Orthopedic varus shoes

When choosing shoes for your child, do not be guided by beauty and fashion trends, think about the consequences of wearing the wrong shoes and boots. Parents are responsible for the poor formation of their child's feet. It is especially important to carefully select models for the first steps. Because a child's whole life depends on what it wears at the beginning of its journey.

Treatment of.
Treatment of foot deformities.

Treatment of foot deformities! Make an appointment for a consultation with the orthopedic surgeon Ivanov Y. В.

Treatment of foot deformities using the 'plaster correction' method.

Allows stretching of soft tissues in childhood when they are not yet 'hard' and have not yet formed fixed deformities in the joints.

plaster correction.

It is not only a method for treating fractures, but also for Treatment of foot deformities. Children with toe walking, congenital clubfoot, congenital clubfoot, paresis and paralysis can be corrected.

However, unlike the cast for fractures, when treating foot deformities and contractures (restrictions) of the joints of the lower limbs, the cast is applied gradually. Between 2 and 5-6 plaster casts are required to stretch the soft tissues.

The average length of stay in the bandage is 5 to 14 days, after which the bandage is changed.

Depending on the cause of the foot deformity, the cast may be short, knee-length (e.g., for toe walking, spastic diplegia, or hemiparesis) or long (congenital clubfoot, clubfoot) so that the cast does not slip, pinch, or cause pain when the child moves.

Foot deformities are treated with a plaster cast!

Ivanov Yaroslav Vyacheslavovich

Turner National Medical Research Center for Pediatric Traumatology and Orthopedics.

Specialty:

Diagnosis is made by ruling out various causes. Thanks to the position created by the cast, the child will no longer tiptoe. This type of cast allows the child to walk in a cast, thereby adapting to proper walking at home, on the street, and in a learning environment.

Today, there are several causes of toe walking:

The diagnosis of idiopathic toe walking is made when other forms have been ruled out. Treatment of foot deformities begins with an examination. The examination is mandatory both before conservative treatment (casting, stretching, shoe adjustment) and before surgical intervention (Achilles tendon lengthening or calf muscle recessions).

One cause of toe walking is infantile cerebral palsy. Tiptoe walking can occur due to an imbalance in the muscles of the lower limbs. A plaster cast can be used to stretch spastic, shortened muscles. If the plaster cast is gradually corrected, the child can regain a normal gait.

This condition is often confused with a congenital valgus foot. The Achilles tendon is not shortened. Gradual cast correction can correct this deformity within a few bandages.

What is it and what are the special features?

Many children take their first steps with a foot deformity: they rely solely on the outside of the foot. Parents should therefore pay attention to the gait of their child. If this phenomenon persists, clubfoot can develop, which is associated with severe fatigue after every step.

In medicine, the term varus describes a gait malposition in which the foot moves inwards and the leg joints from the hip to the sole of the foot are affected.

• Varus, where the knee joints bend sideways in an O-shape, causing the child to walk on only the outer arch of the foot, resulting in clubfoot,
• Walgus, when the knee joints come together and separate in an X-shape, allowing the child to walk on the inside of the feet.

Clubfoot, or varus, can occur in two ways:

• congenital, that is, a sign of abnormal development of the child's musculoskeletal system,
• acquired &#8211, which develops gradually with deformity of the foot.

Doctors recommend that children with varus leg deformity engage in daily exercise and therapeutic massage from an early age. The goal of these activities is to strengthen the muscles necessary for walking. In this way, the insufficient development of ligaments and tendons can be compensated for in the future.

In order to correctly correct the gait, parents should consult an orthopedist and be sure to buy children's orthopedic shoes that are made using modern technology and look attractive enough for the child.

Design of orthopedic shoes

Shoes for children with varus deformity are made in such a way that the child cannot roll over and only rests on the outside of the foot. The development of the models and their testing are monitored by experts.

These shoes are used as a rehabilitation tool and help to correct foot and gait deformities from an early age. This should be done as early as possible to avoid bending the lower legs and knees. After all, bone formation in children's feet is complete by the time they are five or six years old.

