Treatment of transverse platypodia
Treatment of transverse flatfoot often occurs through various forms of foot-restoring devices, such as insoles in shoes, or even special shoes. Operative intervention is used in the treatment of flatfoot extremely rarely.
With such a disease as flat feet, every second person on Earth is familiar. If flat feet were not in their youth, this does not mean that in old age it will not overtake you. The foot may deform with age due to various external factors( incorrect shoes, load on legs, etc.).Now this disease is very often diagnosed in children. Flatfoot is a change in the foot. Doctors almost recommend flatfoot prevention. From the correct form of the foot depends our spine, and from it all the organs.
Treatment of transverse flatfoot in adults
The first and most frequent flat-footed clients are women. To look beautiful, they go to great sacrifices. Wear the wrong shoes, big heels, platforms blindly following the fashion.
In men, transverse platypodia is much less common. This disease can be in men, when they spend a lot of time on their feet and the whole weight of the body presses on them or aggravates the problem with the wrong footwear. According to statistics, the transverse flatfoot is found in the ratio 8: 2( female men).Also, the transverse flatfoot is transferred genetically along the maternal line.
The treatment of transverse flatfoot in adults is divided into two stages( a kind): conservative and surgical. The orthopedist doctor chooses the method of treatment, after examining the foot and taking an X-ray photograph. At an early stage, it is recommended to treat the transverse flatfoot simply with a warm foot bath. Recommend massages that the specialist does to correct transverse flatfoot. The doctor can prescribe corrective gymnastics and physiotherapy. When pronounced flatfoot designate wear special insoles or orthopedic shoes. Serious deformities of the foot are prescribed surgical intervention.
The most unpleasant thing about this disease is that it can not be completely rid of. The longer you tighten the treatment of transverse flatfoot, the less likely it is to cure. Completely get rid of transverse flatfoot for an adult is almost impossible, but if he was diagnosed as a child, then there are chances.
Treatment of transverse flatfoot in children
According to statistics, 60% of children aged 6 -7 years have flat feet. If you diagnose the disease in time, you can cure it and forget about it forever if you wear the right footwear. In fact, in young children, it is difficult to treat a transverse flatfoot. Only at the age of 12-13 years, when the arch of the foot is not fully formed, but the whole organism is in the process of active growth, it is possible to influence the proper formation of the foot. At a more mature age, the chances of curing the transverse flatfoot greatly diminish. This means one thing that a child will wear orthopedic shoes and insoles. Very rarely there are cases with congenital flat feet. Then the treatment begins with the moment when they have been diagnosed. For the treatment of congenital transverse platypodia children are prescribed plaster bandages or langets. When flat feet, children do not practice surgical intervention.
During treatment, you need to attach a lot of attention as a child walks. One should try to put the feet in parallel and lean on the outer edge of the foot.
Treatment of transverse-longitudinal platypodia
The transverse longitudinal flatfoot is associated with weak foot muscles. There is a movement of the foot muscles, the front part of the foot deviates to the outside, and the heel bone - inside. With transverse-longitudinal flat feet, people often suffer from swelling and pain in the legs. This type of flat feet is most often seen in women who wear narrow shoes with excess weight. In this combination, the stop incorrectly distributes the load and deforms with time.
Treatment of transverse-longitudinal flat feet is first carried out by conservative methods. The treatment package includes hot foot baths with saline solution, which removes swelling. Also recommended baths with chamomile, they will help with pain in the foot and relieve inflammation. From the physiotherapy technique for the treatment of longitudinal-transverse flat feet, electrophoresis with herbal preparations, paraffin applications is very helpful. To support the foot in the correct position will help orthopedic insole. If walking is disturbed, then an operation is performed, otherwise the transverse-longitudinal flat foot will lead to limited movement. Operative intervention will help to get rid of pain and edema, to eliminate discomfort in the foot.
Treatment of transverse platypodia insole
Unfortunately, the first thing that promotes transverse flatfoot is the shoes. Today, when we live in the modern world, walking barefoot is a luxury for us. Therefore, we suffer from flat feet and are forced to improve our shoes to make our feet comfortable. So for the treatment of transverse flatfoot orthopedic insoles and various arch supports were developed. Orthopedic insoles cope with their task in full.
They well cushion the foot, reduce the load on the feet. Before you buy yourself insoles, you need to consult an orthopedist. With the wrong choice of orthopedic insoles, you can damage the foot and exacerbate the flatfoot. For correct selection of the insole, you need to measure all changes in the foot. Ideally, orthopedic insoles should be worn not only for treatment, but also for the prevention of transverse flatfoot.
