Flattened 3 degrees
There are three degrees of flatfoot , the most serious of which is the third , characterized by full deformation of the foot. Flattening of the 3rd degree not only causes discomfort, but also causes difficulties in walking, leg pain and many diseases.
With this form it becomes impossible to use ordinary shoes, the patient is forced to order orthopedic products( shoes) from specialists. The occurrence of pain in the 3rd stage of flatfoot is provoked by any physical activity.
How to recognize the flat feet of the 3rd degree
Despite the fact that flat feet of the 3rd degree has a brightly expressed form , not everyone understands that the main problem at the feet of .At this stage, because of deformations, a person can not wear ordinary shoes, because he feels discomfort and pain.
The problem is accompanied by constant pains not only in the legs, but also in the calf muscles, lower back, knees. Sometimes the pain decreases, but even minimal physical activity can provoke it again. A man with a flatfoot is difficult to move around, gait and posture often change. The legs get tired even after standing.
For longitudinal flat feet, the longitudinal arch of the foot is deformed. In this case, the arch angle exceeds 155 degrees. Usually people with excess weight face the problem. Moreover, the more body weight exceeds the norm, the more deformed the foot is. Transverse is characterized by deformation of the transverse arch. Often, due to an incorrect distribution of the load, it is accompanied by the formation of corns, calluses and ossicles.
The degree of transverse flatfoot depends on the angle between the 1 and 2 bones of the metatarsal. In a particular case, this figure increases to 20 degrees. Often there is a combined flatfoot, combining both longitudinal and transverse deformation.
The main causes and consequences of the problem
There is an inborn and acquired flat feet. In the first case, the disease is usually accompanied by deformation of the entire musculoskeletal system .The acquired flatfoot man receives during life, and it is possible to prevent it, having begun treatment for 1 or 2 stages .
What are the main reasons for the acquired flat feet?
Causes of flatfoot
What causes this and what causes
|Traumatic flatfoot||Traumatic flatfoot develops as a result of injuries: fractures of the bones of the metatarsus, tarsus, ankles, as well as sprains and ligament ruptures.|
|Dysfunction of metabolism||Disturbance of mineral metabolism and vitamin D deficiency. This form is called rachitic flatfoot.|
|Genetic factor||Genetic predisposition, which is characterized by weakness of ligaments and muscles.|
|Incorrectly chosen footwear||Constant wearing of uncomfortable shoes, models with high heels( above 4-5 cm) leads to the development of transverse flat feet.|
|Overweight problem||Excess weight, which can be caused by pregnancy or obesity.|
|Heavy loads||Excessive load on the feet: standing work, systematic misconduct of running and jumping exercises.|
Flammability of flat feet
In the case of flat feet, the stop ceases to perform its direct damping function. Therefore, this role is assigned to those parts of the bone system that are completely unsuited to this. Additional load is placed on the knee, hip and intervertebral joints. This leads to disruption of the spine and the entire musculoskeletal system.
What other problems does flatfoot involve?
- Constant pain in the legs;
- deformation of the spine and posture disorder;
- development of varicose veins;
3-degree stuttering: symptoms and treatment
Flattening gives a lot of discomfort and pain. Some people are simply unbearable. There are four basic degrees of flatfoot in terms of the severity and deformation of the foot. Today we will talk about flatfoot 3 degrees.
Symptoms of flatfoot 3 degrees
The most important characteristic of this degree is the deformation of the feet, which becomes noticeable. The damping properties of the foot are practically reduced to zero, and the shock absorbers function is shifted to the intervertebral discs and hip joints, which are not at all designed for such a load. Hence - constant pain in the spine and lower back, the development of scoliosis and intervertebral hernia and other "delights" in the form of concomitant diseases of the musculoskeletal system.
Quality of life at the third degree of flatfoot deteriorates at times: it is impossible to go in for sports, it is impossible to constantly stay on your feet, and even rest does not bring the desired effect. Therefore, if the orthopedist diagnosed the third degree of flatfoot, it is necessary to begin treatment immediately, in order to stop the development of the disease.Even a minimal physical load with a 3-degree flatfoot can cause an acute attack of pain in the foot.
