Варусная установка стопы у маленьких детей встречается как приобретенная деформация, возникающая в силу самых разных причин. По своему виду это заболевание немного напоминает косолапость, но у этих болезней есть некоторые различия. Если косолапость встречается у детей в виде врожденной патологии, то варусная деформация формируется у детей уже после рождения. Как вовремя распознать заболевание и чем его лечить?
Формирование деформации
Ноги малыша, который начал ходить, мало чем напоминает ноги взрослого человека. В отличие от взрослых, стопа у детей окончательно не сформирована, а большая часть костей состоит из неплотно прилегающих друг к другу хрящей. В связи с этим мышцы, фасции и связки подвержены процессу растяжения. Окончательно стопа ребенка и ее своды должны формироваться лишь к 3-4 годам, хотя не исключено, что формирование может произойти и в более позднем возрасте — к 6-7 годам.
Ступня совсем маленьких детей на вид выглядят как плоские, но на самом деле они заполнены жировой прослойкой, как маскировкой костного слоя. В этом можно легко убедиться, если с внутренней стороны стопы ребенку в положении стоя попытаться просунуть палец. Если палец проходит легко, значит, плоскостопие кажущееся, а не истинное.
При варусной (О-образной) установке деформация ступней выглядит таким образом, что коленки ребенка в положении стоя и плотно прижатыми ногами не смыкаются, а между ними имеется небольшое пространство. Сами стопы при этом слегка отклонены кнаружи, при этом основная нагрузка падает на внешнюю сторону.
A — О-образная установка стоп (варус). B — Х-образная установка (вальгус).
Причины
- Плоскостопие — эта причина встречается чаще остальных.
- Нарушение обменных процессов (рахит и прочие).
- Ослабление организма из-за хронических инфекционных и воспалительных заболеваний.
- Заболевания эндокринной системы (тиреотоксикоз, сахарный диабет и прочие).
- Неусвоение кальция и других полезных микро- и макроэлементов.
- Заболевания костей и суставов.
- Различные травматические повреждения стоп.
- Избыточная масса тела.
- Наследственный фактор и генетическая расположенность.
Кроме вышеназванных причин варусная установка стоп у детей может возникать тогда, когда ребенка слишком рано начинают ставить на ножки, а также при использовании неудобной или неправильно подобранной обуви.
Симптомы и первые признаки
A — ровные ноги. B — О-образная кривизна (варус).
Если стопа деформируется, а нагрузка перемещается из центра на внешнюю сторону, то ступня теряет способность совершать колебательные движения. Из-за этого снижается ее способность амортизировать удары и толчки, а ребенок при этом начинает хуже ходить, часто падать и плохо бегать.
Очень важно заметить первые признаки появления деформации, чтобы своевременно начать лечение. Трудность диагностики заключается в том, что варусная деформация стопы у детей развивается достаточно медленно. Но со временем ножки ребенка становятся О-образными, особенно ярко это проявляется в коленных суставах.
Самым ранним признаком варусной установки является стирание обуви, особенно ее внешней стороны. При этом становится заметно, как каблук у обуви стирается неравномерно. Ребенок при ходьбе стаптывает его больше с внешней стороны, чем с внутренней. Этот ранний признак может насторожить родителей, даже когда еще незаметны проявления варусной деформации.
Эквиноварусная деформация
Кроме этого, встречается так называемая эквиноварусная деформация стопы или конская стопа, при которой ребенок не может наступать на всю поверхность стопы, а только на ее переднюю часть (носок). Создается впечатление, что ребенок пытается встать на носочек, настолько сгибание в голеностопном суставе является выраженным. Такая патология обычно бывает врожденной и может быть как односторонней, так и двухсторонней.
Лечение
От чего зависит результат лечения? Прежде всего, нужно знать, что лечение варусной установки стоп потребует большого терпения от родителей и их заинтересованности в получении необходимого результата. И конечно, немаловажное значение имеет квалификация ортопеда, который проводит терапию.
