Many women (and some men) with age, the face is not very pleasant phenomenon, when the big toe appears knot. In the first place, it is soft, but hardens with time. Then it grows and it prevents the wear and tear of fashion (and later head) shoes. Soon, however, it can become inflamed, causing discomfort and even intense pain, causing the gait disturbance, the deformity of the other toes of the foot. Because it seems a lot of problems, both aesthetic and medical.
This violation (or disease) simply called "cone" or "bone" in the foot. In medicine it is called hallux valgus. It is not "strange growth", as many believe. A curvature or deformity (from the Latin valgus – curved or curved towards the outside) joint of the first finger of the foot.
This is one of the most common orthopaedic diseases. It should be noted that, in different degrees, suffer from 78-85% of women and around 15% of men. That is to say, the women, the disease appears ten times more often. The nature has taken care of that the men, as the stronger sex, the ligaments were more flexible and more powerful. Yes, the shoes are usually comfortable. These bones of the legs tend to appear in 30-40 years. But in recent years, the disease is "younger" and that affects even 20 years of age.
Its cause may be a genetic predisposition that is passed from generation to generation as an innate weakness of the connective tissue, or increase the length of the first (great) toe. The same reason that can lead to:
But this is only a predisposition and a trigger for the appearance of the bone in the big toe, according to the doctors is a poor distribution of the load when walking, the passion too tight or small shoes of heels of excessive length. The pressure on the foot causes the toes to move in a narrow foot and make the shape of the shoes. This causes the deformation of the joint. In constant wear and tear of this type of shoe the process becomes more intense, and in severe cases for the treatment of the bones of the leg may require surgery.
So, often, this disease is the price paid for beauty. Among the fashionistas of the bones of the legs can appear at an early age. Orthopedic doctors are reluctant to recommend a long-narrow "model" of shoes, shoes and boots with narrow toes, high heels. And as soon as there was a small bone of the leg, the treatment is started immediately.
The reasons for the development of the disease, as has been said, it is a weakness congenital of the ligaments. It produces transverse flatfoot, which weakens the natural damping properties of the foot arch, and the burden is beginning to be distributed incorrectly. The result is a subluxation of the metatarsophalangeal joint of the thumb. If this load operates continuously and is multiplied by the constant wearing of shoes uncomfortable for your feet may develop Hallus Valgus to the extent that when you need surgery to remove the bones in the feet.
Also causes the development of strain can be:
But the main factors that there is no bone in the foot, are too narrow shoes, that is too high (over 7 cm) and shoes with high heels, narrow feet.
According to the experts study the problems of foot surgery and orthopedics, while walking to the front of the foot is loaded in 2,5-3 times more than the rear. First, the foot rests on the heel. Then the weight is transferred to the medial and lateral parts of the foot. In the end, the total weight is on the toes.
In shoes with heels with a long, narrow finger pressure on the head of the metatarsal bone grows exponentially. This creates a pressure mechanics in the big toe, causing it to shift and, finally, distorted. Uncomfortable shoes create an additional load, damaging and deforming plyusnefalangovyy joint. Therefore, there is a "bone" in the big toe, which leads to osteoarthritis
Valgus deformity can have the following notes:
I degree. In this case, the big toe is deployed at 25° (at a rate of 15°). In the set there is a small bump in the place where due to the offset thumb sticks metatarsal bone. It seems ugly, but minor and occasional, the pain disappears.
II. The displacement of the finger at an angle of 30°, after the stress, the pain can be considerable. "Bone" in the foot is perfectly visible, palpable, and clearly visible. The tendons of the flexors are starting to move, then the deformity of the joint. When I and II degree of treatment bone can be practiced conservatively.
III degree. The angle of displacement of the finger reaches 40° C or higher. This advanced stage of the disease, when you are having problems with the launch and selection of shoes. Periodically there is pain in walking, which increases at high loads. The increase of the cones is not only because of the displacement joint, but also in relation to the formation of bone and cartilage growth in the damaged joint. The soft tissues of the foot becomes rough, compacted and form a crust. Occurs and begins to develop inflammation of the joint capsule (bursitis), as well as the chronic inflammation of the joints (osteoarthritis). In this case, we recommend that you remove the bone in his thumb.
The greatest danger is in the subtle progression of the disease. Toes located in the trendy shoes is becoming full of people. Thus, the first metatarsal bone shifts toward the inside, pushing out the first (great) toe.
