The treatment of bone on the leg of the thumb should be started immediately after confirming the diagnosis to prevent complications.At the first signs of the disease, it is worth contacting an orthopedist, as the bone of the thumb of the leg not only disfigures it, but also worsens the general condition due to pain and chronic inflammation.The choice is comfortable, but at the same time beautiful shoes are very difficult.Therefore, the need to identify the causes and the timely treatment of the thumb cone determines the more quality of life.
Why does a bone appear on your finger?
The leg or bone of the toe is the name of the pathology used in everyday life.In fact, the disease is a deformation of Valgus on the foot: the deviation of the first plus bone on the inside with the simultaneous bend of the thumb outside.It seems that a boom appeared on the foot at the base of the first finger or an extra bone formed.
In fact, the angle between the first and second metatarsal bones changes, the elements of the foot are displaced.The head of the protruding joint is a launch that protrudes on the side.
Risk factors include:
- hereditary predisposition;
- Genetic pathology of the skeletal system;
- Characteristics of the structure of the foot (the first plus bone is longer than normal);
- Metabolic disorder (overweight, increased joint load, deposition of urates, disruption of carbohydrate metabolism);
- arthritis and arthrosis;
- injuries (punch, bruising of the ankle joint, thumb phalanges);
- The elderly (the amount of calcium is reduced, the products of the synovial fluid are sharply reduced) leads to changes in the bones and cartilage, the development of transverse flat legs: 3%-age 15-30 years, 9%-31-60 years and 16%for those greater than 60 years.
According to statistics, the woman is the subject of the development of deformation and the thumb is 20 times more frequent than a man.This is due to the congenital weakness and the high elasticity of the muscles and connections, the specifics of the shoes.A tall heel, narrow and narrow sock creates a large load on the foot.With a long stay of the legs, the likelihood of developing bursay of the thumb increases: the leg is "flattened" and deformed.
The presence of another pathology - related diseases: can provoke the development of Hallux Valgus:
- hormonal restructuring of the body (pregnancy, menopause, adolescence);
- serious diseases (tuberculosis, sepsis, gout, diabetes, psoriasis);
- High joint mobility in Marfan syndrome, Down disease;
- multiple sclerosis;
- Cerebral paralysis.
Stages of disease development
The term Hallux Valgus first used Karl Heater in 1871, which shows them a deviation of the first toe of the foot from the central axis of the body.This name describes the changes that occur with the thumb.Holus is the Latin name of the thumb of the leg, and Valgus is an anatomical term that means deviation away from the middle line of the body.
Over time, Bursit develops the thumb.A schedule of irritated, edematous tissue appears, which, due to constant pressure, leads to bone thickening.This increases the swelling and rubbing of the shoes.
There are four stages of deformation of the Valgus thumb:
- Grade I - 15 °, is an aesthetic disadvantage, there is no physical discomfort;
- Grade II - 20 °, there is weight and pain with long walking, especially in uncomfortable shoes;
- Grade III - 30 °, while there is a slight deformation of other phalanges and limiting the movement of the thumb, constant pain in the joints;
- Grade IV - more than 30 °, has significant deformation of almost all phalanges of the toes and the whole leg, the pain is present at rest.
Grade III and IV are dangerous to health while developing:
- A hammer deformation - II and III fingers do not participate in walking;
- grown nails;
- Kranevi and calluses, which can be inflamed and poured;
- swelling of the foot;
- Osteomyelitis.
Therefore, early diagnosis is important.This will help to avoid serious consequences associated with a complication of inflammation.
Valgus deformation in children
Free deformation of the foot in a child-frequent pathology is 40-80% of all disorders of proper leg development.Most often it suffers:
- pre -school child;
- teenager.
The changes lead to the fact that the rise is reduced, the curvature of the X-shaped curvature develops.There are complaints of leg pain when walking due to rapid muscle fatigue, the gait becomes unstable.During the inspection, it is revealed:
- The distance between the ankles with tightly thickened knees - more than 5 cm;
- displacement of the arches of the steps;
- deviation of the heel and fingers outside;
- Reduction of arch height (flat deformation).
Child:
- It is found only in the inside of the foot, it has a stirring gait;
- Fast tires during games;
- He complains of leg and back pain, convulsions and swelling of the legs.
The shoes rotate more than the inner surface.
The congenital is due to a genetic defect or pathological pregnancy found after birth requires surgical correction.
Valgus deformation of the foot is developing due to:
- insufficient development of connections and tendons;
- Muscle hypotension.
Reasons:
- diseases of the musculoskeletal system;
- Wearing uncomfortable or poorly fixing the legs of the shoes.
