The more dangerous the platypodia

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Platypodia, children, exercise therapy, exercises

Flattening is a deformation of the foot, which is characterized by a flattening of its arch. Even a slight deviation from the norm can affect the health and physical development of the child.

At the foot 3 arches are distinguished: 2 longitudinal( along the inner and outer edges of the foot) and 1 lateral( between the bases of the fingers).The arches of the foot are designed to maintain balance and protect the body from shaking when walking.

Due to the presence of arches, the foot rests on the floor with three main points: the heel bone and the bases of the 1st and 5th toes. When the vaults are straightened, the foot flattenes and leans against the floor with its entire surface, which leads to a deterioration in its cushioning properties and the development of flatfoot symptoms. Depending on the deformation of the arches, longitudinal and transverse platypodia are distinguished.

There is an innate platypodia, the cause of which is intrauterine developmental dysfunction. The appearance of the leg is characteristic, which makes it possible to diagnose in the maternity hospital: the sole of the affected foot is convex, the outer section is turned outward.

Flat feet in toddlers

In children under 2 years of age, flat feet are physiological - the longitudinal arch of the foot is always flat. By the age of 3, the bones become denser, the ligaments are stronger and the joints occupy their true position: the "right foot" begins to form. The process lasts up to 5 years, so only from this age you can talk about true platypodia.

Control of foot development

It is not necessary to wait for 5-year-old age to reveal a flat foot in the child. It is recommended that you regularly visit an orthopedic doctor who can determine the prerequisites for incorrect foot formation. In this case, the doctor makes recommendations to prevent the development of deformities of the feet.

The Russian health care system has developed a follow-up plan for the orthopedist for children:

  • the first visit is carried out at the age of 1 month - the doctor excludes congenital skeletal diseases;
  • at 3 months - examination for the exclusion of hip dysplasia, may also require an ultrasound of the hip joints;
  • at 6 months - consultation aimed at identifying rickets;
  • at 12 months the doctor controls the correctness of the development of the spine and its bends, the volume of movement in the joints, the formation of gait;
  • in 3 years orthopedist checks gait, posture, condition of feet;
  • from 3 to 18 years is recommended to visit the orthopedist once a year even in the absence of pathology.

Flatfoot types

  • Rakhitic - a deficiency of vitamin D causes weakness of the foot muscles;
  • paralytic - occurs after a previous history of poliomyelitis;
  • traumatic - formed after a prolonged stay of the foot in the gypsum with a broken leg;
  • static - occurs due to overload of the foot due to obesity.

What is the danger of flat feet?

Children with flat feet more tired, complain of pain in their legs during a walk or hike. Over time, there are pains in the back due to an incorrect load on the spine. Gradually develops a scoliosis - a bend of the vertebral column to the right or left.

About flatfoot treatment

Treatment of flat feet should be long and complex. In fact, it's not even a cure, but a certain way of life.

Orthopedic insoles Orthopedic insoles are indispensable in the treatment of flatfoot. They help to "unload" the foot, correctly distributing the load. Insoles are selected individually, their height depends on the degree of flattening of the foot. Insoles should be placed not only in the street, but also in home shoes( which should always be worn when flat feet are used!).As the baby grows and develops, the orthopedic orthopedist's recommendation changes the size and shape of the orthopedic insoles.

Orthopedic footwear With severe flat feet, the child does not need insoles, but special orthopedic shoes. They not only create a physiologically correct basis for the foot, but also fix the ankle joint due to rigid internal lateral support.

Foot baths This procedure helps feet in the initial stages of flatfoot. Every day before going to bed it is recommended to arrange warm foot baths( water temperature 40-50 degrees Celsius) with sea salt. The duration of the procedure is 20 minutes. After the baths, it is advisable to perform self-massage - skating with the legs of special rollers or walking on rugs, which can be found in the orthopedic salon.

