Icb flatfoot

Flatfoot is a deformity characterized by a reduction in arch height, flattening of the forefoot, and pronation (inward rotation) of the hindfoot. It is therefore a progressive lowering of the arches of the foot until they disappear completely. Such a deformity is accompanied by a change in the normal alignment of the bones and a disruption in their nutrition. The disease affects both children (10 %) and adults (16.4 %).
ICD-10 code: M.21.4.

Microcurrent Therapy. A new discovery in cosmetology

The world is developing rapidly, civilized countries are moving towards a new level of beauty, doctors and cosmetologists are developing new techniques, and fashion trends are urging us not only to take care of ourselves and take care of our appearance, but also to rejuvenate ourselves. Thanks to modern technology and advances in cosmetology and medicine, we have learned to turn back the clock without any surgical intervention. In addition to serious procedures (invasive and injectable), clinics and beauty salons offer clients amazing alternative methods: painless, fast, but also very beautiful, and most importantly, at affordable prices. We would like to tell you about one such method offered in our clinic.

Let's get acquainted with it: microcurrent therapy for the face and body.

In fact, this miracle of progress is not such a new discovery in cosmetology. The effect of microcurrents on the muscles of the whole body has been known for a long time. The other side is that this treatment has not been widely used in aesthetic medicine clinics for long. Previously, it was only used to treat certain neurological disorders. Now this therapy has expanded its scope to include dermatology and cosmetology.

It is now an option for tension recovery and lymphatic drainage. Would you like to restore skin firmness and elasticity with physiotherapy? Microcurrents are at your disposal. The skin is treated with gentle current impulses. It is also known as 'light fitness' without moving the skin (because the action is on the muscles). You don't have to do anything special to look younger with this therapy, tighten your face, get a refreshed complexion, get rid of black eyes and puffiness, and improve blood circulation in your body. All you have to do is go to a specialist, trust him, lay on the sofa and lose a few years with no regrets! The treatment is not to be confused with electromyostimulation, which causes a visible muscle contraction. Microcurrents act differently and more gently, but their action is no less beautiful and effective. In cosmetology, the face, neck, décolleté and hands are mainly treated with microcurrents. For the body, this therapy is often combined with LPG and helps get rid of cellulite.

Experience the magic of microcurrents. Indications for use.

Cosmetic therapists recommend microcurrent therapy in various cases. We already know about the possible effects and rejuvenation. In what other cases is a positive effect essential? Sometimes microcurrent therapy is recommended after a hard peel (e.g. laser or chemical peel). In addition, microcurrents have a positive effect on inflammation and muscle spasms, relieving them and draining excess stagnant fluids (lymphatic drainage). This light therapy is also desirable in the postoperative phase (in the form of rehabilitation).

Doctors are still arguing about how useful microcurrent is for the face and how often the therapy should be done. However, many find that by normalizing internal metabolic processes and improving muscle tone, skin regains its radiance. You'll also get a light facial massage and a relaxation treatment that's even said to help with stress and insomnia. Every cell in your face and body will thank you for this care: you will be supplied with oxygen and begin the regeneration process.

In cosmetology, microcurrents (see treatment description) are referred to as hardware rejuvenation. In order to increase the effect on the lymphatic and circulatory systems of the face and body, special nourishing gels are used in the microcurrent treatment. As with bio-regeneration and mesotherapy, a whole complex of beneficial ingredients can be included in the formulation. These include antioxidants, minerals, vitamins and amino acids. Each composition has its own characteristics and accents that are useful in certain cases.

causes

There are exogenous and endogenous causes of flat feet. External risk factors include:

• overweight;
• many hours of standing static work;
• weakening of muscle strength as a result of the physiological processes of aging;
• sedentary lifestyle and lack of exercise;
• uncomfortable shoes.

The most important intrinsic cause is the genetic predisposition, which is reflected in a weakening of the musculoskeletal system of the foot.

Flattening of the transverse arch of the foot

This is the most common orthopedic pathology in adults. She is responsible for 80 % of all foot deformities. It is most common in women of young and working age (30-50 years).

Etiology and pathogenesis

Prolonged walking leads to a change in the load on the cross-sectional area of the foot. This leads to displacement and a loss of tension in the short muscles of the foot. The metatarsal bones fan out, the I toe flares out, and the III toe adopts a hammer toe shape (the distal phalanx pushes down, creating the appearance of a claw toe).

This overload leads to long-term damage to the foot and nutritional disorders.

