Among all types of orthopedic pathology is one of the first places valgus deformity of the foot (more specifically, the first toe). It seems that such a serious problem, should be identified because of its treatment, there is bezoperatsionnye techniques: the use of tyres, factors, bandages, insoles.
But in practice, many patients do not know how to treat valgus deformity of the foot and I'm afraid that they'll need surgical treatment. So they put off the visit to the specialist, until, when the deformation becomes important and starts to cause discomfort.
Hallux valgus (also known as a valgus deformity of the first toe) is pathological reversal of the first metacarpal medially, which leads to a distortion of the first toe outwards. This pathology occurs most often in women in middle/old age accompanied by pain and can lead to difficulty in walking, problems in the selection of shoes.
His look hallux valgus is obliged to the presence of the Shoe: the tribal settlements of this pathology is not available, it will be, as is walking barefoot keeps a constant tone of the muscles and tendons of the leg. In developed countries the most important causes of this strain, consider that the wearing of improper shoes and flat feet. For more rare factors, which include:
The weakened soft tissues are no longer hold the bow, and the bones of the "go". The first metatarsal bone takes place, and adjacent to her metatarsal joint becomes unstable, which leads to a distortion of the first toe. Permanent injury shoes the inner part of an extension of the foot leads to excessive growth of bone tissue (formation of "bumps"), roughness of the skin (corns, calluses), chronic inflammation/periarticular bags. The process involved other parts of the foot.
When is the angle between the metatarsals does not exceed 5-20º and finger deviates more than 40º (i.e., there is I degree of hallux valgus), lesser symptoms: painful sensations, which occur in the evening and at night, especially when you are using a night brace completely disappears. The skin reddens, blisters appear. Hallux valgus is expressed slightly.
The increase in the angle between the metatarsals up to 20-30º, and the deviation of the finger on the 40-70º (i.e., in the II degree of hallux valgus) pain becomes constant, is growing "bump", the skin at the base of the first finger coarsens, appear on the sole corns (due to improper load on the parts of the legs). Inflammation of periarticular bags becomes chronic. At this stage, still an effective conservative non-surgical treatment, including the use of valgus of the tire.
When is the angle between the metatarsals exceeds 30º and the first finger rejected more than 70º (or grade III hallux valgus), pain does not disappear, because it is caused not only by chronic inflammation and atypical load, but also to compression of the nerves, the bones shifted. At this stage, the use of orthopedic designs bring temporary relief. Plyusne-phalangeal joint is almost immobile in his projection of the rough skin can form ulcers. If you want to restore the function of the foot require surgical intervention.
After the detection of the abnormal deviation of the finger, the physician (usually orthopedic or trauma surgeon) prescribed the following tests:
In such diseases, such as hallux valgus treatment by surgery is possible in several ways. In the early stages, you can repair the minimally invasive surgery (tendon sutures), which is designed to restore muscle pull. In parallel, it is possible to remove the bony exostosis ("bumps"). In the more severe stages of the uses of operations in which the sawn bones and then fasten them with metal structures to restore the os. In particularly complex cases, form a false joint, or establish artificially.
Rehabilitation may take several weeks, during which they wore a special brace, or bandage, gradually developed a soft tissue. After removing the cloth/bandage use the full range of orthopaedic devices to prevent the re-occurrence of hallux valgus. If intervention is necessary on both sides, the first process shall be performed on one, a few months on the other.
The treatment of hallux valgus without surgery is possible. If you want to stop its development in the early stages, you can:
Inflammation in the joint and in the periarticular tissues of the treated external anti-inflammatory medications, with their potential ineffectiveness of intra-articular administration of steroid medications.
it can be used at any stage of the hallux valgus, severe at night or during rest, because the design of the device is not designed to be worn under shoes. For the first time to wear a bandage for a few hours, and then for the whole night.
Early violations can be easily corrected completely during sleep: do not make any effort, and the deformity is corrected. A more serious deviation from the bones of night brace reduces pain, reduces the degree of deformation, and is a variant of the preoperative preparation and postoperative rehabilitation.
Do not lead to disease, and not to her prior to the surgery. Start treatment as soon as possible.
On our website you can find the detailed information about the therapeutic use of the night brace, and purchase it for delivery in Russia. Sometimes we have promotions that can get them the day of gel insoles as a gift when purchasing a night brace.
