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Flat feet (orthopedics), flat feet is mainly a foot pain caused by the collapse of the longitudinal arch of the foot or the loss of elasticity due to abnormal foot bone morphology, muscle atrophy, ligament contracture or chronic strain, also known as flat feet.
It is the initial stage, there is no abnormality in the appearance of the arch of the foot, but the foot fatigue and pain after walking and exertion, the pain in the lateral ankle of the calf, the swelling in the center of the plantar and the instep of the foot, the swelling and tenderness at the scaphoid tuberosity are obvious, the local ** can be red, and the inversion of foot activity is slightly limited. When standing, the foot is flattened and the foot is valgus. Signs and symptoms may disappear with rest.
2.Spastic flat foot:
It is more common in young adults, and is partly developed by improper management of postural flat feet. It is mainly severe pain when standing or walking, and it can be in a figure-eight posture. The peroneal longus muscle is tonic, and foot inward, valgus, and abduction are limited.
The heel widens, the plantar valgus, the Achilles tendon deviates outward, the forefoot abducts, and the scaphoid tuberosity collapses completely, protruding inward. In severe cases, stiff feet. Immobilized in valgus, abduction, and dorsal extension positions, with markedly limited mobility.
Even after a long period of rest, symptoms do not improve. Some patients may have low back pain and hip and knee joint pain secondarily.
1. Surgery**. It is not very common, there is a certain risk of surgery, and it is best to go to a large hospital to find an experienced foot and ankle surgeon. Surgical correction is mainly for patients with severe congenital disease to improve quality of life.
2. Orthopedic shoes. The function of flat-foot orthopedic shoes is to correct the position of the gravity line, which is to make the gravity line deviate from the arch of the foot and reduce the pressure on the arch of the foot. The requirement is that the inner thickness side of the sole is slightly higher than the outer side, so that the outer side of the foot is more stressed and the pressure of the inner longitudinal arch is reduced.
In recent years, the sole of negative heels is high in the front and low in the back, and on this basis, the gravity line is moved back to move the gravity line to the heel with the strongest weight-bearing capacity, which can minimize the pressure on the arch, and negative heels are more common in the United States. 3. Arch pads. The questioning party believes that the arch pad will increase the force of the plantar aponeurosis, and the plantar aponeurosis is an important part of the arch of the foot (equivalent to the role of the bowstring), and many people feel pain in the soles of the feet when they use the arch pads, that is, the plantar aponeurosis has been unreasonably stretched, and the relaxation of the plantar aponeurosis will aggravate the flat feet.
Principles of medication. 1.For most patients, no drugs are required, and the main exercises are for internal and external muscle function exercises; 2.
For a small number of patients who require surgery**, antibiotics should be used postoperatively to support symptoms**, and different antibiotics may be selected depending on the specific situation. Blood transfusion or human albumin if necessary.
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Flat feet refer to the lowering or disappearance of the longitudinal arch of the foot, valgus deformity, collapse of the arch of the foot when standing, the inner edge is close to the ground, and the measured foot is larger from the arch and transverse arch than the normal human angle. Flat feet are defined when the body of the footprint exceeds the standard line (the line from the heel to the midpoint of the third toe of the foot).
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After the child learns to walk, parents should choose the right shoes for the child to wear, otherwise it will affect the child's correct walking posture and may also cause the child to have flat feet. Many mothers can't tell the difference between flat feet, flat feet, and normal feet. The following is a detailed introduction to the difference between flat feet and normal feet**, what is the difference between flat feet and flat feet.
The differences between flat feet and normal feet are as follows:
1. The shape of the foot is different, flat foot has no arch, or the arch has collapsed, while normal foot has arch, flat foot looks flatter than normal foot, there are some protrusions on the dorsum of the foot, which is flatter than normal foot, the forefoot is wider than normal foot, and there may be some bony bulge on the inner side of the arch. Normal feet have normal arches, which cushion and maintain stability when walking.
2. Functional differences, flat feet have pain when walking or running, and the foot cushion is small, the impact force is large, which may cause injury, and will also cause a decrease in exercise ability.
There is no difference between flat feet and flat feet, flat feet are flat feet, also called flat feet, the middle position of the bottom of the foot is level with the heel, and when standing, the middle of the foot is also on the ground. There are many ways to correct flat feet in children, and parents should choose according to the child's situation, and follow the doctor's instructions.
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Flat feet on one foot, if there is no motor and walking dysfunction, it is not easy to correct, if the function is severely affected, or if the pain is severe, surgery may be considered**.
In this case, flat feet are generally the case, you can eat a light diet to strengthen nutrition, properly supplement calcium, pay attention to rest, and avoid strenuous activity and fatigue. You can see the orthopedic surgery department of a local general hospital for examination, and if necessary, you can use flat foot corrective shoes.
