Many young men are trying to develop flat feet so as not to go into the ranks of the army on conscription. The disease consists in flattening of the leg due to the loss of the natural shape of the foot. The disorder causes a large number of inconveniences from severe pain in the leg to dysfunction of the spine. Conscripts with such a diagnosis are unfit for service.

The natural placement of the foot is marked by a transverse, longitudinal arch. Both types of sole placement cope with a number of important functions of stabilizing balance, minimizing shaking at the time of human movement. Pathology develops against the background of weakening of muscle structures. As a result, the spring function of the sole disappears. Most of the load is transferred to the joints of the legs, the spine. Over time, parts of the human body will fail, remind of themselves.

In practice, a person with flat feet is faced with undulating pains in the back and legs. A common disease leads to rapid fatigue when walking. Colic is localized in the foot, knees, hips. The lower back shoots, "aching" for a long time.

Pathology is associated with disorders in the human musculoskeletal system. Complications end with arthrosis, varicose veins. For these reasons, it is important to keep the ligaments, the muscles of the foot in good shape. Do not overload your legs unnecessarily. An effective remedy for relieving fatigue is baths with herbal solutions, concentrates. Wellness massage, exercise therapy for the feet will not interfere.

What form is contraindicated to serve in the army

It is possible to aggravate flat feet in order not to join the ranks of the army. Three degrees of the disease have different deviations from the optimal state. Pathology corrects the angle of the arch on the foot over time. In practice, a person does not have the ability to run and walk normally.

The foot acts as a biological shock absorber, focusing on increased loads. With dysfunction of the mechanism, vibrations are transmitted to the legs. Army regulations have clear criteria, standards for young military personnel in case of developing a flat foot. The main levels of the disease:

1. The disorder has barely noticeable characteristics, transformations. The pathological process has no influence on the life of a young man, a man. If you do not take therapeutic measures, the disease progresses rapidly. Chronic stages of the disease are difficult to eliminate. A longitudinal disorder develops as a result of a decrease in the arch of the foot to a level of 28 mm. The angle reaches 135º.
2. The arch of the foot has specific changes. The symptomatology of the disorder is represented by colic in the legs. In a sick person, gait is disturbed, problems develop with the choice, purchase of various shoes. The height indicator of the arch reaches 18 mm, and the angle - 145º.
3. Pathology appears frequently. Patients experience pain, increased fatigue when performing physical work. The height indicator is 17 mm, and the angle is ˃ 155º (characteristic in the picture).

People with flat feet are not suitable for military service. A large number of young men provoke the development of the disorder. After passing a medical examination in the commission of orthopedists, other doctors decide on the call of a recruit. In pathology, an x-ray is formed (at the time of loading on the foot). The procedure allows you to determine the degree of the disease according to the system of validity "B", "C", "D", "D". At the last stage, the state of neglect is determined by the following characteristics:

• pronounced pain syndrome;
• formation, progression of exostoses, contractures of the fingers (aggravation is visible visually);
• development of articular arthrosis in the middle part of the foot.

A person with flat feet group "D" - limited in movement. Patients are not drafted into the army. The decision is not affected by the development of a longitudinal or transverse form of pathology. During the military period, people are also not disturbed. Boys with a diagnosed disease of the 3rd degree belong to group "B". Patients have limited use, do not serve in peacetime. Categories 1 and 2 are not contraindications to the performance of civic duty.

What factors can aggravate flat feet

Flat feet is a serious disease that can lead to deformation of the foot, spine, and joints. In severe cases, patients develop arthrosis. Even under such circumstances, young people dream of making visible flat feet of the 3rd degree. Allows you to avoid being summoned! The main factors for the development of the disease:

• hereditary factors, if parents suffered from a disorder, then there is a high risk that children will face a dangerous problem;
• daily wearing of narrow, uncomfortable shoes, flat soles are not suitable for the foot;
• systematic load on the legs, primarily due to professional activity person;
• a high level of flexibility, the patient's joints become hypermobile;
• diagnosing rickets (an increase in the disease), the wrong approach to treatment only worsens the disorder;
• muscle structures, the lower leg become paralyzed due to poliomyelitis, cerebral palsy, earning complications is dangerous for human health;
• severe injury to the legs, directly to the foot.

In order for the pathology to develop, it is necessary to reduce the overall muscle tone. Choose a sedentary lifestyle strategy. The minimum level of physical activity over time will provoke problems of the musculoskeletal system. As a result, the longitudinal arch sags. An alternative approach is huge sports loads on the foot (high jumps.) Deformation should be affected gradually.

Excessive kilograms of the human body creates the prerequisites for additional stress on the legs. Obesity negatively affects the work of the digestive system, the motor apparatus. Joints, ligaments wear out, increasing deformation processes.

An effective option to develop flat feet is to use low-quality shoes. To aggravate the deformity of the foot, wear narrow, high platform products. On sale there are special models that do not have heels. A flat sole negatively affects the development of the disease. Distortion of ligaments, joints will affect the development of the disease. Reinforced running with weight lifting leads to the formation of pathology.

To develop the habit of heavy loads, a sedentary lifestyle should be gradual. Otherwise, you risk earning additional disorders and complications. It takes 1-3 months of effort to develop flat feet. Simulation of the disease on the x-ray will not lead to anything!

Is it possible to simulate flat feet

In order for the deformity of the foot to have a 2.3 degree, it will take a lot of effort. It is necessary to act in a complex, orderly manner. Take on board the tips:

• buy Chinese shoes, made of synthetic material, the sole should be flat and wooden;
• getting injuries of the lower extremities - the main cause of flat feet, fracture, dislocation, bruise, frostbite provoke an ailment;
• increase physical activity, take a heavy backpack, wear narrow shoes, walk long distances every day;
• ignore orthopedic insoles, therapeutic measures, to aggravate foot deformity, do not do exercise therapy, massages that strengthen muscles at home.

Before making a radical decision, a young man must be prepared for dangerous complications. Common diseases due to deformity:

1. Scoliosis, curvature of the spine leads to protrusion, hernia, the deterioration of a person's condition is gradual.
2. Arthrosis + diseases of the joints, ends with immobility of the joint.
3. Dysfunction of the stomach, reproductive system, clamping of blood vessels, nerves can lead to spinal curvature.
4. The gait becomes disturbed, with twisted legs the gait is difficult.
5. Diagnosis of vascular diseases, complex treatment should be sought, therapy should be strengthened.
6. Disability due to disability, the person will receive a group (not temporarily).

It will be much easier to aggravate the disease if you have a margin of 6 months, you are faced with second-degree flat feet. Complete lack of treatment, high loads will affect the deformity of the foot. When using tight shoes, distribute the load on the inside of the sole.

Drink plenty of fluids before your x-ray. The extra weight puts stress on the limb. With 2 degrees of illness, arthritis will be required to be released from the army. Specially receiving severe injuries to a limb can lead to serious health problems. Simulate flat feet on a medical board should be wise!

As you know, in order for a young man of military age not to be taken into the army, it is necessary that he has a third degree of flat feet. Often conscripts take advantage of this opportunity and try in every possible way to prove that their health does not allow them to serve.

Of course, other methods can also help, how to "slope" from the army, but usually all fake medical certificates are calculated. An attempt at a bribe does not always end as one would like, so one of the proven options remains - longitudinal flat feet.

flat feet

Flat feet - deformity of the arch of the foot, lowering the arch. There are two types of flat feet: longitudinal and transverse. The second is more typical for women, since the bone that protrudes from the side of the foot usually appears due to prolonged wearing of shoes with heels.

As for the longitudinal, such flat feet occur in both men and women. It appears with almost the same frequency in both sexes. There are several reasons for the appearance of such a pathology.

