Flattening of microbes 10

Consultant Student

Flat foot( pes planus ), valgus stop( pes valgus ), flat-footed foot( pes valgoplanus ), punctured foot.

DEFINITION

Flattening is a deformation, expressed by the flattening of the arches of the feet.

CODE FOR ICD-10

Q66.Congenital deformities of the foot.

EPIDEMIOLOGY

According to different researchers, the incidence of violations of the arches of the foot in childhood during preventive examinations is up to 82% of the total number of children. In girls and boys this pathology is encountered equally often. There are a lot of difficulties associated with the name "flat foot" due to the use of this term as a diagnosis. A flat foot is only a symptom common to various changes in the foot and ankle joint. Some authors do not recommend using the term "flat foot", replacing it with the name "valgus stop."

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Student consultant

Flat foot( pes planus ), valgus foot( pes valgus ), flat-footed foot( pes valgoplanus ), punctured foot.

DEFINITION

Flattening is a deformation, expressed by the flattening of the arches of the feet.

CODE FOR ICD-10

Q66.Congenital deformities of the foot.

EPIDEMIOLOGY

According to different researchers, the incidence of violations of the arches of the foot in childhood during preventive examinations is up to 82% of the total number of children. In girls and boys this pathology is encountered equally often. There are a lot of difficulties associated with the name "flat foot" due to the use of this term as a diagnosis. A flat foot is only a symptom common to various changes in the foot and ankle joint. Some authors do not recommend using the term "flat foot", replacing it with the name "valgus stop."

Dear student! To access the full text of the books, you need to: REGISTER ENTER the activation code. The code can be obtained at the library of your institution. To the attention of libraries! If the library is not connected to the "Student Adviser" resource, we will provide a test access. For all questions about connecting your library, please contact: Tel.+7( 917) 550-49-19 or E-mail: [email protected]

studmedlib.ru

Flat-footed feet - what is it? Let's understand. Treatment, photos and videos. Symptoms of flat valgus feet. The main symptoms that parents should watch out for and which indicate that the child's musculoskeletal system has problems is:
  • Foot folding while walking inwards;
  • The child complains of headaches and leg pain;
  • The child's stoop becomes noticeable;
Also a flat-hail foot has the following manifestations:
  • increased flexibility of the articulation of the foot;
  • flattening of the arch of the foot, in which the foot index exceeds 0.7, averaging 0.74 ± 0.02;
  • angle of valgus heel in the range from 5 ° to 25 °;
  • leading to the forefoot;
  • displacement of the pressure center along the foot towards the inner edge;
  • increase in the amplitude of the posterior section of the foot.
  • increased pronation of the foot in 3/4 cases, both in amplitude and duration;
  • reduction of the time of support on the heel, early detachment of the heel from the support to the phase of standing on the entire foot;,
  • no increase in arch height during lift on socks with fixed valgus;
  • greater muscular activity during the repulsion phase;
  • increase body vibrations while walking.

Flat valgus stop: treatment!

Indication for the treatment of PVS is a low set of foot, excessive valgus of the back of the foot, and a combination of these changes. The main method of treatment is conservative. To correct platypodia apply manual and mechanical massage, exercise therapy, shoe allowance. Treatment of flat-footed foot depends on the nature of the pathology. In case of congenital deformity, treatment begins as early as possible - right up to the first months of life. Massage. Valgus shows a special foot massage. To this end, you should turn to professionals. Often to correct the pathology, the orthopedic physician prescribes a massage course consisting of ten sessions, which should be repeated at least once every few months. Massage improves muscle tone and improves blood flow to tissues. Localization and manual methods depend on the features of the process. With PVS, a relaxing massage of the outer muscle group of the calf is done. Perform stroking, grinding and kneading of the fibular muscle and the outer part of the gastrocnemius muscle. Produce a toning massage of the internal group of muscles of the shins. Triturate, knead and beat the inner part of the gastrocnemius muscles and flexor muscles of the foot. Perform stroking of the foot on the plantar surface, rubbing soft tissues along the inner edge of the foot. After the massage, a manual effect is made in the form of a supination of the foot simultaneously with its rotation inward. Exercises with flat valgus feet. For gymnastics with the purpose of treating valgus, exercises with a massage mat are suitable. For the correction of PVS exercises exercises exercise, which perform on the relief surface of a massage roller, ball or -collapse. During the exercises, a mechanical massage of the plantar surface of the foot occurs. The surface of the massage mat has bulges of different heights. A height of 20 mm is recommended for children under the age of 3 years. The height of 30 mm gives a more pronounced massage effect, which is shown in children over 3 years old. The starting position is standing on the rug.
  • Kneeling from foot to foot, carrying weight from one leg to the other.
  • Standing on one leg while the other foot makes sliding movements on the rug.
  • Hands on the belt, make the rotation of the trunk first in one, and then in the other direction, during this alternately occurs pronation and supination of the feet resting on the mat.
  • One leg is in front of the other. Do the climb on the socks and then lower on the heels.
  • One leg rests on the heel, and the other on the toe. Simultaneously, roll one of the feet from the heel to the toe, and the other foot from the toe to the heel.
  • Walking in place with support on the outer edge of the foot.
  • Walking in the sides with support on the outer edge of the foot.

Video about flat valgus installation of the foot.