The special design of the shoe ensures that 3 main points are emphasized: the heel, the external arch and the internal arch. They also have a pronounced heel with a different shape that prevents the foot from turning outwards when walking.

Orthopedic models must have laces or closures that provide good support for the child's foot. By distributing the load over the entire foot and the rigid fixation and positioning, the position of the child's foot remains constant and does not bend inwards.

An additional therapeutic effect is the ability of these shoes to flex the forefoot by up to 10°. Another design feature is the absence of a supinator, that is, a special insole to support the flattened arch of the foot.

Who can wear them and who can't?

There are a number of indications for a podiatrist to prescribe orthopedic shoes to correct a varus foot deformity. These conditions include:

• The presence of a form of flat feet;
• a flatfoot deformity of moderate severity
• paresis of the lower limbs;
• Problems with the knee joint, the ankle joint, etc.

There are no contraindications to wearing orthopedic shoes. The only limitation is congenital flat feet, which cannot be corrected by conservative treatment methods. Simply put: in this case, using shoes will not bring the expected result.

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Orthopedists, after successful treatment, prescribe children varus shoes to avoid relapse, which often occurs by the age of 3-4 years. Pathologies tend to recur, which is why it is important for children to wear the right footwear. The property of corrective shoes is to keep the foot in the correct position and ensure that all three points are loaded so that the toes do not come together.

If the axis of the foot deviates more than 8 degrees from the central position, it is said to have a clubfoot. With antivarsus shoes, the axis can be supported and widened to 10 degrees. This distribution of the load prevents the child from bending the foot inwards. The gradual pressure on all areas leads to a correction of the position. The feet return to their normal position. Gradually, the leg bones, which can make contact in the knee area, also straighten up.

The rigid heel and shin bones, which fix the foot securely, correct the load distribution, especially during active movements. This property helps to correct the varus. The child is less tired and can move more.

Recommendations for choosing varus shoes for your child:

• It is important to choose models with a high and stiff forefoot and stiff sides and heel so that the ankle and foot are well supported;
• the heel should be low and slightly inclined;
• a removable insole that can be replaced with an orthopedic insole if necessary;
• a wide and loose toe made of stiff material. To check this, press the toe area with your finger - the absence of prints is considered optimal;
• a full-length closure in the form of a shoelace, with plenty of velcro and other fasteners to ensure a snug fit at the joints;
• a resilient sole, preferably made of rubber;
• common material is leather.

Types of children's non-slip shoes

Orthopedic salons and children's shoe shops offer numerous models. They are for indoors and outdoors, for every season, in different models and colors for boys and girls.

Rain boots for winter and the transitional period are insulated with baize or natural fur. The summer models are made of natural leather to ensure air circulation and moisture transport. The choice of sizes goes up to size 37.

There are special models for small children with congenital clubfoot - breeches. These are shoes that are attached to a metal sliding bar. The child does not walk in the orthosis, but lies or sits. The angle of the foot can be changed using a mechanism with a scale.

How to choose shoes for your child

Always try on the shoes when you buy them. It's not a good idea to save money by buying shoes that are too big or too small: the shoes have to fit perfectly.

When choosing shoes, pay attention to little things like:

• a comfortable inner shoe;
• a high boot;
• Adjustable velcro or laces;
• hard heel;
• Low heel (0.5-2.5 cm);
• Removable insole so you can replace it with a pronator insole;
• High quality material.

In addition, it is better to learn about orthopedic shoe companies beforehand and choose those that have proven themselves.

Children's orthopedic shoes cannot be cheap, so models with suspiciously low prices should be refused.

How do I choose the right orthopedic shoes for my child?

• First, any therapeutic orthopedic footwear should be recommended by an orthopedist. Orthopedic decubitus shoes are no exception. The use of pronator pads can only be recommended by a doctor. There are different types of insoles: heel, toe and regular insoles, so only those insoles recommended by your doctor should be purchased.
• Second, the purchase should not be made without the child. This type of shoes requires a mandatory fitting. They are made exactly to the size of the foot and it is not advisable to buy them by eye or based on a drawing of the foot.
• Third, children's shoes should not be bought too large. They should fit perfectly and be exchanged for new shoes as the child grows.

