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How to determine flat feet in children

01 Aug 18

Treatment of flat feet in adolescents

The flexibility of the bones makes it easy to correct foot pathologies in children. Here's how to treat flat feet in teenagers, when the skeleton is almost formed. During this period, therapy will depend on the age and stage of the disease. For mild degrees of deformation, conservative methods can be used. It will not be possible to completely normalize the height of the arch after 12 years, but it is quite possible to prevent the development of complications and eliminate symptoms. In advanced forms involving the spine, surgical intervention may be required.

Why does pathology develop?

Flat feet in adolescents are more often acquired than congenital. Among the common reasons:

  • wearing shoes without heels (sneakers, ballet shoes);
  • overweight;
  • previous rickets;
  • ligament and joint injuries;
  • playing sports associated with increased stress on the feet (skating, athletics and weightlifting).
  • Sometimes flat feet in adolescents are a consequence of insufficiently treated valgus and varus deformities in childhood.

    External signs of flat feet in adolescents do not appear immediately. Many parents discover the problem only by the worn-out shoes on the inside.

    As the deformity progresses, children begin to complain of fatigue in their legs and pain during physical activity.

    Later, the arch of the foot flattens significantly and this becomes noticeable. If a teenager stands on a flat surface, the gap under the feet is minimal or completely absent. Here signs of impaired spring function of the feet are already added. Changes in gait and headaches may occur.

    Up to what age is therapy effective?

    Treatment of flat feet in adolescents is necessary at any age. Therapy will be more effective up to 12 or 13 years, the deadline is 15 years. Later, children's bones become stronger and are difficult to correct.

    Treatment of flat feet in adolescents is more aimed at preventing complications. But often, if you follow the doctor’s recommendations, it is possible to completely correct the pathology even at this age.

    How dangerous is the disease?

    During adolescence, the child's entire body changes. If flat feet are not corrected at this time, the deformity may become permanent. This threatens serious disturbances in the growing body. The pathology will cause irreparable harm to the joints and spine. Advanced teenage flatfoot subsequently leads to the following diseases:

    The disease can also cause coxarthrosis. This is a lesion of the pelvic joints.

    Severe flat feet without proper treatment can lead to disability.

    Features of therapy in adolescents

    As children grow up, they lead an active lifestyle. They don’t want to stay in the hospital or go to therapeutic procedures. But flat feet cannot be delayed. Therefore, parents are often interested in how to cure flat feet in teenagers at home without visiting medical facilities.

    You can carry out procedures on your own only in the first stages of the disease and after consulting an orthopedist. Therapy should be comprehensive and regular. To correct the shape of the arch of the foot, use:

    In exceptional cases, with severe deformation of the feet, surgical operations are performed. Radical methods are indicated if the pathology prevents the teenager from walking normally.

    Orthopedic treatment

    It involves the use of special corrective complexes. They can be bought ready-made or ordered. To correct flat feet in adolescents, use:

    The selection of an orthopedic device is carried out depending on the stage of flat feet. In the early stages and for prevention, insoles with arch supports and protectors are used. They help keep the arch of the foot in a physiological position. This prevents stress on the knee joints and softens the gait. Insoles made of hard materials need to be changed every 6 months, soft ones - once every three months.

    From the second stage, the use of clamps and splints is indicated. But it is more convenient to wear special shoes. It is equipped with a high back and a stable frame. This helps normalize the arch of the foot and protect the spine.

    Orthopedic devices differ in their mechanism of action. Before purchasing, you need to know exactly whether your child has longitudinal, transverse or mixed flat feet. To do this you need to visit a doctor.

    Treatment of flat feet in adolescents with massage is part of complex therapy. The procedure helps relieve pain, strengthen stretched muscles and relax areas of hypertonicity. Massage improves blood supply to the feet and promotes normal bone growth.

    The nerve endings that control the muscles of the lower extremities are located in the spine. Therefore, you need to start from the back. The procedure should be performed on a hard surface. The following techniques can be used:

  • stroking the outside and outside of the hands;
  • spiral and straight rubbing with fingers and the edge of the palm;
  • kneading with gripping the muscle and rolling it (squeezing, pressing);
  • vibration (patting and tapping with fingers and palm).
  • The elements are used in exactly this sequence. Finish treating each area with stroking.

    If a teenager is diagnosed with flat feet, parents need to learn basic techniques from an instructor or buy a special massager.

  • Lumbar and sacrum.
  • Buttocks.
  • The back of the thighs and legs.
  • Knee-joint.
  • The anterior surface of the legs and thighs.
  • Ankles and Achilles tendon.
  • Feet.
  • Soles.
  • The therapeutic course for flat feet is about 20 days. This should be repeated up to two times every six months. The exposure time for adolescents should be about 40 minutes. Massage should be done at least once a day. For pain syndrome 2 times.