Treatment of flatfoot 3 degrees in adults
Strictly speaking, it is considered that flat feet of 3 degrees in adults is already an indication for surgical intervention. Nevertheless, conservative methods of treating flat feet can also help - but, unfortunately, not completely get rid of the problem. The most important thing is to approach the decision in a comprehensive and rigorous way to comply with all the prescriptions. Namely:
- to begin with it is necessary to reconsider the food. That is, if there are not even problems with excess weight, it should be reduced;
- as an auxiliary therapy will help the baths, with alternating cold and hot water in them;
- the presence of orthopedic insoles or shoes is mandatory. Let's start with the shoes. It should not be completely with a solid sole, but a high heel is also contraindicated. Optimum - 2-4 centimeters. Further, shoes should not be either excessively loose, or too narrow - the "golden mean" will fit perfectly. The main thing is feeling while walking.
As for orthosteels, bends and bulges are their difference from the insole: an elevated zone of recess, a deepening of the heel zone, a thickening of the rear part of the insole, special wedges for adjustment with respect to the foot of the foot. The main and best material is genuine leather. It is acceptable to use insoles made of polymer. More information on how to choose orthopedic insoles for various types of flatfoot, you can read on our website.
If it is impossible to select the variety from the variety available at the pharmacy or specialized store, you can order it. To do this, it is necessary to come to your treating orthopedic doctor, who will make all the measurements and will make a prescription for your future orthopedic insole;
- massage, which is, perhaps, an indispensable procedure in solving this issue. It is also used classical massage with grinding, patting, pressing, but also acupressure, massage with the use of different adaptations.
Treatment of flatfoot 3 degrees in children
The peculiarity of flat feet in children is that it is extremely difficult to determine it at an early stage. So, up to two years for all children, the stop is completely on the surface, and the fingers are loosely pressed against each other. Therefore it is necessary as often as possible after two years to visit an orthopedist, so as not to delay the disease and begin treatment in a timely manner. For the purpose of prevention at this age, when a small leg is only being formed, it is advisable to purchase orthopedic footwear for children, so that the foot is in a physiologically correct position.
If the child has a flat-footed third degree, orthopedic shoes and insoles are mandatory medical procedures. At home, up to two years, the child does not need to walk barefoot, but on grass, sand or gravel - the very thing. Be sure to perform with the baby special exercises for flat feet for children, which are shown for both treatment and prevention of the disease.
It is also important to carry out a daily massage, which not only removes flat feet of the child's 3rd degree with undeveloped stops, but also helps prevent other types of diseases.
The transverse flatfoot of the 3rd degree, the treatment of which with conservative methods most often does not bring a positive result, is a fairly strong deformation of the foot. This is actually the most severe stage of the disease, which is characterized by an enlargement of the foot due to a discrepancy in the attachment of the fingers.
In addition, the very form changes: they become hooked. And the thumb deviates from its normal position by more than 35 degrees. Such deformation of the foot leads to corns. All this in the aggregate becomes the reason of disturbance of motor function of the lower extremities. Pain of varying intensity accompanies any movement of a person. How to treat such a disease?
What are the main directions of therapy?
The basis of treatment of this disease is conservative methods. Consider their basic directions:
- Immediately after diagnosis, the patient is assigned to wear orthopedic shoes. It is made to order in special workshops. You can also use orthopedic insoles. They are purchased in the pharmacy network, selecting strictly individually for each patient. This takes into account not only the size of the foot, but also the degree of its deformation.
- Most often, the cause of any kind of flatfoot is the weakness of the muscles and ligaments of the lower extremities. Therefore, to strengthen and correct pathological changes in the foot, a complex of therapeutic physical training was developed. This technique showed good results in restorative therapy of transverse flatfoot, especially in the early stages of the development of the pathological process.
- In addition to exercise therapy, several courses of therapeutic massage will be recommended. It stabilizes blood circulation in the lower extremities and reduces the swelling of muscle tissue.
