Baby flat feet


  • flatfoot
  • What is flat
  • How to treat flatfoot
  • Complications of flatfoot

  • flatfoot

    the verdict of doctors ogorchitelen for most parents: a beautiful gait
    child at risk. Ah, if it were only cosmetic
    problem ... Unfortunately, the flattening of the arch of the foot - a serious and insidious
    a pathology that can affect virtually the entire musculoskeletal
    apparatus. How dangerous is the disease? How to recognize it? And susceptible Do
    it treated?

    Unfortunately, flat - it is one of the most common
    abnormalities in the development of the musculoskeletal system. here is
    Statistics disappointing: of the 1.5 million population of the city of children
    Moscow, it was revealed in 9000 children. And about 2000 young patients
    They complain of pain in the legs. First of all, let's understand what
    mean by this disease?

    Baby flat feet
    Flat - a deformation of the foot at which
    lowering (flattening) of its vault. To better understand the nature of the disease,
    We examine some of the anatomical features of the foot. In the process of evolution
    it has acquired a form that allows the body to distribute weight evenly.
    The bones of the foot are connected by a strong interosseous ligaments (this
    formation of fibrous connective tissue, represented as
    beam connecting bones), and its arch form that provides
    amortization movements when walking and running. Convex arches oriented
    longitudinal and transverse directions. Therefore, stop adult
    normally based on three points - calcaneal tuberosity, the head of the 1 st metatarsal
    bone and 5th metatarsal bone. There are two longitudinal and one transverse
    arch of the foot. The inner and outer arches form the longitudinal arch of the foot,
    and the front - a cross. Depending on the deformation distinguish
    longitudinal and transverse flatfoot.

    In longitudinal flattened outer and inner arch of the foot,
    increases its length and almost the entire area of ​​the sole in contact with the floor.

    When cross - flattened transverse arch, forefoot
    fan-like divergent and is based on the five metatarsal heads.

    All children under two years of the longitudinal arch of the foot is flat. this
    state experts believe physiological, because the bone in
    Toddler soft, elastic. It contains enough minerals,
    which gives bones strength, and muscular system is developed
    enough. When children start to get up on its feet (7-9 months) and
    walk independently (10-12 months), a shock absorber takes
    himself "fat pad"Which is located on the bottom, under the skin.

    At 2-3, the bone mineral gain a sufficient number of
    substances, the joint surfaces become normal shape, ligaments
    become stronger and muscle strength allows you to stay longer "on
    legs". The process of formation of the foot bones lasts until about 5,
    6 years of age. Only in this period, we can speak about the presence or
    no flat feet in children.

    What is flat

    Most often it occurs in children longitudinal flat feet. it is
    congenital and acquired. Congenital form of the disease occurs
    rarely is the consequence of fetal malformations. identify
    it is already in the hospital. In most cases hit by one stop, but sometimes
    and both are affected. This pathology is expressed in children very much:
    convex sole and "inside out" outside forefoot. Treatment
    held since the first days of a child's life: the deformation gradually correct
    using plaster casts. If that fails, resort to

    As for the acquired longitudinal flat, it can be:

    • Traumatic. It occurs after fractures of the foot and ankle.
      Partial or complete ligament damage during a similar injury, as well as
      long stay of the child in a cast contribute to flattening
      arches of the foot.

    • Paralytic. There is motivated by disorders of the central or peripheral nervous systems (often - the effects of polio).

    • Static. This is - the most common form of disease. Arises because
      Overload with a significant increase in body weight, typically at
      obesity, endocrine disorders.

    • Rachitic. Occurs when the excessive flexibility of ligaments and muscle weakness
      arches of the foot. The reason can serve as a lack of vitamins and
      micronutrients - in rickets or general exhaustion, as well as - in congenital connective tissue disease.

    So stop
    It was deformed. What happens in the body? Bundles
    send "signals" nervous about troubles in this system "section". In response, the muscles get "designation" start "fight" from
    deforming forces - that is, how to tighten. But for a long time
    sustain such a burden they are not able to, so quickly exhausted,
    relax and stretch. A deforming force continues
    act now on the ligament. Soon they occur sprain
    (Especially if there is a congenital disorder of connective tissue)
    without support because they are not long muscle work. Now all
    burden placed on the bone. When they do not stand begins
    deformation by compression. By this time the final ligament "eliminated" of
    system, and the deformation comes into the final, irreversible phase. Gait
    It loses its plasticity, smoothness. Children often complain of fatigue in
    walking, pain in the ankles or legs, and often-in
    loin. Some may not clearly identify exactly where they
    experience discomfort or pain, so do not complain, but simply
    They prefer quiet, less mobile games. appears strain
    ankle (also called valgus or X-shaped). at
    the presence of one or more of these symptoms should consult a