The thickness of the subcutaneous adipose tissue decreases and painful hyperkeratotic formations (corns) appear.

clinical picture

The clinical picture depends on the severity of the flatfoot and the development of secondary foot deformities. There are 3 stages of this pathological condition. At each stage, the cardinal symptoms of the disease worsen.

1. Grade I. The normal gait is preserved. The patient complains of pain in the lower limbs and fatigue at the end of the day.
2. Grade II. There is persistent, severe pain in the lower legs and feet. The mobility of the gait is restricted. The shoes wear out much faster and mostly on one side.
3. grade III Intense pain can appear not only in the lower limbs, but also in the lumbar region. The longitudinal arch disappears almost completely. Choosing the right footwear is very difficult. The gait is very heavy and inflexible. The foot can no longer be actively corrected. The deformity is obvious.

Types and degrees of flatfoot, ICD-10 code

Depending on the type of deformation process, different forms of flatfoot are distinguished:

1. Transversal: The metatarsal bones fan out, causing the forefoot to widen and the big toe to tip outward.
2. Longitudinal: The length of the foot increases, the longitudinal arch flattens, and the foot rotates outward.
3. Combined disorders.

Depending on the severity of the pathological symptoms, a distinction is made between mild, moderate and severe flatfoot deformities.

The International Classification of Diseases defines the ICD-10 coding of flatfoot as follows:

Severe pathology can only be corrected by surgery. Motor function can only be restored conservatively with early diagnosis and prompt treatment.

symptoms

The first symptoms of the disease cannot be ignored, as they indicate a progressive deformity. The following body signals should be observed:

• discomfort when walking, which gradually increases;
• quick fatigue and lack of endurance;
• swelling of the ankles and lower legs, especially on the outside;
• pain in the head and lower back;
• pain points in the middle of the foot and on the inside of the heel area;
• The indentations between the tarsal bones on the dorsal side are characterized by increased sensitivity.

The progression of the process of deforming the bony elements of the foot leads to pathological changes in the knee, hip and ankle joints.

diagnosis and treatment

An orthopedist/traumatologist diagnoses the flatfoot deformity based on the patient's complaints, clinical examination, and X-ray diagnosis.

Treatment consists of wearing orthotics. When these are properly selected, foot changes are corrected, pain is relieved and the patient's quality of life is improved. At the Medik clinic in Khabarovsk, the doctor conducts a thorough examination and, taking into account the severity of the disease and the level of activity of the patient, selects orthoses. In severe cases, when there are changes in the bone anatomy and function of the foot, surgical treatment is indicated.

See also:

Please ask our experts about possible contraindications.

The information contained on this website does not constitute a public offer.

Make an appointment, consult all your questions

News

Video about the laboratory

'HEMOHELP - YOUR GUIDE TO THE LAND OF HEALTH.

'Hemohelp' is the largest independent central laboratory in the Nizhny Novgorod region with 74 medical departments. The laboratory was built according to European standards and is equipped with high-precision and modern equipment that allows tests to be carried out automatically to ensure high speed and diagnostic accuracy of the tests. The company's most important asset is its employees. It is a well-established team of dedicated professionals.

GEMOHELP cares about its customers and attaches great importance to the quality control of the tests carried out.

In addition to the daily internal control, the laboratory (AVK-Med Centralized Laboratory LLC) carries out an external quality assessment of the laboratory tests according to the Russian and the American system:

In July 2017, the GEMOHELP laboratory was successfully certified according to the international standard ISO 15189:2012 'Medical Laboratories. Specific requirements for quality and competence'. The certification was carried out by Haensch, a member of the certification holding company DQS-CFS (Germany).

In August 2017, the 'GEOHELP' laboratory underwent voluntary certification, which certifies that the quality management system in laboratory diagnostics, GOST R ISO 9001-2015 (ISO 9001:2015) requirements with annual confirmation.

In August 2018. HEMOCHELP laboratory successfully obtained certification for compliance with the requirements of GOST R ISO 15189:2015 (ISO 15189:2012) 'Medical Laboratories. Specific requirements for quality and competence' with annual confirmation.

course of the class

If you are treated in the Symetria Medical Center, you can be sure not only of a positive result, but also of a pleasant treatment process. Lessons take place at a time that is convenient for you. Our consultants will help you to organize your schedule so that it fits your life and work rhythm. Our centers are open daily from 8:00 a.m. to 9:00 p.m. to make the treatment as comfortable as possible for our patients. Lessons last an average of 45 to 100 minutes.

