valgus deformation of foot in children

Even a slight change of the motion of the child, his complaints of pain and fatigue in legs – the reason to go to the podiatrist.

hallux valgus in children

The fact that these symptoms are the initial signs of the development of hallux valgus feet in children – a disease that negatively affects gait and posture, can bring serious consequences.

Therefore, the pathology must be identified using modern diagnostic tools and treatment. Correction of the pathology, to perform special exercises therapeutic, massage, the use of special fixing means.

In particularly severe cases, when conservative therapeutic methods do not give good results, applied at the surgery.

Concept and characteristics

In hallux valgus the foot of the child, you notice these deviations as the change of position of the heel and the toes when they bend, and as we see from the outside.

The average of the part of the foot that is lowered, making the position of the foot becomes non-physiological. Notes and curvature of the legs. When a child tries to bring the knees together, the inner sides of the ankles are in big enough distance from each other (4-5 cm)

Valgus curvature of the foot occurs as a result of the deformation processes that occur in the knee joints, and is accompanied by flatfoot.

This problem, it is easy to notice, if we look at the baby legs. In this state, is curved X-shape in the same way. This pathology in the majority of cases it is congenital.

Have smaller children diseases of the musculoskeletal system is still poorly developed, so that this problem appears often.

However, in many cases in 4-5 years, child legs are aligned on its own, without any treatment, and the progress of the child is normalized.

If 5 years have not yet occurred, the child needs a special treatment, since valgus may lead to the gradual development of the deformity of the knee and then hip joints, which in turn involves a curvature of the spine, the deformation of the vertebrae.

And at the foot of produce deformation processes are irreversible.


Concept and characteristics

Paradoxically, however, in some cases, the formation of feet valgus in the child, help the parents.

In particular, to ensure that the baby took his first steps at the earliest possible age, parents used to put it on the legs, the teaching of the skill of walking.

Thus, diseases of the musculoskeletal system of the child is not always prepared for this kind of high load. As a result, the development processes of deformation. That is to say, the baby must take the first steps in this age, when your body is ready for it (10-12 months).

Among other reasons, for the formation of valgus of the foot include:

  • the genetic predisposition;
  • muscle weakness;
  • diseases endocrine the nature.
  • trauma sustained during childbirth (for example, hip dislocation);
  • the use of the wrong shoes, which is not able to solve the unemployment in the physiological position;
  • the lack of physical activity;
  • the diseases that lead to deformation and destruction of cartilage and bone tissues.

PLANO-valgus shape

If the symptoms valgus of the foot is added, and this feature, as the omission of the arch when the foot looks completely smooth, without protuberances and concavities, it is possible to speak of a form of diseases such as PLANO-valgus deformity of the foot.

The stop looks more dense and heavy, thick. This phenomenon is more common among children of younger and school age.

As inherited brachidactyly the child? Learn from our article.

Signs and symptoms

The pathology can be recognized, calling attention to the following signs and symptoms:

  1. When a child is in an upright position (standing or walking), it is possible to notice the specific curvature of the legs of the baby. That is to say, her knees closely in contact with each other, with the ankles widely separated in the direction.
  2. Ankles are not closed, even if the child puts one knee over the other.
  3. If the child is on a solid surface, your heel how to travel in directions different from each other.
  4. Note the child's shoes. The inner part is quickly trampled down, while the foreign remains unchanged.
  5. The child develops flat feet, the arch of the foot drops when walking the floor.
  6. Child complains of pain in leg, fatigue.

Complications and consequences

In the absence of timely treatment of feet valgus in a child can escalate into much more serious problems with the musculoskeletal system.

In particular, when unemployment increases the valgus load on the knee, resulting in its deformation and destruction.

With the time similar processes occur in the area of the joints. The progress of the child is disturbed to a significant degree.

Increases the load on the spine is bending, the destruction of the vertebrae. And this, in turn, leads to an important limitation of the child.

PLANO-valgus shape


To solve the problem can be conservative or surgical. The surgery is used only in exceptional cases, when other methods do not give expected effect.

Conservative treatment will include physical therapy, special massage, the use of shoes for orthopedic or templates. Well, if these therapies are used in combination.

How to do gymnastics?

The child, who suffers from valgus of the feet, you need to move a lot.

In addition to more conventional restorative exercises you should do each day and the complex is especially designed to fit the shape of the foot.

So to help you in these exercises such as:

  1. Walk, leaning on the outer side of the foot.
  2. Squat without lifting feet from the floor.
  3. Walking on the relief of the surface (if it is possible, the child can walk barefoot on the earth, sand, gravel). At home, in a large container to pour the sand or groats, that the child has been walking for a couple of minutes.
  4. In the tub pour a small amount of hot water (comfortable to the body) at the bottom of the bath put a rubber massage pad. The child has to walk for 5-10 minutes.
  5. The child can pick up fingers small items scattered on the floor.
  6. From the sitting position, the child rolls over the foot (with the foot) to a small ball. Well, if its surface is embossed, in this case, there is still the effect of the massage.

Massage techniques

The massage is an effective way of correction of the valgus of the feet. It is necessary to put the child on a hard surface (changing table or a massage), under your knees enclose a soft pillow.

The massage begins with the lumbar region. For the study used stroking, rubbing, kneading and movement, and Caress with the fingers.

After this, go to the buttocks and legs. Special attention should be given to the posterior part of the leg. Here the movement can be more intense.

Next, work on the inside of the edge of the foot.

There is rubbing, pressing movements.

Massage movements should not cause the child pain and discomfort, therefore, to carry out the procedure with utmost care. Best of all, if we trust this task to a specialist.

Massage and gymnastics to tv-lingual environment of the stop in this video:

Footwear orthopedic and templates

For the success of the correction of the valgus of the foot, you must bring special shoes that have stiff heel counter, instep. The shoes should give the foot in the correct position, and securely close it while walking.

The shoes should fit the foot size of the child, to be made of quality material, not rubbing the skin, allowing the legs to breathe.

These shoes costs a bit more than usual, but its use is a prerequisite for the success of the treatment.

Orthotics also help to establish the correct position of the foot during walking. The template should be chosen in accordance with the individual characteristics of the foot, the stage of development of the disease.

Indications for surgery

In some cases, the child suffers from valgus of the feet, prescribe a surgical treatment. Indications for surgery include factors such as:

  • the absence of the expected result of using conservative therapeutic methods.
  • the rapid progression of the disease, the appearance of irreversible processes;
  • the presence of different disorders that cause the child considerable discomfort and pain.


To avoid the development of the disease it is necessary to observe some simple rules:

  1. The load on the baby's legs should be measured and timely. In particular, it is impossible to put the baby on the legs, if it has not reached 8 months of age. However, the limit on child physical activity is not worthwhile. 8-9 months baby benefit from regular moderate exercise.
  2. You must choose the right shoes. She should have a firm heel counter that secures the foot, the instep, heels small.
  3. It is important to monitor the general health of the child, strengthen the immune system, to take measures to prevent the development of rickets (the sun, the supplementation of vitamin D).
  4. Gymnastics, massage as a preventative measure.

When the first symptoms foot valgus, it is urgent to show the child to the doctor, because this disease has a tendency to progression.

If it is not, the situation will worsen, causing the development of more serious problems. The doctor will assess the condition of the springs will have to select the appropriate methods of treatment.

In the majority of cases the use of conservative therapies to surgical intervention is rarely, only in very severe and neglected cases.

How to do gymnastics