Causes and treatment of hollow foot: exercises, insoles and other methods
Hollow foot — reverse side flat feet
In the human body the foot is the most important mechanism of the musculoskeletal system.
This is a complex anatomical education, which consists of a large number of elements, which includes the bones, muscles, and tendons.
Unique mechanism operates as a single unit. Thus enabling one to move, leaning on the ground. When this complex occurs pathology, the mechanism of standing and movement is disturbed.
There is a redistribution of the load when walking, causing feet quickly get tired, heavy and sick.
Hollow foot is changing form in which there is a pathological increase of the arch. At its core, this pathology is the opposite of flat feet when the arch is lowered and flattened.
When walking the prop you have on the heel and toes. And the middle part of the foot carries no load and hangs over the surface like the «bridge».
Over time heel takes place inside and there is a serious deformity of the limb.
People with this development of the disease can completely lose the ability to travel.
The causes of pathology
The reasons for which occurs hollow foot are not fully understood.
At the same time many years of therapeutic practice allows you to list some of the factors that can trigger the development of this disease:
- In the first place should be called the pathology of the neuromuscular system. It is cerebral palsy, poliomyelitis, degeneration, tumor of the spinal cord.
- Inaccurately fused calcaneal or talus fracture can lead to pathological deformity of the foot.
The foot can change its shape and after a severe burn.
- There are cases when this process does not bother the patient, but is the first sign of disease of the spinal cord.
Approximately a fifth of the total number of pathologies the cause of the disease can not be identified. This fact does not influence tactics of treatment and procedures. The choice is made depending on the phase of development of the disease.
Two stages of the disease
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The deformity develops gradually, and experts distinguish in this process two stages.
At the first stage, the morphological changes of soft tissues. When the foot is bent by the deformation of the muscles, ligaments, skin, these changes are easy to fix.
Enough to provide pressure on the head I metatarsal bone.
Have younger children hollow foot difficult to detect due to the fact that the clinical picture of the disease are mild.
But if this is not done, then the deformation proceeds in steady phase. And this has serious consequences for health.
As the disease manifests itself?
The first signs of the emergence and development of the diseases that a person begins to get tired when walking. After passing the usual distance from home to work and back, he having pain in ankle.
There are painful corns, calluses on the pinky and the base of the thumb. There is a clear, claw deformity of the toes.
Old, well-worn shoes starting to feel not comfortable and uncomfortable. While there are difficulties in choosing and buying new shoes.
Diagnosis — the first step to recovery
In order to make an accurate diagnosis, using several techniques. First of all, is a visual inspection of the foot.
Plantography is the main method
The simplest and time-tested is a method of plantography. Its essence is to ensure that the special paper it is printed trail stops. And already in the form of a print is determined by the presence of the disease and the degree of its development.
If the resulting image is clearly visible imprint of the heel and fingers, and between them an empty space, then this is a clear sign of a hollow foot.
In the case where the method of plantography does not give a clear picture for an accurate diagnosis, the patient is sent for x-ray examination.
The obtained images it is possible to make an accurate conclusion about the nature of the disease and prescribe appropriate treatment. Medical practice shows that in the diagnosis of the patient to be sent for consultation to the neurologist.
The specialist assigns a detailed neurological examination.
This is because that the hollow foot can be a symptom of diseases of the spine.
With the help of modern equipment, when examining feet, it is possible to detect the disease of the neuromuscular apparatus. If the deformity is detected for the first time in adulthood, the patient should be referred to a oncologist.
It can be a symptom of spinal tumors. Examination using magnetic resonance imaging allows evaluation of the overall condition of the body and to identify a disease in its infancy.
Treatment depends on the degree of neglect pathology
Specific treatment of the hollow of the foot is assigned depending on certain circumstances:
- first thing to consider is the reason of occurrence and development of disease;
- the second point which affects the tactics of treatment, age of the patient;
- and the third important factor – the magnification of the arch of the foot.
The totality of the factors involves the use of a non-surgical or conservative method of treatment.
To correct pathology of the child, when hollow foot is still not fixed, used physiotherapy, massage, special exercises and special insoles.
The main goal of conservative treatment is to strengthen the musculoskeletal components of the foot arch. Good results are achieved by the joint use of therapeutic exercises, and orthopedic shoes.
Physical therapy — the cornerstone
A complex of special physical exercises and physiological procedures selected on the recommendation of the attending physician. Warm baths, paraffin baths and simultaneous manual correction of the deformation of the lead foot back to normal.
The choice of shoes
For women it is very important to pick a comfortable shoes. From high heels to refuse. Preference should be given low heel and a wide platform that helps to secure the foot in the correct position.
Choose orthopedic shoes necessary under the supervision of a doctor. Shoes or boots should be high top and wide sole.
And as to have a raised inner edge. In order to support the arch of the foot orthoses used. So-called special insoles which are made to order.
Well help brace. They dress like socks and provide stabilization of the ankle and foot.
Calluses and corns, which usually accompany the disease, have either cut or put under special pads to redistribute the load on the foot.
The main objective in this case is to remove the painful sensations when walking and to stop further disease development. It brings a positive effect to patients at an early age and those who did not suffer neurological diseases.
Surgery, as a last resort
If a positive result after all conservative treatments and activities is not observed, then treatment is necessary to use surgical intervention.
This method of treatment is used in the case when the cause of the hollow of the foot has served as a neurological disease.
Surgical treatment includes:
- fusion – creating a fixed joint;
- osteotomy – the incision of the bone to give it the right shape;
- transplantation of tendons;
- the tearing of the plantar fascia.
In practice, often use several methods simultaneously.
Need to know what hollow foot has the ability to be transmitted from parents to offspring. In everyday life, when the disease does not develop, it is called high vsem.
In medicine, a high arched vault. But these facts may not lead to disease. Special attention to the foot need to be if people at an early age he contracted polio.
At any age, the person who notices the signs of a hollow foot, it is necessary to carefully select shoes. It should not be tight or too free.
Gentle exercise and regular hygiene procedures contribute to the healthy condition of the feet in General, and feet in particular.