Surgical treatment of transverse platypodia
In modern clinics, surgical operations have been performed for many years to eliminate transverse flatfoot. Surgical intervention is prescribed in the case when conservative treatment does not yield any results, and the pain in the foot increases, the foot deforms further. Most often, the essence of the operation is, to change the angle between the bones of the foot and to correct the transverse arch. After surgical intervention, the foot restores correctly, pain and leakage disappear. An important fact is that after surgery the transverse flatfoot will no longer return.
Folk treatment of transverse platypodia
Folk treatment of transverse flatfoot implies physical exercises. No herbal tincture can cure platypodia, but it helps to reduce pain and leakage. To relieve fatigue, chamomile and various coniferous plants will help. They should be added to salt baths. A good effect is observed when walking on tracing paper. You can also make a special rug with different pebbles, which have different shapes and sizes, and walk on them. A somewhat unusual, but effective method can be accounting accounts. Stop putting on the abacus and doing a massage. It is very useful to walk barefoot, even on level ground. This implies walking not on the asphalt, but on the grass. A good effect is the rocking of the bottle with his feet on the floor. If such exercises are done qualitatively and for a long time, the result will not be long in coming.
Treatment of transverse flatfoot 2 degrees
First you need to understand what a transverse flatfoot 2 degrees. In medicine, there are three degrees of flatfoot. The second degree is the level of the arch of the foot from 141 to 155 °, the height of the vault is 24-17 mm.
The second degree of transverse flatfoot is characterized by an angle increase of up to 15 degrees. The pain mainly comes from the middle metatarsal bone located under the heads. At the second degree, the corns become more and more, and continue to grow. The thumb twists and grows inside. At this stage, the pain becomes more significant with loads on the foot.
Treatment of transverse flat feet of the 2 nd degree consists in wearing orthopedic footwear and restricting interruption in an upright position. Massages, physiotherapeutic procedures and therapeutic gymnastics are very effective. Often, an orthopedic doctor recommends surgery. After surgery, the transverse flatfoot of the 2nd degree completely disappears and does not return.
Treatment of transverse flatfoot exercises
Treatment of transverse flatfoot by physical exercises( LFK) is to strengthen the ligament and the muscle of the foot. Therapeutic exercises should be performed every day for 15-20 minutes, and it is better to do several approaches. Treatment exercises are effective only with transverse flat feet. Such therapeutic exercise is the following process. Connect the straightened legs so that the knees and feet touch one. Try to unbend the left foot and start the front part under the right foot. Repeat for the other leg. Repeat this exercise for 10-15 minutes.
For the following exercises you need to sit down. Take a small ball and try to lift the inside of the foot. Lay out small items on the floor, these can be pencils, batteries, pens and try to collect these objects with your toes. Take a newspaper or paper and crumple your feet.
For the following exercises you need to take standing positions. Be like on the outer foot while bending your fingers. Also, walk around the room on tiptoe.
Exercise is one of the components of successful treatment of transverse flatfoot.
Longitudinal and transverse platypodia and its treatment
Flattening is a deformation of the arch of the foot, viz. 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 pronounced arches - 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.
Healthy feet - a healthy body
If the foot ceases to absorb the load, then this function will be forced to perform other joints( ankle, knee and hip), while "get" 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 of the , 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 appears 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.
Many young people are wondering whether they are taking to the army with flat feet. On our site there is already an article that can answer this question.
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);
- diseases( 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 - there is paralysis of the muscles of the shins and feet);
- 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 the transverse one.
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 ricky;
- 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 foot muscles.
Rickets - 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 flatfoot. 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 occurs gradually and it is almost invisible to the patient.
- Longitudinal flatfoot 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 flatfoot of the 2nd degree is already manifested by permanent pains, which can be quite intense and spread to the region of the shins and ankles. With this degree of disease, the gait is already losing its smoothness, walking becomes heavier.
- Platypodia of the third degree is manifested by persistent severe pains that cover not only the foot, but also the lower leg, 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;
Flat feet have every third person in our country
- 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 varicose veins, so that when they occur, you should immediately consult a doctor.
Symptoms of longitudinal flatfoot
- fatigue in the legs, with pressure on 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
- the transverse arch of the foot disappears, as a result of which the deformation of the fingers develops;
- appears pain and skin pigmentation in the forefoot;
- appear 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 such a disease is impossible, the treatment is designed primarily to stop the progression of the disease, and then create the necessary conditions for adjusting the foot. That is why is very important to diagnose the disease as early as possible .
Because the conservative treatment is the preferred method of treatment of the disease in the early stages of its development, the treatment involves the removal of pain and the improvement of 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 for diagnosing and treating 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 , while 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 fully 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 the 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 will be diagnosed, the greater the chances of complete recovery of children. For the same reason, it is important to prevent flat feet in childhood.
Transverse flatfoot: symptoms and treatment methods
Transverse flatfoot is a condition in which the foot acquires a flattened shape in its transverse arch.