    Physiotherapy

    Gymnastics helps to correct flat feet in teenagers faster if done immediately after a massage. Children can do exercises even while sitting on the sofa. You need to repeat the elements until your legs become slightly tired. The goal of physical therapy for flat feet is to increase the range of motion and strengthen the muscles that hold the arch of the foot. The following exercises are considered the most effective:

  • simultaneous or alternating flexion of the feet;
  • sitting, touch the floor with your heels, then with your toes;
  • turning the feet in a circle;
  • rolling the ball back and forth with your feet;
  • smoothing out folds in the fabric with your feet;
  • lifting small objects with your toes;
  • walking on heels, toes and lateral surfaces of the sole.
  • Physical therapy methods also include cycling, light jogging and skiing. Particular attention should be paid to exercise in the pool. Swimming is a gentle way to exercise your joints.

    In a clinic setting, adolescents with flat feet undergo UHF, electrophoresis, ultrasound and magnetotherapy. Hardware treatment reduces pain and inflammation in advanced stages of the disease.

    At home, physiotherapy can be replaced with baths with sea salt, mud wraps and paraffin applications. A contrasting dousing of water on the feet has a good effect on the ligaments of the feet.

    Many parents do not take the appearance of signs of foot deformation in children seriously. And sometimes they indirectly influence the development of pathology. After all, it is parents who buy their teenagers the wrong shoes, prepare high-calorie meals and enroll them in sports clubs. As a result, they wonder whether flat feet in teenagers can be treated without surgery.

    It is no longer possible to correct advanced deformity at this age. But you can significantly improve your quality of life. If a teenager has mild flat feet, there is a chance to completely restore the height of the arch. To do this, you will need to carefully follow the recommendations of the orthopedist, eliminate risk factors and be patient.

    How to identify and treat flat feet in children?

    A newborn baby's foot is almost flat. This is normal because babies' feet are not yet properly formed. However, by the age of 3-4 years, children normally develop a foot with a curve, but some children at this age may develop signs of flat feet. In this article we have collected information on how to identify and treat this disease.

    How to determine flat feet in a preschool/school age child?

    • Congenital foot defect . This phenomenon is quite rare and occurs in 3% of infants. This usually occurs due to a genetic predisposition.
    • An injury that deforms the arch of a child's foot.
    • Cerebral palsy.
    • Unbalanced diet . Due to a lack of calcium and phosphorus in the baby's diet, flat feet may develop. Improper nutrition can lead to rickets and weakening of bone tissue, which leads to foot deformation.
    • Physical inactivity . An inactive lifestyle and irregular physical activity contribute to the development of this disease.
    • Lifting weights. Due to improper distribution of the load on the body, the baby can “get acquainted” with this disease.
    • Poor quality shoes. If a child regularly wears poorly made shoes, this is a direct path to flat feet. Read about the rules for choosing your first shoes on our website.

    Acquired flatfoot most often occurs in children of preschool and school age. The reasons may be: injuries in the ankle joint, prolonged immobilization in a plaster cast, bed rest, well, “completely wrong shoes.” The latter occurs rarely and in socially unfavorable conditions.

    There are also other reasons for the development of flat feet. More often these are diseases that cause muscle weakness (hypotonia) in the lower extremities. Usually these are various severe neurological diseases. ( Children's orthopedist-traumatologist of the highest category Yu.R. Terpilovsky)

    The diagnosis of “flat feet” can be made to a child who has reached 3 years of age. Already at this age, doctors can trace the development trend of the baby’s foot.

    You can detect orthopedic abnormalities in a baby at home in 3 ways:

  • By footprint . The easiest option is to wet the child's foot and ask the child to leave a mark on the floor. If the print is flat, without a crescent gap, then there is an orthopedic problem.
  • By gait. Look at the baby's gait. All children tend to have a little “clubfoot”, but if their feet move to the outside or, on the contrary, to the inside when walking, this is a reason to go to an orthopedist.
  • By posture . And one more mini-test for children 4-5 years old: remove the baby’s outer clothing and place him with his back to you so that you can clearly see his posture. If you notice obvious asymmetry (curvature) of the spine, consult a doctor.
  • Orthopedist Alexey Kanaev talks about ways to determine flat feet:

    Types and degrees of flat feet in children

    1. Longitudinal . Flattening of the longitudinal arch of the foot.
    2. Transverse . “Flatness” of the forefoot.
    3. Longitudinal-transverse . It is characterized by the fact that both parts of the child’s foot are deformed.
    4. Valgus . With this type of flatfoot, the longitudinal arch of the foot is flattened and clubfoot is present.
    5. Orthopedic doctors distinguish 3 degrees of deformation of children's feet:

    6. The first degree is practically invisible at an early stage, so the child’s parents usually turn to the doctor with obvious signs. The so-called “flatness” is not yet noticeable if you make a footprint on a sheet of paper. But the main reason for concern is the baby’s complaints about fatigue in her legs. Parents may also notice that the child's gait has become heavier and clumsier.
    7. The second degree is marked by the fact that the arches of the foot are not visible, i.e. there is that same “flatness” of the foot. The child may experience pain down to the knee. Visually, when the baby walks, you can notice that he walks with his entire sole on the ground, and each step is heavier than the previous one. There is no need to talk about running at all.
    8. The third stage is the most dangerous and difficult. Already starting from the second stage, a malfunction of the musculoskeletal system occurs, and at the third stage the spine is deformed, the ligaments weaken, and it becomes completely difficult for the child to walk.
    9. How to treat flat feet in a child - 2 sets of exercises, therapeutic massage technique

      For the treatment of flat feet the following is used:

      An effective massage technique for flat feet was developed by a doctor of the highest category, Alexandra Vasilyeva. Foot massage should be done systematically, for at least 15 minutes twice a day.

