common in people flat, physicians expressed malonauchno -
"Very often." At one stop people losing their depreciation
functions over the years - and irrational to blame the selection of shoes,
and a sedentary lifestyle. But most - a legacy of children
years. So what about the legs actually need care from a very early
age. And how better to do this, it helps to understand the main
children traumatologist Health Ministry, the head of the children's clinic
Orthopedics VCO CITO them. Priorov Professor Oleg Malakhov and head of the rehabilitation department of the same institute Dr.
Medical Sciences Mikhail Borisovich Tsykunov.
Flat feet can be congenital, as a result of muscle underdevelopment,
absence of the fibula, and other malformations. occurs
not often (about 11% of all congenital deformities of the foot). But in general
hereditary factor plays a big role. If the father or mother suffer
flat feet, you need to prepare in advance, that the same "history" will have
Promote deformity may rickets. In severe
vitamin D deficiency bones become soft, weakens the musculoskeletal
apparatus. Flat in this case is often combined with other
bone changes characteristic of rickets.
Polio vaccination has become rare due to the culprit
flat feet - foot deforms often result in paralysis
At older ages, flat
can be caused by injuries - a fractured bone of the forefoot,
but most often the result of improperly fused ankle fractures.
The most common type of flatfoot - static,
it occurs in children, because their muscles are weak by nature and sometimes
can not withstand the load. The main force supporting the arch of the foot
at normal height, - muscle-insoles. They start from the bones
shins, their tendons pass behind the inner ankle. If these
muscles are doing their job poorly, arch of the foot drops, foot bones
and lower leg are displaced. As a result, the foot is extended and expanded
in the middle part and the heel is deflected outwardly.
Treatment of flatfoot
Treat it with a simple mind disease is difficult. Besides,
It is unlikely to come a time when people will be able to breathe a sigh of relief:
Well, I was cured! Flatfoot is given once and for all life.
You can only tame the disease with the help of special events,
do not give her a significant impact on the daily routine.
In congenital flat foot massage is needed in complex cases
feet of a child locked in the correct position with special plaster
dressings. At preschool age the basic treatment should be
to strengthen the arch of the foot with the help of massage and gymnastics, and the use of
insoles, arch supports is assigned at this age often.
At school, on the contrary, special importance is given to selection
orthopedic shoes with good arch laying out and lifting of internal
heel edge. There is an important point: Stop the child is growing rapidly,
so the shoes have to be changed frequently. A small error in the design
the shoe can not help, but rather sidetrack pathology.
In adolescents with severe
flat feet, accompanied by a sharp pain, treatment begins
with cast application. After the disappearance of pain
appointed orthopedic shoes, massage, gym. Only if all
it may not lead to anything, the operation is possible.
Gymnastics. There must be a daily and habitual activity for
patient flatfoot. Better not to do it again, and 2-3 times a day.
Massage. It has a good auxiliary effect improves
blood circulation and tones the muscles, pull-up vault. Massira
shin - on the inner side of the back bone to the foot - herself
foot - from heel to toes bones. Receptions - stroking,
rubbing, kneading. Self-massage should be performed patting
elevation of the base of the thumb palm, arch of the foot, the back
and an inner surface of the tibia.
When the marked flatfoot teenager will need to think
choice of profession, not associated with prolonged walking, standing. And here
with regard to the army, according to the latest orders of the Ministry of Defense,
contraindication to call is just flat 3rd degree
with osteoarthritis of the joints of the foot.
Diagnosis of flatfoot
It should be borne in mind that up to 4 years to put a child diagnosed
"Flat" is simply not serious. Toddlers on the legs have
Physiology fat pad, and if you make a foot print
(Plantography), we can see seems to be flattening, which
flat feet really is not. Another reason
wrongly diagnosed, - X-shaped legs. The foot, in this case seems
flat, but if you put the leg straight up, then print
get normal. That is why, if the diagnosis is not putting a podiatrist, and,
for example, a surgeon or doctor physical therapy, the disease can be
found where it does not exist.
But from 5-6 years with parents themselves
may well notice some irregularities in his child.
Clubfoot deviations feet outward or inward when walking or standing
may be indicative of flat foot. Examine the shoe child -
whether they wear on the inner side of the sole and heel. more
older age, the child himself expresses his complaints, which can be
suspected flat - walking quickly tired legs,
there is pain in the calf muscles, on the sole in the arch of the foot.
Sometimes the pain spreads to the soles through the ankle to the thigh, creating
picture of sciatica. In marked flatfoot foot changes shape,
as we mentioned above.
Flatfoot is a complete loss of all functions of spring
feet. You can compare this with a trip on two machines: a good
springs and worn. The first bumps on the road "will respond" only
light shaking, and the second, any depression in the ground - is decent
Shake. This is a fair shake when walking flat gives the tibia,
hip joint. All this can lead to a disastrous result -
Prevention of flatfoot
But, of course, the best fight with flat feet - its prevention. It consists in strengthening the muscles that support the arch of the foot.
The forefoot is almost impossible to strengthen the massage
or gymnastics, help is only correct selection of shoes - wide
toe, heel and tough backdrop, do not overload your toes. at
The initial degree of flatfoot children better not to wear sandals
with open heels, soft slippers, boots. Better fit boots
hard-soled, low heel and lacing.
Be sure to follow the child's weight, so that it was not higher
standards. Weakened muscles children, coupled with the increased weight given greater
the likelihood that the body will be omitted.
Natural strengthening the body helps to strengthen the foot.
The child is useful to swim - better crawl, but you can just wallow
at the edge of the pool - it is important that there is a paddle-footed. Good to go
barefoot - on the sand (not hot) or shingles (not spicy). Run
on mounds and hillocks, walking on a log.
Physical exercise is certainly useful for children with flat feet.
Recommendations for the restrictions is very relative. For example,
skating ski course, skates or give excessive weight lifting
the load on the arch of the foot. On the other hand, they are not contraindicated if
No severe clinical manifestations of the disease - pain, swelling. Thus, almost
all skaters flat formed over time that does not interfere with
them to achieve high results. In the famous jumper
in height was expressed by Vladimir Yaschenko flat. However, his
shortcoming he turned into a plus - in time to correct the jump
deformed foot muscles, which increased his leaping ability. physical
Load anyway develops leg muscles and strengthens the arch of the foot.
In the initial sitting position with straight legs:
- The knees and heels are connected, the right foot strongly straighten;
bring anterior left foot under the sole right, then repeat
exercise, changing legs.
- Pat and the inner edge of the plantar surface of the right foot left calf, repeat, switch legs.
Iskhoddnoe sitting position on a chair:
- Cranking toes.
- Bringing a stop inside.
- Whirling foot inside.
- With both feet to capture and lift the ball (volleyball or printed).
- Toes grab and lift a pencil.
- Toes grab and lift the sponge.
- Toes to pull a thin mat.