Valgus foot deformity in children: treatment in a child, photo, how to treat

Once your child begins to walk, it is necessary to pay attention on how he does it. Special attention should be given to the installation of the knee joints of the feet, lower legs and feet of the child (if there is no curvature, abnormalities of gait, etc.). The fact is that these problems in the near future may lead to serious consequences and various diseases of the musculoskeletal system. Therefore, to detect, it is necessary as soon as possible.

If the newborn diagnosis of curvature of the legs difficult due to the fact that the child still doesn't come, with a year-old child to see the problem very simply, if carefully follow the baby steps.

One of the most common types of curvature of the lower extremities is a valgus deformity of the forefoot in children. Exactly about this issue will be discussed in this article.

What it is and how to recognize a valgus setting foot

Valgus deformity – this is the curvature of the feet, in which when a strong pressure fixed legs at the knees the distance between the inner edges of the ankles will be equal to 4-5 cm and more. Also, when valgus heel and toes bounced on the outer side, and the arch of the foot "fall" in. Feet like called X-shaped, in contrast to the O-shape, which are formed in the varus type deformity. If at the same time has a lower normal height of the arch of the foot, then it's mark the all-valgus deformation. This is the last form of pathology most often occurs in children.

deformation-feet

In the initial stages of the formation of valgus feet especially expressed the curvature is not noticeable, but over time, the pathology of the musculoskeletal system is moving quickly, and then the diagnosis can give, on the basis of a simple examination of the child.

Identify the problem as soon as possible, pay attention to the following possible symptoms of valgus feet in your child:

  • feet to form the letters of X converge in the area of knee joints and diverge in the area of internal ankles more than 4-5 cm;
  • foot DROP inside, when the child costs or goes;
  • the arch flattens;
  • shoes worn on the characteristics of the schema – in the first series of recessions and washable inner part of the soles;
  • when walking it is shuffling feet;
  • walking toddler position is uncertain;
  • the kids will get tired while walking;
  • older children may complain of pain in the legs, back pain, recurrent convulsions, for some it is possible to observe and swelling.

As usual, the diagnosis of valgus feet in a child can give to parents themselves in the home environment on the basis of the symptoms listed above, but in any case you need to visit your treating pediatrician or a children's orthopedist. The specialist will prescribe a variety of other procedures and tests to refine the diagnosis, determine the cause of the curvature and on the basis of the data obtained will prescribe a comprehensive therapeutic and restorative activities.

The reasons for the curvature of the soles of the feet

Valgus position of the feet in a child, depending on the cause, may be congenital or acquired.

A congenital etiology is caused by various malformations of the elements of the musculoskeletal system, genetic or chromosomal abnormalities in the fetus. In such a case, the pathology is evolving even in the period of intrauterine development and it manifests immediately after birth, and the degree of curvature in the case of a congenital valgus deformity is very marked.

photo-warping

The acquired form of pathology develops already after birth of the child and can have many causes, among which are:

  • premature births or the birth of a child with a small weight of the body;
  • the lack of calcium and/or vitamin D;
  • overweight in a child;
  • the syndrome of dysplasia of connective tissue;
  • frequent ARI;
  • cerebral palsy;
  • polio and other infections, which affect the nervous system;
  • muscle diseases, for example, myodystrophy;
  • the defeat of the peripheral nerves (neuropathy);
  • pathology of the hip joints (dysplasia and congenital dislocation of the hip);
  • too early walking baby on your feet;
  • diseases of the endocrine system (diabetes, hypothyroidism);
  • irrational choice of shoes;
  • excessive load on the yet these body parts until the end of the legs;
  • injury (fracture, sprain, strain);
  • delegated the operation to a halt.

The extent of deformation of the feet

Depending on the size of the deviation of the axis of valgus feet from the standard, issue 4 the degree of severity of the pathology:

  • 1 degree – the angle of deviation is 10-15º, deformation lends itself well to conservative treatment and it is possible to completely fix it.
  • 2 degree of – the angle of deviation is equal to 15-20º. Cure the deformation can be completely with the help of the complex of conservative methods.
  • 3 stage – deviation from the normal axis of the foot in the range of 20-30º, how to get rid of the disease is possible only by conservative treatment, but the therapy process requires a lot of time and forces.
  • 4 grade – the angle of deviation of more than 30º. It is a heavy degree of deformation, which is almost impossible to cure some of the conservative practices of many patients requires a special operation.

How to determine the valgus installation stop

As has already been said, the suspect valgus position of the feet may be parents themselves or a pediatrician, but the final diagnosis should only give children's orthopedist.