      1. Calf muscle massage . To do this, you need to place the child on his tummy, with a rolled towel or cushion under his ankle joints. Stretch the calf muscles well, first stroking, then make longitudinal and transverse movements along the baby’s entire leg for 5 minutes.
      2. Achilles tendon massage . Start with rubbing, then do spiral, straight pinching. Use the pads of your thumbs to knead in a circular manner for 3-4 minutes.
      3. Massage the outer side of the leg. Also start with stroking, and then make circular movements with the pads of your four fingers. Spend 4-5 minutes on this area of ​​the leg. For comfort, it is better for the child to lie on his back.
      4. Massage of the back of the foot. Without changing your baby's position, begin massaging the back of the foot. Using kneading, circular movements, work the entire foot with the pads of your toes. Take a few minutes to acupressure your feet.
      5. Sole massage. Here you can use a little force by kneading the sole of the baby. Circular movements can be done first with the pads of your fingers, and then press down on the foot with your fists. The main thing is to target the baby’s foot.
      6. Repeat the massage of the calf muscle
      7. Hydromassage will also be useful for children who are at least 5 years old. There are special devices for this, or you can get by with an ordinary shower, watering your feet for 10-15 minutes with high and medium pressure of water.

        It is useful to purchase a corrugated or orthopedic mat and regularly encourage your baby to walk on it. Due to their lumpy, textured surface, these mats are recommended for the treatment of flat feet and postural deformities.

        Gymnastics for flat feet (physical therapy) can be prescribed by a doctor, since this kind of exercise helps eliminate foot deformity. Effective exercises represent a comprehensive training of the muscles of the legs and feet.

        The baby should repeat the following complex at least 3 times a day:

      8. Start with a warm-up . To do this, you need to bend and unbend the plantar part, holding this position for 4-6 seconds. To make it clearer for your child, ask him to try to lift the object with his toes and stay in this position for a short time. Each leg needs to be raised in order to properly work out the feet. If the baby is very small, ask him to sit down and stretch out one and the other leg in turn or together.
      9. Walking on your heels for 1 minute, and then on your toes, also for at least 1 minute.
      10. Heel lift, smoothly flowing into toe lift. Repeat the exercise 7-15 times.
      11. Invite your baby to first make one circle around the house, walking on the outside of the foot, and then on the inside.
      12. Squats . You need to try to squat without lifting your heels off the floor. You first need to do the exercise 3-4 times, and then constantly increase the load.
      13. You can, as an addition to the main set of exercises, offer your little ones ball games. Sitting on the floor, the baby should roll the ball with his toes. By bending and straightening your toes, blood circulation improves and the natural curve of the foot is restored.
      14. Any workout begins with warming up the muscles and ligaments. To do this, while sitting on a chair, the baby must bring and spread his heels without lifting his toes from the floor.
      15. Sitting position. Place a ball in front of your child and ask him to use his soles to lift and lower it. The exercise is difficult, so you shouldn’t overload it with multiple approaches.
      16. Extension and flexion of the feet. 7-15 times.
      17. Rolling an object with your feet. It could be a ball, a rolling pin, a stick - it doesn’t matter, the main thing is that the object can roll on the floor.
      18. Collecting the material (textile rug) with your toes. It's both fun and useful.
      19. Standing on your legs, turn your body to the side without lifting your feet from the floor.
      20. If you have a wall bars at home, invite your baby to climb the stairs, stepping on each rung with the middle of his foot.
      21. Rolling movement of heel to toe.
      22. There is no need to perform all the exercises in bulk and at once. The child may become overtired. Start with small doses and gradually increase the time frame.

        Shoes for flat feet, what insoles should you buy for flat feet?

        Today, finding orthopedic shoes for a baby is a huge problem, or such boots or sandals will cost you very much. Orthopedic doctors often prescribe special orthopedic insoles for children, which promote healing. Depending on the type of flatfoot, targeted insoles have been developed that affect the problem area of ​​the foot.

        Orthopedic insoles help:

      23. Relieve tired legs.
      24. Evenly distribute the load on the foot.
      25. Improve blood flow.
      26. Reduce global stress on joints.
      27. Correct a deformed foot.
      28. Your orthopedic doctor should tell you what kind of insoles you need to purchase, because there are different types of orthopedic insoles.

      29. For correction of longitudinal and transverse flat feet.
      30. To correct valgus flat feet.
      31. And longitudinal-transverse deformation of the foot.
      32. If you start wearing these insoles on time, then in combination with exercises you can cure flat feet.

        How to prevent flat feet in children?

