Treatment of bone in the leg without surgery in Moscow

The bones of the foot, or as it is called, Hallux Valgus, is a disease characterized by a deformity of the big toe with deviation in the direction of the little finger and the flat design on the pedestal.

the bones of the foot</1_img>

Symptoms of disease vary depending on the degree of deformation. In some patients, there is little discomfort when walking, others have severe pain that limits everyday life.

Deformation is not immediately, but progresses gradually. With the increased curvature has worsened and the onset of symptoms. In the end, the "bump" on the basis of 1. a finger of the patient to find comfortable shoes and walk normally, you have to visit more than one Shoe store.

In severe cases may develop swelling and inflammation, sometimes the pain is so strong that it causes lameness, not allow to walk long distances.

The disease most commonly affects women over the age of 35, but there are men, and children. In addition to the external factors, the development of deformation leads to a genetic predisposition. In the early stages of the disease can be treated successfully. In severe forms, surgery is indicated.

A little bit about the anatomy of the foot

metatarsophalangeal joint 1. the toe of the foot is formed by coniunctas head 1. metatarsal and base of proximal(nearest the body) joint of the thumb.

On the structure of the foot is very similar to the brush, but here the bone elements present a lower mobility, which nature was exchanged for the strength and elasticity. In the area, which is the only concentrated, strong muscle that helps bend the foot "arc". Because of these properties, the stops may be, to bounce and to withstand the large axial load, not only while walking but also while jumping and running.

Connections of the foot well to work through all of life, until one of the elements of the mechanism breaks down. As soon as the weakened ligaments can develop flat feet. This means that the foot is no longer able to spring and dampen the vertical oscillations. On the basis of these changes is developing pain, which appears lameness, weak joints begin to transform the joints of the fingers. One of the largest of them – the first finger.

Over time, due to the deformation of the inner surface of the forming mineral deposits and growths, which resemble a lump. If the patient wears uncomfortable shoes, protruding surface of the bone begins to RUB, causing pain.

Affect the tone of the foot and correct posture where the spine is smooth, the load during walking is equally distributed on both legs. In the presence of a curvature on one side has a greater pressure than another. The tissue of the foot that receive higher loads, starts to stretch, deform is formed flat, and in the future, and valgus deformity of the big toe.

 

Risk factors that contribute to the "bone on foot"

Hallux Valgus develops by the failure of connective tissue in the joint base of the big toe, when out of the weakness of the ligamentous apparatus of the resulting deformation. The cause for weak tone ties are often affected hormone is the reason why the illness is most commonly affects women older than 35 years and is aggravated with age. In men pathology of the develops less often, because of ties, men are less elastic and more durable. Exacerbates the disease flat feet, which helps to move the thumb outwards and the design of the corner on the pedestal. Bigger than it is, the more strain and clinical manifestations.

The main reasons for the development of Hallux Valgus:
  • Family history is one of the main reasons for the development of bones in the foot. According to statistics, if one of the parents, showed that the deformity of the big toe, the likelihood of its development in children is greatly increased. Inherited not the disease, and predisposition genetic characteristics that reduce the strength of the ligaments, small joints.
  • Injury of the foot. The curvature can lead to damage to the ligaments. When a subluxation in the ligaments are stretched, reduces its strength, the joint of the thumb is curved and deviates from the natural position. During the damage is often caused to the flat.
  • Diseases of the musculoskeletal (rickets, polio) to destroy the connective tissue of the joint, decreases the strength of the ligaments, flat feet and provoke the development of Hallux Valgus.
  • Curvature of the spine. The long walk one of the limbs is overloaded, which leads to the development of flatfoot, which represent a deviation of an inch.
  • Obesity and physical inactivity. When the muscles, ligaments do not receive the required cargo, the blood circulation and tissue regeneration. On the basis of these changes is a weakening of the ligaments of the foot and plantar muscles. The extra weight stretches the ligaments and contributes to the curvature of the big toe joint.
  • The overload of the foot. Excessive physical activity, contributes to the "wear and tear" of connective tissue that causes stretching of the ligaments and deformity.
  • Arthritis and arthrosis to destroy the joint tissue. The cartilage surface becomes thinner and uneven, the functions of the joints are broken. At high physical stress, degenerative processes are improved, is developing a strain.
  • The development of osteoporosis. The destruction of bone tissue in the joint 1. the finger, which leads to its deformation and the formation of lumps. Over time, the bone is rubbed on a tough running shoes, inflamed, edema of the soft tissues. If the pathological processes do not disappear over time in the injured region of edema.
  • Endocrine disorders. When disorder of certain glands is to change the hormonal background of the organism. Over time, reduce the elasticity of ligaments, also in the area of the base of the thumb.
  • Congenital malformations are a less common other of those reasons, but it is much harder to treat. If the underdevelopment of one of the articular surface of the joint is easily deformed. Such a violation leads to improper functioning of the joints of the foot, which contributes to the development of flat feet and curvature of the thumb.