Non-slip shoes for children are not available in every store. They can be made to order or purchased in orthopedic salons and stores with orthopedic and therapeutic shoe departments. They are much easier to find in larger cities. People living in smaller towns can use online stores. When ordering shoes online, it is important to take into account that they may not fit and agree on the return policy in advance.

A wide range of children's antivarus shoes in Moscow is represented in the following stores:

• 'SURSIL-ORTO' at the addresses: Dolgorukova street, 21, building 1 (metro 'Novoslobodskaya') and Shabolova street, 59, k. 1 (Metro 'Shabolova').
• 'ORTHOMINI'. On the first floor of the shopping center 'Belochka' at Shipilovskyi Proezd, 39/3a, premium 18 (metro station 'Orekhovo') and in the shopping center 'Bolshaya Medveditsa' in the department 'Children's goods' on the first floor, located at Studeny Proezd, 7A, premium 47 (Metro station 'Medvedkovo').

Unfortunately, the price of these models is high, but you should never refuse to wear them. After all, your child's future life depends on it. A clubfoot is not just an external defect, but leads to serious diseases in the future.

A set of models

There is now a wide range of models for prevention and treatment. Anti-inflammatory orthopedic shoes for children are designed to be worn indoors and outdoors all year round. Therefore, manufacturers offer a wide range of winter, summer and demi-season models. The color palette is also very diverse: you can choose between neutral, boy's and girl's colors.

The choice of sizes (from size 18 to 37) allows the shoes to be worn by children from the age of 6 months to 10-12 years and beyond, i.e. during the entire foot development. A larger size is also available but is no longer considered a child size.

therapeutic

Comprehensive orthopedic footwear used for foot immobilization and leg correction for cerebral palsy and other conditions. Natural leather, ankle-high boot, stiff back, 3D insole, adjustable forefoot support, forefoot and rearfoot roller sole.

• The natural leather upper and inner lining allow the foot to breathe and prevent excessive moisture build-up. The seamless shoe prevents chafing during movement.
• The adjustable Velcro straps wrap the foot snugly and securely fix all parts of the foot in the correct position. Allows the shoe to be used for different foot sizes.
• Removable orthopedic 3D insole supports and forms the right transverse and longitudinal arch of the foot.
• The special sole construction with rolling forefoot and rear foot has a cushioning effect, forms the correct foot position when walking, stabilizes the gait and has a positive effect on posture.
• The high, reinforced special construction with raised and extended calf sole gives the foot stability, provides the necessary support in the talus and ankle, the unique thermoplastic insole adapts easily to the individual characteristics of the child's foot.
• The 0.5 cm high orthopedic heel (Thomas heel on request) offers the shoe an increased support surface, gives stability to the midfoot, prevents twisting of the foot and prevents twisting while walking.

antivertical

Corrective orthopedic shoes designed to correct varus, or foot deformities, have a 20 degree forefoot extension.

• The natural leather upper and lining offer breathability to the foot and prevent excess moisture from accumulating. The seamless construction system eliminates chafing as the foot moves.
• The Velcro straps are adjustable and fit snugly around the foot, keeping all parts of the foot in the correct position. Allows footwear for different foot sizes.
• The removable 3D orthopedic insole supports and forms the correct lateral and longitudinal arch of the foot.
• The special sole construction with forefoot and rearfoot rolling has a cushioning effect, forms the correct foot position when walking, stabilizes the gait and has a positive effect on posture.
• The raised, wider, sealed heel gives the foot stability, provides the necessary support in the ankle bone and ankle, the unique thermoplastic insole can be easily adapted to the individual characteristics of the child's foot.
• A 0.5 cm orthopedic heel (Thomas heel on request) provides a larger contact surface of the shoe, gives stability to the midfoot, prevents twisting of the foot when walking and prevents foot inversion.