Окончательный эффект лечения можно оценить только к 5-7 годам, когда мышцы, связки и фасции ноги ребенка укрепляются настолько, что могут удерживать стопу в нужном положении. Категорически противопоказано заниматься лечением самостоятельно, надеясь на советы друзей и знакомых. Вовремя диагностированная патология и проведенное лечение помогут ребенку встать на ноги правильно.
Хорошая новость состоит в том, что организм ребенка очень податливый и при настойчивой терапии хорошо поддается исправлению.
Антиварусная обувь жестко фиксирует задний отдел и отводит передний отдел стопы.
Консервативная терапия
- Специально подобранный комплекс упражнений, с помощью которых можно укрепить связки и мышцы стопы.
- Курс физиотерапии.
- Подбор необходимой обуви с ортопедическими стельками, а также супинаторами, стяжками и корректорами. Такая обувь с высоким задником прочно удерживает стопу в горизонтальном положении, не давая ей отклоняться на внешнюю сторону.
- Лечебный массаж, который помогает окрепнуть мышцам задней поверхности бедер, голеней и ягодиц.
В заключение необходимо знать, что при отсутствии эффекта консервативной терапии назначают хирургическое вмешательство. В противном случае, если не лечить заболевание, может развиться такое осложнение, как искривление позвоночника. Поэтому с целью профилактики получения осложнений необходимо в процессе терапии регулярно проводить осмотр у ортопеда и точно выполнять все предписания врача.
У моего внука варусное плоскостопие. Сейчас ему 6 лет 7 месяцев. Он пошел в 1-й класс. Носит ортопедическую обувь. Мама хочет отдать его в спортивную секцию. Допустимо ли это? Какому виду спорта лучше отдать предпочтение?
Здравствуйте !у моей дочки обнаружили варусное косолапие в 1год и 2 месяца….пошли к ортопеду сказали что это все пройдет, у детей бывает до 5 лет пройдет…но все будет хорошо..ни массаж ничего не нужно…
Да, вот только, когда ребенок будет косолапить, как медведь. Тогда врачи начнут накладывать гипс, предлагать купить стельки, обувь за большие деньги. У Вас же девочка, нужны красивые, ровные ножки. Поменяйте своего ортопеда.
нам диагноз
поставили тот же, и назначили физиотерапию и спец. обувь приобрестиc
Стопа человека имеет сложное строение и выполняет очень важные функции. Она является опорой тела, помогает поддерживать равновесие и служит амортизатором при передвижении. Поэтому постоянно на этот участок скелета приходится большая нагрузка, которая часто вызывает развитие различных патологий. Причем, из-за сложного строения и небольшой площади изменения в каком-либо одном отделе приводят к деформации стопы. Случиться такое может по разным причинам, но всегда подобные патологии вызывают серьезные проблемы в передвижении.
Общая характеристика
Несмотря на выраженные индивидуальные особенности, строение ступней одинаковое у всех. Она имеет продольный и поперечный свод, которые отвечают за амортизацию. Пружинит стопа потому, что состоит из множества мелких костей, соединенных связками и мышцами. У здорового человека все эти структуры работают нормально, но они очень уязвимы. Под влиянием внешних воздействий, нарушения внутриутробного развития или системных патологий стопы могут деформироваться.
Такое состояние характеризуется изменением длины некоторых костей, их искривлением, укорочением связок или сухожилий. Это приводит не только к изменению формы ступней. Такие патологии серьезно нарушают функции стопы и отражаются на работе всего опорно-двигательного аппарата. Пациент испытывает болезненные ощущения при ходьбе, у него меняется походка, возникают трудности с выбором обуви.