• The cause of the damaged arch is uncomfortable shoes. If we are talking about transverse flat feet, then it will be uncomfortable and narrow shoes, as well as too high a heel. As for the second type, such flat feet are more associated with wearing shoes of the wrong size, when their size is larger than the size of the foot.
• Excess weight also affects the size and parameters of the foot, additional load can deform it. In this case, it does not matter for what reason your body weight has increased, be it obesity or pregnancy, the load on the foot itself affects.
• Foot injuries. It can be various fractures, especially the calcaneus, all kinds of cracks. An additional impetus to the development of this problem can give a severe bruise. The likelihood of suffering from flat feet in the future becomes greater after damage to the ligaments and muscles that are in the foot.
• Heredity. This refers to the initial predisposition of the organism to such changes. May occur due to problems with the development of the muscles or bones that make up the foot.
• Diseases that lead to deformation of different parts of the musculoskeletal system. Alternatively, it may be rickets, because of this disease, the bones are not as strong as those of an ordinary person, which, naturally, under the influence of daily stress, leads to deformation of the foot as a whole.
• Inactivity. If your work does not involve even the slightest physical activity, then you may have problems with the musculoskeletal system, and flat feet may also begin to develop. This is due to the fact that in order to maintain body weight and perform certain movements, the muscles and ligaments must be strong. Without receiving any load, they weaken, as a result of which the longitudinal arch begins to sag, and flat feet develop.
• Excessive load. Everything should be in moderation, thoughtless physical activity will not only not improve the condition of your leg, but will also cause flat feet. People who have a permanent standing job, runners and those involved in jumping sports are especially susceptible to its development.

Types of flat feet

In addition to the fact that there are longitudinal and transverse flat feet, they also distinguish between acquired and congenital. With flat feet that appeared from birth, everything is more or less clear and the treatment will have its effect, since the foot begins to be brought back to normal from childhood. With the acquired one, everything is somewhat more complicated, no one is immune from it, this type of this disease manifests itself at any age and for various reasons, therefore this flat feet is divided into 4 more types:

• statistical - all the most common causes of the appearance of flat feet relate to this particular species;
• paralytic - can become a consequence of advanced poliomyelitis;
• traumatic - occurs as a result of previous leg injuries, in particular, the foot;
• rickets is the result of a disease called rickets.

Degrees

As for the degrees of development of flat feet, this disease has three degrees of development. Each subsequent one has more significant changes that affect the appearance of the foot, the gait and what the patient feels with varying degrees of disease.

The first degree has no significant differences with a healthy foot. The patient has a feeling of fatigue in the legs after a working day, the same change is also with the first degree of longitudinal flat feet. Often there is no discomfort when walking. There are unpleasant sensations when putting on shoes on the foot or during palpation of the foot.

In the second degree, the pain becomes frequent and more pronounced. It is especially felt as the ankles and lower legs hurt. Because of the pain that a person experiences, he tries to change his gait so as not to feel pain. With this disease, smoothness in movements is lost.

The most serious and dangerous third degree. It appears as a result of the aggravation of the first two. The pains do not leave the person, their distribution passes from the foot to the shin, the whole leg, there is a possibility that pain in the lower back will appear. Due to strong changes in the foot, it constantly swells, there are pains in the joints, and the foot itself is completely adjacent to a flat surface. Walking causes unbearable pain associated with the load on the foot, it is almost impossible to move in ordinary shoes.

Indicators

To prove that you have this or that degree of flat feet, you will need to take an x-ray, which will show whether your case can be considered a reason for exemption from service.

When performing an x-ray, you will have two indicators. The first is the angle of the longitudinal arch of the foot, and the second indicator is the height of the longitudinal arch of the foot. Thus, we get two indicators, one in degrees, and the second in millimeters.

A healthy foot has the following indicators: the angle is equal to degrees, and the height will be more than 35 mm.

Indicators for varying degrees of flat feet will be as follows:

1. Corner; height - mm.
2. Corner; height - mm.
3. Angle 155 and more; height - less than 17 mm.

In addition, there is a method that allows you to determine the degree of this disease on the trail, that is, on the footprint. It consists in the fact that the foot is lubricated with a special solution, and then the person must leave a mark with this foot on a clean sheet of paper. A person leaves a trail, standing on two legs, correctly distributing the weight.

The footprint that the person left will show how serious the problem is. To determine the degree of your flatfoot, you need to know what the footprint looks like at each degree of flatfoot.

It is difficult to talk about how reliable this method is, you can get a real result only if the person stands straight and does not arch the foot, trying to put more pressure on the inside.

How much time is left?

The option of aggravating flat feet depends entirely on how much time you have left before the physical examination and how truthful you are going to present your disease at the IVC.

It is much easier to aggravate flat feet if you have a second degree and have at least six months left. In the absence of proper treatment and with the aggravation of factors that can negatively affect the appearance of the foot, it is easy to reach the third degree. If you have a lot of time, but only the first degree, then you will have to heavily load your legs, wear the wrong walking shoes, try to transfer weight to the inside of the foot. Additional load in the form of weight will only speed up this process.

Running can also aggravate the existing situation, since the wrong running technique will change the appearance of the foot itself. This is due to the fact that the load that a person must give to the entire foot, he moves mainly to the inside, the foot begins to deform because of this.

If there is very little time left, then in order to aggravate flat feet, the following things are done before the x-ray itself, they run a lot, transferring the load to the inside of the foot, so that the foot is as close as possible to flat feet. Others begin to squat with a barbell, naturally, focusing on the inside of the foot. Wear clothes that give extra weight. Flat feet on x-rays can even increase due to the fact that you consume a lot of liquid, but this does not help much.

In addition to the fact that you can get exemption from service due to the third degree of flat feet, there is an option not to serve with only the second degree. But here, too, everything is not so simple, this requires the presence of arthrosis. Only if both of these diseases are serious, then it is possible to get liberation with the second degree of flat feet.

On x-rays, it is important that the foot looks as flattened as possible, so there are cunning people who try to push hard against something so that under pressure the foot has the look they need.

It will be more difficult to hide the absence of flat feet if the doctor decides to conduct an examination in person, and will not be based only on the pictures. In the absence of the third degree of flat feet, identifying and determining the absence of the disease is not difficult.

The most extreme and more dangerous methods for getting an increase in flat feet are injuries, but this method can lead not only to an increase in flat feet, but also to other health problems.

Is it worth it?

Everyone should understand that flat feet, and even more so of the third degree, is not an easy change. appearance feet. And before you wonder how to increase flat feet, you should think about the consequences.

The foot with such a disease no longer has the properties that were previously. This is especially true for depreciation, without softening, every movement is transmitted in a wave throughout the skeleton. As a result, problems with the spine appear, the gait changes, the legs constantly swell, and blood circulation in the foot area may be disturbed. You should not rule out the worst case scenario, that you will receive disability benefits in old age.

The aggravation of flat feet is fraught with the development of other diseases associated with the musculoskeletal system in the future.

how to increase flat feet with x-ray?

Degrees of longitudinal flatfoot measured radiographically

And perhaps most importantly

You can measure the foot with a ruler

how to make flat feet 3 degrees on x-ray

Flat feet x-ray

In the section Diseases, Medicines, the question is how to increase flat feet with an x-ray? given by the author Albert Gabdulbarov, the best answer is a somewhat unusual question for you.

Do you want to make a semi-fake x-ray so that the degree of flat feet seems higher?

For the Army or for the Disability? For what?

Many people are diligently treated for flat feet

And I (as a massage therapist) help them.

And you, means, wish to increase platypodia. So what?

I degree: vault angle, vault height 35-25mm. There are no deformities of the bones of the foot.

II degree: vault angle, vault height 24-17mm. The talus is shortened, its neck is not emphasized. There may be phenomena of deforming arthrosis in the talonavicular joint or calcification of the ligamentous apparatus on the dorsum of the foot.

III degree: the angle of the vault is 156 degrees and above, the height of the vault is less than 17 mm. A small protrusion on the plantar surface of the calcaneus becomes massive. There is also flattening of the transverse arch, abducting contracture of 1 finger, the foot is pronated, the heel deviates outward. See annex 3.

Degrees of transverse flatfoot:

(this is when the curvature of the thumb and "bones" grow)

I degree: the angle between the 1st and 2nd metatarsal bones deg, the angle of deviation is 1 finger degree.

II degree: the angle between the 1st and 2nd metatarsal bones deg. the angle of deviation is 1 finger degree.

III degree: the angle between the 1st and 2nd metatarsal bones deg, the angle of deviation is 1 finger degree.

IV degree: the angle between the 1st and 2nd metatarsal bones is more than 20 degrees, the angle of deviation of 1 finger is more than 40 degrees.

And perhaps most importantly

There are visual methods for determining flat feet.

