Symptoms and treatment of transverse flatfoot
The human foot consists of many small bones, joints, ligaments and tendons connected together.
Incorrect wearing of shoes, overweight, various injuries and many other causes can disrupt the fragile balance of the system that the foot represents. Because of , abnormalities in the ligament of , the joint or the location of the bones, the anatomical arches of the foot begin to flatten.
With time, flattening can progress, and can remain at a certain stage continuously. And in fact, and in that case it gives cause to diagnose flat feet.
The classifies several types of this disease:
- The transverse flatfoot , in which the foot "sprawls" in width, develops bone-cartilaginous growth. Instead of giving a load to the arch support, the foot is flattened and expands an additional support in the form of a joint, popularly known as a "bone".The risk group for this type of disease is women and men aged 35 to 55, especially those who are overweight.
- Longitudinal flat feet, , on the contrary, manifests itself in the extension of the foot in length and is most often observed at a young age - 16-25 years.
- Combined platypodia simultaneously observe both types of deformities, but all of them lead to a flattening of the arch of the foot. The combined variant of the disease is observed most often.
Usually a predisposition to flat feet is inherited, but there are also types of acquired flat feet, to which there was no inclination.
- Static - formed due to standing work, hypodynamia, excess weight, increased loads on the foot, endocrine diseases.
- Paralytic - arose after the paralysis of limbs and the dysfunction of the muscles that hold the arch of the foot.
- Traumatic - physical changes in consequence of trauma.
- Ricky - acquired, developed due to lack of vitamin D.
According to the degree of development, weak, initial, and progressive flat feet.
Consider transverse platypodia, one of the most common types of disease, closer.What can cause inflammation of the joints of the foot. How to not miss the right time to see a doctor read in our article.
A useful addition to the treatment of arthrosis - orthopedic knee pads for arthrosis will help reduce pain and accelerate recovery. How to choose and correctly carry the device read here.
Why is the foot flattening?
There are several reasons for transverse flatfoot.
- Genetic predisposition. As already mentioned, most often flat feet manifests as a congenital disease. It arises from the inherent weakness of the muscles of the arched arch, which is also called the "aristocratic foot".If a person leads a healthy lifestyle, eats properly, receives moderate physical activity, wears good shoes, then this type of flatfoot does not progress and practically does not cause trouble.
- Disturbances in the muscular and ligamentous apparatus of the foot. In a healthy person, the phalanges of the toes should run parallel to each other. But, as a rule, the slightest and inconspicuous disruption in the development of muscles or ligaments leads to the formation of a fan-shaped arrangement of phalanges. Over time, the phalanges "creep" in the sides, and because of this, a transverse flatfoot arises.
- Overweight. The arch of the foot, as well as its muscular and ligamentous apparatus in general, is designed to work only with a certain weight. If it goes beyond the norm, the load on the foot increases, it flattenes.
- The same situation is observed in people with normal weight, but having an excess load on the foot due to the type of activity. So, the work of a lecturer, teacher, factory worker and many other professions are considered "standing", that is, a man spends most of his days on his feet. Excessive loads disrupt the balance of the foot, the acquired flat feet develop, which is considered an occupational disease.
- Traumas of the foot are one of the most common factors in the development of flat feet in men. Fractures of the foot bones, dislocations, stretching of the muscles and ligaments, violation of the integrity of the calcaneus bone lead to disruption of the foot apparatus and progressive flat feet.
- Walking on heels, wearing uncomfortable shoes with an unsuitable shoe and other violations of foot hygiene - almost one of the most common causes of the development of acquired flat feet. When walking on heels, for example, the entire weight of the body is transferred to the front of the foot. Instead of spreading evenly over the entire support, it presses and eventually deforms bones that are not ready for such loads. It is because of the heels, and also because of the transfer of the hereditary predisposition to flat feet along the female line, that the ratio of women and men suffering from this disease is eight to two, respectively.