        Simple and at the same time easy rules of prevention , namely:

      33. Choose high-quality shoes for your baby. Do not skimp on it, as large or, on the contrary, small shoes develop flat feet. The height of the heel should be no more than 1-3 cm. The top of the shoe should be soft so that the baby does not put a lot of effort into bending the foot while walking.
      34. In summer, let your baby run barefoot on the ground. And in winter, take the trouble to purchase special orthopedic mats. They are made from natural materials (pebbles, smooth stones). Manufacturers also pay a lot of attention to the external design of their products. Therefore, it will be interesting for children to spend time on such a rug.
      35. Monitor your baby's diet. Its menu should include calcium, iron, iodine, and magnesium. These components actively develop the musculoskeletal system.
      36. Do physical exercises with your baby and spend a lot of time moving. Don't give preference to the computer.
      37. How to choose the right shoes for children?

      38. It is necessary to choose shoes with a natural curve for the child’s feet.
      39. Please note that the sole of the shoes is not just flat, but with a small obvious indentation (heel).
      40. Be sure to have an instep support in your shoes.
      41. Yu.R. Terpilovsky, pediatric orthopedist-traumatologist on the role of nutrition in the prevention of flat feet:

        Products that are recommended are fish (preferably sea fish), cottage cheese (or hard cheese), and animal jellied meat. Those. these are the components of the skeleton - phosphorus (fish), calcium (dairy products) and collagen - a component of the ligamentous apparatus (jellied meat).

        Of course, it is better to prevent flat feet in a baby than to treat the disease. Therefore, do not forget about preventive measures and mini-tests that can identify foot problems in advance.

        How to identify flat feet in a child and treat it

        Surely most parents have heard about the problem of flat feet in children. However, not everyone pays due attention to this problem, considering it an ordinary cosmetic defect. In fact, untreated flat feet in children can lead to a number of serious complications in the future.

        The feet of newborns are almost flat and this is quite normal, since at an early age they are still developing. But usually by the age of 3-4 years the formation of a bend begins. Often, already at this age, the first signs of orthopedic problems appear, which are important to notice in time and begin treatment. How exactly this is done - read on.

        Causes of flat feet and ways to determine it

        The reasons for the formation of flat feet in children may be the following:

      42. congenital foot defects as a result of genetic predisposition;
      43. injuries that led to deformation of the arch of the foot;
      44. cerebral palsy;
      45. poor nutrition, which leads to a lack of phosphorus and calcium in the body;
      46. inactive lifestyle and physical inactivity;
      47. heavy lifting and improper load distribution;
      48. poor quality shoes;
      49. weakness of the ligamentous apparatus and congenital muscle weakness.
      50. Most often, acquired flat feet in children develop at school or preschool age.

        Experts are able to recognize flat feet as early as three years of age by monitoring the development of children’s feet. You can recognize such development problems yourself in three main ways:

        The easiest way to determine the problem is to wet a child's foot with plain water or diluted watercolor paint and leave a mark on a sheet of paper. If the resulting print is flat and lacks any gap, then the problem with the condition of the legs is already present.

        The problem can also be detected by the child’s gait. Of course, it is common for all young children to “clubfoot” when walking, but if at the same time their feet move inward or outward, this is a sufficient reason to go to see an orthopedist.

        Another simple option is how to determine flat feet in a child - you need to remove his outer clothing and turn him back to you, carefully examining his posture. If there is an obvious curvature of the spine, you should go to see a specialist.

        Treatment of flat feet in children

        As Dr. Komarovsky notes, treatment of this problem in children under 18 years of age has good results when using conservative methods, and not surgically, as is the case with adults. Depending on the patient’s age, the degree of pathology and his individual characteristics, a set of therapeutic procedures is selected by the doctor individually.

        Most often, the general recommendations of an orthopedist are as follows:

      51. warm foot baths;
      52. performing a special foot massage every day;
      53. frequent walking barefoot on natural surfaces with good spring capabilities - pebbles, sand or ordinary soil, or on special orthopedic mats;
      54. special physiotherapeutic procedures.
      55. All of the above actions have a very important goal - to improve blood circulation in the feet, making it easier for deformed bones and ligaments to cope with various loads.

        To cure flat feet at an early age, special therapeutic exercises must be prescribed. At the same time, a special set of measures is aimed at strengthening the leg muscles, raising their arches, as well as correcting incorrect gait. It is important that such exercises are performed for at least 30 minutes every day.

        Treatment of flat feet with physical exercise

        How to treat flat feet in children with physical education? For this, experts recommend using a set of specially designed activities:

      56. walk on heels and toes alternately for 2-3 minutes;
      57. scatter pens, markers and pencils on the floor, and then try to rake them up with your feet;
      58. place thin books under your heels and rise and fall on your toes for 1-2 minutes;
      59. put the same books under your toes, lowering and rising on your heels;
      60. scatter construction parts of different sizes on the floor and try to pick them up with your toes;
      61. walk for at least 5 minutes, standing on the outside of your foot;
      62. rise on your toes and squat, trying not to touch your heels to the floor. This procedure should be repeated at least 10 times;
      63. sitting on a chair, roll the rolling pin towards you and back with your feet.
      64. In addition to the above exercises, frequent cycling, swimming, walking on sand, and rope climbing will also help.