In the initial stages of treatment of the bones is very easy. But if the pressure is repeated regularly and for a long time, at the head of the bone (first metatarsal) starts to appear a bump, or Bud of the same "lumps". In the initial phase of a bone of the foot is almost imperceptible, and the pain is almost not there. But as the process of development of the Bursa SACK in joint starts to become inflamed, which leads to bursitis. But with time, there are other problems – high sensitivity in the region, which is starting to bulge, then irritation and severe pain. In this case, you forget about heels and talking about fashion shoes.
Uncomfortable shoes is the wrong place and angle relative to the foot of the first finger (thumb). Resulting in the joint to prematurely wear out. There is a loss of articular cartilage, and below, the increase in bone growth.
To accurately determine the severity of the deformity from x-ray results of the study. The duration and methods of treatment depend on the stage of the disease. The sooner you consult your doctor, the easier it will be to get rid of the problems. In the initial stages of the disease is amenable to conservative treatment.
To date, developed more than 300 techniques to get rid of bunions on the feet. Among them is the use of special insoles, orthoses, clips. Effective physical therapy and baths with sea water, as well as valgus splint (night support).
Uses many other methods:
In exacerbations of inflammatory processes may be appointed anti-inflammatory therapy in the form of compresses, ointments, gels or tablets. Correctly prescribed treatment will help to slow down or stop the process of deformation.
If the bones of the feet are very much express that, when you run the II and III degrees of deformation, there is inflammation, swelling, pain develop. Impossible to take many types of shoes. In these cases, the removal of the bone is possible only through surgical intervention.
The modern techniques are very different from those used in the last century. Now it's not fashion steel spokes and cast, and crutches in the postoperative period.
Surgeons will be able to choose for each patient the most suitable technique of intervention. There are more than 200 effective to remove bunions on the big toe. New technologies their field and have the experts to move almost jewelry operation. The choice depends on the anatomy of the patient and the extent of the disease.
For example, it is often used this method of operation, as Shede. In the process, with the surface medial is removed ekzostoz. In other cases, the treatment of bones at the foot of the thumb can be performed using techniques Scarf. To do this, use a power tool. This method provides a stable positive result. Each one of the selected methods for the elimination of the bones in the feet provides an excellent postoperative rehabilitation. And chosen by professionals recovery program will be matched with the characteristics of the patient.
Continues surgery to remove the bones of the legs depending on the complexity and extent of the disease. Its General duration is from a few minutes up to hours. We use anesthesia – spinal anesthesia. No postoperative complications do not arise.
Complete removal of the bones of the thumb together with the period of rehabilitation will take a minimum of time. Walk the patient begins the second day, in a special Shoe to reduce the load. Went in the hospital for 2-3 days. For a full treatment of the bone recovery period continues at home. The stitches are removed two weeks after surgery. Then you need to gradually increase the load. In the office you can start to work after 3-4 weeks, the physical work of the people have to wait 1-2 months. Our patients will be able to wear stylish shoes after 6 months.
Millions of women suffer from a moderate strain of feet and still, the only way to get rid of them was an open traumatic operation. The procedure was so painful that often work with only one leg, to incapacitate the patient completely.
The formation of postoperative scarring was inevitable, and often normal shoes are impossible to take up to a year.
Now available new technologies and treatments "bones" in the foot with a minimum time of recovery, and, most surprisingly, the scars (scars are almost invisible.
Surgery for the correction of the deformity even with a reputation as a very painful and traumatic, with a long recovery period.
New mini invasive surgery of fact, the operation is not purely laser and combined. Laser cutting of leather. Dissection can be 2 mm to 1 cm, This means that there are no traces almost does not remain, in the early postoperative period the patient is not experiencing this type of severe pain, as in surgery open. Then, enter a special milling cutter with face definition and removed the "os" (ekzostoz of the metatarsal head).
It is very important that this new method is a company that specializes in orthopedic surgery of the foot and ankle.
Tools used in Miniinvazivnoy foot surgery, originally developed for operations on the head, neck and face, very fine and rotate at high speed to make tiny, precise ostetomii. Then, the orthopedist was to take these methods into consideration.
Minimally invasive technique allows the surgeon to perform the surgery through small punctures in the skin. This procedure reduces the injury of soft tissue and scarring and allows correction of the deformity with minimal surgical intervention.
The main benefits for patients include:
This technique was developed by surgeon specialists who have a wide experience with the open method.
This new method has allowed us to perform traditional operations but in a less invasive manner, which means that patients can have the predictable recovery that is associated with open forefoot surgery but with much less damage to the skin and soft tissues.