Symptoms that indicate the development of the pathology of
The development of flatfoot is easy to recognize. The most common symptoms that accompany transverse flat feet:
- Constant pain and the emergence of a strong sense of fatigue in the feet, which is particularly pronounced towards the end of the day.
- Burning and cramps in the shin area of , usually not associated with uncomfortable position, hypothermia and other external factors.
- Deformation of the foot and change in the location of the phalanges of the fingers.
- The appearance of a kind of cone at the base of the thumb( usually called a "bone").
- With progressive flat feet - violation of posture, pain in knees and pelvic joints, discomfort in back.
- With the development of the disease, deforms the entire front part of the foot .
How to diagnose a diseaseYou can diagnose platypodia when examined by an orthopedic physician or traumatologist, which will reveal the type of disorder and the degree of flatfoot progression.
Based on the results of the examination, the doctor can prescribe various methods of treatment.
In the picture, a foot check for longitudinal and transverse flatfoot
disease Treatment of transverse flatfoot in adults should be complex.
Conservative methods of include:
- Reduces the load on the foot, up to its immobilization in especially severe cases.
- Wearing individually selected orthopedic shoes .In difficult cases, this can be a special footwear, fixing not only the foot, but also the shin. Orthopedic insoles and helium inserts are used at the initial stage of flatfoot. All of them should be appointed by a doctor and selected individually.
- Weight loss measures for , if it was determined to be redundant.
- General strengthening exercises of for the treatment of transverse flat feet, included in the course of therapeutic physical training.
- Medications( analgesics) are prescribed with progressive flat feet and the presence of arthrosis or bursitis.
- Physiotherapy and massage , aimed at relieving pain, relaxing the muscles of the foot.
- To relieve tension, prevent seizures, reduce pain, refreshing foot baths, cool compresses, peppermint and menthol ointments are also used.
Non-conservative, folk treatment of of transverse flatfoot is mainly aimed at alleviating the pain that occurs during the load of feet during flatfoot.
These include ice compresses, foot baths based on mint, lemon balm, thyme, marigold, chamomile, linden and lavender.Folk remedies in the treatment of transverse flatfoot can not be an independent method of treating the disease. And they are used only for the relief of pain syndrome.
If conservative methods of treatment do not show a result, irreversible changes occur in the foot, the patient suffers severe pain, then surgery is prescribed. As a result of surgery, deformities of the forefoot are treated surgically. A number of modern techniques allow to do this without the subsequent application of gypsum - thus, the rehabilitation period is reduced.
Surgical treatment of transverse flatfoot has a significant disadvantage - the need for complete cessation of loads on the foot during preparation and rehabilitation, but at the same time the issue is solved crucially - the flat foot does not progress and no longer causes regular concern, as in the case of conservative treatment.
To never have problems with the flatfoot , you should pay attention to the convenience of shoes, do not wear high heels, maintain your weight in the norm. People of "standing" professions need to rest more often, change their positions during the performance of duties.
Like most other diseases, flatfoot is easier to prevent than cure.
Video: Transverse platypodia and bones on the legs
Symptoms and treatment of transverse platypodia - treatment methods, exercises LFK
Transverse flatfoot, its features
With this type of deformity and flattening, the arch of the forefoot is exposed. Pressure is redistributed and begins to act not only on the heel and marginal metatarsal bones.
The load falls on all metatarsal bones, which provokes their divergence in the form of a fan, deviation of the thumb from the correct position, bulging its metatarsal bone and changing the shape of the central fingers to the hammer-shaped one.
Women who are aged 35 years or more often suffer from transverse flatfoot.
Symptomatic of transverse flatfoot
- Shoes wear mainly on the inside
- Very rapid onset of fatigue in the legs
- Formation of transverse foot spread
- Deformation of the first toe, the appearance of the so-called.bones on the head of the metatarsal bone
- Formation of the corpuscles
- Central fingers deform and acquire a hammer-shaped
- Painful sensations in the feet
- Shin cramps, swelling of the legs
- Back and knee pain that may appear in the advanced stages of the disease
The transverse flatfoot is divided into three degrees, depending on the angle by which the first finger deviates from its anatomically correct position.