        Use of orthopedic shoes and insoles

        Flat feet in children in mildly advanced cases can be treated with special shoes and insoles for ordinary types of shoes. Such devices are prescribed only by specialists.

        It should be remembered that for stage I-II flat feet, you can find such shoes with a prescription from an orthopedist in specialized stores. If a child has stage III disease, then all devices are ordered from specialized factories based on individual casts of the child’s legs.

        Like shoes, insoles provide support for the arches of the feet, helping to improve circulation and reduce stress on the spine and joints of the legs, thereby improving overall well-being when walking and standing.

        You should wear special insoles with both street and indoor shoes, but you should also periodically give your feet a rest. It is advisable that the child walk barefoot at this time.

        It should be noted that each pair of shoes must have separate insoles. At the same time, the shoes themselves should have heels with increased rigidity, low heels and a fairly flexible sole. Most often, the use of orthopedic shoes is prescribed by doctors for serious forms of pathologies.

        Massage for flat feet

        At any stage of treatment for flat feet in children, massage treatment is quite effective. In this case, it is necessary to knead, effleurage, stroking and rubbing the muscles of the feet and legs. Such procedures help increase blood circulation and restore muscle tone. It is important that the massage is done effortlessly and does not cause pain.

        In the case of young children, the mother can do the massage; at an older age, the child can perform the necessary actions independently. You should start with a massage of the calf muscles, moving on to the Achilles tendons, the outside of the lower leg and the feet. The procedures end with a sole massage. These actions should be carried out twice a day for 15 minutes.

        A variety of orthopedic mats, rollers, balls and any other types of massagers are also quite effective.

        Prevention of orthopedic problems

        As you know, health problems are easier to prevent than to cure. Flat feet are no exception, which is much easier to prevent by adhering to simple, but at the same time effective rules of prevention.

        You should choose and buy only high-quality shoes for children. At the same time, in no case should you save money, since both large and small shoes lead to the development of orthopedic problems. In the case of preschool children, the height of the heel should not exceed 1-2 centimeters. The upper part of the shoe should be as soft as possible so that when walking the baby does not have to make any effort to bend the foot.

        You need to choose models with a natural curve for a child’s foot. In this case, you also need to make sure that its sole is not straight, but with a slight indentation - a heel. In addition, children's models must have an instep support.

        In the summer, the child should periodically walk barefoot on bare ground. In winter, it would be useful to purchase a special therapeutic orthopedic rug. It is desirable that it be made from natural materials - smooth pebbles, pebbles and the like. Usually, modern manufacturers pay a lot of attention to the external design of their products, so it is interesting for a child to walk on such a rug, although the sensations are not the most pleasant. In addition to purchasing, you can make such rugs yourself - you can find a lot of materials and video tutorials for this on the Internet.

        You constantly need to monitor your baby’s diet: his menu must include iron, calcium, magnesium and iodine. The thing is that these components contribute to the normal development of the musculoskeletal system.

        How can you determine flat feet in a child?

        How to determine flat feet in a child? This question worries many parents. It is most logical to assume that the leg of a small person cannot be fundamentally different from the leg of an adult. At first glance, this is so, but if you look at the baby’s foot more carefully, the baby’s foot will turn out to be absolutely flat. And this is not a pathology.

        Between the foot of a child and the foot of an adult there is a huge gap and its name is bipedalism. The child's leg has never faced the stress associated with walking. Before fully fulfilling the role of an indispensable assistant when walking, a child’s foot still has many years of development ahead.

        It should be noted that even diagnosed flat feet in a baby respond quite well to treatment, and the prognosis for the outcome of therapy is almost always favorable.

        A similar picture is observed in all children. The fact is that the arch of their feet is always covered with a layer of fatty tissue, which disappears as the child begins to walk. It is this layer that makes the footprint completely flat. This process cannot be called fast, since the baby’s foot acquires the features inherent in the foot of an adult only by the age of three.

        By this point, the child already spends quite a lot of time on his feet, which has a beneficial effect on the condition of the bones, ligaments and muscles of the legs. Growing confidence in his legs leads to the fact that the baby spends more and more time on his feet. This is noticeably reflected in the arch of the foot, which becomes more pronounced.

        It happens that the process of foot formation fails, then the formation of another, pathological process begins - flat feet. It can start as early as childhood. This pathology can develop in a person at any age.

        How to identify flat feet?

        How to determine flat feet in a child? Flat feet are usually detected by a doctor during a procedure called plantography. During this study, the doctor lubricates the patient’s feet with a special solution, after which the patient steps with that foot on a clean white sheet of paper. Such a “photograph” of the foot will provide the orthopedic doctor with all the necessary information. Flat feet when diagnosed by this method are determined in 100% of cases.

        But there is one caveat: the print of a child's foot is not so informative. Therefore, the younger the child, the higher the likelihood of a medical error when determining flat feet. The doctor can make an accurate diagnosis only after a personal examination of the patient.