The changes are revealed when the child begins to walk for the first time.This pathology is characteristic of children with a weakened body for:
- nutrient deficiency during embryogenesis;
- unobstrunce;
- Common Sars.
The deformation is complicated:
- arthrosis;
- spinal curvature;
- flat legs;
- osteochondrosis;
- violation of the form of pelvic bones;
- pathological disorders in the joints of the knee and ankle;
- Shortening of the limbs.
Severe pathology is one of the causes of childhood damage.
With minor deformation and timely and adequate therapeutic treatment, a complete restoration of the normal function of the joints is possible.
Diagnostic methods
Once the pathology of the finger has been identified, it is necessary to perform:
- determining the mobility of the joint of the first and adjacent fingers;
- radiography (to calculate the angle between bones, detect structural changes in the bone, subluxation of the joint);
- Planeography (loading of different departments of the foot) is analyzed;
- CT or MRI (for a more accurate detection of tissue disorders and as a stage of preparation for surgery);
- Ultrasound (if a circulatory disorder is suspected);
- Consultation of a neuropathologist (with nerve damage).
Laboratory tests are required to exclude related diseases and in preparation for surgical treatment.
Methods of treatment without surgery
In the early stages of the disease, when the changes did not become irreversible, the back of the foot can be healed without surgery.Prolonged diagnosis leads to surgery, given the following:
- In the severe stage of the disease, folk methods, wearing orthosis, pharmacies is ineffective;
- The more adult the patient, the less conservative therapy works.
Non -surgical treatment gives the result with 1 and 2 degrees deformation.It is important not to miss the onset of the pathology.Folk methods are ineffective.They can only slightly reduce some symptoms, but the disease will not cure.
They are used for treatment:
- massage;
- special exercises;
- weight adjustment;
- orthopedic shoes;
- wearing orthosis;
- Medicines.
The lack of adequate therapy leads to the development of the 3rd and 4th degree of pathology, osteomyelitis: the legs appear swollen, painful calluses, soup.In advanced cases, with a large angle of displacement of the first finger, painful pain is supplied, and buying shoes is significantly complex.
Massage
Initially, the massage is performed by a qualified specialist, in the future it is necessary to learn how to do it yourself.
Purpose of Massage Production:
- load distribution and reduction of inflammation;
- Recovery of blood circulation (it is necessary to massage the buttocks, legs, toes, back muscles).
The course is effective 10 times with additional reps over time.
View Valgus Deformation Brackets
Conservative straightening of the deformed leg involves the mandatory use of orthosis - special orthopedic devices.Their use is ten times more cheaper than even the prime operation.These include:
- retainers;
- insoles and half places;
- screeds;
- orthopedic tires;
- Night adjustments.
The latter fixes the thumb of the legs in the correct position, providing anrapist sleep.Used at every stage of Hallux Valgus,
But only at night or during the rest, as its design is not intended for wearing for shoes.First, put on a bandage for a few hours, then all night.
C retainers to correct the thumb of the legs are:
- Night - hard tires for use only during sleep;
- Living room - soft and articulated permanent dressings.
In addition, they can be classified:
- to adjustable and unregulated;
- on the first two fingers of the foot.
Different material is used to produce:
- plastic;
- silicone;
- Textile.
Plastic adjustments
Designed for sleep due to large size and stiffness of the structure.This device consists of:
- By tire immobilization and retention of all displaced fingers;
- From a belt that adjusts the degree of voltage.
Silicone brackets for the thumb of the foot
This is a whole casting section that is tightly attached to hold the joints in the natural position between the second and first toes of the foot.They:
- soft;
- durable;
- Suitable for any shoes;
- Do not rub or form calluses;
- They have small versatile sizes.
Woven bandages
It's a finger with specially sewn sections.The correct position is able to return the foot, provided that they are used in the first stages of the disease.To improve the therapeutic effect, the soft material is combined with a solid.Such adjustments include a Valgus hinged tire.It combines:
- Hypoallergenic medical plastic;
- durable soft tissue;
- Suitable for both legs.
Helps:
- uniform distribution of the load of the foot;
- Deformation correction by pulling the thumb;
- Restoration of leg mobility by increasing the elasticity and flexibility of muscle fibers.
The advantage is used by corrections with an additional retainer and regulator.These features allow:
- Change the angle of displacement of the joint in the right direction, eliminating the defect;
- Reduce the load by adjusting the curvature of other fingers.
Treatment with medicines and physiotherapy
The use of drugs is a symptomatic treatment.Aimed at reducing inflammation and relieving pain.Most methods are effective in the initial stage of the disease.The following drug groups are used:
- painkillers;
- GKS;
- NSAIDs (non -steroidal anti -inflammatory drugs);
- Improvement of microcirculation in tissues, venous outflow;
- Antibacterial drugs.
