flat feet in children. Treatment of flat feet with osteopathy. Children's health. Without pain. Permian.

        Many thanks to Anna Morozova - a very professional and pleasant doctor! Tactful and very well-mannered. Necessarily.

        This disease is treated by a traumatologist-orthopedist.

        What is flat feet?

        Flat feet (changes in the curvature of the arch of the human foot) is a congenital or acquired pathology that occurs in children and adults. As the name of this disease suggests, the foot becomes flatter. This can be clearly imagined by looking at the imprint of a wet foot on the floor: normally, the arch of the foot does not touch the floor, only the imprint of the heel, the pads at the base of the toes and the toes themselves are imprinted. With pathology, the surface of the arch of the foot also touches the floor to one degree or another.

        Depending on the proportion of the surface of the arch of the foot in contact with the floor, flat feet of 1st, 2nd and 3rd degrees are distinguished. Depending on the direction in which the deformation of the bones of the foot occurs, longitudinal or transverse, a distinction is made between longitudinal and transverse flatfoot, the symptoms of which are somewhat different from each other.

        Head of the Center for Traumatology and Orthopedics. Traumatologist-orthopedist

        Longitudinal and transverse flatfoot

        With longitudinal flatfoot, the foot becomes longer, and with transverse flatfoot, it becomes wider (due to an increase in the distance between the bones of the metatarsus), but shorter. This, at first glance, insignificant disease for a person is far from harmless: it is known that such a phenomenon as flat feet entails serious complications, the treatment of which can be long, difficult and ineffective. Among them are an ingrown toenail that causes excruciating pain with every step, the development of spurs, arthrosis deformans, problems with the menisci of the knee joints, and pain in the spine. And many other problems relating to the musculoskeletal system are to a large extent related to flat feet.

        However, you need to understand that treatment is completely successful only in children of a fairly early age; at a later age, and especially in adults, it can only slow down the development of pathology, provide some improvement in the patient’s condition, and prevent the occurrence of complications.

        Causes of flat feet

        Congenital flatfoot in children is quite rare; it is caused by abnormalities in the intrauterine development of the fetus.

        Acquired flatfoot of 1st, 2nd and 3rd degrees according to the reasons for its occurrence can be divided into:

      • Traumatic - as the name suggests, this type of flatfoot develops as a result of a person suffering injury to the bones or soft tissues of the foot or lower leg;
      • Paralytic - occurs after polio, as a result of which the tibia muscles are paralyzed, as well as the muscles of the foot and the bones of the foot have lost muscle support;
      • Rickets - occurs after suffering from rickets, which resulted in weakening of the muscles and bones, leading to improper development of the foot and its deformation;
      • Static is the most common type of acquired flatfoot, associated with a person’s lifestyle, his occupation, as well as the structural features of his body.
      • Predisposing factors for the development of flat feet should be considered:

      • Heredity, namely hereditary weakness of the ligamentous apparatus of the legs in general and feet in particular. Weak ligaments are not able to hold the foot in the correct position when external loads are applied to it, which includes the patient’s body weight;
      • Weakness of the muscular system of the feet and legs in general, developed as a result of a sedentary lifestyle, lack of training, lack of physical activity - such weak muscles are not able to ensure the correct shape of the foot under load;
      • Excess weight - no comments here, the weight of the body literally flattens the feet, and little by little they remember this position and become deformed;
      • Incorrectly selected shoes, which forcefully deform the feet;
      • Increased stress on the legs, which can arise both as a result of a person’s type of activity (working “on his feet”, standing), and as a result of wearing high-heeled shoes. In women, one of the factors that causes increased stress on the feet is pregnancy.
      • Symptoms of flat feet

        Only an orthopedic doctor can accurately diagnose (with determination of the degree and direction) the development of flat feet, but any person should be concerned if he begins to notice the following signs in himself or his children:

      • Trampling of shoes from the inside;
      • Rapid fatigue of the legs when walking, inability to stand for a long time;
      • A strong feeling of tired legs in the evenings, and swelling of the legs in the area of ​​​​the elastic bands of the socks, as well as cramps of the lower leg muscles, may be observed;
      • Enlargement of the feet, especially in width (transverse flat feet), a feeling of tightness in shoes that previously fit.
      • If these signs are present, it can be fairly accurately predicted that a person is beginning to develop (or already has) transverse or longitudinal flatfoot; in this case, an urgent need to see an orthopedic doctor who will diagnose and prescribe the correct treatment.

        How to treat flat feet

        Please note that self-treatment will not lead to a positive result. Scientific advice “how to treat flat feet”, widespread in popular literature and on the Internet, is, at best, good as a means of preventing this disease. They usually include actions aimed at strengthening the ligaments and muscles of the foot: massage techniques, various exercises, and so on.

        To be fair, it is worth noting that these actions themselves are usually beneficial for the feet and for the musculoskeletal system in general. But self-medication is harmful because it makes you waste time, and it is known that such a phenomenon as flat feet can be completely cured only in childhood, while the bones of the foot are still pliable and the formation of the foot can be corrected. In adult patients, the loss of time can result in the development of complications, which we have already mentioned.

        Thus, in order to cure flat feet or slow down its development as effectively as possible, it must be treated in a well-equipped, modern clinic with a qualified and experienced orthopedic doctor. In a clinic such as the GMS Clinic medical center in Moscow.

        Our traumatology and orthopedics clinic employs excellent professional specialists; Armed with modern knowledge and computer technologies that allow them to successfully cope with longitudinal and transverse flat feet, they successfully treat flat feet and its complications. We know how to treat flat feet! Therefore, if you think that you or your children have developed flat feet, do not waste time, contact us!

        Remember that a phenomenon such as flat feet can seriously worsen the quality of life if timely and competent treatment is not provided!

        You can get detailed information about services and prices and make an appointment 24 hours a day by calling +7 495 781 5577, +7 800 302 5577 . Information about the location of our clinic and directions can be found in the Contacts section.

        The posted information cannot be used by site visitors as medical advice. The choice of medications and treatment methods should be made exclusively by your attending physician.

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