At the first degree of disease the angle of deviation is not more than 20 degrees, at the second degree it reaches a value of 35 degrees, and at the third degree the bend of the thumb is already very significant.
In the last two stages, only surgical intervention is possible. Video pro Transverse platypodia and bones on the legs
Methods of treatment
Flattening is almost not treated, so the later treatment is initiated, the less likely that the disease will recede. Diagnosis consists of examining the orthopedist, gait analysis and radiography.
Treatment is, as operative, in severely neglected cases in the last two stages of the disease, and conservative. Non-surgical treatment is aimed at strengthening the musculoskeletal system, which helps to halt or slow the progression of flattening of arches, reduce the severity of pain and reduce the traumatic consequences of the disease.
With a slight deformation of the arches in the first stage of the disease, the basis of treatment is the wearing of orthopedic insoles and rollers. In advanced cases, custom-made orthopedic shoes are needed.
Also actively used to treat massage, physiotherapy, warm baths, relieving pain, and special sets of exercises.
If the disease is accompanied by arthrosis or bursitis of the joint of the metatarsus of the finger, prescribe anti-inflammatory drugs and analgesics.
Foot massage with flatfoot does not require obligatory visits to specialists, it can be performed independently by laying the massage mat on the floor.
And also make self-massage with simple massage movements - rubbing with your fist or fingers, stroking the back of your hand, squeezing. Hydromassage also has a good effect.
It normalizes blood circulation and muscle tone. It must be remembered that it is extremely harmful to walk barefoot on a hard floor, the cover must be thick and soft.
For relief of pain and muscle relaxation it is useful to make foot baths with sea salt, decoctions of medicinal herbs, for example, sage, lime, chamomile or essential oil of lavender.
Exercises for strengthening the muscles of the footExercises with transverse flatfoot should be devolved at least 10 minutes daily, but when the complex is performed 2-3 times a day, the effectiveness of the treatment will increase. It should be borne in mind that with the transverse type of flatfoot effect of gymnastics is minimal and they will help only in the early stages. Nevertheless, they will be able to slow down or suspend the process, to serve as an excellent prevention.
- Very slowly bend and then unbend your fingers. The duration of the exercise is not less than a minute.
- Grasp your fingers several times with various small objects: pencils, designer parts, finger batteries. You can do this exercise in another way by replacing solid objects with a sponge.
- Place a piece of cloth on the floor, for example, a diaper or a small towel, and then hesitate and then spread the fabric with your toes. Do this exercise several times.
- Walk along the floor first on tiptoe, and then on the outside of the feet, bending your fingers.
- Without cutting off the toe of the foot from the floor, reduce and dilute the heels.
- Bend and unbend the foot with the maximum possible amplitude.
- Squeeze the rubber ball.
- Slip feet on the floor with your fingers back and forth.
- Roll around with a round stick, rolling pin.
In order not to face long treatment, which does not always lead to success, it is necessary to prevent the disease from childhood, especially if there is a predisposition to flatfoot.
Preventive measures include moving games, long walking, wearing comfortable right shoes, walking barefoot on sand and pebbles.
Treatment of transverse flatfoot
Transverse flatfoot is the flattening of the arch of the foot in the area of the base of the fingers. Symptoms of the disease are manifested by the extension of the soles of the feet, and the treatment is reduced to inhibition of the development of the process or surgical intervention in the later stages.
External changes of the feet are quite noticeable:
- Bone discrepancy in the anterior part of the foot.
- The formation of the cone on the thumb is due to its deviation to the outside.
- Twisting of the middle finger, the appearance of a hammer shape.
- Appearance of calluses and coarsening of the skin on the "cushion" of the fingers.
