How do you correct clubfoot in an adult?

What if the tooth misalignment is not very pronounced? In this case, the doctor may recommend the use of an orthodontic plate. This device is placed on the gums and palate and attached to the teeth with special hooks.

clubfoot

In clubfoot, the shape of the foot is deformed. More specifically, the toes curve inward and the inner edge of the sole of the foot curves inward and upward. The result is a change in the gait pattern and restricted movement of the foot.

Clubfoot is a very common problem. Statistics show that the frequency is around 1-2 cases per 1000 infants. Boys are affected twice as often as girls. Clubfoot is bilateral in about half of all cases.

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symptoms

This pathological disease shows a very specific clinical picture. On examination, the foot is flexed toward the sole (equinus), the heel is rotated inward (varus), and the inside of the foot is rotated up (supination). Another characteristic feature is forefoot flexion.

The resulting deformity leads to a restriction of motor activity in the ankle. As a result of the changed foot position, the child has to walk with the sole of the foot on the outer edge of the foot, which leads to a specific gait pattern.

Over time, this condition worsens. The foot becomes even more deformed, which can lead to frequent subluxations. The skin on the outer edge of the foot becomes thicker and the individual muscles of the lower leg atrophy. In addition, the functionality of the knee joint suffers.

The later clubfoot treatment begins, the more difficult it becomes to restore the correct shape and alignment of the foot.

to form

There are currently several forms of clubfoot:

This form of clubfoot develops without any apparent cause. The ankle bone is reduced, the heel is pulled up and the foot is bent towards the sole. The forefoot is misaligned in relation to the hindfoot, the ankle joint surfaces are not properly developed and the calf muscle is shortened.

There are no changes in the talus or heel bone. The articular surfaces are normally developed, but they are in a state where the articular surfaces move away from each other while maintaining the points of contact (subluxation).

This form is secondary. It develops against the background of other musculoskeletal diseases, such as: B. a bilateral congenital hip dislocation, and is associated with congenital muscle abnormalities and changes in the nervous system.

How do you get rid of clubfoot?

That is, the doctor found a congenital clubfoot during the examination. How to fix it? There are many methods to correct clubfoot, but not all methods can be described as gentle and easy for the child and the parent. Painful operations under anesthesia used to be recommended for almost all children. However, these interventions do not always give the desired result, and most importantly, it is very difficult, and sometimes impossible, to change anything after the operation. In recent years, the Ponseti method of correcting clubfoot has become increasingly popular. If the treatment of the child is started immediately after birth, it is possible to achieve a stable result up to the age of three months without surgical intervention in the ankles. The Ponseti method uses a special cast, forcibly rotating the foot and gradually adjusting it to the correct position. Clubfoot is based on a shortening of the foot muscles and Achilles tendon, while this technique allows for lengthening of the muscles and tendons. At the end of the treatment, the Achilles tendon is cut (so-called achillotomy), which increases the effect. The foot is then fixed in its final position for three weeks while the tendon recovers. The entire treatment takes about three months. Clubfoot is completely corrected and success is achieved in 99 cases out of a hundred. To prevent clubfoot from recurring, the child's foot is fitted with a special orthosis that fixes the foot in the correct position and eliminates the valgus.

Ideally, this treatment should begin one to two weeks after birth, when the muscles, ligaments, and joints are flexible and easy to reposition. However, do not despair if your child is older, because the Ponseti method can be used from as young as one year old and even on children as young as two years old. In this case, the problem cannot be solved with an ordinary plaster cast; You should see a specialist who is familiar with the Ponseti method. In order to secure the treatment, the child must wear an orthosis until the age of three to four years. After the treatment, the foot retains all its properties, does not affect the normal anatomy of the child, has a normal gait and does not cause leg pain. The effectiveness of this method has been proven in 35 years of worldwide use.

,Spirit

Strengthens the legs, develops stability and coordination. You will need a sheet and mat with a stiff pile. The adult plays the role of the ghost in this game - he turns the sheet over himself. The child has to take off his shoes - if he has braces he can't take them off. Ask the child to walk behind the 'ghost' on the mat so they don't hear 'like a kitten'. The 'ghost' moves through space and the child repeats all of its actions. When the adult turns around, the child has to hide. If it doesn't succeed, it has to jump up on one foot several times to escape the ghost.

At the same time, you can teach your child the fairy tale 'Doctor Aibolite', a ball is needed to play. Read the fairy tale to the child, paying special attention to the unusual 'pull-pull'. Then sit on the floor with your child in front of you. Pull your legs forward and ask your child to do the same. In this way you achieve a 'pull-push'. Then, using only your legs, begin rolling the ball back and forth between you and the child. This practice game should be done for at least 10 minutes, and so that your child does not get bored, tell him about animals, about the pull-pull. This game greatly improves the positioning of the child's feet.