    Sometimes the foot deformity can exist for many years (up to
    coming of age) not manifesting itself. But sooner or later, the deterioration
    happens because the body's compensatory potential not

    A child of 3 years (but not before) you can spend the initial diagnosis
    pathology, using the most common method - plantography
    (Foot print). It's easy to do and in the home. On the floor
    put a blank sheet of paper and the baby falls into it with both feet.
    It is better that the soles were wet, then they will remain clear on paper
    mark. The body in this case you need to keep your feet together. Circuit
    stop in a position circled in pencil. Then perpendicularly
    contour a straight line, crossing the narrow part of the entire foot.
    The lightest degree of deformation - the first. But the most difficult and
    severe - third.

    X-ray of the children at this age is not done. At first,
    Foot bones are not yet fully "ripe", Cartilage X-ray
    picture is not visible and appreciate the true height of the longitudinal arch
    difficult. And secondly, the method of diagnosis for a child
    rather bad, so is performed only when serious indications
    and after nine more years.

    Only to eliminate the severe pain is acceptable use of painkillers.

    How to treat flatfoot

    Unfortunately, expect to complete deliverance from flat feet,
    especially at an advanced disease, it is not necessary. But we must be treated
    carefully, regularly and in good faith. The earlier showed signs
    disease, the less the deformation of the foot, the more favorable
    conditions to stop the progression and correction of flatfoot.

    At the initial stage of pain in the legs can be eliminated within 1-2
    months by daily warm foot baths with sea salt,
    manual medical massage and gymnastics. As for baths -
    These requirements are simple: water + 40-50 C temperature, duration
    Procedure - 15-20 minutes, and the proportions of their components are listed on
    packaging and are different depending on the solids concentration.

    Very beneficial effect will self-massage - the good, for it
    there are many devices (special mats, bolsters,
    balls). Exercises are performed with them at random (to go on the massage
    s mat, roll the foot massage cushion, etc.). As a result, improved
    blood circulation, normalize muscle tone. Gymnastics is best done in
    the morning, when the muscles are not yet exhausted. Technique and exercise pace
    (See. The gym with flat feet) better to show the kid on their own
    Example. The room should not be stuffy or with drafts and
    engage your child should be in comfortable clothes, not hindering his movements.

    Baby flat feet
    Massage Therapy must pursue graduate - trainer for physical therapy and massage.

    In the treatment of flatfoot is often used and physiotherapy
    (Parafinoozokeritovye application, electrophoresis, and others.), Which improves
    metabolism and circulation to the tissues, and indirectly strengthens
    arch. Massage and physiotherapy courses are appointed, usually by 10-15
    procedures. It is desirable to conduct 2-3 courses per year.

    A special role in the treatment and prevention of the progression of flatfoot
    assigned orthotics that are assigned already at the first
    extent of pathology. They help relieve the painful areas of the foot and
    adjust the strain identified at the initial signs
    flatfoot. The height of the calculations in the arches of the foot insoles depends on
    the degree of flattening. They need to invest in street and house shoes,
    to make life easier for crumbs when it is as long as possible on the
    feet. As the child grows, the shape and dimensions
    insoles, pads should be replaced. And we can not do without repeated
    consultations with an orthopedic doctor. Acquire the best in the insole
    prosthetic and orthopedic enterprises and orthopedic centers
    ordered individually.

    Only in this case, these products are guaranteed to meet
    necessary standards. And again, it is not necessary to use the orthopedic

    "just in case". If you wear them all the time without an objective
    necessary, the arch of the foot will become relaxed and flat
    may develop even in healthy with an orthopedic point of view of the child.

    If the baby - the third degree of longitudinal flat, especially
    in combination with valgus deformity of the ankle joint, insoles
    It is not limited. He will have to "flaunt" orthopedic shoes -
    shoes with lacing and tight inner side of the foot support.

    Complications of flatfoot

    What are the complications of flat feet? Unfortunately, very different.
    Above all, this flattening of the transverse arch of the foot with a subluxation of the 1st
    finger out during adolescence. If you stop for a long time I was in
    wrong position, especially if there is a valgus
    ankle strain, it may cause deformation in
    the joints of the foot, and even a change in the relations of the articular surfaces
    knee and hip joints. It is accompanied by pain in the legs,
    especially in the evening hours, and decrease amortization functions leads to
    pain in the spine. Subsequently, this may result in scoliosis, then
    have an arcuate deformation of the spine to the right or to the left or to his
    curvature to form a convex posterior - kyphosis.

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