How to determine the flat-lag deformity of the feet at an early stage? Will tell Naumenko Artem, doctor orthopedist, traumatologist, vertebrolog. What is the cause of the appearance of varus deformity of the lower extremities, how to treat it and what consequences can there be? We'll ask Dr. Komarovsky about this.

stopanogi.ru

Flattening: types, ways of treatment, symptoms

Brief description of the disease

Flattening is a rather paradoxical disease. On the one hand, everyone has heard about it, but on the other - only a few people accurately represent how it manifests itself, what degrees of flatfoot exist and how dangerous this disease is. We tried to answer these and many other questions in our article.

As is known, in the normal, natural state of the human foot, there are two arches - longitudinal( along the inner edge) and transverse( between the fingers in the area of ​​their bases).These arches perform a very important function - maintain a balance when walking and protect the skeleton from excessive loads. In the absence of pathologies, the feet successfully cope with this task, acting in conjunction with strong ligaments and muscles. Flattening in children and adults is manifested in the case when the musculoskeletal apparatus is weakened. In this case, the foot settles, becomes flat( that is why the disease has its own name), loses the ability to perform the spring( damping) function. Depending on which arch undergoes pathological changes, distinguish:

  • transverse flatfoot - spreading of the forefoot;
  • longitudinal flatfoot - a flattening of the longitudinal arch;
  • combined form - changes are made to both vaults.

With flat feet from shaking during walking and other loads, the body will protect the spine and joints, however, they do not cope with this task because they were originally intended for another. As a result, flat feet, the symptoms of which can occur at any age, leads to rapid removal of joints. This is the main danger of this disease, because the patient suffers not only from rapid fatigue, but also constant, severe pain during walking, pathological disorders of posture, arthrosis and other serious disorders.

Types of flatfoot

The flatfoot typology is based on the causes that lead to the development of the disease. Researchers distinguish:

  • congenital platypodia in children - is rare, is a consequence of vices that appeared during the formation and development of the fetus;
  • acquired flat feet - can occur at any age, is divided into traumatic, rachic, static and paralytic;
  • traumatic - this form is manifested after injuries, fractures of the foot bones, soft tissue damage;
  • Ricky flatfoot - treatment of this type of disease is required after the rickets suffered, which disrupts the natural formation of the foot bones;
  • static form - its appearance is associated with excess weight, too strong loads on the foot, for example, during sports, and some other factors;
  • paralytic platypodia - occurs after paralysis of the foot muscles, characteristic of poliomyelitis and a number of other orthopedic diseases.

Flatness - symptoms and clinical picture

The main symptoms of the disease are easily identified without any special diagnostic procedures. At a platypodia:

  • the shoe tramples on both the outer and the inside;
  • quickly develops a feeling of fatigue when walking;
  • appear cramps and swelling of the legs;
  • have to buy shoes for one, and even two sizes larger( this is due to the fact that the foot increases in width).

I want to note that the above described symptoms are also characteristic for some other diseases, therefore, at the first unpleasant sensations, it is better for you to see a doctor who will examine the foot and, if necessary, direct you to an X-ray examination for an accurate diagnosis.

Degrees of flatfoot

The degree of severity of the disease depends on how strong the pathological changes have occurred with the foot and ligament apparatus.

At an early stage of the illness, doctors identify mild dysfunction of the feet, accompanied by fatigue by the end of the day. The shape of the foot does not change.

I degree of flat feet - symptoms are more pronounced, with pressure on the foot there are slight pains. By the evening the human foot often swells, but again returns its normal form after rest.

II degree - the foot is flattened, the vaults practically disappear, which leads to considerable difficulties when walking. Pain covers the entire leg, characterized by high intensity and duration.

III degree - in this case flat feet in children and adults leads to pronounced deformities of the foot, severe pain during walking, decreased ability to work and a drop in the quality of life. Man can not move in ordinary shoes.

We also note that the degrees of flatfoot quite quickly replace each other because of the rapid progression of the disease. This means that the sooner you go to the doctor, the higher the chance to avoid serious complications - pain, clubfoot, disproportion of the lower limbs, diseases of the feet, joints and hip apparatus.

Flattening - treatment and prevention of the disease

Many people believe that treating flat feet is easy. In fact, in the late stages of pathology, it is very difficult to get rid of deformities of the foot, and sometimes it is completely impossible. In this case, flat feet in children and adults can only be slowed down, but not cured completely. That is why early diagnosis of the disease and timely treatment to a doctor are so important.

Both longitudinal and transverse platypodia are cured only by an integrated approach. To relieve the pain, physiotherapy and medications are used. Very effective therapeutic gymnastics, which can be done at home. It strengthens the ligament apparatus, trains muscles, forms a correct posture and a stereotype of walking. An effective set of exercises can only be prescribed by a doctor, since the flat feet manifests itself differently depending on the rate of development of the pathology, the patient's age and some other factors.

To improve blood circulation in the foot area, patients are prescribed foot baths and massage procedures. Extremely useful are special orthopedic insoles, which relieve painful areas, correct the initial deformities of the disease. The flat feet, whose symptoms are especially pronounced, are corrected with the help of orthopedic footwear, manufactured on an individual order.

Surgical intervention is relevant in those cases when the disease leads to severe pain and the inability to move independently even in special shoes.

Is it possible to prevent the appearance and development of the pathology of the arches of the feet? Yes, you can! Prevention of flat feet is to choose the right, safe shoes, regular examinations of an orthopedic specialist and limiting loads on the foot.

mkb-10.ru

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