Causes of misaligned teeth

Causes of misaligned teeth:

• genetic factor;
• in childhood - inappropriate breastfeeding, bad habits such as finger sucking, pacifier sucking, premature removal or loss of baby teeth;
• Inappropriate size of the jaw and teeth, e.g. B. too large teeth in relation to the size of the jaw;
• facial injuries or chronic diseases that cause breathing disorders;
• Excessive pressure on the jaw muscles, causing the lower jaw to move forward;
• Lack of hormones produced by the thyroid.

Consequences of the pathology

The effects of misaligned teeth depend on the severity and type of misalignment. Often the pathology negatively affects other systems and organs, disrupting their normal functioning.

What are the health effects of malocclusion and what are the consequences?

• Digestive tract diseases – deformation of the position of the jaw prevents quality chewing of food;
• Premature wear of tooth enamel;
• High probability of prosthesis fracture when present and prosthesis not implanted when indicated;
• Premature wear and tear of the jaw joint and its weakening, leading to jaw pain and headaches;
• premature appearance of wrinkles, deformation of the normal oval of the face;
• Problems with pronunciation, inability to speak clearly.

– Tell us about scoliosis: why does it occur, how can it be prevented and corrected?

Scoliosis is a curvature of the spine to one side. It can be congenital or acquired in childhood - especially if you have to sit at a desk a lot and have to hide from the teacher underneath. After all, the entire spine is formed in childhood. And indeed, there can be many reasons why something is wrong with the spine. But everyone says that it is important to strengthen the back muscles from childhood so that the spine develops properly. And then when the spine is stronger we can support and correct it. We can do that instead of correcting changes like scoliosis or hyperkyphosis.

• With scoliosis, it is important not only to pay attention to the correct position of the shoulder blades during the various exercises, but also to the correct position of the shoulders in relation to one another. That is, if you look at the person in front of you, you might notice that one shoulder is higher than the other (which might not be apparent at first glance). So when you perform an exercise on an exercise machine, you are doing it with an incorrect shoulder position. Such improper training can make the curvature worse. So that this does not happen and everything develops correctly, the trainer always follows and positions you: shoulders at the same level, elbows at the same level. It is very important to create a symmetrical load with these changes.
• And with hyperkyphosis, in addition to strengthening the back muscles, it is important to stretch the chest and shoulder muscles. We often sit in such a way that our chest is forward and the large chest muscle (pectoralis major) is tight. As the shoulder joint approaches the sternum, the pectoralis major is compressed and the back is stretched. Not contracted, but stretched. And in order to later correct the incorrect standing position, we need to stretch the chest muscles. So we do a series of stretches to increase lung capacity while strengthening the back muscles. That means rocking your back and stretching your chest and shoulders. This is very important.

– Are there any contraindications?

A contraindication is always the axial load, that is, when we press from above. For example, when the weight is in the hands. But there are now many modern devices, also in our club, which exclude axial loads, are absolutely safe and are suitable for all groups of people. We have trainers with independent grips that evenly load the shoulder and elbow joints. This ensures that both shoulders are evenly loaded - this is very important for both pulling and pushing.

With hyperkyphosis, it is also not advisable to focus too much on the chest and shoulder muscles. Because when you do strength exercises for the shoulders and chest, the shoulders contract again. Instead, place more emphasis on stretching and support training. And development training for the back.

Preserve results after correction

Can an abnormally curved adult tooth be corrected without maintaining the progress made? No, because the incisors have become accustomed to a certain position and want to return to their previous position. To prevent this, retention devices must be used. There are two types of it:

The main inconvenience is that they last 1.5-2 times longer than braces, ie 1.5-3 or even 4 years. It's not very uncomfortable, just annoying. There are no problems with food or hygiene either.

Summarized.

We've taken an in-depth look at what adult bite splints correct, how the results are fixed, and other important points. Now you have all the information to decide on a method of straightening your teeth, but the final decision should be made only after a visit to the orthodontist.

Veneers are durable and long-lasting fillings placed on the front surface of the teeth. They are made of high quality ceramics and restore the aesthetics and beauty of your teeth. Dentica specialists will help to improve the patient's appearance and make it more harmonious.

• The Ponseti method.
• 1 year old child with clubfoot.
• Congenital clubfoot.
• What is clubfoot?.
• Ponseti breeches.
• Clubfoot in 7-year-old children.
• clubfoot.
• Why does a child develop clubfoot?.