Довольно часто подобная деформация является врожденной патологией. Но так как структуры стопы очень уязвимы и податливы, особенно у ребенка, они легко меняются под внешним воздействием. Считается, что пока стопа полностью не сформировалась, ей можно придать любую форму. Именно поэтому в традиции Древнего Китая существовал обычай бинтовать ноги девочкам из богатых семей. Ведь маленькие ноги в то время там считались эталоном красоты.
Но в современном обществе нарушение формы и функций стоп считается патологией. Особое направление в медицине – ортопедия – занимается такими деформациями. Накоплен уже немалый опыт их лечения, поэтому при своевременном обращении к врачу даже в самых серьезных случаях можно вернуть здоровье ногам и свободу передвижения.
Разновидности
Из-за сложного строения ступней, наличия множества костей, суставов, связок, деформации могут подвергаться любые ее части. При этом внешние проявления и нарушение функций передвижения могут быть разной степени выраженности. Хотя дискомфорт у пациента будет возникать в любом случае.
Существует несколько видов деформации стопы. Все они могут быть врожденными или приобретенными, развиваться на одной ноге или на обеих. Иногда некоторые патологии сочетаются, образуя сложный вид деформации. Такое состояние чаще всего приводит к инвалидности.
Самых распространенных, часто встречающихся патологий всего несколько. Это плоскостопие, косолапость и вальгусная деформация большого пальца. Но кроме них еще бывают другие разновидности.
- Полая или сводчатая стопа – это противоположность плоскостопию. Встречается такая патология довольно редко. В основном к ее развитию приводят травмы костей стопы, сильные ожоги или нервно-мышечные заболевания. Характеризуется полая стопа увеличением ее продольного свода. В результате этого при ходьбе человек опирается только на пятку и головки плюсневых костей. Это приводит к развитию других деформаций: поперечному плоскостопию, изменению формы пальцев.
- Варусная деформация пятого пальца или болезнь Тейлора характеризуется искривлением мизинца. Это приобретенное заболевание, возникающее в основном у взрослых людей. Проявляется патология болями и отечностью в области пятого пальца, образованием шишки сбоку стопы, сильной утомляемостью ног. Часто такая деформация развивается совместно с другими патологиями.
- Молоткообразная деформация пальцев ног возникает в основном из-за поперечного плоскостопия или вальгусной деформации большого пальца. Но развиться она может и самостоятельно, например, после травм, полиомиелита или при параличе.
- При варусной постановке стоп искривляются не только сами ступни, страдают нижние конечности полностью. Чаще всего эта патология врожденная, но обнаруживают ее, когда ребенок начинает ходить. Характеризуется такая деформация опорой на внешний край ступни, изменением формы ног – они приобретают О-образную форму.
- Эквиноварусная деформация стопы является разновидностью предыдущей патологии. При этом человек опирается не на всю стопу, а только на ее передний отдел и пальцы. Пятка находится на весу, а стопа постоянно в положении подошвенного сгибания. Часто выпрямить ее самостоятельно пациент не может.
- Пяточная стопа встречается очень редко. Диагностируется такая деформация после рождения, а возникает из-за неправильного положения плода во время внутриутробного развития. В редких случаях может развиться в течение жизни из-за травм или паралича. При такой деформации передний отдел поднят вверх, а при ходьбе человек опирается только на пятку.
Косолапость
В основном это врожденная деформация стопы. Встречается она в одном случае из тысячи, причем чаще всего бывает двусторонней. Причиной косолапости у ребенка может стать генетическая предрасположенность или нарушения в процессе внутриутробного развития плода. Но иногда подобная патология может образоваться после рождения и даже во взрослом возрасте. К этому приводят различные травмы стопы, сильные ожоги, паралич.
Такая деформация представляет собой приведенные, вывернутые внутрь стопы. При ходьбе человек опирается на их наружный край, иногда даже на тыльную поверхность. В результате этого сильно меняется походка, деформируются коленные суставы и позвоночник. Косолапость легко обнаружить у новорожденного ребенка. Пятки у него имеют маленькие размеры, стопы развернуты внутрь, а носок опущен. В самых тяжелых случаях может наблюдаться полный разворот ступни подошвой кверху. Сами стопы при этом обычно имеют довольно маленькие размеры.