The shape of the arch provides the main function of the foot - spring, which is lost in this disease. Without proper attention and treatment, the deformation becomes irreversible and overloads other leg joints. That's why people discover a problem with their feet when they turn to doctors about complaints about back pain, pelvis and knees.
Symptoms of transverse flatfoot are "masked" under other diseases: pain in the front of the foot, which is written off to high heels or bad shoes. Overweight, sedentary lifestyle, long standing on the legs also provoke the development of other ailments.
How does the disease progress?
The answer to the question of how to cure the disease is to determine the stage of flatfoot. The angle of the deviation of the thumb from the norm serves as the main indicator for the diagnosis of transverse flatfoot:
- Disease on the 1st degree is associated with the tilt of the thumb by 20 degrees, a slight extension of the foot, burrs and calluses, pain at the end of the day. The bone of the thumb forms a painful bump.
- Deformations of the 2nd degree are expressed by the deviation of the thumb by 35 degrees, by the intensification of the pains caused by the smoothing of the arch of the foot. The foot becomes very tight in the shoes, the number of calluses is growing.
- Changes of the 3rd degree are irreversible: the sole is completely flattened, the angle of the thumb is more than 35 degrees, the fingers become hooked. Pain occurs with any strain on the legs, walking is difficult.
Questions about how to cure transverse deformities of the foot should occur with the first symptoms. Self-treatment is useless, since only a doctor can correctly assess the shape and stage of the disease.
Non-surgical treatment: types and features of
The first two degrees of transverse flatfoot are amenable to conservative treatment aimed at reducing pain and slowing down the deformation. Progressive flat feet increase the risk of joint arthrosis of the knees and pelvis, scoliosis and osteochondrosis. Although in adults, all changes in the foot are irreversible, measures need to be taken to stop the development of the disease.
To relieve pain during an exacerbation, it is recommended:
- Make baths with a water temperature of + 40-50 for 15-20 minutes. Addition of sea salt, chamomile extract relieves fatigue. Before the session, it is recommended to hold a small massage from the flat feet.
- Provide feet with peace, apply cold compresses, discard shoes with high heels, heavily worn or tight.
- Take painkillers, as prescribed by the doctor, do electrophoresis and paraffin applications with medications that reduce inflammation.
All necessary measures are coordinated with the orthopedist or surgeon who prescribes therapy.
Therapeutic physical training and massage for the feet and joints
The weakening of the leg muscles and ligaments is the main cause of flatfoot. This happens under the pressure of excess weight, because of low physical activity, during pregnancy and chronic diseases.
LFK in transverse flatfoot contributes to the overall strengthening of the body, prevention and treatment of any stage of the disease, even recovery after surgery.
Exercises should be aimed at maintaining good posture and improving coordination of movements, since the muscles of the lower leg do not act on the transverse arch.
Therapeutic gymnastics is conducted with the participation of the exercise instructor, which forms a complex of loads, taking into account the age and degree of deformation of the foot.
Simulation of the arch of the foot by the insteps of the
Orthopedic insoles for transverse flatfoot are selected exclusively by the orthopedist, as self-medication can worsen the situation. Interdigital inserts interfere with the pathological deviation of the thumb. Insoles-insoles unload the foot, massage, properly support the arch. Wide insole with rubber bands are called tie wraps, which prevent further deformation. They can be worn no more than two hours a day to train muscles and ligaments, and constantly - only in the postoperative period.
Surgical restoration of the foot form
The third degree of transverse flatfoot needs surgery to reduce pain and restore the motor activity of patients. A variety of types of intervention are used:
- Dissection of ligament bases or middle parts of metatarsal bones.
- Reconstructive "screed" of the forefoot with an allogenic tendon.
- Fixation of the transverse arch by the extensor of the extensor of the fifth finger using the Ilizarov apparatus.
- Truncation of metatarsals and many other procedures.
- Correction of hammer-shaped toes( removal of part of phalanx, shortening of tendons).
