Valgus deformation of the foot in a child is a condition in which a decrease in the height of the arches of the foot and the X-shaped curvature of its axis is gradually formed.At the same time, the heel, along with the fingers, unfolds out, the baby has a noticeable clumsiness and rapid fatigue.What to do if you find such changes in your feet in your child?First of all, you should seek consultation with an orthopedic physician, as well as understand the reasons that led to the development of a Valgus stop.
What is Valgus deformation of stop?
In this term, orthopedists are understood as a state of the foot in a child, in which the distance between the ankles is 4-5 cm.The baby's knees should be reduced together and upright.The heel and toes of this pathology deviate and the internal vault is flooded inwards.The child's legs become similar to the letter "X".In the event that not only the axis changes, but also a decrease in its arches, the orthopedist is diagnosed with "deformation of the legs with a flat valgus".Why is this situation developing?
Causes and stages of disease development
Valgus deformation of the foot in children may be either congenital or acquired.At the same time, congenital pathology is considered a consequence of intrauterine disorders at the stage of lower limb development and can be caused by a wide variety of factors.In this scenario, it is possible to find the AD-Valgus foot in the baby during the first months of life.
The acquired deformation becomes noticeable much later - with the first steps of the child.These deviations can be associated with insufficient development of the ligamentary apparatus and various disorders of the musculoskeletal system.It is noted that Valgus' legs are common in weakened children with severe muscle weakness.The disease can also be caused by the following conditions:
- congenital connective tissue diseases;
- without obstruction;
- intrauterine pathologies leading to hypotrophy (low body weight);
- congenital lip on the hips;
- rickets;
- Cerebral palsy;
- polio;
- obesity;
- Leg injuries (including long -term gypsum stay).
The reason for the stop valgus can also be incorrectly selected shoes for the first steps.Wearing soft and slightly fixing shoes can be the immediate cause of valgus deformation of the foot.The development of the lower limbs is also slightly affected by the too early adjustment of the baby's legs and the use of walking devices (walkers).
Whatever the reason that caused the formation of the AD-Valgus legs, one is one.The muscles and ligaments weaken and stretch over time, losing the ability to keep the foot in the right position.
Signs of the disease
The first symptoms of Valgus deformation on the foot appear as soon as the baby is trying to take his first steps.When observing the baby's gait, it becomes clear that the baby is only found on the inner edge, not the whole leg, as it should be normal.In the absence of treatment, the leg takes shape of X-shape.The child quickly gets tired, complains of leg pain and discomfort when moving.In the evening and at night, swelling can develop.The installation of valgus on the legs is also characterized by the fact that the boots are always wiped only on the inside of the sole.
In addition to the stop valgus, there are other types of X-shaped deformation of the lower limbs.Wicked can affect the neck of the thigh with its congenital dislocation or dysplasia.The legs in the form of the letter "X" can also be curved in the area of the legs.All these diseases are usually combined with each other and are the result of the same changes occurring in the ligamentary apparatus of the lower limbs.
How to recognize the disease?
The installation of a Valgus aircraft on a stop is well defined using an X-ray examination.The photo was taken in three projections.The X -ray is clearly visible improperly incorrect installation of the legs - and this gives all the reasons to make a diagnosis.In addition, computed tomography is performed - a method that allows you to calculate all the necessary morphological parameters of curved legs.Finally, the doctor necessarily performs a similarity during which the load on the various departments of the legs of Valgus is evaluated.
Some types of deformation require additional examination.An ultrasound is performed to determine the condition of the hip joint.In addition, any child who is diagnosed by deformation of the valgus of the foot should visit a neurologist consultation to rule out diseases of the nervous system.In some cases, the disease is formed not only with the insufficiency of the ligamentary apparatus, but also with some pathological conditions of the brain and spinal cord.