This anatomical disorder refers to polyethological diseases, that is, it develops for a variety of reasons and with a number of predisposing factors.
Human foot is a complex combination of many small bones and joints that stabilize and function thanks to the ligament apparatus. Taking into account the fact that it is the entire body mass that accounts for this area of the musculoskeletal system, one can understand how important the role of ligaments is in the formation and maintenance of the anatomical integrity of the foot.
But when, for whatever reason, the muscles and ligaments are weakened, an incorrect redistribution of loads to the bones of the foot occurs, causing them to "move apart"( distance from each other) and the foot acquires a flattened shape.
This is a kind of compensatory mechanism, in which the foot, expanding and enlarging its area, retains the ability to maintain body weight. But at the same time, it loses the physiological curves designed for depreciation, and the overlying joints have to take a part of the loads on themselves, which is beyond their capabilities.
The main causes leading to transverse flatfoot are:
- hereditary predisposition to the weakness of the musculoskeletal system;
- metabolic diseases, in which the supply of articular structures with nutrients deteriorates;
- transferred to childhood rickets;
- trauma of the foot and lower leg, as a result of which the uniform distribution of loads on the foot is disturbed.
Risk Factors of
There are a number of circumstances in which there is much lateral flatfoot development:
- sedentary and sedentary lifestyle;
- professional employment, where it is necessary to spend a long time on the legs in a static position( teachers, sellers, etc.);
- of the spine and its curvature, in which the center of gravity is significantly displaced, which leads to increased stress on the joints of the feet, including the feet.
Transverse platypodia manifests itself gradually increasing symptoms.If at the initial stage of the disease a person can experience only discomfort in the soles after a prolonged stay on the legs, then as flatfoot develops, the discomfort becomes painful.
Painful sensations occur mainly in the 1st and 2nd metatarsophalangeal joints( in the place of connecting the fingers with the foot), since it is these fingers that account for the maximum load when walking.
In addition to pain, with flat feet, the following symptoms and signs are observed:
- sensation of heaviness and "pouches" in the feet and legs;
- at the end of the day in the ankle and up the shin, swelling of different severity can be observed - from a slight increase in the ankle volume to a complete smoothing of the ankle joint relief;
- burning sensation and pain in the calf muscles;
- on the soles, at the place of greatest pressure, are formed natoptys( dry, hard corns);
- can have difficulties with the selection of shoes: flattening, the foot expands in its front, and most models of shoes when worn cause discomfort and pain.
One of the most characteristic signs of transverse flatfoot is the valgus deformation of the first toe. At the initial stage of the deformation, the finger is still in its physiological position, but the skin on the metatarsophalangeal joint becomes thickened, after a prolonged stay on the legs the area of the joint turns red and looks edematous.In the absence of treatment, the finger begins to gradually deflect outward, and the joint increases in size and a "bone" develops on it - a solid formation. In flattened cases of flatfoot, all fingers of the foot are involved in the process of deformation, and the second finger is forced outward, which causes the patient additional pain.
Prolonged absence of treatment and attachment to the flat feet of pathologies in the joints of the lower limbs significantly changes the human gait. The patient tries to put the foot on the outside, unfolds the front side of the foot inward, which causes the body to sink from side to side.
How the physician makes this diagnosis
When diagnosing transverse flatfoot, several characteristics are taken into consideration, including:
- the location of the toes and changes in gait that are detected by visual inspection;
- geometry and topography of the sole, measured with the help of subgraphs, allow us to evaluate the points of contact of the foot with the surface of the subgraph and compare them with the normal parameters;
- angle of the deviation of the first finger, measured by X-ray, depending on the magnitude of the angle, the degree of valgus deformation and flat feet is established;
- to assess the impact of pathology on soft foot tissues can be prescribed CT or MRI.
Since transverse flatfoot often involves nerve and vascular structures, accurate consultation may require consultation of a neurologist and phlebologist.
As noted, transverse flatfoot is characterized by the absence of physiological "cushioning" bends, which leads to increased stress on the ankle, knee, hip joints.As a result, what started as a deformity of the foot leads to disturbances in other departments of the musculoskeletal system, and often with involvement in the pathological process of the spine.
For this reason, children's and youthful flat feet need special attention: the formation of the spine under conditions of increased stress can result in severe complications, including scoliosis, early osteochondrosis, etc.
Treatment of such a condition as transverse flatfoot is based solely on individualthe peculiarities of the situation: the intensity of the pain syndrome, changes in phalangeal joints, involvement in the process of blood vessels, etc. Accordingly, the tactics of treatment can be significantbut differ in different patients, which requires a professional approach and completely excludes self-treatment.
Medicines for flatfoot are mainly used to relieve pain and to stop the inflammation in the joints of the first finger. To this end, non-steroidal anti-inflammatory drugs( NSAIDs) such as Indomethcin, Diclofenac, Ketanov etc. are prescribed.