Разновидностью косолапости является эквиноварусная деформация стоп. Но ее особенностью является приобретенный характер. Такая установка стоп появляется в первые годы жизни малыша вследствие рахита, эндокринных заболеваний, травм или повышенных нагрузок на ноги. Распространенной причиной подобной деформации является также детский церебральный паралич.
Плоскостопие
Это самая распространенная деформация стопы у детей. Причем, до 10-12 лет она легко поддается исправлению. Если же плоскостопие появилось у взрослых, вернуть ступням их нормальную форму уже очень сложно. Тем более что эта патология внешне почти незаметна, поэтому редко кто обращается к врачу на ее начальной стадии.
Плоскостопие представляет собой уплощение сводов стопы. Это не статическая деформация, заметно их исчезновение только при нагрузке. А так как своды выполняют амортизационную функцию, патология отражается на состоянии всего организма. Плоскостопие бывает поперечным, продольным или продольно-поперечным.
У детей чаще всего встречается продольное плоскостопие из-за ослабления связок, поддерживающих этот свод. Поэтому вылечить в этом возрасте патологию легко, например, с помощью лечебной гимнастики. Но проблема в том, что такой дефект сложно обнаружить на начальной стадии, поэтому обычно требуется комплексное лечение.
Более заметно внешне поперечное плоскостопие. Оно появляется при повышенных нагрузках на передний отдел стопы. Из-за этого плюсневые кости расходятся в стороны и ступня распластывается. Кроме того, что она престает выполнять свои функции, она еще становится шире.
Уплощение сводов стопы чаще всего развивается при активном движении человека. В очень редких случаях такая деформация имеет врожденный характер. При этом обычно плоскостопие сочетается с другими аномалиями опорно-двигательного аппарата. Причиной подобной деформации стопы могут стать постоянные повышенные нагрузки на ноги, наличие лишнего веса или особенности профессиональной деятельности. Спровоцировать уплощение сводов могут травмы, ношение неудобной обуви, некоторые заболевания.
Вальгусная деформация
Самая распространенная деформация стопы у взрослых – это образование шишки на большом пальце. Это разновидность поперечного плоскостопия, которое определяют, как вальгусную деформацию. Встречается она в основном у женщин среднего возраста, но есть случаи развития такой патологии даже у молодых девушек.
Связана вальгусная деформация большого пальца с повышенными нагрузками на передний отдел, например, при постоянном ношении обуви на высоком каблуке. При этом связки, удерживающие большой палец, ослабляются. Он отклоняется в сторону, а сустав его выпячивается, образуя шишку сбоку стопы.
Причины
На работу стопы влияют многие факторы. Иногда врачам сложно определить, почему развивается та или иная деформация. Ведь они настолько индивидуальны, что можно выделить множество причин возникновения таких патологий.
Но есть несколько самых распространенных:
- генетическая предрасположенность;
- аномалии внутриутробного развития опорно-двигательного аппарата;
- воспалительные заболевания суставов или связок;
- лишний вес;
- регулярные повышенные нагрузки на ноги;
- неудобная обувь;
- слабость мышечно-связочного аппарата стопы;
- возрастные изменения в костной и соединительной ткани;
- эндокринные заболевания;
- последствия переломов пяточной, таранной, ладьевидной, клиновидной костей или других травм;
- нарушение обменных процессов в организме, например, рахит или недостаток кальция;
- полиомиелит, детский церебральный паралич.
В группе риска по появлению таких деформаций находятся люди с врожденными патологиями костно-мышечной системы, заболеваниями суставов и костей. Подвержены им также спортсмены, артисты балета и люди, чья работа связана с постоянным пребыванием на ногах или с переносом тяжестей. Уязвимы стопы к изменению формы у стариков и маленьких детей. А у взрослых людей деформация бывает в основном посттравматическая или же появляется при ношении узкой неудобной обуви и высоких каблуков.