The consequences of Valgus's deformation of the stop
Changing the child's set in the child inevitably leads to the formation of X-shaped curvature of the legs.Also, the improper position of the pelvis cannot be avoided as a result, as a result of the posture disorders at old age.In many cases, Valgus' legs lead to the development of flat legs - a source of constant pain and fatigue in the legs.To avoid such complications, you should not delay your doctor's visit to the first symptoms of the disease.
How to treat AD-Valgus deformation of the legs?
The purpose of Valgus treatment is to restore the normal leg shape and return its functions in its entirety.In the early stages of the disease, priority is given to conservative therapy.The implementation of all the recommendations of the attending physician will allow the development of serious complications and to be done without surgery.
Conservative therapy methods used to treat valgus:
- constant wearing of orthopedic shoes;
- the use of special supervisors or insoles;
- massage;
- physiotherapy;
- Therapeutic gymnastics.
The choice of orthopedic shoes should be carried out by the doctor after a thorough examination of the patient.The selected shoes should be comfortable enough so that the child does not refuse to wear it.A wide nose is needed;Fifth - not higher than 4 cm.
If the installation of the legs with a flat volgus is complicated by the development of flat legs, the shoes are chosen according to a different principle.In this case, boots and sandals should have a fairly hard back and tight supervision.Do not forget about special orthopedic insoles that are custom made separately for each child.
The following procedures have been proven by physiotherapy procedures:
- electrophoresis;
- magnetotherapy;
- electrical stimulation of the muscles of the foot and lower legs;
- Mud applications.
Do not forget about the massage - as it is in common, so special with deformation of valgus on the foot.A good effect is noticed by swimming in the pool or open pond.Exercise therapy (therapeutic gymnastics) can be performed in both specialized groups and at home.It is only important to follow all the rules for exercise and not to overload during training.
Valgus deformation gymnastics
Valgus' foot is a condition that is much easier to deal with in the early stages of the disease.One of the effective methods for increasing the tone of the ligamentary apparatus is therapeutic gymnastics.Experts recommend performing the entire set of exercises in the morning or dividing training into several stages throughout the day.
- walking along a rather narrow path (not more than 15 cm wide);
- walking barefoot on an embossed surface (an orthopedic carpet can be used);
- walking only from the outside of the foot;
- capturing the fingers of small objects from the floor or ground;
- Squats without tearing your legs from the floor;
- exit from a sitting position (in Turkish) without the help of hands;
- Walking socks.
All these exercises give very noticeable results in the treatment of Valgus and can be used at home and for a walk in a park or out of town.The main thing is not to force the child to cope with his or her wish.Turn your workout into an exciting game - and your baby will be glad to participate in it.
The surgical treatment of valgus deformity of the foot is done quite rarely and only when it is not possible to achieve the effect of conservative therapy for a long time.The surgical correction method is determined individually and depends on the severity of the disease, the age of the patient and the presence of concomitant pathology.Valgus Flatfoot is not a sentence and orthopedists are actively applying more and more new methods to correct pathology.
Valgus deformation of the first toe of the foot
This condition in medicine is called Holus Valgus.Valgus deformation of the thumb of the foot is found mainly in women.Not so long ago, it was believed that the cause of this pathology was hidden in improperly selected shoes.Experts are currently denying this claim.Unfinished shoes undoubtedly worsen the course of the disease, but are not its source.Probably the formation of Valgus of the first finger is influenced by hereditary predisposition as well as the lack of ligamentary apparatus.
With the development of the disease, deviations from the thumb occur.At the same time, chronic arthrosis is formed with joint deformity and growth of osteophytes (bone protrusions).This is what patients notice as a "boom" type in the very base of the finger.Over time, pain occurs.The usual shoes become small, and the patient should choose boots of size or even go to soft slippers.
Stop Valgus is a disease that requires great patience from the patient.Treatment takes a long time and not always the parents of the children have the strength to bring the question to the end.It is important to remember that only the fulfillment of all the doctor's recommendations and the daily hours with your child will give a chance to recover from the disease.