Shoes for valgus deformities in children

The appearance of these symptoms means that you still have time; Your hands have not yet completely lost their function. But don't wait too long: the disability is just around the corner. Only an experienced, qualified specialist can help you.

Orthopedic and anatomical shoes for children. An overview of the brands

This article is about the orthopedic shoes that are available for sale over the counter. Corrective orthopedic shoes are sold in specialized stores or made to order.

Orthopedic surgeons and pediatricians recommend parents of young children to buy orthopedic shoes for the first steps. Orthopedic shoes for children promote the correct formation of children's feet, the right gait and correct posture.
Experts explain that. The right footwear for children is of great help in avoiding flat feet and other foot problems.

flat feet – deformity feetcharacterized by a prolapse of the longitudinal or transverse arch (these are two forms of flatfoot that can occur together). All children up to the age of 2-3 years have a flat longitudinal arch, which is normal, This is normal as a child's foot is just forming and will develop 'normal' contours and outlines by around the age of 3 years. In an adult, the arch of the foot is concave and flexible; in an infant, instead of the arch, there is a pad of fat that gives the contours of a flat foot.

The foot forms and takes on its classic shape around the age of 5-6-7-8 years, sometimes later. Flat feet are not diagnosed until the age of 5-7 years, when the child's foot bones are forming.
A child may be diagnosed with flat feet (one of the most common diagnoses in children up to the age of 5) and varus feet. These diagnoses can be taken as an indication of a predisposition to flat feet.
Flat rolling (X-shaped) position of the foot – The heel is turned outwards and the foot is tilted inwards. With this deformity, the inner edge of the shoe rubs. Varus (o-shaped) foot, When the foot is tipped outward (similar to clubfoot). With this type of deformity, the outer edge of the shoe rubs. This condition is more common in physically weakened and often ill children, so parents should begin by promoting general health and resilience.
If the child is physically active, does not complain of leg pain, and the shoes do not chafe the inside or outside of the toddler's feet a lot, then there is no need to overdo it and worry about flat feet in advance. In many other countries, such diagnoses are not treated as serious at all.

Children's shoes for valgus and flat feet

A valgus foot deformity (X foot) is a deformity of the ankle at an outward angle. With a valgus deformity, the heel moves inward in the shoe. In children, the valgus is often combined with a flat foot. This condition is hereditary.

In order to correct a valgus deformity of the feet (X-foot), orthopedic children's shoes with an anti-squatting function are required. They correct the deformity of the foot and help form the child's correct posture. They are prescribed by a doctor and cannot be recommended for children with normal feet.

Children's therapeutic shoes differ from regular shoes in that:

• a high shin to correct the abnormal foot position
• a large toe box for toe comfort;
• a frame for an orthopedic insole prescribed by a doctor.

Therapeutic orthopedic shoes look like regular shoes, so your child won't feel embarrassed to wear them every day. How prophylactic therapeutic orthopedic shoes for children:

• are made of natural calf leather, which makes them comfortable all day long;
• hypoallergenic as they are not chemically treated;
• with a Velcro fastener so that the child can quickly and independently put on and take off the shoes;
• an elastic polyurethane sole that allows the foot to roll correctly while walking;
• a stable Thomas heel, which is essential for the correct distribution of the load on the foot. To treat foot deformities, the heel is lengthened on the inside of the sole.

Therapeutic shoes are also recommended for children with pronounced flat feet or cerebral palsy.

Choice of size

There are several ways to determine the size of children's shoes. A properly fitting shoe has a 1cm gap between the big toe and the edge of the sock.

• Place the child's foot on a clean sheet of paper;
• Mark the extreme edges of the foot;
• Measure the distance between these edges;
• Check the measurements against the size chart on the card of the selected item.

Therapeutic shoes for children must not be too big. To have a therapeutic effect, the shoes must fit snugly around the ankle but not constrict the child's foot.

Brands of therapeutic shoes for children

Orthopedic shoes (Orthoboom)

Orthoboom's orthopedic therapeutic shoes for children prevent the further development of deformities in children's feet. They feature a removable orthopedic insole for arch support. Recommended for children with:

• pronounced flat ankle deformity;
• varus deformity;
• equinus deformity;
• equinovarus deformity;
• polyvarus deformity;
• CEREBRAL PALSY;
• Paresis of the lower limbs.

Sursil Orto shoes

Sursil-Orto's orthopedic children's shoes have a light, cushioning EVA sole. Shoes with such soles do not slip, are comfortable to wear and do not tire feet as much. Sursil Orto shoes are recommended if:

• Correction of 1st, 2nd and 3rd degree valgus flatfoot;
• Correction of a varus flatfoot;
• clubfoot;
• longitudinal feet;
• hip and lower limb dysplasia;
• Sequelae of cerebral palsy.