- Medical treatment of pain symptoms in transverse flatfoot involves the appointment of non-steroidal anti-inflammatory drugs. Most often they are used in the form of ointments or gels( for example, Voltaren-gel or Diclofenac).
- In addition to medications to reduce pain, the orthopedist can prescribe physiotherapy, for example electrophoresis with Novokain.
However, obtaining a stable positive result in the treatment of the third degree of transverse flatfoot by these methods is very difficult. The best way to correct a severe degree of foot deformity is surgical treatment.Back to Table of Contents
What is the purpose of the operation?
An operative intervention aimed at correcting the deformity of the foot due to flatfoot has been performed in all orthopedic clinics for a very long time. Over the entire period of using this method of treatment, more than three hundred modifications have been developed, which differ not only in the way of access, but also in special approaches to restoring the shape and location of the foot bones. Virtually all operations fall into the category of so-called minimally invasive operations with a relatively short recovery period.
Most often used techniques that allow not only to correct the angle between the bone structures of the foot, but also to restore the normal shape of its arch. As a result of this operation, the natural shape of the leg returns, pain is eliminated, and in addition, the selection of shoes is greatly facilitated.
There is one more important point: such operations practically completely exclude the possibility of relapse of pathology. This can not provide any method of conservative treatment.Back to Table of Contents
Are there any contraindications for the appointment of an operation?
The operation to correct the third degree of foot damage has a number of contraindications. Most of them are the same as with any surgical intervention to restore bone structures:
- presence of pustular diseases or foci of the inflammatory process in the area of the proposed surgical intervention;
- revealing common acute or chronic diseases in the acute stage;it can be pathologies of the heart, blood vessels, intestines and so on;
- certain types of neurological conditions, for example paralysis or paresis;
- infectious diseases can be considered temporary contraindications.
It should be remembered that with this pathology very rarely operate children and adolescents under the age of 20 years. What is the reason for this? Experts explain that the bone tissue they have not yet fully formed, so it is difficult to predict the firmness of the result obtained from surgery.Back to Table of Contents
What method of anesthesia is used?
This question is also often asked by patients before the operation. In this case any method of anesthesia is allowed. It can be both local anesthesia, and general, for example, conductive or spinal. The choice is made by the surgeon depending on the state of the patient's health. At the same time, his wishes may be taken into account. The selected anesthesia will not have a serious effect on the quality of the operative intervention, and also on the duration of the rehabilitation period.Back to Table of Contents
What are the features of the postoperative period?
Flat during operation completely eliminated. However, it is wrong to believe that due to the small area of surgery the next day after the operation, the patient will be able to walk independently.
This is not quite true. This will require a certain rehabilitation period. Postoperative sutures will be removed only after 21 days. And a week later the surgeon will remove the needles, which are necessarily put to eliminate flattening of the foot. Doctors warn that the patient will be able to try to walk not earlier than in two months. And then some time it will be necessary not to overload your legs. The entire period of rehabilitation will require special orthopedic footwear.
Like any surgery, surgery to correct the foot with flat feet can be accompanied by a complication both during the period and during rehabilitation. It should be noted that the percentage of postoperative complications in this case is low and largely depends on the qualification of the operating team and the general health of the patient.
- Bleeding, which can develop both during surgery and during the postoperative period.
- Pyoinflammatory diseases, for example, osteomyelitis.
- Disturbance of innervation in the place of operative intervention.
In addition, transverse flatfoot in rare cases can recur.
This occurs when the main cause of foot injury is not completely eliminated.
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What is foot plastic?
Sometimes, after the operation, the appearance or shape of the foot does not like the patient. What to do in this case? The surgeon will recommend a reconstructive operation that will help correct the defect. This technique refers to cosmetic surgical interventions and, as a rule, is rarely performed in public clinics. To do this, you will have to apply to paid medical institutions.
The patient is returned to the beautiful shape of the foot. In this case, not only the bone structure is corrected, but also the ligaments. Modern techniques allow performing this plastic surgery without using foreign tissues, which speeds up the healing process and reduces the risk of postoperative complications. In the postoperative period, to ensure the correct adhesion of bones and ligaments, the foot gipsets. The gypsum is removed after a month.