Home treatment and prevention
The fair expression that all diseases come from childhood, indicates the need for early diagnosis of diseases of the musculoskeletal system. Already at the age of 3-4 years, doctors can tell how violations of the child's gait will affect the development of the spine and joints. Prevention begins with the choice of comfortable shoes with orthopedic insoles, sufficient motor activity, good posture.
Transverse flatfoot in children and adults is not a verdict, although complete recovery is not possible. Compliance with the recommendations of the doctor will make it possible to live without pain, it is only necessary to forget the myths about the treatment of flatfoot folk remedies and to understand that the cone itself can not disappear.
Transverse platypodia: treatment with conservative and surgical methods
Treatment of transverse flatfoot is a complex technique, including a group of procedures that allow to achieve a significant effect.
- Many people are familiar with the problem of transverse flatfoot. Most often this pathology affects women after 35 years( especially those who are overweight).According to experts, fullness often becomes the cause of transverse flatfoot.
- However, the underlying factor in the development of the pathological process is heredity. Most often, transverse flatfoot develops in individuals whose close relatives have suffered a similar problem.
- However, deformation of the foot bone can be the result of improper use of the shoe. When wearing a narrow shoe of poor quality with an improperly installed instep and shoe, the person automatically falls into the risk group, or he already suffers from a transverse flatfoot.
- Many women "earned" themselves this problem because of the daily wearing of shoes with high heels.
Note: All of the above factors individually or collectively cause pain and discomfort when walking and cause significant deformation of the foot.
Treatment of transverse flatfoot in adults involves the use of conservative and surgical methods. In the arsenal of modern orthopedists, there are many tools to relieve pain or alleviate the consequences of the disease. However, treatment is prescribed only after examining the foot and examining the X-ray.Note: in the development of the pathological process, specialist advice is very important, since it is impossible to cure flat feet by any one means, because such treatment will have a negligible effect.
A professional always assigns a set of procedures suitable for the patient in accordance with the degree of deformation of the foot.
- In the case of transverse platypodia, therapeutic physical training is mandatory, which helps to strengthen the muscles of the foot. It provides the following exercises:
- Maximum bending and extension of the feet.
- Capture and lift the ball in stops.
- Mixing and breeding of heels( socks do not come off the floor).
- Pressing rubber ball feet.
- Sliding back and forth with your fingers.
- Capture and lift various objects.
- Rolling with stick stops. Such a gymnastics for feet with transverse flat feet helps to maintain the tone of the muscles of the feet and stops the development of the pathological process.
- Well helps with flat feet massage. It includes rubbing and squeezing the foot, as well as stroking the soles of the back of the palm. When performing this procedure, blood circulation improves, edema decreases and fatigue of the foot is removed.
- An excellent relaxing remedy for transverse flat feet are foot baths. For their preparation, sea salt is used, decoction of herbs( linden, sage, chamomile, plantain, etc.).Such decoctions experts recommend using instead of water.
Recommendation: to strengthen the relaxing effect in the broth, you can add a few drops of essential oil( roses, chamomile or lavender).
- Orthopedic insoles and inlays. To date, the orthopedic industry offers a wide range of such products. In specialized pharmacies, you can buy orthopedic frame semi-insole and insoles of various forms, insteps, vault for the arch of the foot, special heels, pelotes and gel correctors.
Note: this product is produced for both the female and the male feet, and the size and fullness of the foot are taken into account when creating it.
- Orthopedic footwear. In the case when a patient is diagnosed with a strong degree of flatfoot, it is recommended that he wear specially tailored footwear that significantly reduces pain and fatigue and facilitates the walking process.
Note: all of the above methods will stop the process of deforming the foot, relieve fatigue and pain, but they can not completely relieve the patient of this pathology, since to treat transverse flatfoot at home, while achieving a clear effect, can only be at the earliest stages of developmentdisease. Well, at a later date, in order to eliminate the problem by 100%, surgery will be required.