Physiotherapy To a child with a flat feet conduct professional massage courses, prescribe physiotherapy treatment: electrophoresis, magnetotherapy, paraffin and ozocerite applications. Such procedures improve blood circulation, strengthen muscles and ligaments, contributing to the proper formation of the foot.

Suspend flat feet and urgently consult an orthopedic surgeon in two cases:

  • if the child is tired after a short walk( about half an hour);
  • when new shoes lose shape within 1-2 months after purchase.

Gymnastics with flat feet

Medical gymnastics plays an important role in the treatment of flat feet. The instructor in physiotherapy exercises will help you choose the necessary set of exercises for the child and show how to properly implement them.

For example, such complexes are popular:

Complex of exercises with flatfoot number 1 The starting position is standing. Ask the child to crouch without taking his heels off the floor. Repeat the exercise 4-6 times. Lay on the rug sea stones, large beads, buttons and suggest the child to walk along the bumpy surface for 3-5 minutes. Invite the child to balance on the ball( under your control).Ask the child to roll his feet with a rolling pin sitting on a chair.

Complex of exercises with flatfoot № 2 Initial position - sitting on a chair. Let the child put one foot on the ball, and put the second on the floor. Suggest him to shake the ball with his feet left-right and back-to-back. Repeat 5 times. Then change your legs and again perform the exercise. Invite the child to grab the ball with both feet and hold the weight for a few seconds, then put it on the floor. Repeat 4-6 times.

Complex of exercises with flatfoot No. 3 The starting position - sitting on a chair, the feet stand on the floor. Ask the child to hold the thumb of his right foot on the front of the leg of the left leg from the bottom up. Repeat 5 times. Do the same by changing your legs.

How to choose the right shoes?

Shoes can become a "culprit" of flat feet, and can help prevent disease. The health of the foot largely depends on the correctness of the choice of shoes of crumbs. Shoes for the first steps should be of high quality and meet a number of requirements:

  • Shoes should be quite high, tightly wrap around and fix( but not squeeze) the ankle joint. Carefully inspect the leg of the baby after a walk. If it is printed tights or the relief of the shoe, then they are tight and they should be replaced. The back should be stiff and high( up to the lower or middle third of the shin).
  • It is recommended to purchase leather shoes with a minimum number of internal joints
  • The sole should be rigid, non-slip, with a small( up to 1.5 cm) heel. Such shoes prevent stretching of the ligaments and over-extension of the foot.
  • You can not buy shoes as they are, but they should not be more than 1.5 cm wide.
  • When fitting, it is necessary to take into account that the shoes should be with a margin, not interfering with the child's walk: about 1-1.5 cm.

Expert: Galina Filippova, doctor-therapist, candidate of medical sciences Author: Olesya Butuzova, pediatrician

MedWeb.ru

When rest, massage and other methods do not help to eliminate the pain, you can resort to drug therapy. Systemic analgesics: aspirin, flugalin, ibuprofen, diclofenac, indomethacin, paracetamol, etc. Topical application: indomethacin ointment, Dolgit cream, voltarenic gel, etc. Special treatment procedures : Novocain electrophoresis, hydrocortisone phonophoresis,paraffin-ozocerite applications, etc.

Release from the army of conscripts with flat feet( according to RF norms).

Based on the "Regulations on Military Medical Examination" No. 123, dated 25.02.2003, military service and enrollment in military schools and colleges does not prevent people with the following disabilities:
  • I-II longitudinal flat-foot
  • Transverse Platypus Idegree, in the absence of arthrosis in the joints of the foot( middle section), exostoses( bone-cartilaginous sprouting in the form of a spine) and contractures( restriction of joint mobility).
For exemption from an army with a flatfoot, the following conditions must be met:
  • Longitudinal or transverse flatfoot II degree c, presence of severe pain syndrome, deforming arthrosis of the II stage of the midfoot joints, contracture of the fingers;
  • Longitudinal flatfoot of III degree, transverse flat feet of III-IV degree
Conscripts with such types of violations fall into the category - limited to go( "B"), that is, they will be called only in wartime. They get a military ticket on their hands, and they go to the reserve.