You can measure the foot with a ruler

Therefore, if you bring someone else's X-ray or greatly distort your own, then it will be visible. And most likely such forgery of documents can be criminally punishable.

How to make or increase flat feet at home?

Hello dear friends! Looking through the forums, I noticed that recently the question has become especially popular: how to earn or aggravate flat feet?

As a doctor, I wondered why people try to create health problems for themselves. And it turned out that mostly young guys are doing this in the hope of "sloping" from the army.

So is it possible to create a foot deformity or increase the severity of this disease on purpose and, preferably, quickly? Does this make sense and will it help to get out of military service? How to make flat feet? You will find answers to all these questions in the article. Read carefully to the end!

Is it real or not and is it worth trying?

It is quite possible to create flat feet for yourself or aggravate it quickly (for example, before being drafted so that they are not taken into the army). I will say more, you can easily do this if you try. But does it make sense?

It seems to me that there is no point, since in our country they do not take into the army only with a severe curvature of the foot of the 3rd degree, and only if there are complications or concomitant serious diseases.

If you do not have this problem, then quickly, for example, in a month, you will not earn it for yourself, and even such a difficult and complicated one.

Deformation of the foot in people is formed over the years. Yes, it can be congenital, but before complications, it develops far from one year.

If you want to specifically develop or get this problem, then keep in mind that it will take a long time and very painstakingly to work on it.

Or maybe you should think again and abandon the crazy idea?

It is relatively easy to earn a deformity of the lower extremities, but then it is almost impossible to cure it completely or at least partially, especially in adulthood!

Having aggravated your initial flat feet to the most severe 3 degrees on purpose, you will acquire new additional health problems, and then the army will seem to you far from the worst event in your life. Complications can be:

Scoliosis and other various deformities of the spine (as well as complications of deformities in the form of protrusion, hernia, etc.);

Arthrosis and other joint diseases (these pathologies, by the way, can result in complete immobilization of the affected joint);

Problems with the stomach and reproductive system (developing due to compression of blood vessels and nerves, which, in turn, is provoked by a curvature of the spine);

Gait disturbance (a person with crooked legs will not be able to walk normally);

Constant pain in the legs (due to improper distribution of the load and the lack of depreciation functions of the feet);

Varicose veins and other vascular diseases;

And even disability due to complete loss of ability to work.

Tell me, do you need it? It seems to me not, so don't fool around, it's better to go to the army once and then live in peace with excellent health.

Let's say you agree that creating a foot deformity on purpose is a bad idea. Is it possible to somehow simulate this disease, for example, to simulate it on an x-ray, so that the result of the analysis is negative and unsuitable for conscription? Now I will answer this question.

Is it possible to simulate the deformity of the foot?

So, what to do to simulate flat feet?

Of course, you can try to limp and complain about pain in your legs to the doctor, describe other symptoms of this disease, but keep in mind that then you will definitely be sent for an x-ray, and it is impossible to fake a picture.

X-ray allows you to see the situation from the inside - to examine the structure of the bones, calculate the angle and height of the arches of the foot, look at the muscles and ligaments.

Even if you jump during the analysis or deliberately step on your foot harder, the real situation will still be displayed on the picture, or you will simply spoil it and you will be sent for X-ray again. So feigning foot deformity is also a bad option.

And yet, how to provoke the deformity of the foot or aggravate it?

If even after reading this article you continue to be interested in the question: how to make flat feet yourself at home or aggravate it, then I will answer it for you.

Often in articles I advise people to avoid factors that provoke foot deformity. But in your case, you need not to avoid, but, on the contrary, to create these factors.

So, in order to develop a deformity of the foot from 2 degrees to 3, or to create this health problem from scratch, you need:

Wear low-quality shoes - Chinese, cheap, made of cheap synthetic materials, with flat wooden soles or high heels (heels are even better, since with such shoes the load on the legs will not be distributed correctly), and you need to wear it constantly, loading your legs as much as possible;

Receive various injuries of the lower extremities - fractures, frostbite, bruises, dislocations, etc., and most importantly, that the feet and lower joints are injured, and seriously and for a long time;

Excessive load on the legs physically - we take a heavy backpack, put on low-quality and uncomfortable shoes and go hiking and do it every day for several months (it is not necessary to do everything this way, but the meaning, I think, is clear);

Neglect orthopedic insoles and other therapeutic measures - if you already have a deformity of the lower extremities and you want to quickly aggravate and make it heavier, then this is your option, namely, do not wear medical orthopedic insoles, do not do exercise therapy, do not undergo physiotherapy, massages, etc. d.

Now you know how to make flat feet or weight it on purpose. I hope you will not use the above tips, since health is the most valuable and important thing we have, and money cannot buy it, unlike a "wolf ticket" or a fake certificate.

If the article was interesting and useful for you, then share what you read with your friends in in social networks, and also be sure to subscribe to the updates of this site so as not to miss new informative articles. Good luck to you! Take care of your health!

in serious companies, diseases break through the military, I don’t need such diseases

here on the mole of one record would be

but it's ****ets 😀 maybe he's lying, who knows

Well, you try if you need

And usually I don’t limp and they don’t hurt me))

deadlift on toes..

do exercises 2-3 weeks before the picture 😉

increase 2-3 degrees .. probably enough until the beginning of the 3rd degree

suddenly a couple of degrees are not enough to the 3rd ..;)

12-17 degrees - second degree

17-22 degrees - third degree

you can do exercises for 2 months - then it will definitely grow to the 3rd degree

I also have a left leg 2st, but up to the third 2 degrees was not enough ..

Common causes of flat feet

Shoe wear and lifestyle

The degree of development of the disease

Tip 4: Flats, ankle boots, sneakers and trainers. Which shoes are useful and which are not?

Choose shoes made from natural fabrics. Down with synthetics!

2-3 cm heel is welcome!

• A container of water, a sheet of paper, a ruler, a felt-tip pen or a pencil

• how to check for flat feet

Classify the disease according to the degree of flat feet. There are three in total:

1. First. The flattening of the foot is not pronounced. The distortion has not yet set in. There is pain and fatigue of the legs, weakness of the ligaments, a slight change in posture.

2. Second. There is a flattening of the foot and a decrease in the arch to 2.5 cm, a heavy gait, pain in the feet, ankles and lower leg.

3. Third. Significant deformity of the foot. There are headaches and lumbar pain, swelling and excruciating pain in the legs even after short walks.

How flat feet are defined

In order not to worry in vain, you can check whether there are reasons for concern yourself. For this, a simple sheet of paper is enough. You need to stand on it with bare feet. To get a clear footprint, it must be wetted, smeared with cream or gouache. Standing on paper, you need to straighten up. After receiving the print, analyze it. To do this, a line is drawn connecting the extreme points of the inner side of the foot.

Through the narrowest place of the imprint, a line is drawn perpendicular to the line drawn earlier. Now we look. If the width of the foot in a narrow place is equal to or less than the empty space on the line, then everything is fine. Otherwise, we can talk about flat feet. The wider the foot at its narrowest point, the higher the degree of the disease. However, flat feet in children under 4 years of age are difficult to determine using this method. Babies have a fat pad on their feet that may show flattening, which is not a disease.

Treatment Methods

Timely therapy of flat feet in children gives positive results. But the treatment of adults helps to weaken the negative manifestations of the disease and slow down its development. Restoration of the deformed arch of the foot is impossible. However, you need to know how to treat flat feet in order to stop the progression of the disease. The following procedures apply today:

therapeutic baths, compresses;

It is good to have a massage mat for home treatments. It enhances blood circulation and stimulates bioactive points.

Symptoms of flat feet 3 degrees

How to increase the degree of flat feet

Point "g" refers to the longitudinal or transverse flat feet of the II degree.

flat feet II degree: the angle of the longitudinal internal arch of degrees;

flat feet III degree: the angle of the longitudinal internal arch is more than 155 degrees.

Military ID. 100% legal methods.

Yekaterinburg city:

Novosibirsk city:

Say thanks 0 Registered: 02.05.2014

Say thanks 51 Registered: 29.04.2014

Angle of the longitudinal arch of the foot

Grade 3 - vault angle is >155°, height<17 мм; имеются признаки деформирующего артроза таранно-ладьевидного и других суставов стопы.