In modern plastic surgery clinics, surgical operations to eliminate transverse flatfoot have been performed for a long time. In the arsenal of practicing orthopedists, there are more than three hundred ways and modifications of surgical treatment of feet in the deviation of the thumb. Most often, a surgical operation involves changing the angle between the bones of the foot and correcting the transverse arch. Due to this, the correct anatomical shape of the foot is restored, pains, fatigue and swelling are eliminated, and the patient gets rid of the constant problem of shoe selection. However, the main advantage of surgical treatment is the absence of relapse. Patients who have gone through this operation, for life, get rid of this problem. As a rule, in the appointment of an operation to eliminate valgus deformities of the foot, chevron osteotomy is most often used. This technique involves crossing the first metatarsal bone with a surgical instrument. There is a special form of sawing, by means of which the necessary mutual displacement of bone fragments is achieved. This operation with transverse flat feet provides an excellent long-term result. After restoring the arches of the foot, the patient acquires a normal anatomical shape, after which all unpleasant symptoms of transverse flatfoot pass. In the case when pain develops in the area of the base of the fingers and in the anterior part of the foot during the development of the pathological process, metatarsalgia is diagnosed, which also requires surgical treatment. The osteotomy of II, III and IV metatarsal bones is performed.
Transverse flatfoot is a pathology that can not be ignored in any way, as it can cause many serious consequences. Due to the fact that the high arch of the foot performs the function of a shock absorber, when it breaks down, the entire organism( up to the brain) fails. This is due to the fact that the tremors that occur during walking on the spine are transmitted up to the brain, gradually injuring it. As a consequence, with large accelerations, the brain can no longer function normally. Because of this, patients suffering from transverse flatfoot often develop severe headaches. In order to preserve the health of the brain, the human body begins to adapt to the conditions that have arisen. Typically, this adaptation of the body to the load occurs through the curvature of the spine. In this case, the spinal column is formed into an "arcuate spring", which damages the tremors that arise during walking and protects the brain from their aggressive influence. Also, the consequences of transverse flatfoot include scoliosis and kyphoscoliosis.
Note: such forms of curvature of the spine are observed in children suffering from flat feet.
However, transverse flatfoot may also have a detrimental effect on other internal organs. According to experts, the violation of the anatomically correct form of the foot is the cause of the development of pathologies throughout the locomotor system. Due to the fact that knee and hip joints are not able to absorb shocks caused by walking, in addition to flat feet, various forms of arthrosis can form in these bone joints, which eventually lead to serious degenerative-dystrophic changes in the joints that cause severe pain evenwith minor loads on the legs. Such patients are no longer able not only to play sports, but to walk for more or less long distances and perform exercises with transverse flat feet. Together with the joints, the vertebral column suffers, since the tremors arising during walking lead to the development of osteochondrosis and other vertebral pathologies.
Stop flatfoot!(Video exercises) - Always in shape!
Flattening is a deformation of the arch of the foot, namely, the lowering of the arch. As a result of this deformation, the foot almost completely loses its damping properties, which leads to a number of unpleasant consequences and complications. In this article, we will try to understand as much as possible what is a flatfoot - treatment, symptoms, causes and complications.
In a healthy state, the human foot has two distinct arches - a transverse( located under the bases of the fingers) and longitudinal( located along the foot).These arches fulfill the most important function - they enable the person to maintain balance and absorb shock during walking. It is clear that the foot itself, and specifically these arches of the foot are under serious load, because they weigh on the weight of the human body. And if the ligaments and muscles of the feet stop working normally and for some reason weaken, the shape of the foot begins to change - the arches of the feet decrease, it gradually becomes flat, as a result of which the main function of the foot - the spring one - is lost.
If the stop ceases to absorb the load, this function will be forced to perform other joints( ankle, knee and hip), while "getting" and the spine. But they cope with such a function not too well, because they are not designed for this. In addition, such a peculiar load leads to an accelerated "wear" of the joints.
