What is the horse’s foot: causes, treatment and vosstavlenie
The treatment and recovery of foot paresis
Paresis of the foot or as it is called horse-foot defect of the foot characterized by absence or restriction of joint mobility due to pathological changes in soft tissues associated with it (paralysis, spasm, etc.).
In the simplest cases, there is difficulty in moving the affected joint, in more complex situations, the foot is frozen in a certain position.
It can turn inward or outward, which will greatly interfere with walking.
Partially compensate for these defects by using special inserts in the shoes, but for the patient it would be better if the treatment of paresis of the foot to restore the functions of the legs in full.
Where lie the causes of disease?
The appearance of the disease is often associated with the occurrence of precipitating factors such as trauma to the feet, diseases of the Central nervous system complications of the extremities and its inherent defects.
Pathology may occur due to deformities of the other joints of the feet, including congenital.
Among the most known reasons why you may receive the horse’s foot are the following:
- prolonged immobility, e.g., trauma or stroke;
- damage to the anterior group of leg muscles and their tendons;
- fractures of the bones forming the ankle joint, especially when improper splicing;
- inflammatory processes of the soft tissues of the leg (e.g., Cellulitis).
Sometimes there are cases when the disease appears due to incorrect use of plaster casts, especially if the patient has to wear them long term.
Varieties of the disease
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In addition to the division into congenital and acquired the shape of a horse’s foot, disease share symptoms and, most importantly, how they are caused.
So, among the most famous causes paresis of the foot include:
- Infectious diseases affecting the nervous system such as polio. The result can be paralyzed muscles of the tibia on its anterior surface. In this form of paresis, the patient is almost certainly doomed to disability.
- Damage to the Central nervous system, for example, congenital cerebral palsy, which causes excessive tone calf muscles. This kind of diseases are trying to eliminate through massage and gymnastics.
- Benign tumors in the parts of the foot joint, limiting his mobility due to swelling.
Whatever the causes, it is considered that at preservation of disease-provocateurs, the disease can progress and be new symptoms or worsen existing.
The first symptoms
To determine the presence of paresis of the foot in a patient without the diagnostic equipment in their appearance and related symptoms.
So, in most cases, say:
- the man begins to walk as if at your fingertips;
- the foot can bend more than 90%.
Often the syndrome of the horse’s foot is found in people with diseases of the spine or knee joints, because they force them to lead a sedentary lifestyle, if not almost all the time to lie still.
Externally, the symptoms vary in degree of manifestation.
You may experience a little heel lift off the floor with a weak degree of damage, either the patient can stand on the area of the metatarsophalangeal joints, and then on the back side of the foot.
With the development of the disease the symptoms can replace each other, becoming more expressive. The patient may completely lose the ability to walk independently.
In the process of diagnosing diseases of the joints widely used methods such as x-rays and magnetic resonance imaging.
The pictures give an idea of what is going on inside the body, where is the «center» of deformation if there are injuries, etc.
Still use this method of diagnosis as electromyography.
He is to study the bioelectric activity of muscles, neuromuscular transmission. Such information can serve as a basis for diagnosis and subsequent treatment.
In particularly difficult cases can assign the opening of the cavity of the joints. This procedure is called arthroscopy. In this case, the surgeon is able to accurately consider all the examined organs, to study the real condition of the tissues, etc.
It is prescribed mainly in the fractures, sprain of ligaments, cartilage, allowing you to combine the diagnosis of this disease with treatment of consequences of injuries.
Before determining how to treat paresis of the foot doctors previously perform the General tests for identifying triggers and preventing the healing factors.
After all, before you remove the defect is to get rid of associated ailments that could lead to its re-manifestation.
Among the methods of treatment of a horse foot, it is worth noting three areas:
- traditional medicine.
Correction of conservative methods
Thus, in the first case, the popular casts, which gradually move the foot into the correct position. But to use this method, there is one important condition – the foot should easily return to its original position by manual correction.
Use physiotherapy to reduce muscle tone and to correct the position of the foot, until the complete deliverance from disease.
Surgery is an extreme method
If no effect you can resort to surgical intervention, for example, transplanted muscle groups from other areas of the feet where they are functioning normally.
But this method also has its limitations, so, after this surgery the patient will have to wear only orthopedic shoes.
The treatment of paresis of the foot folk remedies offers to use mud, hydrogen sulfide and radon baths.
But it is only able to help in achieving the therapeutic effect, and the basis in the treatment process, it is better to take one of the conservative ways.
Types of complications
If untreated, the horse’s foot are prone to develop strain.
It is especially important to monitor the condition of the joint of the paralytic form of the disease.
At first, to return the foot to its original position only a small effort, but over time, without fixation in the right position to do it will be much harder. Until full ossification of the foot in the wrong position.
If you already have a stable deformation, should as soon as possible to determine which reason caused this effect. It could be a muscle spasm, changes in bag-ligamentous apparatus of the foot, etc.
With timely elimination of this cause still may be able to restore motor function of the patient’s legs.
The paralytic form most importantly, time to properly secure the foot in a normal condition, so as not to disfigure the person. For this purpose, various devices and orthopedic shoes.
How to prevent disease?
Paresis of the foot refers to the disease (excluding congenital forms) and the consequences of the recovery which are harder than preventing them through various preventive measures.
To prevent disease, especially after severe injuries or operations, when the patient had a long time to lie still, often resort to charging for the feet.
The most popular the following exercises:
- Lie down on your stomach. Bend the leg at 90 degrees, perform flexion, the stretch of the foot by hand.
- In the sitting position over the foot elastic bandage, pull, maintaining taut to 2 minutes. To perform separately for each foot.
- To do the rotational movement left and right. Special stress on the rotation it is recommended to do inside of the foot.
- Sitting position for flexion and extension of the foot, to keep his toe high in amplitude.
If the patient is not yet able to move independently, exercises to stop conducting massage therapists and relatives.
There are special models of equipment available in specialized centers, which can be sent to the patient for rehabilitation after illness.
Exercises are usually prescribed only for those who have symptoms of paresis minor and is sufficient to restore mobility.
For advanced cases, such as when the foot is already turned inside out, before you have to resort to surgery.
To avoid such diseases as a horse stop you (apart from cases of paralysis), but for this we need to put a lot of effort. A special role is often given to the relatives or attendants of the hospital where the patient is recumbent.
In the absence of proper care, the defect may develop even without any provoking factors.