Bone treatment on the leg of the thumb should begin immediately after confirmation of the diagnosis to prevent complications.At the first signs of the disease, it is worth contacting an orthopedic, as the bone on the big toe not only disfigures it, but also exacerbates the general condition due to pain and chronic inflammation.The choice is appropriate, but at the same time the beautiful shoes are very difficult.Therefore, the need to identify the causes and timely treatment of the cone on the big toe determines the further quality of life.
Why does a bone occur on your finger?
A lump, or a bone on the big toe, is the name of the pathology used in everyday life.In fact, the disease is a valgus deformation of the foot: the deviation of the first bone plus in the inside with the simultaneous twist of the thumb from the outside.It seems that at the base of the first finger a lump was raised or an extra bone was formed.
In fact, the angle between the first and second metatarsal bones varies, the foot elements move.The head of the elongated knot is an extended flap on the side.
Risk factors include:
- hereditary predisposition;
- Genetic pathology of the skeletal system;
- Characteristics of the foot structure (first bone plus is longer than the norm);
- metabolic violations (overweight, improving the load on the joints, storage of urates, violation of carbohydrate metabolism);
- arthritis and arthritis;
- injuries (stroke, bruise of the foot joint, phalanges of the thumb);
- The elderly era (the amount of calcium decreases, synovial fluid products are significantly reduced) leads to changes in bone and cartilage, developing flat transverse legs: 3%-age 15-30 years, 9%-at 31-60 years and 16%for those older than 60 years.
According to statistics, a woman undergoes the development of deformation and the thumb is 20 times more often than a man.This is due to congenital weakness and high elasticity of muscles and ligaments, shoe specifications.A high heel, a narrow, stalled sock creates a huge load on the foot.With a long standing stand, the likelihood of developing thumb bursyes increases: the foot is "flattened" and deformed.
The presence of another pathology - associated diseases: can provoke the development of Hallux valgus:
- hormonal restructuring of the body (pregnancy, menopause, adolescence);
- serious disease (tuberculosis, sepsis, gout, diabetes, psoriasis);
- High articular mobility in Marfan syndrome, Down disease;
- multiple sclerosis;
- Cerebral paralysis.
Stages of development of the disease
The term Hallux valgus first used Carl Heuter in 1871, which showed them a deviation of the first toe outside the central axis of the body.This name describes the changes that occur with the thumb.Hallus is the Latin name of the big toe, and Valgus is an anatomical term which means deviation away from the middle line of the body.
Over time, the bursitis develops the thumb.A plot of irritated, edematous tissue appears, which, due to constant pressure, leads to a thickening of bone tissue.This increases the swelling and rubbing for the shoes.
There are four stages of finger valgus deformation development:
- I scale - 15 °, is an aesthetic disadvantage, no physical discomfort;
- II degree - 20 °, matters and pain in the foot with long walking, especially in unpleasant shoes;
- Grade III - 30 °, while there is a minor deformity of other phalanges and limiting the movement of the thumb, constant pain in the joints;
- Grade IV - more than 30 °, there is a significant deformity of almost all phalanges of the fingers and the whole foot, the pain is present at rest.
Grade III and IV are dangerous to health as they develop:
- Deformation formed with hammer - fingers II and III do not participate in walking;
- adult nails;
- corn and corn that can become inflamed and shed;
- swelling of the foot;
- Osteomyelitis.
Therefore, early diagnosis is important.It will help to avoid the serious consequences associated with a complication of inflammation.
Valgus deformation in children
Simple foot deformity in a child-a frequent pathology, is 40-80% of all legs of proper foot development.Most often suffers:
- preschool children;
- teenager.
Changes lead to the fact that growth is reduced, X -shaped bending develops. There are complaints of leg pain when walking due to rapid muscle fatigue, walking becomes unstable.During the inspection, detected:
- The distance between the ankles with tightly compressed knees - more than 5 cm;
- displacement of leg arches;
- deviation of the heel and fingers on the outside;
- Decreased arch height (flat deformity).
Child:
- Occurs only on the inside of the foot, he has a shaky walk;
- Tires quickly during games;
- He complains of leg pain and back, convulsions and swelling of the legs.
The shoes are more rotating from the inner surface.
Congenital is due to a genetic defect or pathological pregnancy, detected after birth, requires surgical correction.
The obtained deformity of the foot valgus develops due to:
- insufficient development of ligaments and tendons;
- Muscle hypotension.
Reasons:
- Diseases of the musculoskeletal system;
- Wearing an unpleasant or fixing foot of the shoe.
Changes are detected when the child begins to walk for the first time.This pathology is characteristic of children with a weakened body for:
- a deficiency of nutrients during embryoogenesis;
- not -the support;
- Frequent sar.