During the rehabilitation period, the patient's bone-ligament apparatus is strengthened. For this purpose, the patient is prescribed a complex of exercise therapy and a special therapeutic massage. For some time it will be necessary to use a special orthopedic insole and cuff. In the future, after a complete restoration, the need for them will disappear.
Treatment of flat foot 2 degrees in children and adults - on SportObzor.ru
Perhaps, as soon as a person began to use two legs for walking, the known problems with feet started today. In particular, flat feet are extremely common. The very name speaks for itself: a flat foot. That is, in the presence of such a disease, a person has a foot with compacted arches.
Flattening of the second degree: what is
If in the diagnosis - a flat foot of the first degree - pain in the foot area begins to appear after physical exertion, then with flat feet of the second degree - the legs not only hurt even after a long walk, but also swell. By the evening the sole is flattened. Other characteristic signs of flatfoot of the 2nd degree are a decrease in the height of the arch of the foot and an extension of the longitudinal angle between the heel of the heel and the scaphoid-wedge joint. The normal value of the angle of the arch of the foot is 124-129 degrees. At the second degree of flatfoot, the log reaches 140-150 degrees, while the arch of the foot reaches only 17-24 millimeters in height( 25-35 mm in norm).
In addition, for the 2 nd stage of flatfoot, the load distribution between the 2nd and 3rd metatarsal bones is characteristic, which leads to their hypertrophy. Often there are bony expansions - osteophytes - along the edges of the heads of these bones. Sometimes at 2 degrees of flatfoot there is also a valgus deformation of the foot - a strong shift of the big toe outward.
To determine exactly what degree of flatfoot: 1 or 2, you should do an x-ray, which is prescribed by an orthopedic doctor. He also chooses the optimal methods for treating flat feet of the 2nd degree for adults and children, depending on the condition of the foot.
Treatment of flatfoot 2 degrees in adults
The most important thing is to immediately consult a doctor as soon as the first unpleasant sensations appear in the feet. Unfortunately, in adults, flat feet are not completely cured due to age and changes that have already occurred. Try not to allow long loads on your feet, wear comfortable shoes, if you have a lot of time to spend on your feet, be sure to follow the gait. It is very important not to let the disease pass from one stage to another, because the flat feet of the 3rd degree will bring much more troubles and restrictions.
For the treatment of flatfoot 2 degrees, the following exercises can be used:
- First sitting on a chair, and after standing, it is necessary to put stops 30-50 times on the outer and inner sides alternating;
- Sitting on a chair, you must first put your feet, unfolding your feet, on one line. Then join the heels and after the fingers. When this exercise will pass without strong pain symptoms, you can similarly do it standing;
- Standing with the legs apart on the width of the shoulders, you need to alternately stand on your toes and on the heels, rolling smoothly. Then the speed of rolls should be increased;
- Sitting on a chair, it is necessary to rotate the raised feet from the floor in one and the other side alternately. Repeat 20-30 times;
- It is also useful to walk one or two minutes on the spot, lifting only the heel from the floor, and as high as possible. And the more the speed of walking, the better.
In addition to therapeutic gymnastics, there are other conservative methods of treating flat feet in adults, more about which you can read on our website.
Treatment of flatfoot 2 degrees in children
While the foot is just forming, everything can be corrected, even if the child has a flat foot 2 degrees. And the most effective will be foot massage. However, it is necessary to massage not only the foot, but also the shin, the knees, and the lower back. So the result will be achieved faster and more efficiently.
