Hallux valgus: causes, symptoms, treatment

valgus deformity of the fingers treatment

Hallux valgus (hallux valgus), or, as they say, "bones" ("bump") of the big toe is quite common in the fair sex.

Valgus deformity of the foot (hallux valgus) is a condition in which the curved metatarsal - phalangeal joint of the first finger and the other fingers are deformed. The disease is characterized by the inability to wear ordinary shoes, because of the "bumps" at the base of the thumb, accompanied by pain pain.

Symptoms of hallux valgus

  • deviation of the thumb outwards, gradually increasing in "bones";
  • Malleus deformity of the other toes;
  • pain in the joints of the legs;
  • fatigue of the legs;
  • problems with the choice of shoes.

Diagnostic methods

  • the exam by the podiatrist;
  • x-rays stop in 3 projections;
  • plantography – fingerprint for the identification of flat feet.

Diseases with similar symptoms: arthritis; gout; deforming osteoarthritis.

Disease

Valgus feet develops gradually. First, the patient complains that it was uncomfortable to wear shoes in the normal size, hard to find shoes, then pain in the legs by the end of the day bends the first finger of the foot. The bones in the foot, which increases with the cross-footed substantial transformation of the legs. The sole is flattened and it bulges in the center; in this place they formed painful calluses, strongly impede the walk, the second finger is raised upwards and often in the form of a hammer– it is bent, do not bend, which is produced by the corn. In General, the deformation inhibiting blood flow and innervation of the forefoot, which contributes to the development of arthritis.

Complications

  • if left untreated, the joints of the foot to the transformation of the permanently - is a chronic bursitis;
  • the restructuring of the metatarsal bones – the disease Deychlendera.

Forecast. When less effort, and timely treatment the appearance and function of the joints of the foot can be restored. In more extreme cases, pain can persist even after the surgery.

Causes and prevention

The cause of hallux valgus brake cross flat feet, genetics, endocrine diseases, osteoporosis. The disease is congenital weakness of the connective and bone tissues, leading to the development of flatfoot. The development of the deformation contributes to the mismatched shoes. This is especially true of high heels and shoes with narrow toe. These shoes leads to uneven load distribution, which falls more on the forefoot, with the result that deformation occurs in this area and the development of osteoarthritis of the big toe joint.

Prevention:

  • the exam by the podiatrist for the early detection of flat feet;
  • wearing the appropriate shoes (no heels, no sharp nose, natural materials, the heel, is not greater than 7 cm);
  • wearing orthopaedic insoles;
  • if the profession is associated with a long-term stay on your feet, to observe the regime of work and rest.

Treatment

The treatment of hallux valgus constitution deals with the podiatrist. Go to the doctor to be in the first character of the disease, such as correction of deformities in early stages can save you from surgery:

  • selection of orthopedic insoles
  • the purpose of a complex physical therapy, which prevents the development of flatfoot.

With advanced forms of the disease require surgery. Osteotomy is a complex bone reconstruction, which comprises abnormalities in multiple bones of the foot, is to change the axis of the metatarsal bone and the first phalanx of the thumb.

To go, fully relying on the metatarsus, is possible, starting from the third week after the surgery. In most cases, the treatment was completed to 6. a week after the surgery, the patient returns to normal life. The recovery period is 2-3 months.

23.08.2018