The bones of the big toe

Causes of bunions on the big toe

The appearance of the bones in the toes may precede changes in the structure of the foot, which goes almost unnoticed, yet do not develop externally visible cosmetic defects. The number of valgus deviation causes a podiatrists call:

  • Transverse platypodia;
  • The curvature of the rear part of the foot;
  • The difference between the first and second metatarsus bones, increasing the angle between them;
  • Contracture or contraction of the Achilles tendon;
  • Enhanced sports and dance with a lot of power load on the foot;
  • Loose metatarsus I-explicaretur agmen, total;
  • Paralysis of the small muscles of the foot;
  • Heredity.
The bones of the big toe

Part of the foot during walking is impaired. Shifted to the main the fulcrum, the load is redistributed, and in the area of metatarsus I-explicaretur agmen, joint subluxation occurs. The head of the metatarsus bone is shifted to the side, the rods under the skin around it begins to develop bone and cartilage growth. So "bones".

The big toe also begins torquent, as a result of subluxation – withdrawal in the opposite direction and overlaps the second leg. Without timely treatment, the foot can acquire intimidating a modified form, to correct, to very difficult.

Especially contributes to the development of valgus deviation, the love of women to a narrow, tight shoes with high heels. When walking in these shoes is the body weight is transferred to the forefoot, which leads to deformation of the metatarsus joints. Increased risk for the development of bones, is also observed in athletes and ballet dancers because of the load on the foot. One of the risk factors for the development of the "bones" may be passed over the leg injuries, violated the normal position and work the legs.

Symptoms of "bone on foot"

The first symptom becomes the deviation of the big toe inward. Thus, it is possible to distinguish valgus deformity from gout and other joint diseases. More breaches, remains without treatment, the more deviates the thumb; then it is placed on the II and III toe.

Then there is a unique attribuere metatarsus bones under the skin. Around the head of this bone begins to Deposit calcium salts, further increasing the bulge and cause discomfort. Then join the symptom of pain bones hurt from rubbing shoes, and later on the rest. Because aeque soluta est and deformation of metatarsus I-explicaretur agmen, inflammation of joints, surrounding tissues swell, which further increases the pain. Redness of the skin in the joint can go into the local purulent inflammation.

The affected foot becomes more flat, the patient is distorted walking, foot starts skachivaetsya on the inner side when walking. Visually the legs seem twisted, and the foot – byssus cake. I hardly noticed the leg joint is changed, contact the specialist for advice and treatment.

Diagnosis

The diagnosis of "valgus deformity" can be put on the basis of visual inspection and medical history, but to clarify, is assigned to radiography of the foot in the frontal and lateral projections. In the photo becomes visible subluxation metatarsus I-explicaretur agmen, the total, determined by the angle of valgus deviation of the toes and the metatarsus bones. Differential diagnostics is carried out in parallel with the podagrum changes of the joints, arthritis and arthrosis; determined accompanying diseases, if any.

Distinguish 4 stages of development of "bones" on the big toe:
  • Stage 1 – the angle of deflection of the thumb from its normal position does not exceed 20°;
  • Phase 2 – as a move from 20 to 30°;
  • Phase 3 – from 30 to 50°;
  • Stage 4 – more than 50°.

The treatment of deformities of the bones in the foot

Diagnosis and treatment of hallux valgus stop not podiatrist. Already at the beginning, when the first signs of a shift, be conservative methods of treatment. Simple therapeutic measures, which include:

  • wearing orthopedic insoles that help to eliminate flat feet;
  • the correct mode of work and rest;
  • if the profession of the patient, which is associated with the load on the legs, it is advisable to take a break or change of activity;
  • women it is prohibited to wear shoes with a stiletto on the heels (the heel should not be higher than 7 cm) and the shoe that compresses the foot.

Perhaps the appointment of a special deferentis bands and interDigital silicone lining. These devices return the thumb to its physiological position, and long-term wearing can inhibit the further deformation of the foot.

Very effective can be wearing orthopedic insoles. Insoles made with custom made individually for each patient. When "bones" on your feet insole is formed by use of the arcus firmamentum, which supports the transversal arch of the foot. Thanks to this, the load on the foot is distributed properly, the foot is chamfered on the side when walking.

In modern medicine developed several technologies that increase the efficiency of the treatment "bone". The curvature, do not eliminate, but can serve as a preparatory step or as a subsidiary measure for a more thorough treatment.

Shock wave therapy is a machine method of treatment with a valgus deviation of the, Flatfoot, heel spurs. Using acoustic shock waves in the tissue, activates blood circulation, improves nutrition, is the renovation and restoration of the damaged cells.

As a result, the dissolved calcium deposits in your "bone" – as the build-up becomes much less for 5-6 weeks of therapy. Increases the elasticity of muscles and ligaments of the foot, the pain goes and the swelling decreases the inflammation in the area of the deformed joint.