IN compensation stages

IN subcompensation stages

IN stages of decompensation

Angle of deflection of the 1st finger

X-ray examination of flat feet

Flat feet (pes planus) - deformity of the foot, characterized by a persistent decrease in the height of its arches until their complete disappearance. This is the most common type of foot deformity, which is also accompanied by deformation of the ankle and knee joints and curvature of the fingers. Young men suffering from flat feet become the object of examination for their suitability for military service.

Determination of the degree of longitudinal flat feet

Longitudinal flat feet - flat feet, in which the height of the longitudinal arch of the foot is reduced.

Scheme N1: Laying for a side shot of the foot

On the radiograph of the foot in the lateral projection, three lines are drawn:

1st line - horizontal, tangent to the plantar surface of the calcaneal tubercle and the head of the 1st metatarsal bone;

The 2nd line is drawn from the point of contact of the 1st line with the calcaneal tubercle to the lower point of the navicular-sphenoid articulation;

The 3rd line is drawn from the point of contact of the 1st line with the head of the 1st metatarsal bone to the lower point of the scaphoid-sphenoid articulation.

In the longitudinal arch of the foot, the angle and height are distinguished.

Angle of the longitudinal arch of the foot formed by the 2nd and 3rd lines, which intersect at the lower point of the navicular-wedge-shaped articulation.

The height of the longitudinal arch of the foot- this is the length of the perpendicular, lowered from the lower point of the scaphoid-wedge-shaped joint (point of intersection of the 2nd and 3rd lines) to the 1st (horizontal) line.

Scheme N2: Scheme for determining the angle and height of the longitudinal vault

There are 3 degrees of longitudinal flat feet.

Grade 1 - the angle of the arch is equal to °, the height of the arches, there is no deformation of the bones of the foot.

Grade 2 - the angle of the vault is equal to °, the height of the vaults, there may be signs of deforming arthrosis of the talonavicular joint.

Grade 3 - arch angle is >155°, height X-ray diagnosis of transverse flatfoot

Transverse flat feet - flat feet, in which the height of the transverse arch of the foot is reduced.

The transverse arch is formed by the heads of the metatarsal bones, located along an arc formed by a bulge to the rear in such a way that the heads 1 and 5 are adjacent to the support plane, and 2, 3, 4 are above it. The center of the transverse arch coincides with the head of the 3rd metatarsal, which is the furthest from the plane of support.

IN compensation stages the load falls on both the 1st and 2nd metatarsal bone, which thickens compensatory.

IN subcompensation stages the main load falls on the 2nd and 3rd metatarsal bones, which hypertrophy, and the cortical layer of their diaphysis thickens.

IN stages of decompensation the heads of all metatarsal bones are located in the same horizontal plane, the load on them falls evenly, the working hypertrophy of the 2nd and 3rd metatarsal bones disappears.

Scheme N3: Laying for a straight shot of the foot

On the radiograph of the foot in direct projection (scheme N4); determine the angle of deviation of the 1st metatarsal bone, the angle of deviation of the 1st finger and the angle of divergence of the metatarsal bones.

Angle of deviation of the 1st metatarsal bone formed by the axial lines of the diaphysis of the 1st and 2nd metatarsal bones; it is open anteriorly and normally does not exceed 11°.

Angle of deflection of the 1st finger formed by the axial lines of the diaphysis of the 1st metatarsal bone and the proximal phalanx of the 1st finger; normally does not exceed 18 °.

Angle of divergence of the metatarsal bones formed by the lines of the diaphysis of the 1st and 5th metatarsal bones; normally does not exceed 18 °.

Scheme N4: Scheme for determining the angles of the transverse arch of the foot

1. Lagunova I.G. X-ray anatomy of the skeleton. - M.: Medicine, 1981.

2. X-ray diagnostics of flat feet and clubfoot: Guidelines for cadets of radiologists /Novokuznetsk State Institute for Postgraduate Medical Education. - Novokuznetsk, 1987.

3. Sadofeva V.I. X-ray functional diagnostics of diseases of the musculoskeletal system in children. - L .: Medicine, 1986.

How to reduce / increase the degree of flat feet on x-ray?

Often people like your question are asked by those who do not want to serve in the army.

If you have a borderline condition between 2 and 3 degrees of flat feet, the beginning of a 3-degree, for example, angle degrees, then in order for the x-ray to turn out 156 or 157 degrees, and not 154, it’s better to go for an x-ray in the afternoon, and in the morning to walk for a long time in shoes without arch supports, for example, in sneakers or cheap canvas shoes, in which grandmothers walk in the villages.

The fact is that, according to the stories of people, often, when there is a shortage of conscripts, the radiograph is read in such a way that the degree of flat feet is slightly underestimated. But not always and not everywhere.

It happens that already after the call from the first medical examination at the sorting station, they reveal the 3rd degree of flat feet and commission.

But then flat feet must be treated, otherwise there will be increased fatigue, back pain and headaches. Even if not in youth, then in middle or old age.

To begin with, you should be specific about what you need. Reduce or increase the degree of flat feet. With a specific flat foot, you can’t argue against the truth, especially if it has recently been confirmed radiologically. If there are hints of this phenomenon, variants with a degree of flat feet are present. The act of examination from the military registration and enlistment office is carried out by a surgeon or a traumatologist of a polyclinic. He will also give a direction to the X-ray room for pictures. Therefore, you should immediately find an understanding with the doctor. For restrictions on military service, the X-ray image is not as important as its description. Along with the degree of flat feet, osteoarthritis of the articular joints of the foot must be present. Not an x-ray with lined corners will determine the desired degree of flat feet, but the amount in the envelope for the person making the description of the x-ray. And, the Lord's ways are inscrutable to every specialist.

How to increase the degree of flat feet

Here are the data for 3 years:

1 x-ray of the foot in a local hospital from the military registration and enlistment office, data:

Left h=2.4 cm angle 145 degrees

Right h=2.1 cm angle 152 degrees

Flat feet 2 degrees. There is nothing written about arthritis.

I got up a little wrong, so I think the degree is small, unlike the following, moreover, they also let me hold the cassette with this film between my legs, it was very uncomfortable, I had to balance and hold this cassette.

Left h=2.1 cm angle 150 degrees

Arthrosis - the degree was not written.

I got up correctly, but I went by taxi to the hospital, so there was no load on my leg.

The results were pleasant:

Right foot - h - 16mm

Longitudinal flat feet 3 degrees of both feet, arthrosis 1 tbsp. in the talonavicular joints of both feet.

Is it possible to give the original results or is it better to have a photocopy?

Flat feet is a process of deformation of the ligamentous apparatus, and then the bones of the foot. The type of structural changes is reflected in the name of the disease - the foot is flattened up to the complete disappearance of the arch.

The human foot is made up of 26 bones and 7 joints. This is a complex skeletal structure that combines supporting, shock-absorbing, and motor functions. And flat feet is one of the most common foot pathologies in both adults and children.

Causes

The process is physiological and irreversible with age. Bones become less dense, gravity over decades of support of the whole body gradually provokes deformation.

However, in fact, flat feet are observed both in children and in adults of a relatively young age, which is a pathology and requires treatment. Among the reasons for early development are the following:

• Foot injury - fracture of the ankle or calcaneus, torn ligaments, cracks and bruises of the cartilage
• Rickets and weakening of the bones
• Insufficient motor activity, which leads to weakness of the muscles and ligaments of the lower leg and foot
• Excessive physical activity - passion for running sports, jumping
• Complication of poliomyelitis - paralytic flat foot, or paralysis of the muscles of the sole and lower leg
• Weight gain - both due to obesity and muscle growth
• Heredity - genetic abnormalities in the development of bones, muscles, ligaments
• Daily excessive load on the feet, in particular due to uncomfortable shoes - narrow, high heels and platforms, which unsuccessfully redistributes body weight.

The most common cause (8 out of 10 cases) is poor foot muscle development. Flat feet can be secondary, that is, be a complication of diseases such as rickets, osteoporosis; and also develop due to a decrease in the function of the upper joints - the knee and hip, when the load from them is transferred to the ankle.

How does it develop

Flatfoot develops in several directions, on the basis of which its longitudinal and transverse types are distinguished. Accordingly, the foot can increase in length and width. Both types are most common, but the transverse type usually predominates.