A tablet or injection is prescribed depending on the condition of the joint.Sometimes internal -articular injections are used.They relate to medical procedures.
In metabolic disorders or systemic diseases, the underlying disease is treated.It is prescribed by narrow specialists: rheumatologist or endocrinologist.
Exercise therapy
Charging and gymnastics treatment is used in the first stages of the disease.Doctors prescribe gymnastics for:
- edema removal;
- improving joint mobility;
- Reducing the symptom of pain.
The real result of gymnastics occurs with regular implementation.Gymnastics for children and adults differs.Charging should take into account the stages of development of the musculoskeletal system.Examples of exercise performed (each exercise should be performed 20 times):
- Bend your toes on your feet;
- Straighten your legs, pull your fingers on yourself, try to combine the soles of your feet with each other;
- lifting fingers on a piece of paper located on the floor;
- rotating leg movements;
- Fill your feet with a piece of paper;
- Keep your legs in a few minutes in the accepted position;
- Keep your feet in a position with wide toes;
- Five and lengthen your toes to feel fatigue Reduta;
- Roll the bottle on the floor with steps for a few minutes.
Exercises performed while walking boss:
- alternating walking on socks and heels with hands raised and on the belt;
- Movement from the outer and inside of the foot, bending of the toes;
- transfer of body weight from socks to heels and vice versa;
- Lifting the sock while standing on the inner surfaces of the limbs.
A set of exercises for training joints on the fingers:
- Stretch the elastic band between your fingers;
- Squeeze the ball or a special roller with your fingers;
- Skate skates: a few minutes of load for each leg;
- Circular movements with thumbs.
Diet
An important role in the fight against this pathology is played by proper nutrition:
- Oily, smoked, spicy, too salty foods are excluded;
- Sweet consumption decreases.
This reduces inflammatory processes.High vitamin A products, E, B. The right diet leads to a reduction in overweight, which is one of the common causes of valgus deformation of the feet.In the presence of serious diseases that lead to pathology of the joints or related to metabolism disorders, special diets are used by narrow specialists.
Folk treatment
No folklore method is able to save Valgus Halus as it is a defect of organic joint.Compresses, baths and home ointments usually have a symptomatic effect used in folk medicine: Symptomatic effects:
- slightly reduces inflammation;
- Reducing soreness.
But they are not the treatment basis, but they are used in addition to a prescription.
Useful
Currently, turnover in the direction of advertising a healthy lifestyle (healthy lifestyle) has won a new product.It includes goods that include beekeeping products:
- copper;
- pollen;
- propolis;
- Plain;
- wax;
- uterine and daughter;
- Bee shooting extract;
- Chitosan.
At the same time, the product, as indicated in the instructions, can be used to treat vision, pathology of the digestive tract, gynecological diseases, cardiovascular and nerve systems, colds.
Internal and external uses are available:
- food dear;
- honey drinks;
- healing conditioners;
- Cream and Ointment for joints;
- tonic;
- Body and hair care products;
- Cosmetic collections of hand and legs;
- Oral care products;
- cleaning products;
- deficiency products;
- Children's series to prevent health.
But many positive examinations of patients are not an objective assessment.When choosing a folk remedy, you need to consult a specialist.Doctors later treat the effects of folk drugs with a wide range of use.They have nothing to do with medication.If the patient refuses prescribed therapy, suicide using a remedy that cures all diseases at once, the pathology will lead to complications in which surgery will need to be used.
Maklura
Folk healers consider it effective that they get rid of the maklura - Apple leg boom of Adam (Chinese orange, Indian orange).The fruit resembles a green apple or immature orange.It is located in China and Central Asia.For the treatment of valgus, tinctures, ointments, oil hoods.The plant contains toxic substances.Due to the low knowledge of its beneficial properties, traditional medicine does not use the plant in the production of dosage forms.It is forbidden to use it under the following conditions:
- There is diabetes;
- individual intolerance;
- Possible allergic reactions.
It is for sale in the form of ready -made dosage forms.When the first signs of oppression and deterioration occur, it is necessary to stop treatment due to the fact that the plant is very poisonous.
Other methods
Daphil is considered to be the best home remedy for Hallux Valgus.The drug is prepared within a week.Its use relieves pain and reduces the tumor of the finger.The required components:
- 100 ml 96% alcohol;
- 5 large bay leaves;
- 1 tablespoon sodium bicarbonate;
- 3 liters of water.
Recipe: Pour alcohol on the leaves, insist in a dry place for 1 week at room temperature.Keep your feet in a heat bicarbonate of a heat solution before use.Before going to bed, rub the resulting product in the joint, put on cotton socks.