In All NSAIDs have contraindications - both common for this drug group and unique for a particular drug. Therefore, NSAIDs are prescribed only by the attending physician on the basis of an assessment of the patient's general health status and the presence of any systemic diseases.
The transverse flatfoot in its initial stage, when the deformation of the first phalangexal flap joint is expressed slightly or absent, the use of special orthopedic devices is recommended. These include:
- insertion rollers placed between the first and second toes of the foot, and withdrawing the first finger into anatomically correct position;
- orthopedic insoles, manufactured to individual parameters, designed to restore the physiological bends of the foot and reduce the load on the knee and hip joints;
- orthopedic footwear is prescribed for severe flat feet and / or for wearing during the recovery period after surgical treatment.
Physiotherapy and exercise therapy
These methods of treatment are used only as auxiliary, because with their help it is impossible to exert any influence on the ligamentous apparatus of the foot.
Physiotherapeutic treatment( mud baths, UV irradiation, electrophoresis, etc.) are prescribed to improve the nutrition of tissues in the pathological focus and reduce the intensity of the inflammatory process.
The complex of curative physical training, developed for the treatment of flatfoot, can be effective in combination with other methods of treatment at the initial stages of the disease, since the direct physical exertion can strengthen the musculoskeletal apparatus of the foot and prevent the further development of the disease.
But in severe forms of flatfoot, exercise therapy also performs purely auxiliary functions and is most often recommended for rehabilitation therapy after surgery.
Surgical treatment of
Today, surgical intervention remains the only effective way to eliminate the flatfoot problem and return the anatomically correct shape to the phalangexal joint.
The purpose of the operation is the redistribution of tendon and muscle traction, which is responsible for the position of the first two toes. To do this, the surgeon cuts the leading tendons and moves them to another position. In some cases, it may be necessary to remove a bone fragment and only then - correction of the position of the metatarsal bone.
Removal of "bones" refers to cosmetic surgery, since it cuts only the bony enlargement and the subcutaneous bag that form a thickening on the joint.
Important: To date, there is no way to save a patient from valgus deformity of the first joint without the use of surgical techniques. Any statements regarding the possibility to restore the anatomy of the deformed joint with the help of conservative treatment have nothing to do with medicine.
Symptoms and treatment of transverse flatfoot - treatment methods, exercises LFK
Transverse flatfoot, its features
In 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 a hammer-shaped one.
Cross-flatfoot women are especially affected after 35 years of age.
Symptomatic of transverse flatfoot
- Shoes wear mainly on the inside
- Very rapid onset of fatigue sensation in the legs
- Formation of transverse spreading of the foot
- 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
- Pain in the feet
- Shin cramps, edema of the legs
- Back and knee pain that may appear in the advanced stages of the disease
Transverse flatfoot divide into three degrees independing on the angle of the first finger from its anatomically correct position.
At the first degree of the 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 started, 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 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 mandatory 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 the relief of pain and relaxation of muscles, 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 to strengthen the muscles of the footExercises for transverse flatfoot should be given 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 forward and back.
- 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 the 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.
What is transverse platypodia and its causes
Flatfoot is a disease of various etiologies, characterized by a progressive flattening of the anatomical arches of the foot.
Depending on what the arches of the foot are involved in the process are distinguished:
- Transverse flatfoot
- Combined flatfoot
Independent types of flatfoot are quite rare, mostly in patients there is a combined flat-foot - longitudinal-transverse.
Flattening refers to polyethological diseases. This means that there are many reasons for its development. The hereditary nature of this disease is most often traced. Among the acquired types of flatfoot are distinguished:
- static flatfoot is the most common type. They suffer about 80% of all patients. It is led as a hereditary predisposition( " aristocratic foot "), and professional harm( long static load on the limbs or physical inactivity).Another prerequisite is endocrine diseases, overweight, systemic connective tissue diseases, etc.
- rickety flatfoot - occurs when the foot is deformed due to a lack of vitamin D, is rare.
- paralytic platypodia is observed after paralysis, most often in poliomyelitis due to paralysis of muscles supporting the arch of the foot and tibial muscles.
- traumatic platypodia - is observed as a result of the transferred traumas( a fracture of the tarsal bones, ankles of the calcaneus, etc.).
Congenital platypodia is a rather rare form, preventive examinations help to reveal this kind of flatfoot. An accurate diagnosis can be made no earlier than 2 years of age( since all young children have a flattened foot due to physiological reasons).
Symptoms of transverse platypodia
Symptoms of transverse flatfoot are the most common: pain in the feet, burning sensation, convulsions in the leg muscles, fatigue in the feet towards the end of the day. In far-reaching stages, complaints of pain in the knee are added.hip joints.pain in the back, which can cause the development of arthrosis of these joints.