In the development of flat feet, several stages are distinguished - depending on which of them the disease is determined, the prognosis, symptoms and treatment differ. Modern medicine determines severity by the size and angle of the arch of the foot - its middle section, raised above the ground by a normal 35 mm.

Flat feet 1 degree

It begins with a weakening of the ligamentous apparatus, while there is no deformation of the bones yet. You may feel the first symptoms - fatigue and strain when walking, posture may change. The arch of the foot is not changed.

Flat feet 2 degrees

In the second degree, changes occur in the structure of the bones, which leads to a noticeable decrease in the arch - up to 25-15 mm. As a result of the negative impact, arthrosis of the joints begins - cartilage is damaged, cracks form in them, which are filled with calcium salts and increase the friction of the bones against each other.

Everything leads to the fact that the main symptoms of flat feet appear - pain when walking, as yet a slight increase in leg size.

Flat feet 3 degrees

The third degree is accompanied by serious bone lesions. The arch of the foot drops to 15 mm and below, a characteristic “bearish” gait appears - this is how the body seeks to distribute the load and maintain balance.

In most cases, flat feet at this stage accompanies severe arthrosis of the talonavicular and other joints of the foot, osteophytes may develop. With an extreme omission of the arch, it becomes difficult for a person to walk, surgery may be required. Flat feet of the third degree in Russia is an indication for withdrawal from military service.

At all stages of the development of flat feet, the load on the upper joints - the knee, hip and spine - gradually increases. The tension of the calf muscles changes, the patient begins to stoop to reduce the load, which affects the posture until the development of scoliosis.

Symptoms

The external symptoms of flat feet and how you feel will vary depending on the degree of the disease. At 1 and 2 degrees of flat feet, you should pay attention to the following manifestations:

• Foot pain and fatigue when walking
• Pain in the calf muscles
• Increasing the size and fullness of the foot, as well as changing the shape of the footprint
• Heaviness of the gait
• Clubfoot

Separately, they talk about children's flat feet - it is determined only at 5-6 years. Up to this point, flat feet and children are false - this is a natural period of development.

Diagnostics

Flat feet are determined on a radiograph, as well as during an examination by an orthopedist.

Treatment

The prognosis for the treatment of flat feet depends on many factors: the stage of the disease, the age of the patient, and associated problems. So, in childhood, flat feet are treated even at the second stage, while after 20 years at this stage, you can only contain the disease.

In the vast majority of cases, the treatment of flat feet is conservative. This:

• Therapeutic exercise - the development of the muscles of the foot and lower leg. It is the musculo-ligamentous apparatus that acts as a support for the bone skeleton, therefore exercise therapy is the primary method in the treatment of flat feet.
• Anesthetic and anti-inflammatory therapy, as well as complex treatment of arthrosis of the joints.
• Reducing the load on the foot - the rejection of uncomfortable shoes, the use of special orthopedic insoles. Please note that insoles for the treatment of flat feet are made according to an individual cast.

Flatfoot surgery is a radical method that is used for severe damage to bones and ligaments. Modern medicine makes it possible to replace joints destroyed by arthrosis, restore ligaments and implant comfortable prostheses.

Flat feet, in our time, a fairly common disease. Flat feet of the 3rd degree are much more serious than the initial flat feet, so this should not be ignored. Treatment of flat feet of the 3rd degree in adults involves surgical intervention.

You will learn about all this and even more in this article. It is also described in detail about flat feet of the 3rd degree in children, prevention, treatment.

This article will be useful to everyone who suffers from this disease. But the main thing you need to know is that it is not fatal, you can live with it, and in order for this disease to cause less discomfort, treatment must be started in advance. In the article you will also find videos from which you will learn even more about flat feet and how to deal with it.

Flat feet 3 degrees

Flat feet cause a lot of inconvenience and pain. For some, the pain is simply unbearable. There are four main degrees of flat feet according to the severity and deformation of the foot. Today we will talk about flat feet of the 3rd degree.

Flat feet is a pathological change (flattening) of the arches of the foot and the complete loss of all its shock-absorbing functions. Once upon a time, our ancient ancestors stopped walking on all fours and stood on two legs. This caused gradual changes in the structure of the spine and foot. Including a person acquired and associated, to some extent, diseases. For example, flat feet.

We will talk about diseases of the spine next time, but about the foot, in particular about how to treat flat feet, I will tell you today. Moreover, a considerable part of the entire population of the earth suffers from this disease.

By the foot of a person, one can judge the state of all internal organs, on it there are zones that are reflexively associated with all organs. It is necessary to monitor the condition of your feet, not only keep them in frequency, but also strengthen them, choose the right shoes, as this is directly related to posture and health in general.

One of the violations of the formation of the foot is flat feet, which can be longitudinal or transverse. With normal development, there are anatomical curvatures and bends in the foot, with the help of which the pressure on the leg is mitigated, i.e. these formations perform a spring function.

From the phrase flat feet itself, it is clear that the foot is flat, that is, the anatomical bends and curvatures become flat or disappear altogether.

In the process of evolution, the structure of the foot began to change and, in the end, acquired a unique design. Normally, it has two arches: a longitudinal arch, along its inner edge, and a transverse one, located between the bases of the fingers.

Both arches serve a person to keep the body in balance. They also protect the body from concussions during movement and act as a kind of shock absorbers.

But if for some reason the arches of the foot flatten out, become smooth, then the spine and leg joints take on the role of a shock absorber. But they have a completely different function by nature and they are not intended for such work. Therefore, they quickly fail. As a result, a person, in addition to flat feet, also acquires scoliosis and arthrosis of the joints.

How flat feet manifest, the symptoms of the 3rd degree of the disease and its treatment - such questions concern patients. The term "flat feet" is used to describe a foot with low or no arch. With this disease, the shock-absorbing functions of the feet are lost.

In most cases, the disease does not have a significant impact on a person's life and does not interfere with his activities. But some types of flat feet can cause significant pain that makes it difficult for a person to stand and walk.

First of all, this concerns flat feet of the 3rd degree. The patient can determine his first symptoms himself. Flat feet are most common in teenagers and young adults. Men and women are equally susceptible to this disease. There are cases of both congenital and acquired character.

Human feet play an important role in motor activity, they soften steps, prevent negative effects on the musculoskeletal system when running, jumping from a height.

But, like other parts of the musculoskeletal system, when exposed to certain factors, the feet are pathologically affected. The most common foot problem is flat feet.

If the first and second degrees of pathology cause a feeling of discomfort and slight soreness, then the third degree is dangerous not only for damage to the foot, but also for other joints, and it is also not uncommon for a person to be assigned a disability due to flat feet.

Let's analyze why the 3rd degree of flat feet affects the body as a whole. It is also worth dwelling not only on the issue of painful symptoms in the foot area and difficulty in moving with flat feet, but also on joint damage by arthrosis.

How the disease manifests itself

Symptoms of flat feet may have been noted by each of us, but it is not at all necessary that you have this disease.

The main symptoms of flat feet are:

1. Rapid fatigue of the legs while walking and (or) during prolonged standing is one of the first symptoms of the disease.
2. The second symptom is the presence of pain in the thighs, calves, in the arch of the foot, lower back, tucking of the feet almost out of the blue.
3. Transverse flatfoot is characterized by the so-called "painful bump" that forms at the base of the big toe.
4. Longitudinal flatfoot is manifested by pain in the ankle joints and feet, inconvenience when walking.
5. Swelling of the feet that appears after exertion on the legs, especially pronounced in the shin area, the appearance of heel spurs, corns.
6. Be sure to pay attention to your shoes - the quick wear of the inside of the shoe, the purchase of shoes of a larger size than before.
7. Gait also changes with flat feet. There is heaviness when walking, inconvenience, gait becomes unnatural.

Flat feet 3 degrees, its main symptoms

The main symptom of flat feet of the third degree is constant pain in different parts of the body. Sore calf muscles, knees, lower back, soles of the feet, hip joint, thigh muscles. Due to constant pain, a person's ability to work is sharply reduced. Minimally active movements further exacerbate the pain in the body. It is difficult for a person to move, and you can forget about playing sports in general.

The foot is severely deformed, because of this, a person has difficulty choosing and wearing ordinary shoes. The sole is greatly expanded, the fingers are elongated, strongly curved, corns form on the foot.