For what purpose are shoes with varicose veins used? your characteristics

Varus is a foot deformity where the foot is rotated inward. Another name for it is 'clubfoot'. This pathology can develop in both children and adults. In adults, clubfoot is caused by an injury or a bone disease.

In children under the age of one year, this deviation is considered normal. If the deformity persists after this, this indicates an abnormality in the formation of the bone base and should attract the attention of parents. Varus disease prevents the child from playing, walking and becoming clumsy. She is often the reason for ridicule from her peers. If left untreated, varus disease can lead to more serious bone problems in the future.

The skeletal system of infants is very flexible. This makes it possible to completely correct this anomaly. This is done with the help of antivarsus shoes. These shoes differ from traditional shoes and have the following features:

1. One of the main differences from traditional shoes is the lack of a supinator.
2. A special ergonomic insole is used. Conventional shoes are not suitable.
3. In them, the heel is very stiff. This is necessary to keep the foot in the correct position.
4. High heel. Orthopedic shoes have fairly stiff sides that hold the foot securely in place.
5. Unit volume. It is mandatory and should not be higher than 2.5 cm. This usually depends on the age and weight of the child.
6. Shoelaces, laces and Velcro fasteners.
7. A safe and multi-layered sole.

Requirements for children's clubfoot shoes

Only a podiatrist can make the right choice of shoes. Parents should closely monitor their child's foot growth and buy new shoes at the right time. This is important because the shoe has to be exactly the right size.

Important!!! Please only buy shoes after trying them on. Overpriced purchases are strictly prohibited!

Antivarus shoes or boots should fit snugly on the child's foot without allowing them to fall on the inside of the foot. In this case, the socks should be rolled up sideways. With orthopedic shoes, the child's foot should rest on three points: on the heel, on the outside of the foot and on the inside of the foot. This means that the sole must fit snugly. This ensures proper alignment and prevents the foot from rotating inward. When buying, do not forget that the product must be comfortable for your child.

interactions

No detailed clinical studies on the interaction of tranexamic acid with other medicinal products have been performed.

Tranexamic acid interferes with the pharmacological action of fibrinolytic (thrombolytic) drugs.

Combined oral contraceptives increase the risk of venous thromboembolic complications and arterial thrombosis (especially ischemic stroke and myocardial infarction). There is no experience with the use of tranexamic acid in women using combined oral contraceptives. Since tranexamic acid has an antifibrinolytic effect, concomitant use with COCs may further increase the risk of thrombotic complications.

The simultaneous use of tranexamic acid with blood coagulation factors II, VII, IX and X in combination (prothrombin complex) or with a coagulation complex with an anti-inhibitory effect increases the risk of thrombosis.

With the simultaneous use of tranexamic acid with hydrochlorothiazide, desmopressin, ampicillin + sulbactam combination, ranitidine and nitroglycerin, there may be an increased risk of thrombotic complications (especially myocardial infarction).

A thrombosis can be triggered with the simultaneous use of haemostatic drugs.

Concomitant administration of tranexamic acid with anticoagulants should be done under close medical supervision (experience with use is limited).

overdose

There is limited data on cases of overdose. One case of overdose (ingestion of 37 g tranexamic acid) has been reported.

Symptoms: Dizziness, headache, nausea, vomiting, diarrhea, orthostatic symptoms (including dizziness when changing from horizontal to vertical position), orthostatic hypotension. There is an increased risk of thrombosis in predisposed patients.

Treatment: The antidote is unknown. If a tranexamic acid overdose is suspected, hospitalization is required. If help is provided, vomiting should be induced, followed by gastric lavage. Activated charcoal decreases the absorption of tranexamic acid when taken orally within the first 1-2 hours after an overdose. If the patient is unconscious or swallowing is impaired, activated charcoal can be given through a nasogastric tube. Oral or parenteral administration of large volumes of fluids is recommended to increase renal excretion, force diuresis, and monitor urinary output. The use of anticoagulants may be justified in some cases.

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