Editor of the article on choosing therapeutic footwear for children with valgus and flat feet - Valery Vladimirovich Shevchenko

Head of the training center 'Ortix', specialist in orthopaedics, general practitioner

Independent or free delivery of varus and flatfoot shoes to Yekaterinburg and other cities of Russia is possible, the terms can be checked on the 'Delivery' page.

basic requirements

Many, hearing about orthopedic shoes for the first time, imagine shackles, in which a doctor puts a chain on an unfortunate child. In reality, modern therapeutic shoes look no worse than normal shoes and have nothing to do with 'cuffs'. More than that, wearing the right anti-collision model should not cause pain. The description of the orthopedic products is largely the same as normal correct children's shoes, although there are some important differences.

toe part of the shoe

The toe part of children's therapeutic shoes should not pinch the toes. Remember we mentioned earlier that a valgus curvature has the potential to deform the toes? To avoid this, the child's toes must remain in their anatomical position, and this is only possible in shoes with proper socks. At the same time, however, one must also be aware that too wide socks in therapeutic and preventive shoes are also not good.

heel

The heel is an indispensable detail in hypoallergenic shoes. It is wide, low (approx. 5-10 mm) and has a special shape (elongated on the inner edge of the sole). Orthopedists call it the Thomas heel. This type of construction aligns the foot and prevents it from tipping inward (which occurs with valgus deformities). In addition, the wide, stable heel counter protects the baby from losing his balance and falling on his back.

buttocks

The most striking feature of anti-colic shoes is the special design of the heel counter. In foot correction models, this part is always closed, rigid and high. The heel of the therapeutic shoe is reinforced with rigid plates. As a result, the heel and ankle are securely and stably fixed in the anatomically correct position. In other words, the rigid backplate prevents the foot from changing its axis and falling to one side or the other. Therefore, shoes with an open toe plate cannot be orthopedic as they cannot hold the foot in the correct position.

Meaning of prevention shoes

A child's musculoskeletal health is determined at an early age. To strengthen ligaments and develop muscles, orthopedists strongly recommend giving children foot massages and letting them walk around barefoot at home. Prophylactic shoes play an important role. In contrast to therapeutic shoes, they are not designed to correct existing diseases, but to prevent them. They are anatomical shoes that fix the foot in the right position while helping to strengthen muscles and ligaments. Prophylactic orthopedic shoes help the child develop the correct gait and the habit of keeping the foot in its natural position. They protect the child from sprains and possible orthopedic deformities such as flat feet, valgus and labral curvatures.

While preventive shoes can be purchased by parents themselves from a reputable manufacturer, therapeutic shoes should only be prescribed by a doctor. Only a professional can tell you exactly what kind of shoes your child needs at each stage of development and how long they should wear therapeutic shoes.

Shoes? sandals? Boots?

Many models of orthopedic therapeutic shoes for different seasons are presented in stores. Every mother is immediately confused - there are orthopedic shoes, orthopedic sandals, orthopedic shoes for autumn and winter. Do you have to buy them all? Ideally, any shoes your child wears should be therapeutic shoes. This way you will see the effects faster. However, if you are struggling financially, choose the shoes that your child will spend most of their time in. First and foremost, we recommend that you choose change shoes for kindergarten and school.

Almost all parents who contact us ask this question: they want to buy orthopedic sandals with leeway, but also do not overdo it. The acceptable margin for orthopedic sandals is between 5mm and 1cm. The optimal margin is 7 mm.

Pay attention to the fullness of the model: the shoes should fit snugly on the foot (do not pull or cut into the skin).

Shoe tip: If you choose sandals with a 1 cm margin, you should ask your child to walk in them, making sure that the feet are still and not sagging. In addition, the child should not stumble. If you have a very young child and are choosing their first shoes, orthopedic sandals should have very little or no wiggle room. Uncertain first steps should be taken without much effort, and a large margin can be a problem.

In the online store 'Bashmachok' therapeutic orthopedic shoesaShoes are offered by several brands: Botiki, Ortex, Orthofut and Orthobi.

If you are interested in therapeutic sandals, we recommend that you consider these models from TM Botiki:

• Orthopedic sandals for boys 'Billy' in European sizes 31-36,
• Orthopedic sandals for girls 'Becky' in European sizes 31-36,
• Orthopedic sandals 'Heidi' for girls in European sizes 25-30, also available in white,
• the orthopedic sandals Harvey' for boys in European sizes 25-30, also available in brown,
• And for toddlers, the Emma orthopedic sandals for girls, also available in white, and the Eddie sandals for boys, in European sizes 18-24.