This is why flat feet are often the cause of pain in the legs and back , although at first glance the person simply does not see such a connection. So it is worth remembering that it is as a result of the development of flat feet that pain can appear in the feet, hips, knees and lower back, rapid fatigue when walking. In this case, the pain appears at a time when the body can no longer provide normal movement, and is forced to "redistribute the load."As a result, joints of the legs and hip joint suffer, posture disorders or problems with intervertebral discs may occur. The final result of the effects of flat feet on the body can be the development of scoliosis and arthrosis, often the development of varicose veins.
Another interesting fact is that quite often this disease occurs in people with "sedentary" work, and not only in the category of workers who are forced to spend the whole day on their feet. This is due to the fact that the muscles and ligaments weaken without load( too large loads can also lead to flatfoot development), so it is very important to maintain a certain motor activity.
The causes of flatfoot
The reasons for the development of flatfoot can be quite a lot, we will try to list the most "popular" ones:
- bad or unsuccessfully matched shoes. It means shoes with a high heel or platform, narrow shoes, etc.;
- increase in body weight, which can occur for various reasons( pregnancy, obesity, etc.);
- hereditary predisposition. In this case, we are talking about defects in the development of the muscles, ligaments and bones of the foot;
- various injuries( trauma to the foot, fracture of the calcaneus or ankle, cracks or severe cartilage bruises, damage to the muscles and ligaments of the foot);
- disease( for example, rickets, as a result of which the bones weaken and become soft, so they can easily deform, and the complication of poliomyelitis can arise - the leg and foot muscles paralysis);
- sedentary work and sedentary lifestyle. In this case, the muscles and ligaments of the foot become weaker, since they do not receive the necessary loads;
- excessive load - running and jumping sports, standing work.
There are quite a few reasons, as you can see.
Types of flatfoot
The human foot has two main arches, so it is quite logical that there are two types of flatfoot - longitudinal and transverse flatfoot. Accordingly, with a decrease in the arch, the foot may increase in width or length. There is also a combined flatfoot, in this case we are talking about the simultaneous flattening of the transverse and longitudinal arches. This situation is also called longitudinal-transverse flatfoot.
Both basic types of flatfoot are quite common, but the most common is transverse.
Also, when classifying by species, the acquired and the congenital are often divided. Congenital flat feet are rare, it is the result of malformations of the fetus. Treatment of flat feet in this case begins with the first days of the child's life.
But with the acquired flatfoot the situation is somewhat more complicated - it can appear at any age and can be of several types:
- is paralytic;
- is traumatic.
Traumatic - occurs as a result of fractures of the bones of the ankle and foot, or with severe damage to the ligaments and soft muscle tissue that strengthens the arch of the foot.
Paralytic - occurs as a result of poliomyelitis, or due to paralysis of the tibial muscles and the muscles of the foot.
Ricky - occurs as a result of rickets. This disease disrupts the normal formation of foot bones, they do not have the necessary characteristics in this case and can quickly deform.
But the most common form is static flat feet. Approximately 80% of all cases are related to this species. Causes in this case may be overweight, uncomfortable shoes, prolonged excessive stress on the feet, weak muscles and ligaments of the foot, etc.
Degrees of disease
There are 3 degrees of development of this disease.
Longitudinal flatfoot is less common, but with this disease the change in the shape of the foot is gradual and almost invisible to the patient.
- Longitudinal flat-foot 1 degree is characterized by the appearance of fatigue of the legs. This degree is very poorly expressed, the patient can only experience discomfort when pressing on the foot or while dressing the shoes. In some cases, swelling may appear in the evening.
- Longitudinal flat feet of the 2nd degree is already manifested by constant pains, which can be quite intense and spread to the legs and ankles. With this degree of disease, the gait is already losing its smoothness, walking becomes heavier.
