Orthopedic shoes for clubfoot in children

How to prevent foot diseases in women

Platelets in the blood

What does your body tell you when you have persistent bleeding gums, numbness in your hands, and irritability? At the very least, it tells you that there is a problem with blood clotting and that your average platelet count is elevated. In this material, we will explain to you in simple and understandable language why this indicator is important and what risks a high platelet count entails.

Platelets are blood cells that are primarily responsible for blood clotting. They are formed from megakaryocytes in the bone marrow, mature in about a week and live a maximum of 10 days. Platelets have no nucleus and are usually round or oval in shape. What is interesting is that the size of the platelets depends on their age, on average they have a diameter of no more than 5 micrometers.

When a platelet encounters a surface that does not resemble the endothelium, it begins to actively grow. It develops up to 10 growths, sometimes 5-7 times larger than the plaque itself. This ability is important to seal the wound and stop bleeding. So when the skin is broken, a blood clot forms to close the wound.

The number of platelets in the blood is measured in thousands per microliter of blood. It is counted in the laboratory in three ways: with a contrast agent, in fonio-stained smears and with hematological analyzers. In the test results you will find this indicator under the name 'PLT' or platelets.

Platelets in the blood, photo.

Doctors recommend having your platelet count checked once a year in order to detect any abnormalities in good time. If the platelet count increases significantly, doctors diagnose thrombocytosis and find out why the platelet count is elevated.

Increased platelet count: causes

An excess of platelets in peripheral blood of 500,000 units/µl or more changes the properties of the blood and increases the risk of blockage of blood vessels. This condition can be caused by various factors.

The main causes of high platelet counts in men and women are.

  • Excessive physical exertion;
  • Severe stress;
  • Severe blood loss;
  • Splenectomy (spleen removal surgery) – increase in platelet count in the first month after surgery;
  • Inflammatory diseases – the most common cause of an increase in platelets;
  • Tumors – characterized by a change in the balance of cytokines with an increase in the number of platelets. The latter contribute to metastasis by establishing a connection between blood cells and tumor cells. ;
  • Iron deficiency – affects patients of all ages;
  • Tuberculosis;
  • dehydration.

Recently, infection with coronaviruses has been cited as one of the causes of increased blood platelet counts, which can even lead to thrombosis, heart attack or stroke. In COVID-19, the virus destroys endothelial cells. This causes the blood vessels to lose their elasticity from the inside, which hinders blood flow.

The danger of the great infection of the 21st century is that the affected person may not even notice or feel a blood clot forming. For this reason, people with cardiovascular diseases and endocrine diseases should be particularly vigilant after a coronavirus infection. In this group of patients, changes in blood clotting are most common, and unfortunately many die from complications caused by the clot.

Foot length and appendages

A reliable and simple method for determining foot length is to place the child's entire foot on a piece of paper and, using a pencil held vertically, make two marks:

Combine these 2 marks and you will get the distance that represents the length of your child's foot.

It is important to measure both of your child's feet. Many people have a difference in foot length of 0.5cm, which is normal. Pay attention to the size of the foot, which is longer.

When purchasing, you should allow for a small margin for the length of your child's feet. However, this is 0.5-1.0 cm, no more. The foot is 'pushed' forward and it is very bad if the toes rest on the foot. The child will unknowingly pinch them, which is known to be bad for the child's developing foot. The knees are then also in the wrong place and have a harmful rather than a useful effect.

The exception is winter shoes, here 1.0-1.5 cm should be added.

The freedom allows the toes to move and keeps them warm on cold days.

Children's feet, being children, grow quickly. And in order not to miss the point when the shoes no longer fit, your feet should be measured regularly. This prevents compression and deformation of the healthy child's foot and ensures its healthy development.

This method of measuring foot length also applies to adults.

Foot length and height

The foot width is the circumference of the foot at the widest point of the forefoot. The standard foot circumference for girls is FG and for boys GH.

Most children's feet are narrow, but if they have full feet or high heels, parents find it difficult to choose the right footwear. You should look for models with Velcro fasteners, which not only ensure a firm hold on the foot, but also allow you to put on the shoes quickly and comfortably. Children also love Velcro shoes and can easily put the shoes on themselves.

Of course, orthopedists insist on lace-up shoes. They ensure that the shoe adapts optimally to the foot. However, the laces tend to come loose, which is dangerous.

If your child's foot is too narrow, consider choosing a different, wider pair. Yes, the shoes are made from natural materials and will stretch. But by then they may have outgrown them, and chafing and blisters will still appear. Do you need them?

Orthopedic No-Collision Shoes for Children: Choose Right!

Orthopedic clubfoot shoes are suitable for correcting valgus deformities. They can be prescribed for the treatment and prevention of various pathological changes in the child's lower limbs.

Like any other orthopedic footwear for children, they must be the right size to suit the shape of the child's foot! They should be light, flexible and not deform when worn.