Как проявляется
В большинстве случаев деформация стопы имеет явные симптомы, ее можно определить при внешнем осмотре. Но так как эта часть скелета человека активно участвует в передвижении, изменение ее формы всегда отражается на самочувствии и состоянии опорно-двигательного аппарата.
Кроме внешнего косметического дефекта, различные деформации стопы могут иметь одинаковые признаки:
- болевые ощущения в стопах, области голеностопного сустава, коленях и позвоночнике;
- повышенная утомляемость ног;
- нарушение походки;
- из-за неправильного распределения нагрузки развивается нарушение осанки, изменение формы ног;
- появляются мозоли, натоптыши.
Из-за того, что стопы постоянно участвуют в движении и выдерживают большие нагрузки, такие деформации постепенно прогрессируют. В результате могут развиваться осложнения: артроз суставов, бурсит, отеки, нарушение кровоснабжения стоп, искривление позвоночника.
Лечение
На начальных этапах лечение деформаций стопы возможно с помощью консервативных методов. Они назначаются после обследования и постановки диагноза. Выбор методов индивидуален и зависит от возраста пациента, особенностей организма, наличия сопутствующих патологий и степени тяжести деформации. Особенно эффективно лечение таких патологий в детском возрасте. Ведь все структуры стопы у ребенка пластичны, и при правильном подходе можно легко воздействовать на их формирование.
Но все равно исправление деформации – это длительный процесс. Для того недостаточно какого-то одного средства, обязательно комплексное лечение. Оно может включать такие методы:
- ношение специальной обуви или использование ортопедических стелек;
- применение вкладышей, межпальцевых разделителей, бандажей или шин для снижения нагрузки на стопу;
- лечебная физкультура;
- физиотерапевтические процедуры, например, грязевые ванночки, парафиновые аппликации, ударно-волновая терапия или электромиостимуляция;
- народные методы в виде расслабляющих ножных ванночек, компрессов и растирок;
- массаж стоп;
- хирургическая коррекция.
Врожденные патологии у детей, например, косолапость или эквинусная деформация стопы лечатся с помощью редрессации. Этот метод представляет собой поэтапное гипсование после ручного исправления дефекта. Применяется он на первом году жизни малыша, пока кости у него еще пластичные. А после того, как ребенок начинает ходить, к лечению подключаются специальные упражнения, физиопроцедуры, ношение ортопедической обуви.
У взрослых терапия таких патологий имеет некоторые особенности. Только одним массажем и гимнастикой уже исправить деформацию невозможно. Но применяются все эти методы в комплексе для того, чтобы остановить прогрессирование патологии и снять болезненные симптомы. Для того может применяться также медикаментозная терапия: таблетки или уколы анальгетиков, мази на основе НПВП.
При неэффективности консервативной терапии или в тяжелых случаях, когда деформация вызывает сильные боли, помочь может только операция. Это может быть остеотомия, артродез суставов, удаление участков костей или связок.
Профилактика
Для того чтобы стопы правильно выполняли свои функции, нужно соблюдать определенные правила. Особенно важна профилактика деформаций в детском возрасте. Необходимо укреплять мышечно-связочный аппарат ребенка. Для этого нужна регулярная гимнастика, массаж. Ребенок должен много двигаться, играть в подвижные игры. Полезно ходить босиком, но не по гладкому полу, а по неровным поверхностям. В домашних условиях для этого можно приобрести специальные массажные коврики.
Для предотвращения деформаций стоп очень важно также правильно подбирать обувь. Она должна быть по размеру, не узкой. Но на вырост детям ее покупать тоже не рекомендуется. Для здорового ребенка не обязательно приобретать ортопедическую обувь. Главное, чтобы она надежно фиксировалась на ноге застежками, имела эластичную подошву, мягкий верх и жесткий задник. Не помешает также наличие стельки с небольшим мягким супинатором.
