Massage therapy for clubfoot, rehabilitation therapy for valgus

There are many clubs of clubfoot, and the incidence rate of people with a family history of clubfoot is 30 times that of normal people. Clubfoot clubfoot can be combined with other congenital malformations, such as developmental defects of the nervous system, urinary and digestive malformations, and other musculoskeletal malformations. Clubfoot without ** can lead to severe disability, and the ** on the outside of the dorsum of the foot becomes a weight-bearing area, forming calluses and thick calluses, making it difficult to walk.

Patients with foot varus can use some non-surgical, non-incisive, and non-scar correction methods.

Pediatric foot valgus is one of the most common deformities of the foot. It is usually caused by abnormal development of tendons in the feet. At the same time, it is accompanied by flat feet, scaphoid collapse, etc.

Some foot valgus can also cause ankle and knee valgus and other deformities. The earlier it is found, the sooner it is found, the better the long-term efficacy. There are generally conservative and surgical.

Generally take the conservative** first. Conservative**, by massaging the tendons and other soft tissues to reduce and then fix with bandages, if conservative** is ineffective, then consider surgery**. It is advisable to take your child to a specialist children's hospital for a check-up.

It is better to do it as soon as possible** after diagnosis.

Your baby has congenital clubfoot and should have early repentance. Manual correction is performed within a month, i.e., the forefoot varus is corrected to the normal position as much as possible. The baby should go to the hospital immediately after the full moon, you can go to the nearest orthopedic hospital, or you can go to Beijing Children's Yuantong Hospital to remember**.

The specific method is: first the round chain is undergoing a series of plaster corrections, about a month or so, then surgery ** to solve the Achilles tendon problem, and finally wear an orthopedic brace.

**The results are mostly satisfactory.

Chen Aimin, Harbin Children's Hospital.

Foot varus** (Ponsetti method).

This method works best for children who start within 9 months of age, preferably shortly after birth.

For children between 9 and 28 months, this method is still effective and can correct all or most of the deformities.

After 28 months, the Ponseti method is still effective, but most children will need surgery at the same time**.

1.Manipulation**—After several weeks of manipulation**, the bones of the foot are restored to a near-normal position, and the deformity of the foot is gradually corrected.

2.Cast – After each manipulation**, the foot and lower leg are cast and left in place for 5-7 days to maintain the position of the foot.

3.Repeat steps 1 and 2 until the foot is corrected to the correct position.

4.To completely orthopedize the foot, doctors usually cut the Achilles tendon. This minor procedure is performed under local anesthesia and takes only 10 minutes.

If the patient suffers from the inversion of the foot, the younger the patient, the better the correction. If the patient is a child or adolescent, it can be corrected with a brace for a long time, or it can be corrected by walking in a straight line. Walking in a straight line is when the patient draws a straight line on the ground, with the feet parallel to the straight line and spanning both sides of the line, and then walks in a straight line several times a day, which changes the symptoms of varus deformity after a period of time.

If you are an adult, you may also be considered for a wedge-shaped osteotomy.

1.From the moment of birth, the sooner**, the better the results. **Methods vary depending on age and degree of deformity.

2.Manual correction method: generally suitable for those within 6 months or mild.

Start from birth, and the sooner the better. The physician teaches the mother or the child to correct the anterior adduction of the foot, then the inversion of the subtalar joint, and then the plantar flexion of the ankle. The technique should be gentle so as not to damage the epiphysis.

Hold each correction position for 10 seconds, 10-15 minutes each time. The daily calculation is generally recommended before feeding. 3.

Plaster tube external fixation correction: suitable for 3 months to 1 year old to replace every 2 to 3 months. 4.

Surgery**, suitable for those who are more than 6 months old and cannot be corrected by manipulation. The procedure varies depending on age. (1) Medial posterior soft tissue release of the foot, suitable for children aged 6 months to 6 years.

2) Lateral column shortening of the foot, suitable for children over 3 years old with severe deformity, at the same time as the medial and posterior soft tissue release of the foot, calcaneal dice or calcaneal wedge resection, or lateral calcaneal wedge osteotomy. (3) Triple arthrodesis, suitable for patients over 12 years old with severe deformity.

The ** of congenital clubfoot is still not clear so far, and most scholars believe that it is caused by abnormal development caused by internal and external factors in the early embryonic stage; It can also be related to the fetus being misplaced in the womb. But in any case, although it is not very clear, there is a means of it, and if it is timely, the effect is also good.

It is recommended to go to a big city like Beijing, Shanghai and Guangzhou. For example, take a look at Liming Hospital in Chaoyang District, Beijing. Specifically, it is still necessary to confirm the diagnosis. They are designated hospitals by the national medical insurance and specialize in foot and ankle diseases.