Prevention of flatfoot

  • The formation of the right gait, not to breed socks when walking - this overloads the inner edge of the foot and its ligaments.
  • With a predisposition to flat feet to choose the right place of work( work not related to long loads on the feet).
  • Properly selected shoes, with a thick and soft sole, heel not more than 4 cm.
  • Wearing insoles for long loads.
  • In his spare time, give rest to his legs, at least 30 seconds, 3-4 times a day to stand on the outside of the feet.
  • After work it is recommended to take warm baths for feet, with their subsequent massage.
  • Walking barefoot on an uneven surface, over pebbles, along the sand, walking on the heels, the inner surface of the feet, tiptoe, outdoor games.
  • Maximum limit the wearing of shoes with high heels
  • Correctly dose physical exercise, avoid excessive loads
Healthy lifestyle, rational nutrition, take food rich in vitamins and trace elements, especially calcium.

Why does postural stiffness disturb the posture?

The human body works as a whole. Between bodies there are not only anatomical, but also functional interrelations. With flatfoot, the center of gravity is displaced backward. In order to maintain balance, the spine has to deviate forward. Over time, deformation increases, posture is formed - round back .The normal arch of the foot works like a shock absorber. With flatfoot this function is violated. As a result, the spine and knees have increased loads. This leads to an even more severe violation of posture, scoliosis, herniated discs. Knee joints can develop arthrosis .Flattening and problems on the part of the spine have some common causes: weakness of connective tissue, ligaments and muscles, obesity, increased physical activity.

Which mats can I use for flatfoot? How to choose them correctly?

Special massage mats have on their surface a variety of pebbles, protrusions, "pimples".They are widely used for the prevention and treatment of flat feet. Effects of massage mats :
  • effect on reflexogenic foot points;
  • improving blood circulation and lymph drainage( due to this, there is a decrease in edema on the legs);
  • strengthening of muscles and ligaments;
  • elimination of cramps, pain;
  • elimination of stresses, increase in general tone.
Massage mats from flat feet are prophylactic and therapeutic .Usually preventive are made of softer materials, and therapeutic ones are made of more rigid materials. One-part massage mat is a single unit. The modular consists of several parts that can be interconnected. They can be marked with "pimples" of different sizes and shapes. Materials from which massage mats are made may also be different. Most often there are rubber( usually based on natural rubber), plastic, made of foamed polymers, on a silicone base. Many models have inserts from stones, for example, river pebbles. Rugs from the Altai birch are very popular. The correct choice of a massage mat with flatfoot will help the advice of :
  • First of all - consult a doctor .The expert will tell you which model of the rug is best to buy in your case.
  • It is best to buy a mat in the orthopedic salon .Before you buy the product, be sure to deploy it, stand with your bare feet and try to walk. If it causes pain or severe discomfort, it is better to choose another model.
  • For a child under 3 years old, a mat made of rubber is best. Later you can buy a model on a silicone base. Adults often recommend rugs from the Altai birch.
  • Try to choose a rug on which there is not one, but several different types of relief .This will provide different types of impact on the sole. For example, in addition to the "stones" on the surface may be villi for soft massage soles.
  • Inspect the mat before buying .Make sure that all the protrusions and "pimples" are strong enough. Think about how convenient it is to wash, store the selected model.
How to use a massage mat for the prevention and treatment of flatfoot? Begin with a daily walk on the rug for 3-5 minutes, gradually increase the time. Usually 5-10 minutes is enough. It is worth remembering that the massage mat can not be used as the only method of treating flatfoot - the effect will bring only its use in combination with other techniques. Who is recommended to use massage mats:
  • for children and adults diagnosed with flat feet;
  • for children, for the prevention of flat feet;
  • to people, leading a sedentary lifestyle, to those with sedentary work;
  • to women, who often walk in shoes with stilettos.

How to choose orthopedic insoles for flat feet?