And finally, a few simple but really important rules so that your feet recover quickly:

• Remember to wear orthopedic therapy sandals at home, kindergarten and school;
• It is important that outdoor shoes also have all the necessary therapeutic properties;
• Consider exercising, massaging, or massaging yourself on a massage mat (e.g., a mat with stones) in addition to wearing orthopedic shoes;
• Buy only shoes made of natural materials - in such shoes feet breathe and do not sweat;
• It is better for the child to wear the shoes with a sock, at least the first time after purchase;
• If you have bought new orthopedic leather sandals for flat foot treatment and have not worn similar shoes before, you should not immediately put your child in these shoes and let them walk around in them all day. The feet have to get used to the shoes and the leather has to stretch. It is therefore recommended to only wear the shoes for a few hours a day for the first week and gradually increase this time.

Plantar deformity: exercises

Benefits and indications for exercises in valgus.

To improve the effects of VFD, podiatrists recommend wearing special splints at night to return the joint to its anatomically correct position. If you're on a tight budget, consider using proofreaders.

First, the patient should make sure that the diagnosis is correct and undergo further examinations in the hospital. To determine the severity of the thumb deformity, a qualified orthopedist who has examined the x-rays must be consulted. In addition to taking medication, if surgery is not necessary, foot exercises are prescribed for valgus deformity, which provide the following

• strengthening the ligaments and muscles of the leg;
• Correction of the gait pattern;
• reducing swelling;
• pain relief;
• Complete or partial elimination of the 'bunion'.

Exercises: How to do them correctly?

It should be borne in mind that gymnastics for valgus deformities in children brings faster results, since the bones of the feet are not yet fully formed. Adults must undergo long-term, daily exercise. However, exercise is not a panacea. Exercises must be supplemented with massages, baths and wearing special shoes. The exercises should be started with the knowledge that correcting the foot will take a lot of time and effort. Long-term results are not possible if physical therapy is performed intermittently.

The valgus exercises are performed barefoot or in socks. Soft or hard-soled shoes are contraindicated. If a child develops a deformity, children's slippers that only cover the toes can be used. The effect of training is more noticeable with the right positive attitude. For adults, a pre-meditation is recommended, while children should train in a good mood.

Other sports activities

For prevention, doctors recommend climbing a climbing wall that you can set up at home. If you train indoors, you should also practice walking on pebbles, peas, etc. e., which can effectively cure not only deformities, but also flat feet. You can throw pebbles into a tub filled with warm water and walk from side to side.

Sport should be aimed at exercising the lower limbs and improving blood circulation. Walking is advisable, but it's important to wear comfortable shoes when exercising outdoors to prevent damage to knee joints. Exercises for valgus in children should be done in cooperation with parents to stimulate the child.

scooter and treadmill

Physiotherapy for children with flat feet can be supplemented with the use of child mobility aids. However, these must be carefully selected. It is important to consult a podiatrist beforehand. If the valgus is already advanced, rollers and treadmills may be contraindicated. However, a lot depends on the individual course of the disease.

When using a scooter, parents must ensure that the load does not rest on one leg and that the muscular skeleton develops equally in both limbs. Orthopedists advise against using it too often. If your child has flat feet, a treadmill is a better choice as it distributes the load evenly. However, make sure that the foot is completely on the ground. Just moving on the toes aggravates the deformity.

Causes of osteoarthritis in the hands

Various external and internal factors can cause osteoarthritis:

• Hereditary structure of cartilage - it can quickly deteriorate under the influence of various factors;
• Old age and old age – the destruction of articular cartilage is favored by age-related changes in the circulatory system and a decrease in metabolism;
• Endocrine disorders – especially common in women with reduced hormone levels, including age-related endocrine disorders associated with menopause;
• Physical exertion – constant, long-lasting precision work with the hands, which is associated with micro-injuries; Women are particularly vulnerable to heavy workloads at home;
• Consequences of hand injuries – fractures, dislocations, bruises;
• Consequences of acute and chronic arthritis (inflammatory processes) of different origins.

Under the influence of various external and internal causes, changes occur in the body: the amount of synovial fluid that nourishes the cartilage decreases. The cartilage covering the heads of the joints gradually thins, loses elasticity, cracks and becomes damaged. This leads to an overgrowth of bone and connective tissue, a change in shape and reduced function of the small joints. This process is accompanied by a gradually increasing pain syndrome.

• People with jobs or sports that put a lot of strain on their hands – plumbers, wood turners, pianists, tennis players, housewives;
• people suffering from arthritis;
• have close relatives with hand osteoarthritis.