The height of the arch during deformation of the 3rd degree decreases to 17 mm, and the heel is strongly deviated outward. longitudinal flatfoot the last degree of the foot is severely deformed. The following symptoms are observed: swelling affects the joints, shins, feet, a person feels constant aching pain, turning into pain in the lumbar region, and then a headache. The anterior sections of the foot are flattened and unfolded. The first toe deviates strongly, thereby temporarily reducing the pain in the foot.

If longitudinal flat feet of the last degree are not treated in a timely manner, there is a possibility that the foot will become flat-valgus, and the person will feel sharp pain at the slightest movement. The foot will turn strongly inward with the plantar side.

It is recommended to treat the disease with the help of therapeutic procedures; the constant use of orthopedic insoles and shoes is mandatory. It is possible to completely correct the longitudinal flattening of the last degree only with the help of an operation during which tendons are transplanted, parts of the bone are resected.

Transverse flat feet 3 degrees

Transverse flatfoot of the last degree - a strong change in the foot, in which it is clearly reduced in size due to the divergence of the bones of the foot, the first toe deviates outward by more than 35 degrees, and the middle toe becomes hammer-shaped.

A painful bony growth forms at the base of the thumb. Educated corns not only do not pass, but even more increase in size.

Transverse flat feet at 3 degrees of its development is also characterized by inflammation of the periarticular bag, called bursitis. Transverse flatfoot can only be cured surgically. It is recommended to treat the disease in this way with the help of resection of the part of the bone that protrudes, or its joint resection with plastic surgery of the joint capsule, as well as tendon transplantation. After this, it is necessary to constantly use shoes with orthopedic insoles and special instep supports.

Combined flat feet

This type of disease, such as combined flat feet, includes signs of both transverse and longitudinal deformation and can occur in adults and young children.

Both arches of the foot are flattened, pain due to muscle strain spreads to the shins, and also, due to improper distribution of the load when walking, to the knee joints. Combined flat feet is most often the second degree of the disease, in which a person begins to have problems with walking.

Longitudinal flat feet of the 3rd degree - features of the classification of the disease

In the early stages of the development of flat feet, treatment is mainly conservative. Warm baths are recommended to stimulate local circulation.

Arch support insoles, used for the first degree of flat feet, are no longer effective at the later stages of the development of the pathology; in the second and third degrees, patients have to wear special orthopedic shoes.

Massage is actively used, as well as sets of physical therapy exercises that are aimed at strengthening the muscles and ligaments of the foot, which, although it cannot eliminate already formed disorders in adulthood, can slow down or even prevent the progression of the disease.

However, with the third degree of both longitudinal and transverse flat feet, conservative methods of treatment are no longer effective. In some cases, the only way out is surgery.

It involves the artificial creation of the arch of the foot in one way or another. There are a lot of options for operations, but this is still palliative treatment - it does not eliminate the cause of the disease and does not restore functions completely.

The prospect of service in the ranks of the armed forces for conscripts with flat feet depends primarily on the degree of the disease, and, consequently, on the loss of foot function. So, the third degree of flat feet is not only accompanied by a pronounced dysfunction, but also often makes it impossible to wear the shoes prescribed by the charter.

However, in young people, severe forms of flat feet are rare, and often the maximum that such a conscript can count on is a restriction on service in certain branches of the military.

Flat feet is one of those diseases, the presence of which is often ignored for a long time. However, we should not forget that the second and third stages of the development of this disease are accompanied by a serious decrease in the quality of life and are difficult to respond not only to conservative, but also to surgical treatment.

It is customary to distinguish several types of flat feet, it can be:

1. Transverse. In this case, the transverse part of the arch of the foot in contact with the floor increases. In this case, the length of the foot, as a rule, decreases, since there is a fan-shaped divergence of the metatarsal bones.
2. Longitudinal. With this type of flat feet, the foot touches the floor almost all the way, and its length increases.
3. Children's. Making such a diagnosis is quite difficult due to the anatomical features of the child's body. Before the age of 5-6 years, this is practically impossible, since before this age and in perfectly healthy children, signs of a flat foot are determined.
4. Traumatic. May develop as a result of bone fractures. Most often, this variant of flat feet occurs after fractures of the calcaneus or ankle.
5. rachitic. It develops as a result of a constant load of body weight on the foot bones weakened by the pathological process of washing out the mineral component (primarily calcium).
6. Paralytic. Occurs with muscle paralysis. Most often it develops as a consequence of poliomyelitis.
7. Static. The most common variant, the development of which can also be prevented. It develops as a result of weakening of the muscles and ligamentous apparatus, which in turn can be caused by a number of reasons.

Contribute to the development of this type of flat feet can be overweight, work associated with a long stay in an upright position, as well as sedentary work. It can also be a consequence of a completely physiological process - aging.

Factors that may contribute to the development of flat feet

There are quite a few reasons for the occurrence of this pathological condition, while a relatively small percentage of these factors cannot be modified. Most often, changes in lifestyle can prevent the development of flat feet, or prevent the progression of the disease.

The reasons for the development of longitudinal flat feet of 2 and 3 degrees can be:

• An increase in body weight, and the associated natural increase in the load on the foot.
• Poor quality, incorrectly selected or unsuitable shoes. The greatest threat in this regard is too narrow options, as well as options with too high heels.
• Lack of physical activity, which is most often associated with a sedentary lifestyle. In this case, the muscles and ligamentous apparatus weaken, which leads to foot deformity.
• However, excessive exercise can also lead to flat feet. This is typical for jumping sports, running.
• There is also a hereditary predisposition. This can be expressed in inherited defects in the connective, bone, or muscle tissue, which leads to the occurrence of deformation.
• Relatively rarely, flat feet can be the result of certain diseases (for example, rickets or polio), or develop as a result of injuries to the bones, muscles and ligaments of the foot.

Treatment of flat feet of the 3rd degree in children

The peculiarity of flat feet in children is that it is extremely difficult to determine it at an early stage. So, up to two years, in all children, the foot is completely on the surface, and the fingers are not tightly pressed to each other.

Therefore, it is necessary to visit an orthopedist as often as possible after two years, so as not to prolong the disease and start its treatment in a timely manner. For the purpose of prevention at this age, when a small foot is just being formed, we advise you to purchase orthopedic shoes for children so that the foot is in a physiologically correct position.

If the child has grade 3 flat feet, orthopedic shoes and insoles are mandatory medical procedures. At home, up to two years old, a child should not walk barefoot, but on grass, sand or gravel - that's it. Be sure to perform special exercises with your baby for flat feet for children, which are indicated both for the treatment and prevention of the disease.

It is also important to conduct a daily massage, which will not only relieve flat feet of the 3rd degree of a child with unfinished feet, but also help prevent other types of diseases. seen in young children. Grade 3 disease has the same pronounced symptoms as in adults.

To treat flat feet of the last degree in children is advised mainly by folk remedies, or by traditional medical methods. It is completely optional to treat the disease with the help of an operation.

This can be explained by the fact that the growing body of children is better rebuilt, and the properties of healing and regeneration are especially effective at this age. But there are cases when surgery is still necessary in order to cure the deformity of the 3rd degree. It is used only after the use of traditional therapy and upon reaching the age of 10 years.

Should the problem be solved in children or will it go away on its own?

Each parent wants the best for their child, so they are very sensitive about the health of their children. If your child has flat feet, do not panic, you need to adequately assess the situation.

The body of children grows, all organs develop, and the foot forms its own curves and curvatures. Weak muscles, pliable bones - all these are conditions for the development of flat feet, it is not recommended to treat it yourself, this should be done by a specialist.

The whole point of treating flat feet in children before the development of the foot is completed is to prevent it. The orthopedist recommends wearing special shoes for children throughout the year, ideally until the end of the formation of the foot.

Do not put shoes on your child until he can walk. Encourage children to walk barefoot on sand, small pebbles, grass - this strengthens the muscles of the foot. If this is not possible, create artificial bumps in the apartment for the child with the help of large beads, nuts, sand.

Do not overload children with sports, long walking. A very effective method of preventing flat feet is to massage the legs, in particular the feet, almost from the moment of birth, as the child grows up, your touches will become more intensified and prolonged.

After the child begins to confidently stand on his feet, walk, such an exercise as grabbing the legs of small objects with his fingers will be useful. This exercise develops fine motor skills well and strengthens the muscles and ligaments of the child's legs.