Some scientists suggest that uncomfortable shoes is the main cause of the disease. According to this theory, the pathology of the develops most often in women, because she was wearing high heels, which have a narrowing of the front part where the fingers press the sides. Weakening of the ligaments in the big toe rapidly deforms and is deflected outwardly.

According to this theory there are three risk factors associated with wearing uncomfortable shoes:
  • Very high heel. According to the statistics, in particular the danger is the heel over 7.6 cm in length At this position of the foot dramatically increases the load on its front which base joints of the fingers are forced to blend outwards and quickly deformed.
  • Shoes with narrow toes. In this form the fingers are squeezed on the sides, which leads to severe damage during exercise. Prolonged wearing such shoes, on the basis of the weakness of the ties Hallux Valgus develops.
  • If the shoes restrict the feet in the front position of the fingers is no less dangerous because they do not fully align. The thumb resting against the barrier, it starts to deviate outwards. The weakening of the ties and the prolonged wearing of such shoes develops a resistant strain and bone formation in the foot.
In most cases, Hallux Valgus develops as a result of exposure to a number of reasons, but the basis is always the violation of the integrity of the system and the connective tissue structure. According to the findings of the scientists, the bones in the foot most often occurs in the following diseases:
  • Bursitis – inflammation of the capsule 1. finger.
  • Rheumatoid arthritis. This disease is characterized by lesions of small joints, including the thumb.
  • Osteoporosis – deterioration of bone tissue in the area of the cartilage with subsequent deformation.
  • Gout – the deposition of salts in the joints due to disturbance of the metabolism of uric acid. In this disease the joint of the base 1. finger of the affected one of the first.

Important! In each of the pathology of early treatment is to ensure the fast recovery. In the Clinic, you will be able to complete the full review and get the necessary treatment that will help you cope with the "bone in leg".

The mechanism of the development of the disease

Under the influence of the causal factors is the weakening of the ligaments, which leads to disruption of the function of the foot – the instability, which is reflected weak fixation of the bone elements of the joint. On the background of the weakness of the ties forming the transverse flat feet – plantar surface of the foot to become flatter shape and stops in the spring during walking and running. The result of the increased load on the front – region, which is the base joints of the fingers. Due to the weakness of the ligaments and instability of the joints of the fingers begin to deviate from its natural position. If the person who is wearing tight, uncomfortable shoes, her walls slip your thumb out. Pathology does not develop immediately. The curvature takes years, if predisposing factors are not eliminated. If you want to stop the disease can change the shoes and the implementation of preventive measures – a course of physiotherapy, physiotherapy.

The classification of diseases

"Bone on foot" is a disease, a chronic, develops over several years. The symptoms that are manifested in later stages of the disease, when the rate of joint disease particularly. According to the international classification of diseases, 10. the revision of this pathology corresponds to the code number M 20.1.

It is accepted that the intentions of the three levels of deviation of the big toe:
  • I level is characterized by the deviation of the thumb relative to its axis up to 40°. The angle between the 1. and 2. metatarsal bone, is not more than 20°. The patient may complain of some discomfort in the area of the circular sometimes the bones may RUB on the shoes and hurt.
  • II degree – the angle of deviation, which ranges from 40 to 70°. Valgus deformation visible to the naked eye, than between the metatarsal bones is 20-30°. On the inner surface appears moderately severe "bump". If the patient continues to walk in the uncomfortable shoes, pain when walking, lameness. At the site of injury edema.
  • III degree – is characterized by a strong deviation of the finger from the normal axis: the angle is more than 70°, and intertarsal – more than 30°. In this stage, the patient cannot wear regular shoes are usually comfortable sneakers or shoes without a heel that is higher by 1 or 2 sizes.

Depending on the stage of the disease prescribe certain types of treatment. In the initial stages the symptomatology is minimal, it is possible to achieve high efficiency from a traditional conservative therapy, the strengthening of procedures . In the second stage of the curvature, the method of treatment determined by the treating physician. In the advanced phase shows the operation with a long rehabilitation period.

09.08.2018