        You can identify flat feet in a child, or at least sound the alarm, by observing him at home. You should not ignore the symptoms that allow you to recognize flat feet in children:

      65. Visually, unusual walking features in children are very noticeable. When a child has a clubfoot, his leg muscles are probably not strong enough to maintain the normal position of his feet. Traditionally, when walking, the legs are parallel to each other.
      66. Another manifestation of leg muscle weakness is the emphasis on the inside of the feet when walking. The gait is very different from normal. It is simply impossible not to notice her.
      67. The best time for such an examination is the period when the child has not yet started school.

        If such walking patterns are periodically observed in children, parents should immediately seek advice from an orthopedist and check whether the child has any pathology.

        Disease prevention

        It is extremely rare that flat feet are congenital; it does happen, but not often. Of all cases of childhood flatfoot, which in itself is rare, the congenital form occurs in only 3% of affected children.

        The primary source of flatfoot is currently unknown to science. Doctors from all over the world are conducting various experiments to fill this gap in knowledge and make the prevention of flat feet as effective as possible.

        One of these important observations was the fact that children who wear shoes are much more susceptible to flat feet than children who run barefoot. Natural foot shaping has proven to be more effective than artificial foot shaping.

        Another proven fact was the direct dependence of the correct formation of the foot on the number of loads placed on it. This is especially noticeable when observing modern children, who clearly prefer sitting in front of a computer or TV.

        The times when children spent time in the yard from dawn to dusk, playing a wide variety of outdoor games, are irretrievably lost. You have to pay for this with flat feet and, as a result, poor posture.

        A popular trend among modern shoemakers has become the habit of paying little attention to the requirements for children's shoes. Shoes for a child must have a hard back and a plastic instep support. The heel on such shoes should be no more than half a centimeter.

        It is strictly forbidden to wear someone's shoes. Over time, shoes take on the shape that the previous owner's gait gives them. The new owner in such shoes is forced to repeat all the gait features of the previous owner. In addition to the obvious inconvenience, improper distribution of the load on the foot will lead to flat feet.

        Some useful tips for parents:

      68. Diet plays an important role in all these processes. Providing adequate nutrition for your child at this age will guarantee you relative peace of mind regarding flat feet. A properly established phosphorus-calcium metabolism should be a guarantee of this.
      69. Many years of experience show that regular contact of the child’s foot with the surface of the ground without the mediation of shoes gives excellent results. You should not scold your child for wanting to run barefoot on the grass, pebbles or sand.
      70. To make parents less worried, the child can run in socks, the only condition is without shoes. Such periodic training will save your baby from the threat of flat feet.
      71. A child's foot is still very fragile, and insufficient foot training combined with uncomfortable shoes can very easily lead to flat feet. A child's foot grows quickly and this growth should not be complicated by adverse external influences.

      What treatments are possible for flat feet?

      Flat feet in children usually develop in the longitudinal direction, which eliminates the need for surgical intervention. Congenital pathology is treated from the first days of life with the help of special splints and plaster casts.

      This disease cannot be treated at home in children of any age. It is not difficult to recognize the pathology, so if it is detected, you should immediately contact an orthopedist for help. In children, ordinary flat feet are much easier to treat than its possible complications.

      In most cases, flat feet are a consequence of weak ligaments and muscles. And the bones at this age are not yet strong enough. From this follows a method of possible treatment of the disease. It is necessary to strengthen the muscles and ligaments in every possible way so that they normalize the position of the foot.

      Therapeutic gymnastics, accompanied by a special massage, will help strengthen them. Moreover, such procedures and exercises form the basis of therapeutic measures for flat feet.

      To properly balance the load on the foot when walking, special orthopedic insoles are used in shoes. But insoles will not solve all problems if regular foot training is ignored.

      Flat feet in children, and not only - is the same disease as everyone else. Recognizing its symptoms as early as possible and promptly contacting a doctor about the problem that has arisen is the main task facing loving parents.

      Flat feet: how to identify and treat them at home

      Flat feet is a deformation of a person’s feet with an unnatural lowering of the arch until the possibility of normal movement (walking, running) is lost. The reasons why this disorder occurs are numerous: excess weight, heavy work loads, long and constant walking, shoes that are not the right size. Not everyone knows what symptoms indicate the development of this disease, and below it will be explained how to determine flat feet at home, what preventive measures to take, how to treat the disease if it has already appeared in a child or is progressing in an adult.

      There are several types of the disease. According to the degree of occurrence, acquired and congenital types of flat feet are distinguished. The first is more common and is divided into static, paralytic, rachitic and caused by trauma. Congenital flat feet are less common and are a symptom of abnormal intrauterine development. Flat feet in children and adults require treatment from the first signs of detection.

      The disease has three stages:

    10. 1st degree – mild disorder: symptoms are minor, pain appears irregularly or is absent;
    11. 2nd degree – the pain is constant, extends to the knee, the arch of the foot is deformed. Symptoms of this type are more pronounced in adults than in children;
    12. 3rd degree – constant pain in the feet, inability to move in ordinary shoes, severely curved foot. In the latter stage, the disease is treated comprehensively over a long period of time.
    13. With this type of problem, the foot increases in width: the first metatarsal bone deviates to the side, which is why a bulge appears, known in medicine as hallux valgus. If there is strong friction when walking or running, the bone becomes inflamed. Transverse flatfoot, a photo of which is in our article, occurs due to physical stress on the legs. In women it appears due to muscle weakness, and in men due to foot injuries.