When choosing orthopedic shoes for children, it is important to pay attention to the following:

  1. The size of the shoe, which should exactly correspond to the size of the child's foot;
  2. the shoes themselves, so that they are made from natural materials;
  3. The child must feel comfortable in these shoes.

There is no doubt that the timely purchase of quality orthopedic shoes for your child ensures the alignment of the foot when walking, thereby correcting various pathological changes in the lower limbs!

Massage and self-massage

Doctors recommend chiropractic treatment after exercise. During therapy, the feet should not be supported and should hang relaxed. Massage pads should be placed under the ankles. During the massage itself, not only the feet but also the back should be kneaded. The following tips are recommended for both adults and children with valgus deformity:

  • The back is kneaded along the spine from the lumbar spine to the cervical spine. It is strictly forbidden to touch the vertebrae. The side areas up to the armpits are then kneaded. Finally, rub and stroke the back.
  • Rub your lower back first intensively and then gently (vertical and horizontal movements).
  • Pat the buttocks and then rub the thighs and backs of the knees. It can be tapped, rubbed and pressed.
  • The stroking takes place from the heels to the back of the knees. The outside of the calves is gently kneaded with the fingertips, the inside is intensively massaged with firm pressure on the ankles. Tweezing promotes blood circulation.
  • The sole of the foot is rubbed intensively and then kneaded by tilting it to different sides.
  • The outside of the thigh is massaged upwards, then the forefoot is massaged.
  • Here too the foot is kneaded. Particular attention should be paid to the area under the big toe.

Chiropractic care can be done at home, but it is better to have the first few sessions carried out by a qualified therapist. The massage therapist will suggest the most effective techniques depending on the individual body characteristics and the degree of deformity. Errors in technology can worsen the patient's condition.

Special indications

In severe cases, it is recommended to combine the external use of the cream or gel with the administration of other dosage forms of NSAIDs (parenteral, internal, rectal).

Avoid getting the cream or gel in your eyes or on other mucous membranes.

Effects on the ability to drive or carry out work that requires increased physical and mental reaction speed. Administration of the drug does not affect the ability to perform activities requiring a high level of attention, coordination and rapid mental and physical reactions (e.g. driving a car, operating complex mechanisms, etc.).

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Warnings and Precautions

Treatment with this medicine should only be carried out under close medical supervision and with particular caution in the following cases:

  • When administering the drug to children under 6 years of age;
  • people with bronchial asthma;
  • patients with hypertension;
  • People with grade 3 or 4 angina and other heart disease.

Long-term use may affect the normal functioning of the nasal and sinus mucosa. Using the product for a week can also be addictive. It is strongly recommended not to exceed the recommended dose and duration of treatment without first consulting your doctor.

Rinofluimucil does not affect the performance of motor vehicles, so it is possible to drive after use.

Rinofluimucil can only be used by nasal injection.

No laboratory studies have been conducted on the interaction of rinofluimucil with alcohol.

The medication should be used within 20 days after opening the bottle. You may be wondering: Why shouldn't Rinofluimucil be used 20 days after opening? After this time, the effectiveness of the ingredients decreases.

contraindications

Rinofluimucil has the following contraindications:

  • Immunity or sensitivity of the body to any component of the drug;
  • Diseases related to the cardiovascular system;
  • High blood pressure;
  • Malignant tumor of the adrenal gland tissue (pheochromocytoma);
  • pathologies of the lacrimal glands;
  • brain surgery;
  • treatment with monoamine oxidase inhibitors and 14 days after their discontinuation;
  • Simultaneous use with similar drugs intended for nasal use.

To answer the question at what age Rinofluimucil is allowed, from 6 years.

Rhinofluimucil 2

What are orthopedic shoes for children used for?

The most dangerous period for the development of foot deformities in children is the period from 8 months to one and a half years of age. During this time, infants usually begin to walk independently. The changed position of the body in space leads to a redistribution of loads on parts of the body such as

– Spine
– hip joints;
– the vestibular system;
– certain muscle groups.

Parents should therefore choose footwear for their children responsibly. Up to the age of 3-4, experts advise buying high-quality orthopedic shoes for children. At the same time, some are of the opinion that this is necessary only for deformities. This opinion is wrong.

Orthopedic footwear for very young children is not a luxury, but a necessary condition for the prevention of flat feet.

Series orthopedic shoes for children are intended exclusively for the prevention of flat feet in children. They are essential for preventing the development of foot deformities as they contribute to the proper development of the foot.

What are the right orthopedic shoes for a child?

