What is a planovalgus foot and how to fix it?

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

Flat valgus feet is essentially the same flat, a very common defect that occurs in every fifteenth person on the planet. The disease is difficult to treat, and the treatment process is lengthy and challenging.

reasons

The reasons for the development of pathology

In the course of evolution, our foot was formed to take over and evenly distribute the weight of the human body. The role of the foot is to provide the greatest shock absorption during walking, running and jumping. Moreover, due to the unique anatomical structure of the foot, man walks upright, not tractus in this case left and right, back and forth. The protruding arches of the feet are aimed in two directions: transverse and longitudinal. So, an adult has as a support of three points:

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

Pathology is found in young women much more frequently because they wear high heels. Visually the deformation resemble the letter "X". At the same time heel bone and the toes pointing in the same direction (outward), and the middle part of the foot is shifted down.

Thus, the development of deformation contributes to:

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

Classification pathology

Depending on the shape of the curvature of the foot, the pathology is of three kinds:

  • cross;
  • longitudinal;
  • combined.

Longitudinal mounting of the foot is a lowering of the longitudinal arch of the foot. If you experience gait disorders; pain during walking and on palpation, the deformation changes are observed even visually, we can say that the longitudinal strain of the foot.

Shear deformation is characterized by the specific form of the foot — it looks visually complanatis. At the same time, the tendons of the fingers unnaturally stretched, and a curvature has molotoobrazny. Patients complain of pain when walking and gait disturbance.

Combined unit of the foot combines the features of both transverse and longitudinal anomalies and is called the transverse — longitudinal flat foot. Despite this, the pain and different disturbances are absent.

Deformation are classified as follows:

  • spastic — occur after muscle spasms;
  • rickets— develop as a result of D-hypovitaminosis;
  • structural — abnormal location of the talus;
  • paralytic — a consequence of polio;
  • giperkorrektsionnye appear as the result of a failed correction of clubfoot;
  • statistics — with the development of scoliosis and posture disorders;
  • compensatory — development defect of Achilles tendon, in which the bones are shifted inside;
  • traumatic — develop as a result of injuries, bruises, sprains and fractures.

Symptoms

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

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

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

  • bone can become inflamed, swollen and sore;
  • the thumb is curved inwards with the same fate overtakes the other fingers, they also deform and 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 interferes with the normal positioning of the other fingers, they also fancy curved and bent;
  • prolonged walking causes pain and heaviness in the legs;
  • appear on the sole corns and calluses.

Treatment of pathology

Must say that the diagnosis of flat foot valgus implies a very long and complex treatment that takes a lot of time. It is crucial to diagnose the disease and start appropriate treatment. Time in this case works against the patient, as early treatment gives hope for rapid 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 orthopedic shoes, insoles, arch supports;
  • the use of orthopedic braces, ue and other correctors;
  • Regular massage of the lower extremities and the lumbar — sacral — aegre dignosci of the site.
the child's foot

PLANO valgus foot in children

It must be noted that all the above refers to an adult with the presence of this disease, but in young children, things are different. Almost all children are born with flat feet, and it is clear why. After all, their feet at the time had loads and they only make their first steps when they put on their feet. Naturally, in this period, they correctly put the legs, because it are not able to walk.

Therefore it is necessary to distinguish between functional flattening of the arch of the foot and anatomical. Physiological flattening is only at 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 quickly corrected. This usually happens to three years. In addition, up to three years on the sole of the child there is a natural layer of fat that covers the arch of the foot. It can be seen only in the case if you put a child on tiptoe.

The formation of foot arch lengthy, it takes a few years. So talking about the anatomically correct foot formed is not earlier than five years. However, all children are different, therefore someone this process formed earlier and someone later. It depends on how the child is physically developed and healthy, if he has observed deviations from the development of the musculoskeletal system, disorders of the endocrine and nervous system. But, unfortunately, there are cases when flat feet become obvious pathology.

At risk lead kids, which in the first year of life was diagnosed disabilities of locomotor apparatus, loss of muscle tone, delay in psychomotor development, obesity. The consequence of such violations will be flat valgus deformity of the feet.

The deviation angle of the stop from the line axis children's orthopedists measured in degrees. In this case, the child's body weight is unevenly distributed on the legs and experiencing the greatest load a certain area of the foot. In this case, the inner edge of the foot, where to form the longitudinal arch. Therefore, therapists call this pathology PLANO valgus.

The reasons for the development

The reasons for the development of the disease are:

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

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

  • the theory of hereditary weakness of muscle-bone tissue;
  • 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 the 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, knee and hip joints, posture and curvature of the spine. The result of the overloaded muscles, joints suffer and are violated of their function, pain and gait disturbance. At a very early age can appear arthritis, arthrosis, osteochondrosis and disability.

Treatment

Treatment of ailment 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. It helps to relax the musculoskeletal system, improve blood circulation and trophic muscular soles. The child's foot massage in the following sequence:

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

Massage starts with stroking, which increase the flow of blood to the extremities of the baby. Movement is carried out from the heel to the popliteal fossa. During the massage the emphasis is on relaxing the muscles, rubbing the kid to do. If in some areas it is necessary to make some vigorous rubbing, they must be simultaneously light and energetic. Kneading is carried out with the pads of your fingers. The emphasis is on stroking and shaking.

Physiotherapy

Gymnastic exercises for the treatment of flat feet treatment is carried out on Mat which should have an uneven (embossed) surface. Conducting exercises on this Mat, at the same time there is a mechanical foot massage. The exercises are suitable for children two to three years.

Exercises on the Mat:

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

Surgical treatment

Surgical treatment for correction of flat feet rarely do. The excision of the arch of the foot doing by the method of Grice. Correction of the defect spends in adolescence, however, apply the technique of arthrodesis, which carry out a phased repositioning of the bones of the foot to correct arch.

The most effective option is surgical correction of the defect in a child 4 - 5 years with flat feet. At this age there is a rapid recovery of ligaments and joints, and reposition the bones gives the best result

16.08.2018