Deformation is complicated:
- arthritis;
- spinal bending;
- flat feet;
- osteochondrosis;
- pelvic bone violation;
- pathological disorders in the knee joints and ankle;
- Shortening the limbs.
A severe degree of pathology is one of the reasons for disability in childhood.
With low deformity and timely therapeutic treatment, a complete restoration of the normal joint function is possible.
Diagnostic methods
After identifying the pathology of the finger, it is necessary to perform:
- determining the motility of the fingers of the first and adjacent fingers;
- Radiography (for the corner calculation between the bones, the detection of structural changes in the bone, the subluxation of the joint);
- calculated planetography (loads on different foot departments) has been analyzed;
- CT or MRI (for a more accurate detection of tissue violations and as a preparation phase for surgery);
- Ultrasound (if suspected of violating blood circulation);
- Consultation of a neuropathologist (with nerve damage).
Laboratory studies are needed to exclude associated diseases and the preparation of surgical treatment.
Treatment methods without surgical intervention
In the early stage of the disease, when the changes did not get an irreversible character, the back of the foot can be cured without surgery.Prolonged diagnosis leads to surgical intervention, given the following:
- In the severe stage of the disease, popular methods, orthosis, taking medication in the pharmacy are ineffective;
- The older the patient, the less conservative therapy.
Non -operative treatment gives the result by 1 and 2 degrees of deformation.It is important not to miss the onset of pathology.Popular methods are ineffective.They can only reduce a few symptoms, but the disease will not be cured.
For treatment are used:
- massage;
- special exercises;
- weight correction;
- orthopedic shoes;
- orthosis dressing;
- Drugs.
The lack of adequate therapy leads to the development of the 3rd and 4th degree of pathology, osteomyelitis: the feet swell, painful corn, suppression.In advanced cases, with a large angle of 1st finger displacement, painful pain is delivered, the shoe purchase is significantly complicated.
Massage
Initially, massage is carried out by a qualified specialist, in the future it is necessary to learn how to do it yourself.
Purpose of Massage Setting:
- load distribution and decreased inflammation;
- Restoring blood circulation (it is necessary to massage the buttocks, feet, fingers, back muscles).
The course is effective 10 times with further repetitions from time to time.
Review of Valgus Deformation Clips
The conservative direction of the deformed foot involves the mandatory use of orthosis - special orthopedic devices.Using them is ten times cheaper than the simplest operation.These include:
- Fixes;
- bedding and half of placement;
- mave;
- orthopedic tires;
- The night process.
The latter adjusts the big toe in the right position, providing arapeutic sleep.Used at every stage of Hallux valgus,
But only at night or during the rest, as its model is not meant to wear for shoes.First, wear a bandage for a few hours, and then for the whole night.
C fixes for correction of the big toe are:
- Night - solid tires for use only during sleep;
- During the day - soft and articulated bandages for continuous dressing.
Moreover, they can be classified:
- to adjustable and unregulated;
- on the first two fingers of the foot of the foot or without it.
For production, different materials are used:
- plastic;
- silicone;
- textile.
Plastic recipe
Designed to sleep due to the large sizes and stiffness of the structure.This device consists of:
- from a tire by immobilizing and holding all the fingers displaced;
- By a strap adjusting the voltage scale.
Silicone clip for the big toe
It is a whole cast tab, which is tightly connected to keep the joints in the natural position between the second and first toes.Them:
- Soft;
- stable;
- Suitable for any shoe;
- Do not rub and form corn;
- They have small universal dimensions.
Fabric
This is a toe with specially sewn tabs.The exact position is able to turn the foot, provided they are used in the early stages of the disease.To enhance the therapeutic effect, the soft material is combined with difficult.Such evidence tests include a valgus valgus tire.Combines:
- hypoallergenic medical plastic;
- Stable soft fabric;
- Suitable for both feet.
Helps:
- uniform foot load distribution;
- deformation correction by pulling the thumb;
- Restoring foot mobility by increasing the elasticity and flexibility of muscle fibers.
The advantage is used by corrections with an additional fixer and regulator.These functions allow:
- change the angle of shifting the joint in the right direction, eliminating the defect;
- Lower the load, correcting the bending of the other fingers.
Drug treatment and physiotherapy
The use of medicines is a symptomatic treatment.In order to reduce inflammation and relieve pain.Most methods are effective in the initial stage of the disease.The following groups of medicines are used:
- painkillers;
- GKS;
- NSAID (non -steroidal anti -inflammatory drugs);
- Improving microcirulation in tissue, venous outflow;
- Antibacterial drugs.
A tablet or injection is described depending on the condition of the joint.Intra -articular injections are sometimes used.They relate to medical procedures.
With metabolic disorders or systemic disease, the underlying disease is treated.Is described by close specialists: a rheumatologist or an endocrinologist.
