What is a planovalgus foot, and how to fix it?

Valgus flat-installation of stop — orthopaedic abnormality, which is characterized by the deformatio changes of the foot, which is found in children and adults. Deformation constitutes a violation of the surface of the foot, while its central part is moved down, the fingers and the heel turned outward. The cause of the abnormal development of the foot is in the weakness of the ligaments, muscles and tendons when the leg that is under the influence of stronger muscles is attracted to him. The result of this influence is the formation of flat feet.

Flat valgus foot is basically the same, a flat, a very common error that occurs in every fifteenth person on the planet. The disease is difficult to treat, and the treatment process is time consuming and difficult.

reasons

The reasons for the development of pathology

In the course of evolution, our foot was created to take over and evenly distribute the weight of the human body. The role of the foot to ensure maximum shock absorption during walking, running and jumping. In addition, due to the unique anatomical structure of the foot, the man walks upright, and does not tractus in this case, left and right, forward and back. The convex arches of the feet are oriented in two directions: transverse and longitudinal. So, an adult, that is, to assist for three points:

  • element of a large metatarsal bone;
  • calcaneal tuberosity;
  • the fifth metatarsal bone.

The pathology is found in young women a lot more often, because they wear high heels. Visual deformation is reminiscent of the letter "X". At the same time heel bone and the toes pointing in the same direction (outward), the middle part of the foot is moved down.

Thus, the development of the deformation contributes to:

  • the weakness of the ligamentous apparatus.
  • connective tissue disease;
  • weight (obesity is causing additional load on the foot, which leads to their deformation);
  • wearing uncomfortable shoes on high heels.

The classification of the pathology of the

Depending on the shape of the curve of the foot, the pathology is of three types:

  • the cross;
  • longitudinal;
  • in combination.

The longitudinal mounting of the foot is a lowering of the longitudinal arch of the foot. If you have experience, gait disturbances; pain during walking and on palpation, the deformation changes are observed also visually, we can say that longitudinal deformation of the foot.

Shear deformation is characterized by a special form of foot — looks visually complanatis. At the same time, the tendons of the fingers unnaturally stretched, and the curvature, which is molotoobrazny. Patients complain of pain with walking and gait disorders.

A combined unit of the foot combines the characteristics of both transverse and longitudinal irregularities and is called the transverse — longitudinal flat foot. Nevertheless, the pain and different disorders, that are absent.

Deformation are classified as follows:

  • spastic — occurs after the muscle cramps;
  • rickets— develops as a result of D-hypovitaminosis;
  • structurally — abnormal location of the talus;
  • paralytic — effects of polio;
  • giperkorrektsionnye occur as a result of the failed correction of the clubfoot;
  • statistics — with the development of scoliosis and posture disorders;
  • compensation — development defects on the Achilles tendon, in which the bones are shifted inside;
  • traumatic — develop as a result of the injury, bruises, sprains and fractures.

Symptoms

As we mentioned, the flat valgus deformity develops on the background of congenital flatfoot. Symptoms depend on the area of the foot exposed to distortion.

For example, hallux valgus, may be due to the pathology of the peroneal muscles. The disease is characterized by paralysis of the muscles, such as the foot and lower leg.

In the presence of a "canine" symptoms will manifest themselves in the following way:

  • the bones can become inflamed, swollen and painful;
  • the thumb is bent inward, with the same fate overtakes the other toes, they are also the transformation and the bulge in the form of hammers;
  • impossible to wear narrow shoes or shoes with heels, and sometimes even comfortable;
  • very often patients with this pathology are wearing shoes several sizes larger;
  • the curvature of the thumb obstructs the normal position of the other fingers, also fancy curved and bent;
  • prolonged walking causes pain and heaviness in the legs;
  • appear on the sole corns and calluses.

The treatment of the pathology

I have to say that is the diagnosis of flat foot valgus means a very long and complex treatment, which takes a lot of time. It is crucial to diagnose the disease and start the proper treatment. Time in this case works against the patient, as early treatment gives hope for the fast elimination of the disease.

Treatment of valgus flat feet includes:

  • physiotherapy, which is aimed at correcting the shape of the foot and strengthening the muscles;
  • physiotherapy;
  • wearing orthopaedic shoes, insoles, and arch supports;
  • the use of orthopedic braces, ue, and other factors;
  • Regular massage of the lower extremities and the lumbar — sacral aegre dignosci of the city.
a child's foot

PLANO valgus foot in children

It should be noted that all the above refers to the adults with the presence of these diseases, but in young children, things are different. Almost all children are born with flat feet, and it is clear why. After all, your feet, in the moment the loads and they only make their first steps when they put on their feet. Of course, in this period, are properly put on the leg, because they are not able to walk.