The duration of a pediatric massage with flatfoot usually does not exceed 10-15 minutes. However, in this matter the regularity is important - you will not see a result from one procedure. The standard course of massage with flat feet in children includes about 13-15 procedures. If necessary, a specialist may recommend increasing this number taking into account the individual characteristics of the child.The technique of therapeutic massage with flat feet is chosen individually. However, the most commonly used method is the movement from the toes to the toe, and then from the shin to the knee. You can use rubbing, squeezing, patting, stroking, etc. A good effect is given by various massage rollers, balls and other orthopedic adaptations. However, before using them, be sure to consult a doctor - an incorrect massage will only harm the child and aggravate the problem. Other physiotherapeutic procedures are also used to treat flat feet, such as: contrasting baths, therapeutic exercises, walking on a massage mat. And of course, pick up your poor shoes and do not allow heavy loads on the foot. Fortunately, today many manufacturers offer beautiful and functional footwear with consideration of all orthopedic requirements. More information on how to choose children's orthopedic shoes, you can on our website. Do not be lazy: because the treatment of flat feet in children directly depends on age, so the earlier you start, the more chances to get rid of flat feet completely and forever. October 29, 2015
how can I cure flat feet of 3rd degree? ??
Flattening can be treated. And not only in childhood, but later.
Although official medicine denies this.
And children does not always heal effectively
It's too bad that you have reached the third degree! !!!
Treatment must include
- Massage with an experienced masseur
- LFK( thrust and daily)
( look like heels, on the toes, on the outside and inside of the foot)
A very important exercise is to bend and unbend fingers( as if in a fist)
Roll rolling-bottle-tube with pressure
And not only along, but also across!
Massage mat( toddle)
- If there is already a flatfoot, it may be necessary Supinators.(But, better made especially for you or at least matched for you)
and it is very ambiguous whether they should always be worn. It's like glasses.
I have goggles, and then you can not remove it-it may be more expedient to use the time for TRAINING the stops by walking without the insteps or in other insteps.
You can also see my site about the treatment of flatfoot and "bones"
( spaces in hallus-valgus.. ru)
For prevention it is very important to walk barefoot, but not on the floor, not on the asphalt, but on the uneven surface( pebbles, cones, grass).
For physical education and sports it is desirable to buy good sneakers, and not run with bad sneakers or casual"Chuvaki".
You are probably interested, but how objectively you measure the flat-footed
. Here is the answer to this question: //otvet.mail.ru/question/63121079/
There are in detail about many methods + photos of
including about x-ray and about "army" measurements of flat-footed P
Maxim Vladimirovich: 3
You can not
gobarefoot, or as I used to on a glass bottle
Flattening of the third degree is characterized by severe deformation of the foot joints, the formation of arthrosis of the metacarpophalangeal and interphalangeal joints, and also the valgus foot. Most often, flatfoot treatment in such cases is carried out only in an operative way. Note that independent treatment to a positive result will not. Popular scientific literature in the popular literature and the Internet "how to treat flat feet" are, at best, good as a means of preventing this disease: they usually include actions aimed at strengthening the ligaments and muscles of the foot: massage techniques, various exercisesand so on. For the sake of justice it is worth noting that these actions are usually useful for the feet and for the musculoskeletal system as a whole. But self-medication is harmful because it makes you waste time, and it is known that such a phenomenon as flatfoot can be completely cured only in childhood, while the bones of the foot are still flexible and the formation of the foot can be adjusted. In adult patients, the loss of time can result in the development of complications, which we have already mentioned.
Thus, in order to cure platypodia or maximally effectively slow its development, it should be treated in a well-equipped, modern clinic with a qualified and experienced orthopedic doctor. In such a clinic as the American Medical Center GMS Clinic in Moscow.
With the help of good orthopedic shoes and a good orthopedist! !!
It all depends on your age. .. If the skeleton has already been formed completely, then this is impossible. ..Reduce the degree to 2 second in principle and in theory you can. .. The only thing that can be offered is a good orthopedic footwear
I have a congenital flat foot of the third degree since childhood, 37 years and I suffer and suffer from severe pains in the soles of my feet. I went to the orthopedic center, they told me: "Up to 8 years have not been corrected, now nothing will be done." They gave orthopedic insoles, and they garbage, that is, that is not, because they do not fit into any shoes( in summer,not insert).and in the kindergarten did a lot of exercises from flat feet - nothing helped! !!!I will say one thing, alas, are doomed to suffer with him all my life, how I suffer.