Flat feet are the cause of foot pain when walking. Flat feet often cause blisters and corns on the soles of the feet. Treatment consists of wearing orthotics or orthopedic shoes and biomechanical therapy.

If the transverse arch of the foot is flattened, one speaks of a transverse flatfoot, if the longitudinal arch is flattened, one speaks of a longitudinal flatfoot. If both foot arches are flattened, this is called a combined flat foot.

There can be acquired flatfoot and congenital flatfoot. Congenital flatfoot is a rare pathology (2-3 %) resulting from an abnormal development of the foot during the fetal period. In children, flat feet are usually diagnosed at the age of 5-6 years, since at this early age the arches of the feet are not yet sufficiently developed and the symptoms of flat feet are usually noticed in all children. Acquired flatfoot can occur at any age.

The cause of the development of a flat foot is:

• Weakness in the bones, muscles and ligaments of the foot and lower leg
• Inherited predisposition
• lack of exercise, e.g. B. in sedentary occupations, 'standing work'.
• Wearing uncomfortable footwear. Wearing high-heeled shoes is unhealthy because. Excessive stress is placed on the forefoot.

Transverse flat feet

According to different sources, the prevalence of transverse flatfoot varies between 55 % and 80 %. The disease occurs mostly in middle-aged people (35-50 years). Women are 20 times more likely to suffer from transverse flatfoot than men.

This form of flatfoot is characterized by a shortening of the foot, a fan-shaped spread of the metatarsal bones and a deformation of the big toe (hallux valgus), which is colloquially referred to as 'valgus' in everyday life.

Typically, patients with transverse flatfoot present to the doctor because of a cosmetic defect in the foot, less commonly because of pain when walking and corns on the soles of the feet.

Extended flatfoot

In this form of flatfoot, the longitudinal arch of the foot is flattened. The foot is elongated, flattened, touching almost the entire sole. Young patients (between the ages of 16 and 25) are more likely to be affected by this condition.

The bones, muscles, and ligaments of the foot and lower leg are affected. The patient's gait becomes clumsy and the toes are twisted to one side when walking.

overdose

There are no known life-threatening symptoms of bromhexine overdose.

One overdose study was published in which vomiting was observed in 4 out of 25 overdoses. Vomiting, impaired consciousness, ataxia, diplopia, mild metabolic acidosis and tachypnea were observed in three children. In children, these symptoms did not occur with bromhexine doses up to 40 mg, even when untreated.

There is no evidence of chronic bromhexine toxicity in humans.

In severe overdose, circulatory monitoring and, if necessary, symptomatic treatment are indicated. Due to the low toxicity of bromhexine, invasive measures to reduce absorption (forced emesis, gastric lavage) or to accelerate elimination are usually not required. In addition, due to the pharmacokinetics (large volume of distribution, slow redistribution processes and high protein binding), effective removal of bromhexine from the body by dialysis or forced diuresis cannot be expected. Because only mild symptoms are expected in children 2 years and older, even after high doses of bromhexine, detoxification may not be necessary for bromhexine doses up to 80 mg (e.g. 100 mL of bromhexine). In younger children, the appropriate dose limit is 60 mg bromhexine (6 mg/kg body weight).

Adverse effects caused by excipients can also occur with overdose.

Special instructions.

Adequate fluid intake should be ensured during treatment in order to increase the expectorant effect.

If bronchial motility is restricted or if there is a significant amount of sputum discharge (e.g. in the rare malignant ciliary syndrome), caution should be exercised when using bromhexine, as there is a risk of secretion building up in the airways.

In patients with renal impairment and severe hepatic disease, bromhexine should be used with extreme caution (e.g. dose reduction or prolongation of the dosing interval is recommended). In severe renal insufficiency, the possibility of accumulation of metabolites formed in the liver should be considered. Liver monitoring is recommended, particularly in long-term treatment. In very rare cases, severe skin reactions (such as erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, acute generalized pustular erythema) have been reported during the use of bromhexine. If allergic reactions and/or symptoms of a progressive skin rash (sometimes accompanied by blisters and mucosal lesions) occur, discontinue use immediately and consult a doctor.

Note for diabetics: 5 ml solution (1 horizontal measuring spoon) contains 1.5 g sorbitol, equivalent to 0.12 bread units.

The preparation contains 0.15 g of alcohol per 5 ml, i.e. 0.6 g for adults (20 ml) and 0.075 g for children (2.5 ml). Therefore, caution is advised in patients treated with Antabuse and metronidazole.

Effects on ability to drive and use machines

Administration of the recommended therapeutic doses (20 ml 3 times a day) does not affect the patient's psychomotor reactivity.