- Flattening of the 3rd degree is manifested by persistent severe pains that cover not only the foot, but also the shin, and in some cases even low back pains appear. Deformation of the foot with this degree of disease is already pronounced and very noticeable, often there are swelling in the joints of the foot. Walking to a person at this stage of the disease is difficult, in ordinary shoes it becomes very difficult to move around.
Do you happen to have such symptoms?
It is worth paying attention to the appearance of such symptoms:
- shoes trampled on the inside;
- very quickly get tired feet while standing or walking;
- appears pain in the foot after physical exertion;
- at the end of the day feels pain and fatigue in the legs, there is a feeling of heaviness, puffiness;
- swelling in the ankles;
- walking on heels becomes very hard;
- the leg increases in size, resulting in buying shoes for size larger.
Many of these symptoms correspond not only to flat feet, but also to varicose veins, so that when they occur, you should immediately consult a doctor.
( a flatfoot is in every third person in our country.)
Symptoms of longitudinal flatfoot
- fatigue in the legs, when pressing in the middle of the foot or sole there is pain, by the evening the back of the foot swells;
- persistent and severe pain in both the feet, and in the legs and ankles, it becomes difficult to find comfortable shoes;
- together with pain in the feet begins to appear pain in the lower back, outwardly becomes invisible longitudinal arch;the foot swells, the ankle joint is inactive, in ordinary shoes it becomes very difficult to walk.
Symptoms of transverse flatfoot
- disappear the transverse arch of the foot, resulting in the development of deformation of the fingers;
- appears pain and skin pigmentation in the forefoot;
- appears hammer-shaped fingers.
What should be the treatment?
First and foremost, it should be noted that the treatment of transverse and longitudinal flat feet in principle is the same in terms of measures applied. In addition, it must be remembered that if an adult is treated, there will still be no complete recovery, only certain improvements are possible. But the children are fully recovered because the child's leg is just being formed and correction is possible.
Treatment of flatfoot in adults
Since the full recovery of an adult with this disease is impossible, the treatment is designed primarily to stop the progression of the disease, and then create the necessary conditions for the correction of the foot. That is why is very important to diagnose the disease as early as possible .
Since the preferred method of treatment of the disease in the early stages of its development is conservative therapy, the treatment involves relieving pain and improving the condition of the muscles and ligaments of the foot, thereby stopping the development of the disease.
The video, which you can see below, shows one of the methods of diagnosis and treatment of flatfoot:
For the removal of pain, medications are usually used in combination with physiotherapy procedures.
The basis of the same treatment is therapeutic gymnastics. at flatfoot is determined by the orthopedic physician , and the exercises are selected for a specific patient, taking into account the form and extent of the disease.
A good therapeutic effect with flat feet gives a foot massage, including a hydromassage. Thanks to such procedures, blood circulation is normalized and the muscle tone of the shin and feet is increased.
At the initial stage, a good effect gives the use of special orthopedic insoles, which again are made individually.
But, unfortunately, the above procedures will have a serious effect only in the early stages of the disease. With strong deformations of the foot, which occur in the late stages of the development of the disease, there is only one method of treatment - surgery.
Treatment of flatfoot in children
Most often, children develop longitudinal flat feet, and it is successfully treated in full without surgery, since the bones, muscles and ligaments of the child are quite susceptible to conservative methods of treatment.
If you have to deal with an innate type, then it begins to be treated from the first days of a child's life, for which special langets and bandages are used. But this type of disease is rare.
In most cases, the causes of flatfoot are weak ligaments and muscles, as well as fragile bones. That is why the treatment has a toning effect - mainly therapeutic exercise and massage. Also, contrast baths for feet are often helpful. It is also necessary to wear special orthopedic shoes, and you should take care of the child's gait very carefully.
The most important factor in the treatment of this disease in children is time - the earlier the disease is diagnosed, the greater the chances of complete recovery of children. For the same reason, it is important to prevent flat feet in childhood.