Therapeutic massage with a valgus deviation of the remove excessive tension of the small muscles of the foot. During the massage the joint, trying to return to its physiological position, increase mobility, eliminate congestion and discomfort. In marked inflammation of the metatarsus I-explicaretur agmen, a common massage is contraindicated!

Corrective orthopedic splint, designed for long-term use – the first consequence of its application are noticeable after 1-2 months. valgus splint pulls the big toe, giving it back in the correct position. In addition, it corrects the transverse arch of the foot, lifting it. In the splint is worn constantly, it can be worn during sleep. The mobility of the foot is maintained.

Laser therapy for "bone" in the foot is warming the inflamed area with the laser. Due to the thermal effect of the dissolve calcium deposits, reduce swelling, remove the pain. Tense the muscles of the foot relax, remove the cramps.

Intravenous therapy is the same heating effect that relaxes the small muscles of the foot and works active blood flow in veins and capillaries, it helps in rebuilding of cells and tissues. In addition, the ultrasound stimulates collagen production in the tissues, increases the elasticity of the foot, strengthen the muscles and ligaments.

Physical therapy for valgus deviation consists of the rehabilitation, exercises for legs, some yoga exercises, techniques for strengthening the points on the feet, Accessories, restorative massage.

In addition, called nonsteroidal anti-inflammatory drugs that reduce inflammation and relieve pain in the affected joint. Possible warming anti-inflammatory ointments, creams and compresses, but all treatment must be under the supervision of a podiatrist. Heal yourself with "bone" in the foot is not recommended.

Surgical treatment of deformity of the bones in the foot

If the metatarsus bones shifted quite considerably already, and therapeutic methods, to return to its normal position is not possible, it is recommended surgery. Transactions selected by the attending physician. This takes into account the comorbidities of the patient, the degree of deviation of the finger from the normal position, the presence of secondary deformities of the foot and toes.

There are 2 types of operative interventions for hallux valgus: reconstructive surgery and mini-invasive surgery. If you want to determine whether or not to do surgery, it can be very simple – if the "bone" is stopping to walk and rubs in the Shoe, then no intervention is necessary.

Before the surgery, in addition to radiography of the foot, you must pass the following tests:
  • EKG,
  • clinical analysis of blood,
  • urine,
  • biochemical analysis of blood,
  • blood group and RH factor
  • blood tests for viral hepatitis, syphilis and HIV.
Special preparation for surgery on the foot, is not needed.

Mini-invasive surgery

This type of operations are carried out in the context of hallux valgus at the first stage. The surgery is performed without skin incisions. Have done a couple of small holes, through which instruments – mikroskalpel, special knives and others. In the x-ray control of the metatarsus and phalangeal bones asperato specillo in the right places, deleted the build-up, restores the physiological position of the joint, the big toe back to your place. After the surgery does not need fixing – either external or internal, in the form of plates and clamps.

Reconstructive surgery

This type of treatment, which is carried out in 2. or more stages of deformation. His second name – osteotomy, or "excision of the bones." The operation is more traumatic, but for many it becomes the only way out.

Osteotomy is held open by dissection of the skin and the joint capsule. To remove the "bones" asperato specillo mensa crumenae distentae I metatarsus bones. The more pronounced the bone, the harder it will be and the volumetric serrationes. It is also interpositione phalanx of the thumb. Then give the bones to their normal position and lock from the inside of titanium mini-screws.

After the surgery requires a retentive bandage, crutches, and other devices are not necessary. The removal of titanium screws is not necessary. In the hospital the patient should be to spend 1-2 days. Walking is allowed in the first postoperative days. Recommended to wear orthopedic shoes for a few months. Swelling of the legs takes up to 3 months.

The potential consequences of "bones" on the big toe

If it is the consequence of growth on the foot is left untreated, it is a criminal offence will only improve. Other than the cosmetic damage and problems with the choice of running shoes, the possible consequences for the whole organism.

From the damaged leg is leaning the rest of the fingers, deformed ankle joint may develop a heel spur. Mowing of the foot during walking causes damage to the knees and the hip joints. The leg is X-shaped, the knee of ABRAHAM in the interior. The pelvis byssus cake and becomes inclined, the interference position of the spine, the curvature of its departments, shifted vertebrae. All of this leads to the development of intervertebralis herniation and compression of the roots of the spinal nerves.

The prevention of "bones"

To avoid developing this unpleasant and dangerous disease, must, above all, to protect their feet and give them enough attention. Do not wear tight shoes that constrict the foot. It is advisable to buy shoes made from elastic material that stretches when worn. Women must wear a heel no higher than 5-7 cm in the sport with a great load on the legs and feet should choose sport shoes with a thick sole which gives good cushioning.

It is useful to walk barefoot in the summer – this returns stop by her physiological state and to prevent the flat feet. Relieve fatigue and improve blood circulation in the legs useful exercise is to stand on tiptoes to shift the weight from the toe to the heel, gently stretch your foot – strengthens the small muscles and prevents shifting of the bones in the future.

27.07.2018