Significantly exceeding the recommended doses of an alcohol-containing drug can affect the speed of psychomotor reactions and be dangerous when driving vehicles or using machines.

I have flat feet

• Peterhof
  • Story
  • Lower Park
  • Great Palace Peterhof
  • Museum of the Special Camp
  • Badehaus Museum
  • Catherine Palace Museum
  • Historical and cultural project 'The ruler's game'
  • upper garden
  • playing card house
  • Museum of collectors
  • Museum of Church Buildings
  • The museums will be closed in winter 2023.
  • Monplaisir Castle
  • Palais de Marly
  • bird houses
  • Museum of the Great Cascade Caves
  • Museum of Fountains
  • Museum of the Benois family
  • Museum of Imperial Yachts
  • Museums that are closed for renovations
  • The Hermitage Pavilion
  • Fountain of the Upper Garden
  • Fountain of the Square Ponds
  • Megeum Fountain
  • Oak Fountain
  • Neptune fountain
  • Fountain of the Lower Park
  • Big cascade
  • Voroninsky Colonnade
  • labyrinth
  • Samson' fountain
  • Cup Fountain
  • Terrace Fountain
  • Fountain with marble benches 'Nymph' and 'Danaida
  • Avenue of Fountains
  • Triton' Fountain
  • Cascade 'Schachberg
  • Roman fountain
  • Fountain 'pyramid
  • Fountain 'Sun'
  • Fountain Jestem 'Fir Trees
  • fountain gris 'oak'
  • fountain 'umbrella'
  • Fountain Fountain 'Waterway
  • Fountain 'lounger'
  • Fountain 'Snopek'
  • Fountain 'Bells'
  • Fountain 'Adam' and 'Eve'
  • Fountain 'Favorite'
  • Fountain 'Whale'
  • Cascade 'Lion
  • Fountain 'Menagerie
  • 'Ringing Tritons' Fountain
  • The 'Golden Mountain' cascade.
  • Story
  • Alexandria Park
  • Castle courtyard
  • Castle Cottage
  • Museum of the Castle Telegraph Station
  • New farm
  • Museums closed for winter 2023
  • Gothic chapel
  • Feldsher's Cottage Museum

  events

  Monplaisir Palace housed Russia's first picture gallery: Peter the Great's collection of paintings included works by Dutch, Flemish, Italian and German artists of the 17th and 18th centuries.

  The Audience Hall was the first room in Russia to use optical illusions (parallel mirrors).

  The water supply system of Peterhof consists of 96 km of canals, 16 ponds and 135 water pipes.

  Well masters tend 12,440 stone faces and turn about 300 valves daily, 60 of which % date from the 18th to 19th centuries.

  The Peterhof fountains never used pumps to supply water. Water flows naturally from the Ropsha Highlands through a system of canals, ponds and locks.

  The first Hermitage in Russia was built in Peterhof: Peter the Great had it built between 1721 and 1725 in the Lower Gardens.

  Telephone for information:
  +7 (812) 207-97-45
  Daily, 24 hours.
  +7 (929) 116-26-55
  Monday – Friday 10 a.m. – 5 p.m., lunch break 1 p.m. – 2 p.m.

  Transfers to other banks at the phone number

  • fast Instant credit 24/7/365 (including weekends and holidays)
  • between banks regardless of the bank – as long as it is connected to the SBP
  • secure site You don't have to give your card number to anyone. The transmission of information is safe and secure
  1. From the bank's mobile app, select 'Transfer to a phone number' or 'via SBP'.
  2. Enter the recipient's phone number or select it from your contact list.
  3. If the recipient has multiple cards at different banks, select the bank you want
  4. Enter the amount, verify the recipient details and confirm the transfer.

  safety rules

  The fast payment system (FPS) is becoming more and more popular among the public. However, we have noticed that suspicious websites, messengers and social networks use the SBP logo and name.

  Please note that all official information about the service can be found on the websites of the Instant Payment System and the Bank of Russia, as well as on our social network accounts: Vkontakte, Odnoklassniki.

  To transfer money through SBP, use your bank's official app. Don't click suspicious links or transfer money to strangers.

  If you spot any suspicious website or suspicious information on the internet, send us a message about it on our official social media accounts.

• Valgus flatfoot (valgus flatfoot).
• Flatfoot Deformity.
• flatfoot μb.
• flatfoot.
• Longitudinal and transverse arches of the foot.
• The tarsal and metatarsal bones.
• Which doctor treats flat feet?.
• Foot.