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 hallux 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 pedum. 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 starts to deviate towards the other phalanxes. 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.
Suspect to hallux 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 pedum will 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 to restore the mobility of the ligamentous 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.
In addition, it is effective, it is considered a special brace for bone on the foot that "removes" finger in the right direction and keeps. This device is often put on the night, so as to walk in it comfortably.
Interdigital rollers and special arch supports help to distribute the load on the forefoot and visually aligned. To support the transverse arch of the foot with the use of specific ties, but are not intended for permanent use.
One of the most efficient products of modern orthopedics are the tires, which are the coverings on the bones of the thumb. They are used for conservative treatment and in the rehabilitation period after the surgery. The bus can be worn all the time, even under shoes.
Unfortunately, the bumps on your big toe is not always amenable to conservative treatment methods. In some cases, still have to enlist the help of a surgeon. Today, there are more than one thousand methods in such operations, the choice of methods of deformity correction depends on the degree of development of the disease and comorbidities.
In some cases, removal of part of a metatarsal head or phalanx of the thumb. But most often doctors can restore the normal structure of the foot. During the procedure, a surgeon restores the ligaments around the joints and returns the latter to normal position. If necessary, the bones are fixed with special screws. Only in the most severe cases, the affected toe joint replaced with implants.
The duration of the rehabilitation period depends mainly on the degree of complexity of operations. In most cases, already for 1-2 days the patient may even need to make careful finger movements. Usually after 10 days the patient can walk, but, of course, observe certain safety measures. You should avoid prolonged and intensive stress on the joints of the foot.
In addition, you should take care of the Shoe — it is imperative to be comfortable with a wide toe box and good cushioning. By the way, it is better to consult your physician to find the suitable orthopedic pair of shoes.
It is much easier to prevent the development of deformity, as to try to find effective treatment for bunions on the big toe. But preventive measures are quite simple. The first is to refuse to uncomfortable shoes. The heel should be stable and not too high (not greater than five centimeters), and the toe is wide enough not to put pressure on the phalanx. At least it should look like daily footwear for festive occasions we can make an exception.
Don't forget that the joints of the foot to carry the weight of the body, so as to follow the figure and avoid obesity. Very important is the care of the feet, regular warm baths, massage, exercises for the feet, will be very useful.
The children have a similar disease occurs most commonly in the form of a flat-hallux valgus flatfoot, in which the deformation of the arch of the foot — the heel in a young patient rejected the outside. A similar disease, which can lead to some complications. For a start, it should be noted that as the child gets older, it becomes harder to move as they walk accompanied by constant pain. In addition, it is possible the bending of the other joints and bones, including the spine.
Fortunately, early detection and treatment of the disease the prognosis for children is favorable. In most cases, to fix the deformation is possible without surgery. Children are selected according to a special orthopaedic shoes, make up the programme for gymnastics, and also recommend regular massage session. Positive on the development of the skeleton and muscular systems affect the Cycling, walking barefoot on uneven surfaces (e.g. gravel), as well as swimming. Surgical treatment of hallux valgus feet in children is done only if conservative treatment has not given positive result.