3rd degree of flat feet: clinic and diagnosis

Before analyzing the symptoms of the pathology, you need to emphasize that you can get flat feet of the 3rd degree on one leg or both at once, it all depends on the cause. A unilateral lesion occurs with injuries, an increased load on one foot - for drivers, for example.

The main symptom of the disease is pain, and not only the feet or ankles, but also other joints hurt at stage 3. The first to suffer are the knees and pelvic bones. Also, the pain covers the muscles in the calf, lower back, thighs.

Each step is given with difficulty, as the pain intensifies with exertion. The ability to work is declining, athletes have to give up training.

Due to the deformity of the feet, there is a problem with the choice of shoes. Outwardly, there is an expansion of the foot, a change in the shape of the fingers, and the formation of corns and "corns" occurs.

Although longitudinal flatfoot is less common, it causes severe deformity of the foot. Additionally, you can see swelling in the ankle area. There comes a time when the load on the spine increases, the back begins to hurt, headaches appear. Outwardly, it is noticeable how the thumb is deflected to the side.

With transverse flat feet, there is a decrease in the size of the feet, their divergence to the sides and the deviation of the first toe outward. Other fingers become hammer-shaped, and a protruding bone in the thumb is also characteristic of the 3rd stage.

On the sole, "corns" are observed, constantly increasing in size. As a complication, flat feet can develop bursitis, which worsens the course of the disease and increases the duration of treatment. As you know, children also suffer, and since in childhood, due to the developed subcutaneous fat layer and flexible skeleton, it is not easy to immediately identify a pathology that is constantly progressing.

This is what can lead to the fact that a teenager will receive the 3rd stage of the disease. Symptoms in children are similar to those in adults:

• there is severe pain in the legs;
• puffiness appears, gait changes;
• there are problems when choosing shoes;
• joints and spine suffer.

In children, treatment rarely begins with surgery, doctors try to fight conservatively, prescribing foot massage, exercise therapy and physiotherapy. Such an opportunity to cure flat feet in children exists due to the capabilities of the growing organism and the rapid healing properties.

We will analyze the problematic issue of how to treat advanced flat feet in children and adults and whether it is possible to do without a scalpel. The main complaint with grade 3 flat feet is pain that does not have a clear localization. In the initial stages of the disease, the patient was mainly concerned about pain in the sole, which, at the second stage, was accompanied by pain in the calf muscles and knee joint.

With the third degree of flat feet, the sole, the knees, the thigh muscles, the hip joint, and the lower back hurt. Moreover, the pain is permanent, practically does not stop with rest and leads to permanent disability. Even minimal physical activity provokes an exacerbation of pain.

On examination, a pronounced deformity of the foot attracts attention: the arch is flattened, the foot is expanded, the fingers are deformed, the proximal part of the first toe deviates outward - exostosis of the head of the 1st metatarsal bone develops.

A sharp deformation of the foot makes it almost impossible to use ordinary shoes: a person is forced to purchase custom-made orthopedic products.

Objective signs of longitudinal flat feet of the 3rd degree are a decrease in the height of the arch to 17 millimeters or less, as well as an increase in the angle of the longitudinal arch over 156 °. To assess the degree of transverse flatfoot, it is customary to use a different anthropometric indicator - the angle between the first and second metatarsal bones. If normally it does not exceed 10 °, then with the third degree of flat feet it increases to 15-20 ° or more.

Flat feet 3 degrees and the army

It was not by chance that we began the material with a conversation about the consequences and complications of grade 3 flat feet: deforming arthrosis and spinal pathology are faithful companions of this disease and can dominate the clinical picture.

The presence of these complications makes the conscript unfit for military service, and therefore, with a diagnosis of flat feet of the 3rd degree, the army is not afraid of a young man. The only thing you need to understand is that the degree of flat feet, as well as all complications of the underlying disease, must be indicated in the clinical diagnosis (including the stage of arthrosis of the knee and / or hip joints). The military commissar makes a decision based solely on the diagnosis, and not on the basis of complaints, examination or anamnesis of the disease.

Also exempt from conscription are young people with flat feet of the 2nd degree with signs of the 2nd stage of arthrosis of the large joints of the lower extremities. The clinical and radiological sign of such arthrosis is the narrowing of the joint space by 50% or more, as well as the presence of marginal growths on the articular surfaces.

All these radiological signs indicating the stage of the disease must be listed in the clinical diagnosis, otherwise it will be extremely problematic to avoid taking the oath.

Treatment of flat feet 3 degrees in adults

Strictly speaking, it is believed that grade 3 flat feet in adults is already an indication for surgical intervention. However, conservative methods of treating flat feet can also help - but, unfortunately, not completely get rid of the problem.

The most important thing is to approach the decision comprehensively and strictly comply with all requirements. Namely:

• The first thing to do is to reevaluate your diet. That is, even if there are no problems with being overweight, you should reduce it;
• baths with alternating cold and hot water will help as an auxiliary therapy;
• the presence of orthopedic insoles or shoes is mandatory. Let's start with shoes. It does not have to be completely solid-soled, but high heels are also contraindicated. Optimally - 2-4 centimeters. Further, shoes should not be too loose or too narrow - the "golden mean" will fit perfectly. The main thing is the feeling while walking.
• massage, which is, perhaps, an indispensable procedure in solving this issue. Classical massage is also used with rubbing, patting, pressure, but also acupressure, massage using various devices.

As for the insoles, bends and bulges are their difference from ordinary insoles: a raised rollover zone, a deepening of the heel zone, a thickening of the back of the insole, special wedges for adjusting relative to the foot support. The main and best material is genuine leather. The use of insoles made of polymer is allowed. You can read more about how to choose orthopedic insoles for various types of flat feet on our website.

If it is impossible to choose the very one from the variety available in a pharmacy or a specialized store, you can order it. To do this, you need to come to your orthopedic doctor who will take all the measurements and make a prescription for your future orthopedic insole;

Treatment of flat feet of the 3rd degree in most cases is not carried out conservatively, since irreversible deformation processes occur, a person experiences severe pain and not only in the legs. There are more chances of cure with longitudinal flat feet, with it you can do without surgery, stopping the progression of the disease.

For this, massage, physiotherapy exercises, physiotherapy are prescribed. Be sure to reduce the load on the legs, with obesity go on a diet.

If there is no effect from such treatment, then an operation is prescribed by the type of tendon transplantation or resection of part of the bones. After the operation, you need to develop the technique of exercise therapy, which will have to be performed for a long time.

The main nuance of the treatment of any form of flat feet is the wearing of orthopedic shoes or insoles. Moreover, even with a unilateral lesion, it is undesirable to wear one insole or orthopedic boot, as the load on the second leg increases. Pain symptoms can be relieved by taking or injecting drugs of the NSAID group, hormones (glucocorticoids) are prescribed. With transverse flat feet of the 3rd degree, the option that the operation will be performed is high. In other ways, pathology, alas, cannot be cured.

The possible effect of conservative treatment is minimal, since pain will not make it possible to do exercise therapy, massage and other procedures. With pain in the joint and spine, methods of osteopathy and reflexology help.

After the operation, there is a chance (and not one) to fully recover, the main thing is to follow the rules of rehabilitation, undergo a course of physiotherapy, you need to monitor your weight and wear orthopedic shoes.

It is impossible to cure a complex form of flat feet without surgery. Grade 3 means the involvement of a large number of anatomical structures. Doctors prescribe treatment aimed at relieving pain and swelling, improving the quality of life. In this regard, manual therapy, massage, and the use of orthopedic insoles are practiced. But even a treatment complex will not be successful if the disease is advanced and the patient moves with great difficulty.

Surgical treatment requires structural changes to the bones and joints of the foot. The main task of the doctor is to align the center of gravity of the body over the leg. The surgeon rebuilds the weight-bearing parts of the heel. To do this, an incision is made on its outer side.

The heel bone is displaced inward or toward the arch of the foot and secured with a pin or screw. The operation is performed under general anesthesia. Rehabilitation after surgery takes two months. The operation offers many benefits, especially for young women who often suffer from thumb deviance due to the constant wearing of high heels. It is especially difficult to treat elderly patients with overweight and signs of arthrosis. Nevertheless, surgery will permanently save

Disease prevention

After surgical intervention physiotherapy, medical gymnastics are necessary. It is useful to grab small objects with your toes, such as sea pebbles, roll a stick with your feet, do leg exercises with a small ball. Stroking and rubbing the feet is the simplest and most effective self-massage.