Exercise therapy
Charging and gymnastics treatment is used in the early stages of the disease.Doctors prescribe gymnastics for:
- removal of edema;
- improving common mobility;
- Reducing the symptom of pain.
The real result from gymnastics occurs with regular execution.Gymnastics for children and adults changes.Charging should take into account the stages of development of the muscular system.Examples of sitting exercises (each exercise should be done 20 times):
- Bend your fingers;
- Run your feet, pull your fingers over yourself, try to combine your legs with each other;
- Fingers to raise a sheet of paper lying on the floor;
- Rotating leg movements;
- Fill the toes with a sheet of paper;
- Keep your feet more tense for a few minutes in the approved position;
- Keep your feet in a position with wide toes of the leg;
- Five and extend your fingers to feel fatigue alternately;
- Roll the bottle on the floor with steps for a few minutes.
Exercises performed while walking barefoot:
- alternating walking in socks and soles with raised hands and straps;
- movement on the outer and inner side of the foot, bending fingers;
- Transfer of body severity from socks to heel and back;
- Raising the sock while standing on the inner surfaces of the limbs.
A set of exercises for finger joint training:
- Stretch the elastic band between your fingers;
- tighten the ball or a special scroll with your fingers;
- Skating skating: a few minutes of load for each leg;
- Circular movements with the fingertips.
Diet
An important role in the fight with this pathology is played by the right food:
- Fatty, smoked, acute, very salty foods are excluded;
- Sweet consumption decreases.
This reduces inflammatory processes.Products with a high content of vitamins A, E, C. The exact diet leads to a decrease in overweight, which is one of the frequent causes of leg valgus deformation.In the presence of serious diseases that lead to joint pathology, or associated with metabolism disorders, special diets prescribed by close specialists are used.
Popular treatment
No popular method is able to store Halus Valgus, as this is an organic joint defect.Compresses, baths and home oil usually have a symptomatic effect used in folk medicine: symptomatic effects:
- reduce inflammation slightly;
- Reduce pain.
But they are not the basis for treatment, but are used as an addition to a doctor's prescription.
Useful product
Currently, circulation in advertising a healthy lifestyle (healthy living) has gained a new product.Includes goods that include beekeeping products:
- heart;
- pollen;
- propolis;
- Parch;
- wax;
- uterine and drone milk;
- Bee fire extract;
- Chitosan.
At the same time, the product, as shown in the instructions, can be used to treat vision, digestive tract pathology, gynecological diseases, cardiovascular and nerve systems, colds.
Tools for internal and external use are offered:
- nutritional drage;
- honey drinks;
- healing balsams;
- cream and oil for the joints;
- tonic;
- Body and hair care products;
- Cosmetic collections of hands and feet;
- oral cavity care products;
- cleaners;
- immunostimulating products;
- Series of Children of Health Prevention.
But many positive patient reviews are not an objective assessment.When choosing a popular medicine, it is necessary to consult a specialist.Doctors are the ones who later treat the consequences of popular medicine with a wide range of use.They have nothing to do with medication.If the patient rejects the prescribed therapy, self -medication with the use of a tool that cures all diseases immediately, the pathology will lead to complications in which surgery will have to be used.
Maclura
Popular healers consider it effective to get rid of a lump in the Maklura leg - Apple Adam (Chinese orange, Indian orange).The fruit resembles a green apple or immature orange.It is found in China and Central Asia.For the treatment of valgus, tinctures, ointments, oil hoods are recommended.The plant contains toxic substances.Due to the low knowledge of its useful properties, traditional medicine does not use the plant in the production of dosage forms.It is forbidden to use it under the following conditions:
- Has diabetes;
- individual intolerance;
- Possible allergic reactions.
Sold in the form of ready dosage forms made.When the first signs of pressure and deterioration appear, it is necessary to stop treatment due to the fact that the plant is very poisonous.
Other methods
Breastfeeding is considered the best home remedy for the treatment of Hallux valgus.Medicine is prepared within a week.Its use relieves pain and reduces finger tumor.Ingredients needed:
- 100 ml alcohol 96%;
- 5 large bay leaves;
- 1 tablespoon sodium bicarbonate;
- 3 liters of water.
Recipe: Pour alcohol of the leaf of the breast, insist in a dry 1 week place at room temperature.Before using, keep your feet in a sodium bicarbonate heat solution.Before going to bed, rub the resulting product in the joint, place cotton socks.
Apply to the affected areas before you go to bed recommend the following funds:
- Add 10 ml of iodine to crushed acetylsalicylic acid (200 mg), mix in a homogeneous consistency - this penny will significantly improve the condition with regular use;
- Lemon juice and iodine - use for 2 weeks;
- iodine salt for preparation of warm baths;
- vinegar and iodine (10 drops of iodine for 2 teaspoons of table vinegar).