Good orthopedic shoes for children must meet certain requirements:

– They should be made of high quality calf leather that will not deform when worn.
– The insoles and fasteners of the shoe should precisely fix the child's foot and promote correct gait motor skills. This is ensured by the high back and the stiff, extended forefoot outside and inside.
– No harmful chemical dyes should be used in the production of these shoes.
– The sole must be durable and flexible. It should be flexible in the forefoot area, at the level of the front third of the shoe.
– The shoe should be adapted to the anatomical shape of the child’s foot and optimally distribute the load during the child’s movements.
– The heel should not be higher than 5-7 mm and should take up at least a third of the sole. This impacts the quality of heel and arch support.
– Some models of modern orthopedic children's shoes have a shock absorber system that absorbs the impact of walking.
– The shoes should have a special diagnostic system on the sole so that the areas of greatest abrasion can be used to detect misalignments of the foot when walking.

Solid seams, a small, wide heel, a solid heel and natural leather are the hallmarks of good orthopedic shoes.

Make custom orthotics that will relieve you of pain and discomfort!

The key to the proper functioning of the musculoskeletal system is the health of your feet. An estimated 75% of people worldwide have a foot problem. This is due to congenital changes, a sedentary lifestyle and uncomfortable footwear that compresses the foot and causes joint problems.

If changes to the foot are ignored, an abnormal load distribution occurs, which leads to incorrect loading:

  • Risk of abnormal posture
  • Risk of irregular gait
  • Risk of joint pain
  • Risk of home and sports injuries
  • Risk of muscle and ligament pain
  • Abnormal load distribution in the spine, pelvic bones

The use of orthotics prevents foot dysfunction and keeps feet healthy. Orthoses significantly reduce discomfort and pain during movement. Correctly chosen insoles have the effect of restoring the physiological structure of the foot.

This is how an individual insole is made for the foot

(1) The patient stands on the analysis platform. The entire examination takes 5-10 seconds.

2. The software generates a foot pressure analysis report and recommends the most suitable orthopedic blanket.

3 The doctor selects a blanket taking into account the patient's medical history and lifestyle.

4. The blanket is heated to 110℃, then the insert is formed on a special molded cushion.

5. The doctor adjusts the molded insole and inserts it into the patient's shoe.

The foot is adjusted for 2-4 weeks, then the insole is corrected if necessary.

Treatment of foot deformity – Valgus in Moscow

Excessive physical exertion, incorrect footwear and age-related changes can gradually lead to foot deformity. The specialists at our orthopedic clinic in Moscow can help correct the deformity. Now let's consider the most common pathological ones foot deformities.

Valgus deformity of the foot – one of the most common forms. It is characterized by an outward displacement of the first metatarsal bone. It is often referred to as the big toe bone.

Although valgus deformity is more common in adults, it can also occur in children under certain circumstances. In most cases, the pathology has no obvious symptoms, although some patients complain of severe pain, redness of the skin in the thumb area and limited mobility of the big toe.

Arthroplasty of the ankle joint

Causes of foot deformity:

Causes of big toe valgus deformity include:

  • presence of congenital flatfoot;
  • history of rheumatoid arthritis;
  • professional sport;
  • Increased pressure on feet from work;
  • genetic predisposition.

However, in most cases, the big toe bone begins to protrude due to constant wearing of shoes that are too tight and ill-fitting.

The treatment:

Our services:

  • Our center hosts one of the leading specialists in arthroscopic surgery: Vakhtang Lomtatidze, a recognized expert in arthroscopic surgery in Russia, trained and engaged in teaching in many countries around the world.
  • Minimal risk of complications.
  • Affordable prices for: foot deformity treatment
  • The price for of a complex procedure start from 35,000 rubles.
  • Accurate diagnosis (we identify your problem and solve it)

Hallux valgus - what is it?

The other (scientific) name for the valgus deformity is hallux valgus. Essentially, this is a deviation of the big toe towards the inside of the foot, although some patients mistakenly believe that hallux valgus is an independent malformation. In reality, the characteristic thickening originates from the metatarsal bone of the big toe.

Hallus valgus of the foot more common in women and caused by wearing improper footwear and high heels. With the progression of the pathology, the protruding bone increases in size, begins to rub against shoes, and the patient experiences severe pain. A genetic predisposition or flat feet can aggravate or accelerate the development of the disease.

In stages 1 and 2, conservative treatment of hallux valgus includes choosing appropriate footwear and wearing special insoles. If the patient has severe pain or the protruding bone causes great discomfort, an osteotomy - a special operation to correct the orthopedic defect - is performed.

Hallux valgus is treated in several steps:

  1. A consultation with an orthopedist, during which the doctor determines the extent of the deformity and suggests treatment options.
  2. Taking X-rays to determine the physiology of the foot. This is necessary in order to create a competent treatment plan.
  3. Estimate the cost of the operation. The cost of a chalus valgus operation is determined individually and depends on the method chosen.
  4. Rehabilitation after hallux valgus surgery includes wearing special shoes and moderate physical activity (the intensity is determined by the doctor).

With proper treatment and compliance with all recommendations during the rehabilitation period, after hallux valgus surgery, the foot will acquire a physiologically normal shape and the patient will no longer have any discomfort when walking.

Contact our specialists or get a second medical opinion from an orthopedist and trauma surgeon on the recommendations you have already received.

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