Unfortunately, one visual examination for the diagnosis and build a treatment plan a valgus deformity is not enough. The specialist will prescribe a series of necessary research:

  • clinical blood and urine tests;
  • chest x-rays of the feet of the child in several positions, if necessary, CT or MRI;
  • ULTRASOUND of the joints if necessary;
  • computer podometry;
  • computer planotography.

Important! Exclude diseases of the central and peripheral nervous system as the cause of valgus deformity of the foot, all the children with this problem must, without exception, to examine the neurologist.

On the basis of the obtained data, the specialist will reveal the correct and final diagnosis, will be developed an individual plan of care of the child, they explain to the parents what and how to do, to achieve a good result and get rid of the problems.

massage-mat

Treatment of valgus deformation of foot in children

How to treat this disease, is entirely dependent on its causes and extent. If the obtained deformation of the 1-3 degree of severity can be repaired by a complex of conservative methods of treatment, then get rid of the 4 degrees of curvature or of congenital valgus feet, it is possible only by operation.

The basic components of the treatment program in a valgus deformity of the feet:

  • therapeutic physical training;
  • massage the soles of the feet and using special massage mats;
  • wearing orthopedic shoes and insoles;
  • physiotherapy;
  • immobilizing the foot in the correct position using plaster bandages;
  • surgical intervention.

The goal of treatment of children with valgus installation of the foot is to restore normal shape and function of the foot, strengthening its ligamentous and muscular apparatus. This can easily be achieved using a comprehensive approach to therapy.

In the case of congenital pathology of the little patient can be assigned to a long immobilization of the leg in the correct position using the gypsum bandages or correction of the deformity by operation.

In other cases, treatment begins with the individual selection of orthopedic shoes or insoles, a complex of therapeutic exercises, massage, physiotherapy.

Very good effect have a group exercise under the supervision of an instructor with exercise therapy, as well as home exercises.

Consequences and prevention

If the time to recognize the pathology and to start his treatment, the child may experience the following complications:

  • rapid fatigue and chronic pain in the stop;
  • osteoarthritis of the ankle, knee and hip joint due to improper load distribution when walking;
  • diseases of the spine – osteochondrosis, scoliosis, etc.;
  • chronic pain in the back;
  • flat feet;
  • various disorders of posture.

Announce the formation of a valgus foot, if the deformation is not caused by congenital causes, only.

To do this you need to follow the rules and guidelines:

  • it is prohibited to soon put a small child on his feet and practicing before boating;
  • it is important as the first shoes to toddler to pick up orthopedic cases;
  • regular gymnastic exercises and the development of the massage should come in the habit with the parents and their child;
  • don't forget preventive visits to the doctor, and even in the case where a child nothing to worry about;
  • it is important to eat properly and lead a healthy lifestyle;
  • in the event that such a problem, how to lose weight, without exception, it is necessary to bring the body mass index to normal;
  • if they are present suspicion on a valgus deformity of the foot, it is necessary as soon as possible, turn to an expert.
valgus

Reviews about the treatment

Thomas, 34 years old

Valgus curvature of the foot for my son discovered on the annual preventive inspection in the 2-ohm class. So far, I've paid attention to the legs, the child and didn't know about this disease. Doctor-surgeon at the children's clinic has appointed us products calcium, course 3 therapeutic massage, electrophoresis, daily exercises for the feet. I hope that this will help get rid of the problem.

Jan, 36 years

Wife noticed at my daughter's curvature of the feet for 1 year right after she started walking. The doctor gave us the diagnosis of a valgus deformity of the feet. The treatment consisted in wearing special orthopedic children's footwear, therapeutic massage and exercises on a special mat. Has passed already half a year after treatment and the results are very pleasant. Legs have become equal-equal.

Marina, 23 years old

Valgus deformation of the feet was in my childhood. Constantly I quickly spoils the boots on the inner side of the sole, but the parents are not to give it special attention, until I started the horrible pain to stop and my legs were also cramping in the legs. The doctor put the diagnosis right on the first inspection. Wear orthopedic shoes I didn't want to – it looked unappetizing, and so was offered an alternative option for correction of the setting of the feet – orthopedic insoles made to measure. Also, treatment involves a course of exercises in the clinic under the supervision of a physical therapist, massage and homemade gymnastic exercises. After half a year of leg pain subsided, gymnastics, I threw in, but the insole is worn to continue. The degree of curvature is decreased (this is evident from the shoes that I wear), but completely the deformation not disappeared.

17.08.2018