Orthopedic insoles can be used for preventive purposes or to combat flatfoot. Medical orthopedic insoles need to be selected together with a doctor. Usually they are made individually, according to one of three methods:
  • Computer modeling .A person stands on a special platform, which registers the pressure of various parts of the foot and transfers to the computer. An image is displayed on the monitor.
  • Manufacture of plaster casts .
  • Thermoforming . Insole is made of special material, which takes the form of a patient's foot.
  • Obtaining a print with a special bio-foam.
Orthopedic insoles are usually made of genuine leather or synthetic materials( flexible plastic, expanded polyethylene, microporous rubber).If a person has a lot of weight, more rigid materials are used: graphite, special plastics, steel. Also, the insole is made of silicone, but they are less comfortable, have a low elasticity, wear out more quickly. But due to its flexibility, silicone insoles adapt well to the relief of the sole. In the manufacture of insoles for athletes take into account increased loads and intense sweating. Orthopedic insoles for diabetics have additional protection.

How is flatfoot encoded in the ICD?

In the international classification of flatfoot diseases two codes are assigned:
  • M21.4 - acquired flat foot;
  • Q66.5 - congenital flat foot.

What gymnastics can I perform with flatfoot?

Gymnastics with a flat foot are selected individually, depending on the type and severity of flatfoot. Start classes only after you consult a doctor and find out what exercises are recommended in your case. Some exercises that can be performed with flatfoot : In prone position : 1. With your legs slightly apart, squeeze and unclench your toes for about 2 minutes. 2. With your legs spread out, rotate the feet clockwise, then in the opposite direction. 3. Pull your foot socks over. You can perform both legs simultaneously or alternately. 4. Detach the heels from the floor, leaning their toes. 5. Bend your knees, spread them apart, simultaneously folding the soles together, so that they touch. Then "clap" your heels: dilute and reduce them, resting with your toes. 6. Place the right foot on the left ankle joint. Move the right foot along the left shin towards the knee, while trying to clasp her leg. Repeat with the left foot. In sitting position on a chair : 1. Squeeze your right hand into a fist and tightly hold it between your knees. Raise the inner parts of the feet, and the outer one is pressed harder against the floor. Repeat several times. 2. Detach the heels from the floor - at the same time with both feet, then alternately. 3. Exercise similar to the previous one, only this time tear off the socks. 4. Place different small items on the floor. Grab their fingers with your feet and shift from one place to another. 5. Bend your fingers while pulling your heels forward, then straighten them. The foot should "crawl" on the floor, like a caterpillar. In standing position : 1. Stand several times on your toes. Then alternately tear off the right and left heel from the floor. 2. Stand on your heels several times. In this case, the toes must be completely detached from the floor. 3. Perform several sit-ups and half-squats on your toes.

Is the release of physical education to a child with flat feet?

This question is solved individually, depending on the type and severity of flatfoot, other factors. With severe deformity and violation of foot function, the child can be completely released from physical culture. In other cases, it is classified in one of four groups:
  • group LFK: children who have a disease requiring an individual program of study;
  • special group: for children, for whom the load in ordinary lessons is too high, restrictions are required;
  • preparatory group: no restrictions in physical activity, but the child is exempted from the delivery of standards;
  • core group: no restrictions.

How does flatfoot differ from clubfoot?

Flat feet are any deformation of the foot at which the longitudinal or transverse arch falls. The reasons for this violation can be different. Clubfoot is a congenital disorder whose causes are not yet fully established. In this case, the foot is most often turned down and inward.

What sports can be practiced with flatfoot?