Visually the front part of the foot increases in size, - the so-called transversely-spreading foot is formed. As a result of incorrect load distribution, due to flatfoot, often appears the deformation of the first finger in the form of its valgus deviation. In the area of the first metatarsophalangeal joint, an exophyte is often formed, called " bone" patients, or "cone " on the foot.2-3-4th fingers, which are carried a large load, take a hammer-shaped form. Thus, during the progression of the disease, the changes acquire a persistent character in the form of a deformation of the anterior part of the foot, leading to disruption of the biomechanics of all links of the musculoskeletal system involved in walking.
Diagnostics of flatfoot
Diagnostics of flatfoot includes the examination of a specialist physician - traumatologist-orthopedist. X-ray examination of the feet. And analysis of the patient's gait. If necessary, the survey spectrum can be expanded.
Treatment of transverse flatfoot
Treatment of transverse flat feet should be performed by a trauma doctor after an accurate diagnosis of the disease. Treatment depends on the degree of flat feet. Treatment of transverse flatfoot can be both operational and conservative( without surgery).
Conservative treatment of transverse flatfoot is complex and involves limiting the load on the feet, selecting orthopedic shoes, using orthopedic devices to normalize biomechanics, reducing excess weight. In the presence of a bursitis clinic or arthrosis of the first metatarsophalangeal joint, anti-inflammatory and analgesic agents are used to stop inflammation. In some cases, immobilization, physiotherapy, and massage are used, which helps to reduce the increased muscle tone, and as a result - to reduce pain. Conservative treatment is aimed at reducing pain, as well as slowing down the progression of transverse flatfoot
Surgical treatment of transverse flatfoot is used for severe and persistent pain in the feet and with inefficient conservative treatment. In the center of traumatology and orthopedics, the whole range of operations is performed in the treatment of static deformities of the forefoot. The most modern surgical techniques are used.allowing to minimize the negative impact of operational stress on the patient and to shorten the rehabilitation period after the operation, without using immobilization plasters and crutches.
It can be interesting
User questions about transverse flatfoot
it( hygroma, fibroma), what can it be and how to get rid of? On the other leg all is well.
Transverse platypodia is a common pathology in which there is a transverse spreading of the foot and a deviation of the 1st finger outward. The main cause of transverse flatfoot is the failure of the ligamentous apparatus of the foot. Along with the external deformation, it is manifested by pain in the feet, pain and burning in the muscles of the feet and lower legs after physical exertion. The diagnosis is made on the basis of radiography. Symptomatic conservative therapy is performed, with severe deformation, corrective operations are performed.
Usually accompanied by more or less pronounced pain syndrome, weight in the feet and rapid fatigue when walking. Over time, there is stiffness of metatarsophalangeal joints, progressive deformations in the region of the first and second fingers. The reason for going to the doctor, along with the pains, often becomes a pronounced cosmetic defect and problems in the selection of comfortable shoes. Treatment of transverse flat feet is performed by traumatologists and orthopedists.
Symptoms of flat feet:
- your old shoes are worn and worn from the inside, especially well if you have a heel;
- feet very quickly tire when walking and standing work;
- after a great physical exertion the feet begin to ache;
- at the end of the day there is fatigue and pain in the legs, a feeling of heaviness, legs like "poured lead", puffiness, even cramps are possible;
- in the area of the ankles appears swelling;
- walking on his heels turns into a torment;
- leg seemed to grow in size, both in width and length, so you have to buy shoes for a bigger size, and you do not fit into old shoes;
- at the last stage of the disease, in addition to the legs, the lower back begins to hurt, walking in shoes becomes a pain, and pain in the legs can be combined with headaches.
Many of these symptoms of flatfoot may correspond to varicose veins, so at the first occurrence of pain in the foot and shin area, the orthopedist should be consulted immediately.
Causes of flatfoot:
- poorly selected shoes( narrow shoes with sharp noses, high heels and platforms);
- pregnancy and weight gain, both muscular and due to obesity;
- hereditary predisposition: genetic abnormalities in the development of ligaments, muscles and bones of the foot and the congenital weakness of the musculoskeletal system;
- trauma: trauma of the feet, fracture of the ankle and calcaneus, bruises and cracks in the cartilages, ligament ruptures, damage to the muscles and ligaments strengthening the arch of the foot;
- diseases: rickets and as a consequence weakening and softness of bones, which are very easily deformed, complications after poliomyelitis - paralysis of the muscles of the sole and shin;
- insufficient physical load, and as a consequence of the weakness of muscles and ligaments - "sedentary" work;
- excessive physical load - "standing" work, enthusiasm for running and jumping sports.