      This type requires the selection of shoes of the correct size for fullness; with this disease, you cannot wear high-heeled shoes. With this diagnosis, treatment at home involves therapeutic exercises, massage, and in severe cases, medication.

      Important! If self-therapy does not give the desired result, you need to consult a doctor.

      Longitudinal flatfoot is the compaction of the arch in the longitudinal direction, when the foot finds points of contact with the surface along its entire length. The size of the foot increases, but with grade 1 of this disorder, the bones are not deformed, so it is advisable to carry out treatment as early as possible. The danger of this type of disease becomes clear from images of the last stage: a person may completely lose the ability to move independently.

      Combined, also known as longitudinal-transverse flatfoot, combines the characteristics of the first two types. With this disease, the foot increases in width and length, the arches are deformed until they come into full contact with the floor. Treatment at home for this type of disease requires long-term physical exercise, restrictions on certain types of shoes and loads. More often, adults consult a doctor with an already advanced stage of the disease, so it is difficult to get rid of the problem.

      Flat feet in children

      If the disease appears in a child from birth, caused by intrauterine problems during pregnancy, such flat feet are considered congenital, in other cases - acquired. If, when walking, a child is clubbed, walks with his feet resting to the side, or places his foot incorrectly, there is a risk that he has flat feet.

      Getting rid of the disease at home must be agreed with the pediatrician, since the child’s body is sensitive to any influences.

      Therapy involves exercises with foot compression, gait correction, gentle massage and muscle training exercises.

      If there is no disease, but may appear due to increased physical activity, prevention is required. For preschool children, it consists of the correct selection of shoes (special orthopedic, with corrective insoles, etc.), working with a massage mat and gymnastic exercises. For children with this diagnosis, gymnastics classes are restorative in nature.

      Important! If no action is taken after detecting an anomaly, the child may receive irreversible foot deformities within 2-3 years.

      How to determine the degree of disease at home

      There are several methods for determining flat feet on your own, but you need to understand who is at risk of developing it. Children's and adults' feet are at different stages of development, and the methods will vary. The standard method for an adult is to stand with your foot on a piece of paper, having first smeared the foot with cream or paint. Based on the shape of the footprint, it will be clear whether there is a disease: if there is a free passage between the two parts of the foot, the foot is developed normally, but if an isthmus appears, there is a risk of encountering flat feet.

      In children, it is more difficult to determine the problem, especially if these are preschool children. Diagnosis requires observation of gait and, in most cases, x-rays.

      How to cure an illness at home: tips and tricks

      For adults, gymnastics and massage are used. Exercises include flexion of the toes, flexion of the foot itself, local stress in turn on the toes and heel, and moving objects with the toes.

      Exercises to treat the disease are quite simple.

    14. pull your toes towards you in turn on each leg and at the same time;
    15. bend your knees, spread your legs so that they touch. “Clap” your feet, as if clapping your hands;
    16. grabbing small objects with your toes and moving them from place to place.
    17. walking on the outside of the feet;
    18. walking on toes;
    19. walking on a ribbed surface and on an inclined up, then down.
    20. Massage techniques strengthen muscles and relieve pain, but if there is a bone, massage must be used with caution. The method is more suitable for prevention.

      What if the disease is at an advanced stage? There is no other choice but to cure flat feet in adults with the help of surgery.

      The following methods are used in children:

    21. Exercise therapy. Exercises for flat feet in children are gentle and correct the condition of the arch of the foot within a few months of practice;
    22. massage. Before treating pathology with this method, it is necessary to check whether it is approved for the child in a particular case.
    23. The following exercises are recommended for children:

    24. grabbing the ball with your feet;
    25. roll a cylindrical object or ball back and forth with your feet;
    26. draw on a sheet of paper using your feet: hold a pencil with the fingers of one, hold the paper with the other;
    27. sitting on the floor, stroke the arch of your left foot with your right foot and vice versa;
    28. roll from toes to heels and back.
    29. Gymnastic exercises for illness are aimed at strengthening muscles and correcting the arches of the feet if the illness has already affected the patient. The duration of the exercises ranges from a few seconds to 2 - 3 minutes, the duration of the session is 20 - 40 minutes, depending on the stage of development of the disease. Before getting rid of pathology through exercise, you need to determine its type and stage.

      The following video presents a set of exercises for this problem:

      Preventive actions for children are reduced to the following list:

    30. choosing the right shoes;
    31. minimum time in a standing position;
    32. minimum load on the spine;
    33. diet (obesity often causes flat feet due to constant pressure on the legs);
    34. walking barefoot on sand and earth;
    35. For adults, preventive actions are approximately the same. It is advisable to regularly walk barefoot on the ground.
    36. To understand how to treat flat feet in adults or children, you need to determine the cause, the degree of development of the disease and act immediately. Prevention is necessary for most people, regardless of the presence of the disease, since how to get rid of flat feet will be more difficult than the process of preventing the disease. With such a disease, the consequences often develop to an irreparable level, depriving a person of the ability to move independently.