Hallux valgus — the problem is quite common, especially among women of Mature age. Bumps at the base of the thumb does not look very nice, and the progression of the disease pathology causes significant physical discomfort. So, what is the treatment for bunions on the big toe? What are the services provided by modern medicine?
Ugly bumps on the legs in most cases are nothing more than a valgus deformation of the big toe. Under the influence of these or other reasons, changing the distribution of the load on the foot, which consequently leads to the rejection of the common big toe from the natural axis. Of course, these changes affect the status of all bones of the foot — without treatment, the deformity gradually covers all the phalanges and joints.
In fact, as to the pathology of the feet is developed under the influence of many factors — both external and internal. First on the list of reasons, which should indicate a genetic predisposition — if the mother has a deformity of the big toe, there is a high probability that these afflictions will appear, and stop her daughters. By the way, the risk factors are the female gender, as in women in the Mature years is similar to the disease diagnosed most often.
In addition, the disease is often associated with wearing uncomfortable shoes with high unstable heels and narrow feet. The fact that these shoes, while walking creates imbalance — the main burden falls on the forefoot.
Risk factors also include a flat transverse type, in which a change of tone in the muscles on the front part of the foot. On the other hand, excess weight and also creates an additional burden, which increases the risk for deformities. Occasionally the bones in the legs, which are the result of mechanical injury, e.g. injury, fracture, or dislocation.
Unfortunately, this disease of the feet is fairly common problem. And this is very important to note on the occurrence of deformation in the early stages, when you can still fix it without the assistance of a surgeon. In modern medicine it is accepted to allocate four stages in the development of hallux valgus thumb:
In any case, it should be understood that this is a disease of the foot is very uncomfortable and dangerous. Therefore, the appearance of small bumps at the base of the thumb should immediately seek the assistance of podiatrist.
Of course, the valgus deformity accompanied by a number of characteristic symptoms. In the initial stages, you may notice the emergence of small bumps, "pits" at the base of the thumb. At first, patients perceive this phenomenon more as a cosmetic error, since there is no physical discomfort.
But with the development of the disease is big toe begins to deviate to the other phalanges. Patients complain of the weight on the leg and the pain that occurs with prolonged walking, especially in uncomfortable shoes. In the third stage, the pain becomes a constant companion of man. Often the affected joints start to become inflamed, swelling of the soft tissues and the skin reddens. The fourth phase of the development of the disease is characterized by a deformation of the almost all of the phalanges of the foot — the pain is present constantly, even at rest.
The suspicion of valgus deformation of the thumb is not difficult, especially if the patient asked for help in the later stages of the disease. However, there are also other diseases of the foot, coupled with the same symptoms, for example, deformation of the skeleton may be associated with arthritis, gout and other diseases. Therefore, the patient is recommended to do some additional tests, in particular, x-ray examination — the doctor can see the presence of deformations and degree of severity, which, respectively, provide answers to the question on how to treat such diseases of the feet.
The appearance of the slightest suspicion on the development of deformities should consult a doctor. The treatment of the bone on the thumb, depends largely on the stage of the disease. In the initial stages of the condition can be corrected by conservative means, but in any case, you must be prepared to the fact that therapy is long and comprehensive.
If the inflammatory process, which starts with a doctor is necessary to eliminate it to alleviate the patient's condition. With this purpose, a variety of anti-inflammatory drugs - the largest effect is in this case, the special gels and ointments.
In addition, it is important to find the right shoes. From high heels and narrow socks will have to be abandoned in favor of comfortable leather shoes with a wide toe box. Ideally, the shoes have to be orthopedic and facilitate the proper load distribution on the foot. The doctor will also choose an appropriate diet that helps to control body weight and reduce the likelihood of the development of the inflammatory process.
Very useful will be regular (daily) exercise for the legs, which will help you to restore mobility to the apparatus. In addition, we must not forget that tight muscles, which also contribute to the deformation — with a view to the elimination of this risk factor patients will be advised to undergo therapeutic massage.
Of course, the therapy includes and all the types of physiotherapy. In particular patients are available for therapeutic baths, as well as electrophoresis with drugs, ultrasound therapy, mud therapy.
Modern orthopedics offers a lot of tools that help correct the deformity in the early stages. For example, patients are advised to obtain special insoles, which provide for the unloading of the affected joint.