Relaxing foot baths should be taken in the evening. Orthopedists recommend warm water with sea salt, decoctions of medicinal herbs (chamomile, plantain, sage) or essential oils (rose, basil, lavender). The duration of the bath should be 15-20 minutes.

Successful treatment is impossible without choosing the right shoes. Orthopedic shoes are ordered in specialized salons. The doctor may prescribe the wearing of arch supports, insoles or liners, focusing on the individual condition of the patient.

Prevention requires a special diet rich in vitamins. Fatty and smoked foods, pastries, sweets create the problem of excess weight, which affects the muscles and ligaments of the feet. Very useful for patients with flat feet are apples saturated with pectins, jelly based on low-fat chicken broth. Gelling agents restore bone and cartilage tissue well, especially after surgery.

Flat feet of the 3rd degree is a serious disease with complex treatment. Do not bring yourself to unnecessary suffering and put your standard of living at risk. Having determined the first signs of flat feet, you should visit an orthopedist and start timely treatment.

Source: sportobzor.ru; sustavlife.ru; osteohondroz-med.ru; ladysmed.ru; zdorovyestopy.ru; sys-tav.ru;

megan92 2 weeks ago

Tell me, who is struggling with pain in the joints? My knees hurt terribly ((I drink painkillers, but I understand that I am struggling with the consequence, and not with the cause ... Nifiga does not help!

Daria 2 weeks ago

I struggled with my sore joints for several years until I read this article by some Chinese doctor. And for a long time I forgot about the "incurable" joints. Such are the things

megan92 13 days ago

Daria 12 days ago

megan92, so I wrote in my first comment) Well, I'll duplicate it, it's not difficult for me, catch - link to professor's article.

Sonya 10 days ago

Isn't this a divorce? Why the Internet sell ah?

Yulek26 10 days ago

Sonya, what country do you live in? .. They sell on the Internet, because shops and pharmacies set their margins brutal. In addition, payment is only after receipt, that is, they first looked, checked and only then paid. Yes, and now everything is sold on the Internet - from clothes to TVs, furniture and cars.

Editorial response 10 days ago

Sonya, hello. This drug for the treatment of joints is really not sold through the pharmacy network in order to avoid inflated prices. Currently, you can only order Official website. Be healthy!

Sonya 10 days ago

Sorry, I didn't notice at first the information about the cash on delivery. Then, it's OK! Everything is in order - exactly, if payment upon receipt. Thanks a lot!!))

Margo 8 days ago

Has anyone tried traditional methods of treating joints? Grandmother does not trust pills, the poor woman has been suffering from pain for many years ...

Andrew a week ago

What kind of folk remedies I have not tried, nothing helped, it only got worse ...

Ekaterina a week ago

I tried to drink a decoction of bay leaves, to no avail, only ruined my stomach !! I no longer believe in these folk methods - complete nonsense !!

Flat feet is a deformity of the foot. In a healthy person, the bones form two arches: longitudinal and transverse. They look like an arch in the middle of the foot. This arch serves as a shock absorber, helps to distribute the load when walking.

In a sick person, the foot is in contact with the floor when walking. This affects the bones and joints.

All young children have flat feet to some degree. It is not associated with deviations, but manifests itself because the child is still growing and developing. Therefore, up to 5-6 years, the diagnosis of "flat feet" is not made.

The arch of the foot is made up of bones, ligaments, and muscles. When the ligaments and muscles cannot work properly, they do not support the bones in the correct position, flat feet develop. Most often, flat feet begin to form in childhood and adolescence and it only gets stronger with time.

The main causes of flat feet:

1. The legs are not loaded. If you do not walk, do not run, do not train, and generally constantly sit, then the muscles will not work, weaken and will not be able to perform basic functions.
2. The load on the legs is too high. This happens due to excess weight or if you have to stand a lot without moving. This also includes uncomfortable shoes and high heels: you can’t always keep your foot in an uncomfortable position.
3. Injury and illness. These are fractures, paralysis, rickets in childhood.

However, sometimes flat feet are a genetic hello from parents when a normal arch of the foot is not formed due to heredity.

What causes flat feet

If the degree of flat feet is small, then it does not cause inconvenience. But if the foot is severely deformed, unpleasant consequences appear: the legs quickly get tired and swell, start to hurt.

As mentioned above, the arches of the foot are needed to spring and distribute the load when walking and in an upright position. When the foot does not do this, the load falls on other joints: knee, hip. They hurt, a person's gait changes. The spine too. Flat feet can lead to serious problems, including herniated discs.

That is why people with flat feet are not taken into the army: high physical exertion during service can lead to spinal injuries.

If flat feet are not treated, the deformity of the feet increases, heel spurs, painful bones on the thumbs, and calluses appear.

How to detect flat feet

Flat feet are longitudinal and transverse. But in its pure form, this is rare. To find out if you have a problem, you need to look at the curves of the arches of the foot.

To do this, conduct an elementary test. Such a measurement is conditional and approximate, but does not require calculations. Lubricate the foot with a dye (for example, finger paints for children that are easily washed off) or a fat cream. Then stand with both feet on a piece of paper (feet should be at a distance of 10-15 cm from each other) and analyze the print.

First, draw a straight line between the protruding parts of the inner edge of the foot. Then find the middle of this line and lower the perpendicular to the opposite edge of the foot. Divide the resulting line into three equal segments.

Normally, the imprint of the fornix should occupy one third of the line, a maximum of half. If the print has exceeded these values, then it's time to go to the doctor, who will conduct a more accurate diagnosis, send him for x-rays and give recommendations.

How to treat flat feet

It is almost impossible to completely get rid of flat feet, especially if it was noticed late: the deformity affects the bones, and you can’t just remake them. But treatment restrains the disease, does not allow it to develop. What helps with flat feet:

1. Operation. Surgical treatment is required in severe cases.
2. Medicines. They are prescribed by a doctor to relieve pain and tension.
3. Physiotherapy. The direction to the course is also issued by the doctor.
4. Massage. Stretch your feet yourself and do not forget to take therapeutic massage courses several times a year.
5. Special footwear and arch support insoles. With a mild degree of flat feet, they do a good job of slowing down the development of the disease. But they can not be constantly worn for prevention, so as not to weaken the muscles. For complex cases, orthopedic shoes are made to order.
6. Physiotherapy. This is an effective way to correct flat feet, but you need to do it regularly.

Exercises for the treatment and prevention of flat feet

Exercises for the treatment and prevention of flat feet have a big plus: they are fun and not boring to perform. Some of them are like school gym workouts.

1. Walk on your toes and on your heels, on the inside and outside of your feet.
2. Walk with your toes tucked in and your toes up.
3. Remove your shoes and use your feet to roll a small, hard ball or water bottle around.
4. Pick up small objects from the floor by grabbing them with your toes.
5. Standing still, roll from toes to heels.
6. Sitting or lying down, rotate your feet in different directions.

Do some of these exercises throughout the day. For example, while sitting at your desk, rotate your feet or walk on your toes and heels on your way home from work.

There are also exercises that should be devoted to 5 minutes after work.

1. Sit on a chair, spread your knees and connect your feet. Press the toes of the feet to each other, and take the heels away and connect. Imagine that you are a frog flapping its heels.
2. Stroke the leg from toe to knee with the foot of the other leg.
3. Squat on your toes. Take a gymnastic stick (round), stand on it and squat.
4. Sit on a chair, lay on the floor paper napkin. Collect it with your toes, without lifting your feet from the floor.
5. Draw with your feet: even with finger paints, even with pencils.

How to prevent flat feet

Children are regularly examined by a surgeon, so do not miss the required appointments: the doctor will notice if something is wrong with the development of the child.

Adults will have to take care of themselves. It is not so difficult: dose the load on the legs, support healthy weight and wear comfortable shoes. Proper shoes are stable and loose enough not to pinch the foot. It has a small heel (up to 3 cm), a high and hard back.

And if you can’t live without beautiful, but uncomfortable shoes, then at least don’t wear them from morning to evening and do a warm-up for your feet more often.