Различные деформации стопы явление нередкое при современном образе жизни. Но дозированные физические нагрузки, укрепление мышечно-связочного аппарата, выбор правильной обуви и своевременное лечение всех патологий помогут сохранить их здоровье.
Стопа является важной частью опорно-двигательного аппарата, на которую приходится большая нагрузка. Вследствие этого, она чаще других подвергается травматическим повреждениям и деформации. Эквинусная установка стоп занимает второе место среди патологий нижних конечностей, легко распознается при внешнем осмотре ног. В данной статье пойдет речь о симптомах и лечении эквиноварусной деформации стопы у детей и взрослых.
О термине
Эквинус стопы — это искривление ступни со стойким подошвенным сгибанием, сопровождающееся поднятием ее переднего края, опущением наружного и отклонением пальцев кнутри (легко выявляется даже на фото).
В народе такую деформацию называют «конской стопой», «ногами балерины, гимнастки или любителя ходить на носочках».
Факторы развития «конской стопы»
Причин, по которым развивается заболевание — множество. Самые распространенные из них:
- нарушение обмена веществ в организме, в первую очередь, минерального обмена;
- развитие плоскостопия тяжелой степени;
- повышенная нагрузка на ступни у профессиональных спортсменов;
- патологии в эндокринных органах (сахарный диабет, гипопаратиреоз, гипотиреоз, гипертиреоз и другие);
- недостаточное поступление кальция в организм;
- гнойно-деструктивные заболевания ступней;
- врожденные или приобретенные заболевания опорно-двигательного аппарата;
- избыточная масса тела или ожирение;
- детский церебральный паралич (болезнь Литтла);
- травмы стоп или нижних конечностей (вывихи стоп, переломы голени);
- наследственность;
- отсутствие правильного лечения при травмах ступней;
- некомфортная и узкая обувь;
- инфекционное поражение нервной или костной системы (полиомиелит, энцефалит, остеомиелит);
- повреждение отдельных нервных волокон (седалищный нерв, малоберцовый нерв);
- нарушения мышечного тонуса;
- травмы шейного отдела позвоночника и развитие гипертонуса мышц стоп;
- нарушение функций мышц голени.
Деформация может быть врожденной (обусловленной генетически или развивающаяся из-за пороков опорно-двигательного аппарата) и приобретенной (при повышенных нагрузках на ступни у гимнасток, танцовщиц).
Клиническая характеристика
Заподозрить данное заболевание не представляет труда, поскольку оно имеет яркую клиническую симптоматику. Основные проявления:
наличие деформации и всех описанных изменений стопы;- ходьба преимущественно на носочках;
- отсутствие активного сгибания стопы;
- смещение ступней кнутри;
- поворот пальцев вовнутрь;
- иногда наблюдается «петушиная походка» (пациент высоко поднимает колено и неуверенно наступает на ногу);
- медленные движения нижними конечностями и изменение походки;
- боли в ногах, усиливающиеся после нагрузки;
- возможны частые падения, так как отсутствует устойчивость тела.
наличие деформации и всех описанных изменений стопы;Постепенно происходит перераспределение нагрузки на другие участки, что приводит к деформации позвоночника, изменению походки, развитию артрозов, искривления конечностей и атрофии мышц голени. Подобные негативные последствия представляют основные угрозы для здоровья человека.
Важно! В связи с возможностью развития тяжелых осложнений, при появлении первых симптомов деформации ступней, следует обратиться за медицинской помощью.