As you can see, there are a lot of reasons for flatfoot, but the main reason, approximately 8 out of 10 cases is poor development of muscles and ligaments of the foot. Therefore, to properly form a vault, you must constantly train them. Without load, the muscles of the foot become weak and can not support the foot in a normally elevated state, which is the cause of flatfoot.
Diagnosis of transverse flatfoot
The diagnosis of transverse flatfoot is made based on external examination data and radiograph results of the foot. To obtain a complete picture of the disease, usually X-rays of I, II and III plus-nefalangeal joints are prescribed. In the process of describing the images, the radiologist assesses the severity of the valgus deformation of the 1st finger, taking into account the angle between the first finger and the metatarsal II and the angle between the I and II metatarsal bones. There are three degrees of deformation:
- 1 degree - the angle between the first finger and the II metatarsal bone does not exceed 25 degrees, the angle between the I and II metatarsal bones does not exceed 12 degrees.
- 2 degree - the angle between the first finger and the II metatarsal bone does not exceed 35 degrees, the angle between the I and II metatarsal bones does not exceed 18 degrees.
- 3 degree - the angle between the first finger and the II metatarsal bone exceeds 35 degrees, the angle between the I and II metatarsal bones exceeds 18 degrees.
In addition, when studying the radiographs pay attention to the presence of arthrosis, which is evidenced by deformation of the articulation site, narrowing of the joint gap, osteosclerosis of the subchondral zone and marginal proliferation. If necessary, the patient's feet are directed to the CT bone of the bone for detailed study of the dense structures, for the evaluation of the soft tissue condition - on the MRI .In the presence of concomitant pathology from the nervous or venous system, appoint a phlebologist and neurologist.
Treatment of transverse platypodia
Treatment of transverse flatfoot should be performed by a trauma doctor after an accurate diagnosis of the disease. Treatment depends on the degree of flat feet. Treatment of transverse flatfoot can be both operational and conservative( without surgery).
Conservative treatment of transverse flatfoot is complex and involves limiting the load on the feet, selecting orthopedic shoes, using orthopedic devices, for normalizing biomechanics, reducing excess weight. In the presence of a bursitis clinic or arthrosis of the first metatarsophalangeal joint, anti-inflammatory and analgesic agents are used to stop inflammation. In some cases, immobilization, physiotherapy, and massage are used, which helps to reduce the increased muscle tone, and as a result - to reduce pain. Conservative treatment is aimed at reducing pain, as well as slowing the progression of transverse flatfoot.
Surgical treatment of transverse flatfoot is used for severe and persistent pain in the feet and with ineffective conservative treatment. In the clinic of traumatology and orthopedics, the whole range of operations is performed in the treatment of static deformities of the forefoot. The most modern surgical techniques are used to minimize the negative impact of operational stress on the patient and shorten the rehabilitation period after surgery without using immobilization plaster bandages.
- The formation of the right gait, not to breed socks when walking - this overloads the inner edge of the foot and its ligaments.
- With the predisposition to flatfoot to choose the right place of work( work not related to prolonged loads on the legs).
- Correctly matched shoes, on a thick and soft sole, heel not more than 4 cm.
- Wearing insoles for long loads.
- In your free time, give rest to your 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, moving 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.
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Treatment of transverse flatfoot and its prophylaxis
About flatfoot, we hear from childhood - even at school doctors smear children with feet of some kind of solution, and force them to stand on a sheet of paper. Then this sheet is always in our medical record. What are the causes of this disease, is there a cure, and can you prevent its development - you will find out below.
Although everyone has heard of flatfoot, few know that there are several of its types.
- Transverse - the foot becomes flat across the width. In this case its length will decrease due to the divergence of the bones leading to the fingers( metatarsals), deformation of the second and middle finger, and the departure of the thumb outwards. This type of flatfoot often occurs after 30 years.
- The longitudinal flatfoot is characterized by a flat foot along its length - usually the rising middle begins to touch the floor due to what the leg lengthens. It is discovered in youth.
- Integrated - simultaneous flattening of the foot along the length and width.
Types of flatfoot depending on the origin:
- Congenital. It is caused by the developmental defects of the foot still in the womb. But this diagnosis is not immediately established, but closer to school, since it is impossible to say before that.
- Static. It occurs most often and is caused by a weakening of the tone of the muscular-ligamentous apparatus of the feet, imposed on heredity and external negative factors, for example, standing work or high heels.
- Traumatic. It occurs after fractures of bones close to the foot( ankle, heel, tarsus), or after rupture of ligaments.
- Ricky. It is a consequence of the transferred disease - rickets, deforming bone of the foot.
In this case, the degree of expression depends on the weight of a person - the more it is, the stronger the load on the foot. Most often this dependence is found in women.
Thus, there are several types of flatfoot, different degrees of its severity, and it can arise not only because of excess weight, but also at birth.