Arch collapse can cause structural changes in the following feet: Achilles tendon contracture: After the medial longitudinal arch collapses, the torque of the Achilles tendon acting on the ankle joint decreases, and the traction of the Achilles tendon cannot be effectively transmitted to the forefoot through the hard arch, and the Achilles tendon needs to become shorter, tighter, and stronger in order to push the body forward and lift the heel;
Relaxation of the midfoot. As a result, the middle tarsal joint cannot be locked;
Forefoot displacement: after the medial longitudinal arch collapses, the metatarsal flexes, the calcaneus subluxes posteriorly, and the anterior calcaneal tuberosity no longer supports the talus head. To accommodate this position, both the forefoot and midfoot are displaced dorsally and laterally around the talus. abduction of the forefoot, shortening of the lateral column of the foot;
The stress of the posterior tibial tendon increases, and the posterior tibial tendon strain is prone to occur. In severe cases, there may be damage to the medial ligament of the foot;
supination of the subtalar joint, calcaneus valgus;
The instability of the midfoot causes the subtalar and talacaphoid joints to remain in an abnormal position for a long time, and over time, these joints degenerate and become fixed deformities. This puts more stress on the ankle joint, which eventually leads to degeneration of the ankle joint.
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Flat feet are divided into "congenital flat feet" and "acquired flat feet", congenital flat feet are almost difficult to change, and acquired feet are better than congenital feet. <>
The first reason for the formation of flat feet: heredity, both parents or one of the parents can inherit the phenomenon of flat feet to their children, but most parents do not have this awareness, they may not even know that they have flat feet.
Reason 2: Standing or walking for a long time, running, excessive exercise, or some unreasonable training, or causing excessive fatigue and damage to ligaments and muscles, so that the arch of the foot collapses, so it forms flat feet, most adults are athletes or dancers or some people who do manual labor, they exercise more than the human body can withstand because of long-term weight-bearing.
The third reason is that children wear smaller shoes for a long time in childhood or traumatic impacts, etc., so that the feet are not well developed and protected, so that the feet are squeezed and other injuries, and the development of muscles and ligaments that affect the arch of the foot is blocked, or the ligament injury caused by injury, or the foot diseases such as hind foot joint injuries will make children suffer from flat feet in childhood, so parents with children must spend more energy on their children, and it is possible that a little mistake can bring them a lifetime of shortcomings. <>
Reason 4: If you don't like to exercise since you were a child and lack of exercise in your own body, or you have a disease and stay in bed for a long time, your foot muscles will not be effectively exercised, and muscle atrophy and ligament relaxation will occur, so both children and adults should exercise more in order to have a good body. <>
Reason 5: Congenital skeletal or ligamentous muscle dysplasia, talus sagging, or bones that are not connected to each other, as well as insufficient nutrition since childhood, long-term lack of vitamins or calcium needed by the human body will also form flat feet, so parents must give their children more adequate nutrition in childhood, so that children have a good body. <>
No matter what the cause of the formation of flat feet, it can be effectively improved and possible, so if you accidentally suffer from flat feet, you must not worry too much, go to the hospital in time to accept, especially in childhood, parents must take relevant measures as soon as possible, because the child is still developing, the better the effect will be in time.
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It may have a lot to do with genetics, and some trauma can also cause this disease. Yes, medicine is still very developed now, and the effect is also very obvious.
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It may be that it is not appropriate to wear shoes when you are young, which is why such flat feet are formed. No**.
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It may also be caused by genes or acquired walking habits, this kind of flat feet is not good, but it can have a slowing effect.
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Flat feet have to stand to see, if there is no arch height in the position of the center of the foot standing, or the height is particularly low, it may be flat feet, you have to pay attention to reduce pressure, you can not stand for a long time, you can not walk a long way, you can try the positive P type negative heel shoes to reduce the pressure, the negative heel shoes are high in the front and low in the back, the P type can force the heel and the outside of the foot to walk, effectively reduce the pressure on the forefoot, there is a simulation test, find a two-centimeter thick book, step on the forefoot foot, and step on the ground with the heel, this is a simulation of negative heels, you try to feel the pressure reduced, Just wear P-shaped negative heels, this is the content of the university textbook, pay attention to the invention patent.
Flat-soled feet are the collapse of the arches of the feet, which causes the nerves and blood vessels on the soles of the feet to be compressed when walking, so fatigue occurs after walking and standing for a long time. At least, you have to go to the army, you have to walk several kilometers to get rid of your legs, and people with flat feet can't bear it, so people with flat feet can't join the army.
Flat feet are mostly genetic.
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