Диагностический поиск
При своевременном обращении к специалисту возможна коррекция патологии. Для постановки диагноза применяют следующие методы исследования:
- сбор жалоб и анамнеза заболевания, составление семейного древа для выяснения возможности генетического происхождения патологии. Также, доктору важно узнать, после каких событий появилась деформация, как давно это стало беспокоить пациента, какие меры коррекции он использовал;
- осмотр положения стопы, оценка объема движений в голеностопном суставе и специфики искривления нижней конечности;
- лабораторные исследования крови (необходимо оценить уровень гормонов щитовидной и паращитовидной желез, кальция, фосфора и витамина D);
- рентгенография стоп;
- определение плотности костей (денситометрия);
- компьютерная и магнитно-резонансная томография (покажет подробную картину анатомического состояния ступней и их костей).
После проведения всех исследований врач устанавливает клинический диагноз, имеющий свой код по МКБ 10 (М21), и назначает комплексное лечение.
Лечение
Терапия данной патологии требует много времени и комплексный подход, поэтому, важно не заниматься самолечением, а обратиться к специалисту при выявлении первых признаков деформации. Именно он обладает всеми необходимыми знаниями, чтобы профессионально оценить клинику заболевания и данные обследования.
Консервативная терапия включает в себя:
- коррекцию сопутствующих заболеваний внутренних органов;
- лечение основных патологий, вызвавших деформацию;
- лечебные физические упражнения, корректирующие форму стопы и укрепляющие мышцы (хождение на пятках, стояние с опорой на полной стопе, ходьба босиком по траве или неровной поверхности, ходьба на корточках и другие). ЛФК всегда должно проходить под контролем медицинского специалиста;
- физиолечение (магнитотерапия, лазеролечение, парафинотерапия, солевые ванны, электрофорез с кальцием, амплипульс);
- курсы массажа стоп для поддержания тонуса мышц;
- плавание в бассейне;
- ортопедическая обувь с корректорами для равномерного распределения нагрузки на стопу и обеспечения ее правильного положения.
коррекцию сопутствующих заболеваний внутренних органов;При тяжелых случаях используют введение лекарственных препаратов, которые блокируют нервно-мышечную проводимость икроножных мышц и снимают гипертонус. Также, применяют метод Понсети: связки стопы растягивают и придают им нужное положение при помощи гипсовых повязок. Меняют гипс каждые 7-8 дней. За 8 процедур удается окончательно выправить стопу. Методика эффективна только у детей до 8 лет.
Хирургическое лечение используют при сложных стойких деформациях и отсутствии эффекта от консервативной терапии. Проводят остеотомию (искусственный перелом кости) и накладывают аппарат Илизарова. Благодаря этому, удается исправить искривление и улучшить функцию опорно-двигательного аппарата.
Профилактические мероприятия
Предупредить развитие заболевания всегда намного легче, чем лечить его. Поэтому очень важно уделять внимание своему и детскому здоровью. Основные профилактические меры: ношение удобной обуви по размеру, рациональное и комплексное питание, активный образ жизни, лечить хронические заболевания и предупреждать рецидивы, следить за постановкой стоп у ребенка и вовремя проходить медицинские осмотры.
Заключение
Деформация стоп является серьезной патологией, приводящей не только к нарушению походки и искривлению позвоночника, но к инвалидизации и потери трудоспособности в будущем. Патологические изменения, в конечном итоге, затрагивают нервную и сердечно-сосудистую систему. Поэтому, даже при легкой степени выраженности симптомов, стоит обратиться в больницу для получения комплексного лечения.
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ter+that+there+had+been+2+even+more+men+which+had+died+additionally+from+relapse.+I+became+sick.+These+people+had+been+my+children.+Not+to+ever+even+after+that+we+%3Ca+href%3D%22https%3A%2F%2Fwww.smartrecovery.org%2Flife-after-relapse-how-to-bounce-back-and-start-over%2F%22+rel%3D%22dofollow%22%3Erelapsed%3C%2Fa%3E.+I+became+therefore+angry+at+myself.+The+major+question+today+ended+up+being+%22what+and+in+which+now%3F%22+We+refused+anymore+rehab+because+of+the+expense+plus+it+didn%27t+appear+to+benefit+myself. 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