Causes of transverse flatfoot
Transverse flatfoot appears most often due to functional imbalance of the ligamentous apparatus, but there are other causes.
- Overweight. The ligamentous and muscular apparatus of the foot and its arch are designed for a certain load. As the weight increases, it increases and the foot flatens.
- Injuries. This is the main factor in the development of this disease in men. Affects may stretch the muscles or ligaments, fractures of the foot bones, dislocations, disrupt the integrity of the heel bones. Disorders of the ligamentous and muscular apparatus of the feet. The phalanges of the fingers of healthy people run parallel to each other. But even an inconspicuous and slight disruption in the development of ligaments or muscles can lead to a fan-shaped arrangement of phalanges. Over time, they "creep" into the sides.
- Rickets. A common disease that occurs because of a lack of vitamin D in the body.
- Long-term inadequate static loads. For example, when a teacher or a factory worker is working. At the same time, the balance of the foot is disturbed and professional flat feet appear.
- Walking in non-physiological footwear( high heel, narrow nose, tight shoes, uncomfortable shoe).So, when wearing heels, the entire weight of the body is transferred to the front of the foot. It presses and deforms bones that are not ready for this load.
- Heredity is the inherent weakness of the muscles of the arched arch. But, if a person will lead a healthy lifestyle, receive moderate physical activity, eat right and wear good shoes, then the flat feet will not progress and cause inconvenience.
There are many reasons for the occurrence of transverse flatfoot both congenital and professional. Therefore, before starting treatment it is important to determine the true causes.
Symptoms and Diagnosis
Not always the transverse flatfoot immediately disturbs a person. At first it can be manifested only by slight malaise and buzzing of the legs. But after the progression of the disease, intense intense pains emerge in the spine.
The following symptoms stand out:
- Strong fatigue in the legs, especially in the evening, and constant pain.
- Cramps and burning in the shin area, not related to external factors - hypothermia, uncomfortable position.
- An increase in the bone below the big toe.
- Permanent appearance of calluses and corns.
- Deformation and location of the second finger under the first.
- Disorder of posture, discomfort in the back, pain in the joints of the pelvis and knees with the progression of the disease.
An exact diagnosis is made by an orthopedic physician or traumatologist who reveals the degree of flatfoot and its appearance on the basis of examination, patient complaints and X-ray examination of both feet in the forward and lateral positions, and under load. But it can be determined at home on your own.
To do this, spread a foot of a layer of greasy cream( you can take paint), stand directly on a white sheet of paper, leaning on the entire foot. Now look at the result - on the inner edge of the notch in the norm should be slightly more than half the foot.
You can also calculate the sub-metric index for diagnostics. Measure the length and height of the feet. Height is the distance from the sole to the upper edge of the scaphoid bone. Length - from the edge of the heel to the top of the thumb. Height multiply by 100 and divide by the length. The norm is from 29 to 31.
Numerous symptoms will not let you miss the development of flatfoot, and it can be diagnosed not only by the doctor, but by yourself.
Treatment of transverse flatfoot
It is impossible to completely recover, therefore the main task is to relieve symptoms and ease the condition.
Doctors prescribe a number of procedures to increase the effect:
- Physiotherapy exercises and a special gymnastic program to strengthen the muscles of the foot. For example, such exercises as flexion-extension, mixing-dilution, sliding and various foot movements are suitable.
- Wearing orthopedic insoles and inlays that help reduce fatigue and pain. They can be bought in specialized stores or ordered individually.
- Massage, which improves blood circulation and reduces swelling of the foot. Suitable tricks: stroking the sole with the back of the hand, squeezing, rubbing with a fist with slight pressure, circular rubbing with the pads of the fingers.
- Wear only physiological shoes and individually selected insteps to facilitate walking. In neglected cases appoint individually manufactured orthopedic shoes.
- Baths for feet with a relaxing effect with the addition of sea salt, lavender, chamomile broth, sage, linden, plantain. The water temperature is not more than 37 degrees.
- Contrasting foot baths, lotions with bitter wormwood, a mixture of lemon and iodine, compresses, self-massage.
In advanced cases, surgery can also be used, in which the transverse arch is adjusted, and the angles between the bones of the foot change to the norm.
This helps to get rid of pain, swelling and fatigue of the legs. Thanks to the operation, you can again choose your shoes without problems and not be afraid of relapses. Usually the operation is carried out in adulthood.
Treatment of transverse flatfoot is more often conservative, but in very severe cases, surgery can be used.
How to prevent the development of flatfoot?
Prevention is to ensure high functional endurance of the musculoskeletal system with the help of a complex of general strengthening and special exercises, wearing comfortable footwear, proper nutrition, excluding a long load on the foot.
So, if you are forced to stand for a long time, then put the stops in parallel and periodically stand on their outer edges. And after - make a massage.