When planostopii recommended the following sports :
  • Swimming free style .It has a beneficial effect not only on the legs, but also on the spine column, the muscles of the back, helps to combat postural disorders and other pathologies. But with flat feet, you should not get involved in swimming with a crawl, as this increases the load on the muscles of the legs.
  • Skiing .In this case, the load on the legs should be small. Intensive skiing is contraindicated.
  • Equestrian sport . Horse riding helps strengthen the muscles and tendons of the back, legs.
  • Some types of martial arts .Aikido, karate and kung fu do not assume an increased strain on the legs, but help strengthen the tendons and muscles.
When flatfoot are not recommended such sports as skating, dancing, weight lifting, weight training, jumping, figure skating, hockey, walking on the steppes. Specialty: Practitioner of the 2nd category

Published: 03.7.2013

polismed.com

What is the danger of flat feet? Can it develop throughout life? How is it treated?

Boris Aizikovich

Dangerous with a violation of posture and all the consequences + trophic disturbance, which leads to varicose veins and thrombophlebitis. To treat complexly, but first of all exercise therapy and normal shoes + massage. It often occurs in childhood, but sometimes it develops in older age. Genetic predisposition

Personal Cabinet Removed

Usually flat feet in young people develops closer to the age of conscription. And disappears on the way out of it.

Vasilisa

With flat feet there is no temperature, and in the initial stage nothing hurts at all. Should I worry? The answer is unequivocal - worth it! It is necessary to monitor the state of the feet from infancy. Because the human foot is unique. It springs! None, even the highest jumping and fast-running animal, such as a kangaroo or a jaguar, can boast of this amazing ability. The question is, why should we "spring"?To the body did not experience overload and stress when walking or running. And accordingly did not wear out, did not hurt. A healthy foot provides us with comfortable living conditions and longevity. A spring stop due to the unique design, which supports the system of ligaments and muscles. When this muscular-ligament mechanism for some reason weakens, flat feet develop.
A man with a flatfoot is likened to a mechanism with rigid steel wheels moving along a cobblestone pavement. The shock wave, not extinguished by the springy arch of the foot, spreads up the skeleton. Loads( and very significant) are given to the joints, the spine and even the brain. The main cushion from walking takes over the spine, as a result of which it wears out more quickly and weakens. There are all kinds of pinch of intervertebral discs and a corresponding bouquet of ailments. Man does not even suspect that many of his acute pains result from a "simple" flatfoot.
In addition to the back, the head, of course, legs can hurt. With running flat feet there is deformation of the foot, a so-called painful bone on the thumb grows. Violated blood circulation of the lower extremities, the ankles swell and hurt. There are changes in the area of ​​knee joints. It's getting harder to walk. There is a rapid fatigue. Women suffer from flat feet four times more often than men. The risk factors include: uncomfortable shoes, a long standing on the legs, overweight, pregnancy, high-heel walking
The most common reason is a lack or excess of load on the legs. This can be caused, for example, by incorrect footwear. Approximately 3% of people get a flat foot "inherited" from the father or mother. In many, it develops due to diseases: rickets, poliomyelitis, diabetes mellitus. There are entire populations at risk of flatfoot development.
Treatment of flat feet includes several main directions. To relieve the pain, use medicines, therapeutic foot massage and physiotherapy.
For correcting the natural form of the foot, use corrective insoles( arch supports).Correctly selected insoles allow not only to get rid of pain, but also regulate muscle tone by its shape.

