Naturally, for the prefix "preventive" or“Approved by orthopedic surgeons” need to pay extra. What mother will save on the health of her baby? There is no such. We will happily open our wallets and buy miracle shoes, even if there is no evidence to that. And really? Do you need smart shoes for your baby? Anna Levadnaya, a pediatrician, Candidate of Medical Sciences, a mother of two children, an active blogger and author of the Doctor_Annamam, I have a question: How to keep a child’s health, published by Eksmo, told about this.How to choose the right children's shoesPhoto:GettyImages The child is growing, his body is just forming. And legs too. In this process, they primarily need freedom of movement. Shoes should mainly protect from cold and injury, as well as give maximum freedom of movement of the child and the foot itself. The main criterion for choosing children's shoes is how little they disturb the physiology and biomechanics of growing feet. It is necessary to pay attention to several points: • Weight: the lighter the shoes, the freer the child walks and runs in. • Sole: the foot of a walking person bends in the toes, therefore, in order not to disturb the natural mechanics of the step, the sole should not be rigid, firm , slippery and sticky. Flexible shoes (especially in the toe area) allow the foot to develop as freely as possible and will not restrict the movement of the foot and the development of muscle stabilization systems. • Insole: smooth, soft, without an instep support (instep support is a marketing move; children do not need it). good hold (ideally - Velcro or laces) • Size: in size (the main thing is not small; it is better to let the shoes be large than small) • Material: maximum breathability, especially in the hot season. • Heel: ok, but short (approx. 1-1.5 cm) • Nose: better open for size to be seen, avoid a pointed / narrow nose • Back: neither tall nor stiff. The maximum physiological position for the development of a child's foot is walking barefoot. Therefore, the ideal shoe pattern is bare feet. Stiff and crushing shoes can deform the foot, disrupt the development of muscles and ligaments. Remember: the terms "corrective", "prophylactic" or "anatomical" shoes are a marketing ploy! The promotion of corrective or preventive footwear traumatizes the child, ruins the parents and discredits the doctor. Only a doctor can recommend medical shoes with individual parameters for a child. And only if the baby has specific indications for that: • Congenital gross deformity of the feet, when shoes are part of the treatment package, and a possible dysfunction is the lesser of evils. For example, with congenital clubfoot. • Neurological pathology, such as cerebral palsy, where in spastic forms the footwear keeps the foot from forming neurogenic pathological attitudes, and in case of paresis and paralysis it is able to hold the ankle and allow the child to somehow walk. the postoperative period of correction of complex orthopedic pathology, when it is undesirable to deprive of movement completely, but some restriction is necessary.A photo: Eksmo Publishing House In most cases, clubfoot is the norm for young children and passes by itself, its child simply “outgrow”. The clubfoot should excite the doctor or parents if accompanied by a pronounced curvature of the foot and a gross dysfunction. If you need treatment, for clubfoot you have to wear special plaster or plastic splints, and not orthopedic shoes. The main thing - remember that the main forming factor in the development of the feet is movement, and excessive, unjustified fixation at an early age can lead to permanent structural disturbances. With X- and O-shaped legs, as well as flat-footed feet, flat-valgus and hollow feet, medical orthopedic shoes do not solve the problem. It uses individual therapeutic insoles, exercise therapy, physiotherapy, massage, taping, or even surgical treatment. Read on:

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