Valgus deformation of foot – the most common orthopedic problem, which is characterized by a deviation of the position of the thumb feet inside. At the same time, this pathology can affect not only your thumb on the stop, but also the station, ankle, feet and even uterine thighs. The main feature of this pathology – "X"-shaped deformation, so walk with other health problems, it is impossible. Usually this disorder occurs in children, but in adults it can also diagnose. It may be the result of injury, endocrine diseases, osteoarthritis or osteoporosis.
The disease is caused by the deformation of the metatarsal joints, which leads to disturbances in the front part of the foot, increases the amplitude of the movement of the tendons and ligaments. In consequence his feet as if pushed inside. Most often it is diagnosed in adults of valgus deformation of the big toe, and in children – flat feet.
As has been said above, most often this disorder occurs in children, so that the main causes – genetic. A baby born with this pathology, or you can buy it in quite a small age because of the delay in lifting the legs or long periods of standing (for example in the arena), or because of the excessive efforts of parents to make their child faster he went.
Also the reasons for the development of this disease in children can be the following:
The causes of the development of deformation in adults, it is this:
In popularly such a deformation of the legs of the so-called "bone", because in place of the curvature of the thumb is formed by the bone of the game result, which brings a lot of discomfort, because for him it is difficult to find suitable shoes. In addition, without treatment of this game result in an increase in size and inflammation, because of what a person experiences severe pain during walking.
Often the parents of the children meet with the productions of their children of such a diagnosis, such as flat feet. In popularly a pathology of so-called flat feet, and is characterized by retractable legs to the side with the formation of a cleared field. Genetic predisposition in of flat feet in children plays a significant role. However, the causes of this disease is also embedded in the wearing of uncomfortable shoes and the premature lifting of the child to his feet.
Note that, according to ICD-10 each deformation has its codes. So, the flat feet has the code M21.4, but the classic mark all-valgus deformity of the forefoot in children – M21.0. In addition, the pathology of which has a genetically determined factors of development (congenital), is referred to code Q66.5.
The symptoms of this pathology will evolve depending on what joints it affects. When flat feet will mean violation of the gait, pain with prolonged standing or walking, the curvature of the position of the legs with a shift inside.
In cases where children or adults are detected, the so-called "what", the symptoms will be the following:
In addition, the symptoms can be local – redness at the site of deformation, the swelling of the "blister", support in place of lesions of the skin temperature of the sheets (the place is to feel "hot"), the development of the bunion and corns.
The treatment of this disease is essentially surgical – conservative treatment only allows you to reduce the manifestations of the disease and slow down the development of the deformation process in the initial stages of the process.
At the same time, treatment of flat feet, on the contrary, are predominantly conservative. And it's effective in most cases, especially in children. So with any of the above orthopedic disorders need to be urgently appeal to the doctor-a podiatrist, who will put a diagnosis and prescribe adequate treatment, which will allow to avoid complications and serious surgical procedures.
The diagnosis of such a pathology, such as valgus deformity of the foot in a child, is determined on the basis of visual inspection and radiographic warehouse. When a patient is diagnosed such violations, such as flat feet, diagnosis is established only on the basis of complaints and visual inspection, how large radiology changes, especially in the early stages of the disease, are not observed.
Usually the symptoms of flat feet in children appear in the moment when children begin to walk. Due to the flattening of the feet of the child can not stand firmly on his feet, and his shoes wear out unevenly. Appeal to the doctor allows the disease effectively treated using physiotherapy techniques. Physiotherapy treatment includes perform a little patient massage, which allows you to catch the blood circulation in the stop and soften the muscle tissue and ligaments, and by the restoration to stop of the normal relief.
Also, treatment involves wearing special orthopedic shoes or using orthopedic insoles – best if they are made to fit. Treatment of flat feet is carried out using a complex of special exercises, such as walking on socks, the "ride" stop for cylindrical objects, etc.
If we talk about the treatment of the proverbial "blister", then it becomes only surgical, and especially if it is initiated too late. In modern medical practice, there are several types of operations to get rid of this problem, and it's up to the removal of paperwork build-up of the laser and of the joint, but the truth is that in 10% of cases in people of the deformation re-emerges.
In the initial stages of conservative treatment of valgus deformity of the big toe foot allows you to achieve a good effect. The most effective method is massage, which is performed by a specialist in the conditions of a medical facility or at home by the patient. Massage allows you to create static sections, increase blood flow and reduce inflammatory phenomena in the joint. At the same time massage is contraindicated in cases where on the zone of deformation appeared inflammation of the joint – bunions. Massage is done courses on 15-20 sessions and held no less than 4 times per year, up to a full recovery. When this massage involves treatment of the muscles of the legs and lower extremities of the inner group, as well as massage the plantar muscles.
If we talk about the surgical treatment then surgery laser is the most sparing. There is evidence regarding the treatment of this pathology using the overlay special fixing tires. You can either wear it during sleep, or wear it for days (depending on the model) for a long time. But, again, such treatment is only effective in the early stages of the disease.
As already mentioned above, of all surgical methods, laser treatment gives the best results, and therefore, with each passing year becomes increasingly more popular, despite the relatively high cost of the procedure. Laser treatment has a minimum of contraindications, so suits all people and adults and children with this deformity). In addition, laser therapy has a minimum rehabilitation period of time – to restore the people can already after a few weeks after the procedure, while normal operation requires several months of rehabilitation.