Choose the right footwear size, loose shoes can do no less harm than close. The heel should not be taller than 3-4 cm.
Forget about flip flops and shoes with a flat sole, but qualitative clogs that will make the toes move when walking. If you need to wear high heels at work, remove them as soon as you sit down.
Special attention to prevention should be given to people whose parents had this disease. In addition to the recommendations given above, you need to develop the muscles of the feet and fingers.
There are a lot of exercises for this, here are some of them:
- Sit on the edge of the chair, with the knees should be bent at right angles, and the feet - standing on the floor. Put a thick towel under your feet. Grab the towel with your fingers, move to yourself and away from yourself. Repeat this exercise several times a day, for example, working at a computer.
- Stand on the floor barefoot, spread your legs to the width of your shoulders. Raise the fingers of one of the legs, squeeze and unbend them, imagining that raking sand. Do this for 30 seconds, and then - repeat the same with the other leg.
The muscles of the feet will quickly get tired, as the physical load for them is rare, and during training they are always ignored.
Thanks to preventive measures, even people with congenital flat feet can never feel it because of this inconvenience.
Learn about what your footwear should be, that its wearing has not led to the development of transverse flatfoot.
Delivered as a child, the diagnosis of "flat feet" is not a verdict. Medicine has developed measures for its treatment and prevention, which will never again encounter this disease. Do not forget about good shoes and exercises, and in case of suspicion - take a cream and a sheet of paper or contact a doctor.
Transverse flatfoot is a disease that occurs mainly in older people. To characterize the disease, the term transversely spreading foot is also used. The development of this pathology is directly affected by the condition of the plantar aponeurosis. This dense connective tissue film that runs from the calcaneus to the bases of phalanges of the fingers. To correct a transversely spreading foot, modern medicine is not able. At the moment there are no methods that restore ligaments and fascia, which for a long time were subjected to stretching.
If in the process of walking or standing, at least half of the body weight falls on the first metatarsal bone connecting with the big toe, this is the norm. In this case, weaker loads fall on the average metatarsal bones, and quite small ones on the fourth and fifth bones. In patients with transverse flatfoot, the load is distributed quite differently, and the second and third fingers have to bear the main burden. In this case, the first finger accounts for less than fifteen percent of body weight.
With a transversely spread foot, there are other pathologies. The first metatarsal bone rotates about its axis and ends up higher than it should be in the norm. Smaller bones, which should be located under the first metatarsal, move to the outside of the thumb so that they can be palpated. The thumb, as well as the little finger, also deflects outwards.
- Transverse flatfoot 1 degree - the angle between the first and second metatarsal bones is ten to twelve degrees. The first degree of transverse flatfoot usually manifests itself in periodic pain in the feet, especially in the anterior part.
- The transverse flatness of the 2nd degree is characterized by an increase in the named angle to a mark of fifteen degrees. The second degree brings pains localized under the heads of mid-metatarsal bones.
- Transverse Platypodia 3rd degree - the angle is further increased, to twenty degrees. The third degree makes itself felt by constant and severe pains under the heads of metatarsal bones, in the same place, as a rule, significant corns are formed.
Degrees of transverse flatfoot
The clinical picture of transverse flatfoot is such that it is not difficult to recognize the disease. With prolonged walking in the uncomfortable shoes of a man with a transversely spread foot, the pain in the area of the first metatarsal bone periodically disturbs. Unpleasant sensations can also appear spontaneously, mostly in the evenings. This is due to inflammation in the joint bag of the first metatarsophalangeal joint. The joint swells, and the skin around it blushes.
The transversely spread foot is easy to identify when viewed: it has a very distinctive appearance. Errors in diagnostics are practically excluded. For transverse flatfoot, the nasolids are characteristic, which are located below the base of the fingers. Immediately striking and deviation of the thumb.
For the treatment of transverse flatfoot, both conservative and surgical methods are used. Conservative is used with a slight degree of transverse flatfoot and deviation of the big toe. In this case, patients must necessarily wear special orthopedic shoes, limit the length of stay in an upright position. Physiotherapeutic procedures, massage and therapeutic gymnastics are very effective.
In those cases when the transversely spreading foot is expressed in medium or high degree, there is no way to do without surgical methods of treatment. In modern medicine there are about one and a half hundred different methods, while none of them can not be called absolutely perfect.
The essence of almost all of them consists in excising fragments of metatarsal bones, which are given the correct configuration. During the postoperative period, patients are assigned the use of gypsum longi, which is applied to the leg up to the upper third of the shin.
It is necessary to wear a longet for two months. After it is removed, it is time for restorative treatment. It consists of physiotherapy procedures, massage, as well as physiotherapy. The pledge of the absence of serious consequences of transverse flatfoot is timely treatment begun. Surgical intervention completely eliminates the existing deformation.
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