Ointments are recommended, which include medical bile (ready -made pharmacy forms are sold).
But all these measures can temporarily relieve suffering by relieving pain and exacerbation in the leg.They will not be able to fully adjust the bone.A collision without medical care will continue to increase.
Who to contact for help?
Bone and joint pathology requires specialized medical care.If the first signs of the disease appear, it is necessary to contact a traumatologist or orthopedic.
Regarding treatment without operation
Doctors believe that treatment of leg valgus deformation without surgery is quite possible.
Stop its development in the early stages can:
- correct shoes;
- Orthopedic correctors;
- bedding to normalize loads in the leg group;
- Physiotherapy (massage, ultrasound, diaatermy);
- daily therapeutic gymnastics;
- Regular foot baths;
- Fight against overweight.
In what cases is the operation needed?
Operation Operational Method Objectives:
- Get rid of the puppy;
- Point your finger;
- prevent further bone growth;
- Fight complications;
- Remove other formed deformities of the legs.
Surgical intervention is shown in the presence of:
- Transverse flat feet of degree II-IV;
- the progression of the pathology, accompanied by a constant symptom of pain;
- poorly corrected violation of the muscular -keletal function of the foot;
- Pronounced aesthetic deficiencies (desire to get rid of deformation and wear more elegant shoes).
The operation is performed in the absence of the effect of conservative therapy.
Currently, there are more than 400 methods of root interference to correct the flat transverse legs complicated by the formation of standing cones.About 200 of them are used in the world.
FREE to be treated operationally can take any face according to the compulsory medical insurance policy.For this, there are quotas, but waiting time can be several months to send an orthopedist or traumatologist for surgical intervention.The type of operation depends on the hospital equipment, the availability of the necessary specialists.At the same time, you can remove the rooted nail, straighten the cloudy paw curve, which is sealing the skin as a complication of pathology.
Small methods -invasive
Small invasive surgery contributes to the correction of the 1st toe location.Methods with minimal bone displacement and scarring are used with soft tissue interference.After treatment, the finger begins to bend.
Miniinoval method - percutaneous lump removal.It is used to eliminate on average pronounced bending and to combat a violation of the foot function.Operations consist of removing bone tissue.Recovery after a valgus operation of this type occurs quickly.
Small-invasive surgical treatment is a distal shift: the 1st toe moves distally, starting from the 1st node of the plushenfarance.It is performed with a gentle or moderate degree of foot deformity, the finger begins to run.Well tolerated titanium screws are used, which do not require removal.After this surgery, the patient does not feel any concern.A good cosmetic result with minimal pain is achieved.
Side release (withdrawal of the common media capsule) is another method of minimally invasive surgical treatment.There are several advantages:
- minimal soft tissue damage;
- Little traumatitis helps to reduce the recovery process (adult patients become removable in a short time);
- Reduce edema after foot surgery compared to other surgical interventions.
Operations related to bone manipulations can be performed not only with the help of traditional surgical instruments.The modern method is used-the use of laser, shock wave therapy (UVT).In the union begin to act in a shock wave.This allows some sessions to press the joint bag and level the index finger of the foot.He ceases deviated and glued, causing discomfort and pain, his appearance improves.Healing occurs after 4-5 sessions.They should be held once a week.
If the first metatarsophalangeal joint arthritis is developed, minimal invasive treatment cannot be done.In this case, a triple arthritis is performed by the device.This is a special operation when the complete immobility of the joint is artificially created.
Prevention
To combat pathology, a whole range of measures are used.Both adults and children need:
- Physical education of physiotherapy;
- massage;
- Orthosis (involves wearing orthopedic shoes or using special inserts in shoes).
How to avoid the appearance of a bone?
To avoid the appearance of pathology, pathology is needed:
- orthopedic examination for timely detection of flat feet;
- lowering body weight;
- adequate treatment of associated diseases;
- Compliance with the work regime and rest if the profession is accompanied by a long standing stand.
Choosing comfortable shoes
In the 19th century, it was common that Khalus Valgus was the result of the growth of bone tissue of the first metatarsal bone and its soft shell due to poorly selected shoes.Opinion was formed on the basis of observations: the disease is almost never found in crops that do not wear shoes.
Many problems arising in the legs are a consequence of pathological pressure or friction due to the wearing of selected side shoes for everyday wear.The pathology of the foot joint develops due to:
- very large heel;
- narrow or too wide nose;
- Incorrect size.
The bursitis of the big toe, which is originally developed, is the result of response to the pressure from the shoes.
A condition that will help to avoid injury to the foot and develop further severe complications is wearing prnavilic shoes:
- without studs;
- without sharp noses;
- from natural materials;
- With a heel no higher than 5 cm.
This will make it possible to keep your feet beautiful and healthy.