It is therefore necessary to distinguish between the functional covering of the arch of the foot and anatomical. The physiological flattening is only in the stage of orthopedic development in the lower extremities and is normal. When a sufficient load (when walking on uneven surfaces) the child has a deformity of the quick fix. This is usually happen to be in three years. In addition, up to three years, on the sole of children is a natural layer of fat that covers the arch of the foot. It can be seen only in the case if you put the child on the fingers.

The design of the arch of the foot time-consuming, it takes a few years. So we are talking about an anatomically correct shaped foot is not earlier than in five years. But all kids are different, so someone that this process occurred earlier and someone later. It depends on how the child is physically developed and healthy, if observed deviations from the development of the musculoskeletal system, disorders of the endocrine and the nervous system. But, unfortunately there are cases when it is flat feet, it becomes apparent pathology.

At the risk of leading children in the first year of life was diagnosed disabilities of the locomotor apparatus, loss of muscle tone, delays in psychomotor development of obesity. The result of such a breach will be flat valgus deformity of the feet.

Deviations of the angle stops from the line axis children orthopedists measured in degrees. In this case, the child's body weight is unevenly distributed on your feet and experiencing a maximum load of a specific area of the foot. In this case, the inner edge of the foot, where the form of the longitudinal arch. Therefore, therapists call this pathology PLANO valgus.

The reasons for the development of

The reasons for the development of the disease are:

  1. Connective tissue dysplasia — the most common reason, which occurs as a result of pollution of water, soil and air, poor quality food. All of this leads to the abnormal development of connective tissue for the child, the attack and other organs.
  2. Uncomfortable children's shoes, which bad leg locks.
  3. Children deprived of physical activity (at home, in the garden, nursery).
  4. Hereditary metabolic diseases (thyroid disease and diabetes).
  5. Hereditary osteoporosis.
  6. D-hypovitaminosis, due to which the bone is formed by the error.
  7. The lack of calcium and phosphorus, as well as a violation of their intake due to diseases of the gastrointestinal tract.
  8. Injury of the foot.

Also, experts identify several theories about the origin of the disease:

  • the theory of hereditary weakness of the musculoskeletal tissues;
  • anatomical theory;
  • Vestibulum-mechanica theory;
  • vestimentarnaya theory.

And three degrees of severity flat valgus curvature:

  • easy;
  • medium;
  • heavy.

The first symptoms of the pathology observed in the first steps of a child. Therefore, it is important to immediately diagnose the disease and begin to eliminate it. If this is not done in a timely manner, the child will not only strain the feet, but also ankle, knees and hip joints, posture and curvature of the spine. The result are overloaded muscles, joints suffer and are violated of their function, pain and gait disturbance. At a very early age can develop arthritis, arthrosis, osteochondrosis and disability.

Treatment

Treatment of disease is carried out in the following directions:

  • the foot bath;
  • massage;
  • ozokeritotherapy (paraffin);
  • mud applications;
  • physiotherapy (electrophoresis, magnetic therapy, electrical stimulation);
  • acupuncture;
  • swimming;
  • physiotherapy.
massage

Massage

Massage is the main method of treatment in complex therapy. This helps to relax the muscular-skeletal system, improves blood circulation and trophic muscle mass. Children's foot massage in the following order:

  • just before the start of the massage stroke of the leg;
  • light strokes are treated with the hips and knees;
  • knead the muscles of the rear surface with the surface of the pressure;
  • rubbing the muscles;
  • hold patting the leg of the child by the hand;
  • spend the final stroking.

Massage starts with stroking, which increases the flow of blood in the extremities of the child. The movement is performed from the heel to the popliteal fossa. During the massage the focus is on relaxing the muscles, rubbing the child to do. If in some areas it is necessary to make some vigorous rubbing, they should be at the same time light and lively. Kneading is performed with the pads of the fingers. The focus is on stroking and shaking.

Physiotherapy

Gymnastic exercises for the treatment of flat feet treatment is performed on the Mat, which would have the same (convex) surface. The implementation of the exercises on this Mat, while at the same time the mechanical massage. The exercises are suitable for children from two to three years.

Exercises on the Mat:

  • steps from one leg to the other, transfer the body weight;
  • standing on one leg, the other to hold moving on the Mat;
  • placing his hands on the waist, that circular motions, with his body in one, then in the other side;
  • one foot placed in front of the other, and then rise on your toes and down the heel;
  • one leg, to rely on the heel and the other on the toe, at the same time roll the feet from the sock to the heel;
  • walking on the Mat with support at the outer edge of the foot.

Surgical treatment

Surgical treatment for the correction of the flat feet rarely. In the excision of the arch of the foot doing by the method of Grice. The correction of the error survives the teenage years, however, used the technique of arthrodesis, which implemented a phased repositioning of the bones of the foot proper arch.

The most effective option is surgical correction of the errors in the child 4 - 5 years, with flat feet. In this age the rapid recovery of ligaments and joints, and the displacement of the bones gives the best result

16.08.2018