With flat feet there is no temperature, and in the initial stage nothing hurts at all. Should I worry? The answer is unequivocal - worth it! It is necessary to monitor the state of the feet from infancy. Because the human foot is unique. It springs! None, even the highest jumping and fast-running animal, such as a kangaroo or a jaguar, can boast of this amazing ability. The question is, why should we "spring"?To the body did not experience overload and stress when walking or running. And accordingly did not wear out, did not hurt. A healthy foot provides us with comfortable living conditions and longevity. A spring stop due to the unique design, which supports the system of ligaments and muscles. When this muscular-ligament mechanism for some reason weakens, flat feet develop.
A man with a flatfoot is likened to a mechanism with rigid steel wheels moving along a cobblestone pavement. The shock wave, not extinguished by the springy arch of the foot, spreads up the skeleton. Loads( and very significant) are given to the joints, the spine and even the brain. The main cushion from walking takes care of the spine, as a result of which it wears out more quickly and weakens. There are all kinds of pinch of intervertebral discs and a corresponding bouquet of ailments. Man does not even suspect that many of his acute pains result from a "simple" flatfoot.
In addition to the back, the head, of course, legs can hurt. With running flat feet there is deformation of the foot, a so-called painful bone on the thumb grows. Violated blood circulation of the lower extremities, the ankles swell and hurt. There are changes in the area of ​​knee joints. It's getting harder to walk. There is a rapid fatigue.
Causes of flatfoot. Read more
Flat-footedness is congenital, but more often it's a misadventure. In children, flat feet, as a rule, arises against the background of congenital insufficiency of connective tissue, while one of the important factors in the development of the disease is incorrectly picked up shoes.
In adults, more often static flat feet, which is associated with excessive strain on the legs. What leads to it? First of all, overweight: it lies on the feet of an exorbitant load. The situation is aggravated by a long standing on the legs, so hairdressers, teachers, salesmen and surgeons risk more than others. Athletes are also not immune from this disaster: in skaters and weightlifters, flat feet is a professional disease. Read morehttp: //www.mosmedclinic.ru/news/ 4711http: //www.newtambov.ru/news/zd/? Id = 106
Treatment and prophylaxis of flatfoothttp: //www.babycl.ru/article/foot/ profilaktika_plockoctopia.htm

Manechka Vlasova

useful walks barefoot on a non-level surface and hot sand so forward and with the song

What is dangerous flatfoot?

Rostislav Grebenshikov

I do not see any danger, especially if it's a child. Do not run it easy. There are many methods to eliminate this trouble. We in the childhood ran barefoot on pebbles and cockleshells in Anapa. They say it helps. There is also a small advantage for flatfoot - the army will not take it:)

vadim suvorov

https: //www.google.com.ua/ search? Q =% D0% A7% D0% B5% D0% BC +% D0% BE% D0% BF% D0% B0% D1% 81% D0% BD% D0% BE +% D0% BF% D0% BB% D0% BE% D1% 81% D0% BA% D0% BE% D1% 81% D1% 82% D0% BE% D0% BF% D0% B8% D0% B5% 3F & oq =% D0% A7% D0% B5% D0% BC +% D0% BE% D0% BF% D0% B0% D1% 81% D0% BD% D0% BE +%D0% BF% D0% BB% D0% BE% D1% 81% D0% BA% D0% BE% D1% 81% D1% 82% D0% BE% D0% BF% D0% B8% D0% B5% 3F &aqs = chrome..69i57 & sourceid = chrome & i = UTF-8

Laura La

1 - it can not be treated
2 - wear the right shoes, the correct insoles and follow other recommendations of the orthopedist
3- dangerous by breaking the bones. That is, if the elementary rules are not observed, the flatfoot will become stronger and eventually the bones will begin to decay, this is very painful. Then you just can not walk

Nadejda Blagodarnaya

It will get worse with age;wear insoles and expensive comfortable shoes.

Kolya Fomin

There is a danger if you give a flatfoot and do nothing to eliminate it. The entire musculoskeletal skeleton of a person is a system, a failure in one part will certainly fail in another. A flat foot affects the spine, and a spinal failure in turn can affect both the performance of any internal organ. Frequent headaches, fatigue when walking, poor coordination - all this can be a consequence of banal platypodia. How to eliminate? The right shoes( if run - individual orthopedic), foot massage, running on the massage mat of the house and stones, sand, grass on the street, riding bottles with warm water, balls, etc.

Victor Mukhin

I have flat feet, and my sister, and at mum. So the situation is this: the main problem that everyone faces, who has flat feet is pain in the legs, severe fatigue during long walking and a big problem is that picking up comfortable shoes is very difficult. Mom has problems with the spine, most likely it has a relationship with the flat feet. And to roll these little balls, etc., we tried everything-it does not help, apparently, we must accept it..

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