      Determining flat feet in a child

      Flat feet is a deformation of the foot that occurs due to the flattening of its arch.

      Fundamental factors influencing the development of foot deformities

    37. Heredity.
    38. Constantly wearing narrow or wide shoes with flat soles, as well as wearing shoes after other children.
    39. Excessive stress on the foot (lifting excessive weights or increased body weight).
    40. Various pathologies are also causes of flat feet. These include excessive flexibility and hypermobility of joints, rickets, paralysis of the muscles of the foot or leg (a complication of poliomyelitis), cerebral palsy, and various foot injuries.
    41. Intrauterine anomalies (congenital flat foot).
    42. Static loads (long stay on your feet with a subsequent decrease in muscle tone).
    43. Symptoms, stages and types of flat feet

      Longitudinal flatfoot

      Longitudinal flatfoot is a pathological condition in which the entire surface of the foot comes into contact with the floor, which increases its length and reduces the distance between the surface of the floor and the inner edge of the foot.

    44. I degree (mild flat feet) not accompanied by visible deformation of the foot. Fatigue in the legs in this case occurs only after running, long walking or physical activity. Often in the evening, signs of flat feet appear, such as swelling of the feet and impaired gait.
    45. With moderately severe longitudinal flatfoot (II degree), the arch of the foot disappears, and pain develops, spreading from the feet up to the ankles and lower legs.
    46. Stage III flatfoot is characterized by a pronounced deformation of the foot, accompanied by constant pain and swelling in all parts of the extremities. Also at this stage of the pathological process, lower back pain and painful headaches develop. As a result, working capacity decreases and long walking becomes difficult (especially in regular shoes).
    47. Transverse flatfoot

      With the development of transverse flatfoot, there is a decrease in the length of the foot due to the divergence of its bones and the deviation of the big toe outward (in this case, the middle toe is deformed, acquiring a hammer-like shape), and a bump is formed at the base of the big toe.

    48. Mild transverse flatfoot (grade I). At this stage, the thumb deviates less than 20 degrees. Symptoms of flat feet appear only after prolonged walking and standing. On the foot, in the area of ​​2-4 toes, skin thickenings (corns) form, and slight soreness and redness are also noted.
    49. Moderately expressed transverse flatfoot (II degree) is accompanied by deviation of the big toe by 20-35 degrees. When putting stress on the legs, a burning sensation and pain occurs in the foot and in the first toe, the corns increase in size, and flatness occurs.
    50. Severe transverse flatfoot (III degree) is observed when the big toe is deviated by 35 (or more) degrees. In this case, patients complain of constant severe pain in the foot area. Significant corns develop in the area of ​​the toes, and flatness is pronounced.
    51. Note: this condition can result in bursitis (inflammation of the periarticular bursa) and severe deformation of 2-4 toes.

      With mixed flatfoot, the simultaneous presence of longitudinal and transverse flatfoot is noted, which are accompanied by more pronounced symptoms.

      Signs of flat feet in children

      You can suspect the development of the disease in a child based on complaints.

    52. Pain in the legs.
    53. The appearance of heaviness after physical exertion or long walking.
    54. By evening, children begin to complain that their shoes become too tight.

      Note: This is due to the flattening of the foot.

      Diagnosis and measures to prevent the development of pathology

      Many parents are interested in the question of how to determine flat feet in a child at home. There is a very simple test for this. The child’s feet must be lubricated with something greasy and placed on a previously prepared sheet of paper (so that the body weight is evenly distributed).

      However, if during the test you received a print similar to this one, you should consult a doctor who will help make the correct diagnosis:

      Note: If the child does not have flat feet, the big toe forms one straight line with the heel.

      In order to prevent flat feet in children 1 year of age, from the very first days you should do gymnastics with the child, and also take care of high-quality shoes for the baby. Experts recommend choosing high-quality leather shoes for children with fairly flexible soles, wide toes and a hard, elastic heel. Shoes for a child should be slightly larger than their foot size (this will prevent the development of foot deformities).

      Note: you should not forget about preventive examinations with a pediatric orthopedist.

      The foot is a unique anatomical structure that shock-absorbs, softens impacts when walking, and also protects the spine and internal organs. However, in the event that this ligamentous mechanism is damaged, the main shock-absorbing function will have to be performed by the spine (or rather, the intervertebral discs). Due to constant overload, intervertebral discs will begin to lose elasticity and wear out. As a result, displacement of the vertebrae will occur and, most likely, osteochondrosis will develop.

      Warning! If appropriate measures are not taken, severe consequences of flat feet may occur, such as displacement of the pelvic bones and the development of lateral deformities of the spine.

      Patients suffering from flat feet due to displacement of the spinal column often complain of severe headaches, and this pathology can also result in diseases of the internal organs located along the perimeter of the musculoskeletal system. Due to the fact that the pelvic and knee joints are not able to absorb shocks, flat feet can lead to the development of various forms of arthrosis, due to which serious changes will occur in the joints, causing pain even with minor movements and light load on the legs.

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