Symptoms of hand osteoarthritis

Osteoarthritis of the hands begins insidiously, with the symptoms increasing over a longer period of time. The distal interphalangeal joints (DIPG) are most commonly affected symmetrically, the proximal interphalangeal joints (close to the hands) and the 1st wrist (1st MJG) less frequently. The metacarpophalangeal (CPJ) joints are very rarely affected. The symmetry is only missing if the cause of the hand osteoarthritis is a trauma (post-traumatic arthritis).

Initial Symptoms

The first symptoms include a slight pain in the hands, especially after strenuous exertion, and a slight morning stiffness. These symptoms can bother for a long time, slowly and imperceptibly increasing.

Overt Symptoms

Gradually, the pain increases after exercise and lasts for a long time. There is night pain and trouble sleeping. It becomes increasingly difficult to move normally again in the morning as the hands are stiff and bent. Sometimes there is increased pain in the affected area, slight redness and swelling - symptoms of aseptic synovitis of the joint.

The pain becomes permanent, the joint crunches and the function of the hand is limited. The mobility of the hand is restricted by hypertrophy of the inflexible connective tissue (contractures). Normal work activities, housework and self-sufficiency become difficult. Some patients are forced to change jobs during this time.

Gradually, bony growths form around the affected joints, deforming the hand. In osteoarthritis of the fingers, these growths are particularly pronounced in the interphalangeal joints. The distal interphalangeal joints show Geberden's nodules and the proximal interphalangeal joints show Bouchard's nodules. The restriction of movement is permanent and persistent.

Dangerous Symptoms

Not everyone pays attention to such 'little things' as a slight pain in the hands, especially since they subside quickly in the early stages. That is why it is worth paying attention to the following symptoms in order to see a specialist as early as possible:

Treatment of foot deformity - Chalus Valgus in Moscow.

Physical stress, shoes that are too hard or age-related changes gradually lead to foot deformities. The specialists in our orthopedic clinic in Moscow can help you correct the deformity. Now let's consider the most common pathological ones foot deformities.

Valgus foot deformity – one of the most common forms. It is characterized by an outward displacement of the first metatarsal. This deformity 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 big toe, and reduced mobility of the big toe.

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;
• a genetic predisposition.

However, in most cases, the big toe bone begins to protrude due to the 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.

Get advice from our specialists or get a second medical opinion from a trauma surgeon on the recommendations you have already received.

The right orthopedic sole

When checking the orthopedic soles of children's shoes, make sure that they deflect well (this also applies to adult shoes - that is, adult shoes). If the sole doesn't flex, it means it's made of materials that are difficult to wear. In addition, the unyielding soles of children's shoes put a lot of strain on the ligaments of children's feet. The foot and especially the ankle are put under strain.

In such shoes, the child tires quickly and the foot is deformed. And that leads to flat feet and foot deformities. If the sole is orthopedic. The heel must be fixed, low but stable, strong and with a large surface. The heel must be thickened at the bottom.

An orthopedic sole may also have a hidden heel counter that further lifts and relieves the foot at the rear. If the shoes are properly constructed, the foot will not tilt to the right or left when worn in the heel area.

[4], [5]

Weight of orthopedic shoes

Since children's shoes have to be made of natural materials - leather, a good sole, several layers of insoles and a correspondingly stable heel - they are not very light. But that's a good thing, because such shoes give children's feet stability. In addition, orthopedic shoes relieve children's feet and thus compensate for their heavier weight than normal shoes.

Decades ago, many doctors were of the opinion that small children did not need orthopedic shoes. This was particularly true for children under the age of two. Orthopedic shoes are heavy, the doctors justified their point of view. In addition, at this age it is a crime to correct your feet because they have to develop in their natural way and should not be impaired.

Unfortunately, the days of walking barefoot over grass and sand from an early age are long gone. While in the past almost all children started walking and running without shoes, the modern civilized world has made a correction. Children often grow up in apartments where they wear small shoes, sneakers or boots from an early age. Your feet deform throughout childhood, and foot deformities are exacerbated by misalignment or excessive stress.

In addition, parents want to buy their child the most beautiful shoes from an early age without thinking about their orthopedic properties. Thus, they contribute to the deformity of the child's feet. If a child starts to wear uncomfortable shoes at a young age, no matter how beautiful they are, the feet will be subjected to more stress and become very tired. Increasingly, these children develop flat feet, which doctors diagnose as acquired rather than congenital.

If the choice of the right footwear continues to be neglected, flat feet develop into a chronic condition that is difficult to correct or eliminate. Therefore, the right orthopedic footwear for your child is the best solution to ensure not only comfort but also health.

• Do orthopedic shoes help children?.
• Shoes for valgus deformities in adults.
• Orthoses for valgus in children.
• Massage for flat feet.
• Toe movement in children.
• Orthopedic shoes for clubfoot in children.
• Shoes for valgus of the child's foot.
• Foot orthoses for valgus deformities.