Apply in the affected areas before you go to bed, the following funds are recommended:
- Add 10 ml of iodine to crushed acetylsalicylic acid (200 mg), mix to a homogeneous consistency - this penny will significantly improve the condition with regular use;
- Lemon juice and iodine - use for 2 weeks;
- Iodine salt for the preparation of warm baths;
- Vinegar and iodine (10 drops of iodine for 2 teaspoons of vinegar).
Ointments are recommended that include medical bile (ready -made pharmacy forms).
But all these measures can only alleviate suffering by relieving pain and weight in the legs.They will not be able to completely repair the bone.The boom without medical help will continue to grow.
Who to contact for help with?
Bone and joint pathology requires specialized medical care.If the first signs of the disease appear, you should contact a traumatologist or orthopedist.
On treatment without surgery
Doctors believe that the treatment of valgus deformation of the foot without surgery is quite possible.
Stop it in the early stages can:
- correct shoes;
- Orthopedic concealers;
- insoles to normalize loads of the set of the foot;
- Physiotherapy (massage, ultrasound, diatheria);
- daily therapeutic gymnastics;
- regular foot baths;
- Fighting excess weight.
In what cases is the operation needed?
The goals of the surgical treatment method:
- Get rid of cones;
- Straighten your finger;
- prevent more current bone growth;
- Combating complications;
- Remove other leg deformities.
Surgical intervention is shown in the presence of:
- transverse flat legs of II-IV degree;
- progression of pathology, accompanied by a constant symptom of pain;
- poorly corrected disorder of the musculoskeletal function of the foot;
- Pronounced aesthetic disadvantages (the desire to get rid of deformation and wear more elegant shoes).
The operation is performed in the absence of the effect of conservative therapy.
There are currently more than 400 methods of radical intervention to correct the transverse flat legs, complicated by the formation of cones of the legs.About 200 of them are used in the world.
For free to cure operatively, a person may receive a person according to the compulsory medical insurance policy.There are quotas for this, but waiting time may be several months to send an orthopedist or traumatologist for surgery.The type of surgery depends on the equipment of the hospital, the presence of the necessary specialists.At the same time, you can remove the ardor nail, straighten the bend of the blurred pie that seals the skin as a complication of the pathology.
Small -invasive methods
The small invasive surgery contributes to the correction of the location of the 1st to the foot.Methods with minimal bone shift and scars are used by intervention on soft tissues.After treatment, the finger begins to bend.
Minival method - percutaneous removal of the unevenness on the legs.It is used to eliminate moderately pronounced curvature and combat impaired foot function.Operations consist in cutting bone tissue.Recovery after Valgus surgery of this type is done quickly.
Small invasive surgical treatment is distal displacement: 1st fart of the foot moves distal, starting from the 1st Plushenfalance.It is performed with a mild or moderate degree of deformation of the foot, the finger begins to stand up.Good titanium screws are used that do not require removal.After this surgery, the patient is not inconvenient.A good cosmetic result with minimal scars has been fast.
Side release (pulling the capsule of the medial joint) is another minimally invasive method of surgical treatment.There are several advantages:
- minimal damage to soft tissues;
- Little trauma helps reduce the recovery process (elderly patients become mobile for a short time);
- Reducing postoperative foot swelling compared to other surgical interventions.
Bone manipulation operations 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).On the joint, start acting in a shock wave.This allows several sessions to lubricate the joint bag and equalize the pointer of the foot.It ceases to deviate and stick, causing discomfort and pain, its appearance improves.Healing occurs after 4-5 sessions.They should be held once a week.
If arthrosis has developed on the first metatarsophalangeal joint, minimal invasive treatment cannot be performed.In this case, a triple arthrodes is performed from the device.This is a special surgery when the complete immobility of the joint is artificially created.
Preventive recommendations
A whole range of measures is used to combat the pathology.Both adults and children need:
- Physiotherapy Physical Education;
- massage;
- Orthosis (involves wearing orthopedic shoes or using special inserts in shoes).
How to avoid the appearance of bone?
Pathology is required to avoid the onset of pathology:
- Orthopedic examination for timely detection of flat feet;
- weight loss;
- adequate treatment of related diseases;
- Compliance with the mode of work and rest if the profession is associated with a long stay of the legs.
The choice of comfortable shoes
In the 19th century it was common that Khalus valgus was the result of bone growth of the first metatarsal bone and its shell with a soft tower due to poorly selected shoes.The opinion is formed on the basis of observations: the disease is almost never found in crops that do not wear shoes.
Many problems that occur in the legs are a consequence of pathological pressure or rubbing due to wearing illiterately selected shoes for daily wear.The pathology of the joints of the foot develops due to:
- Too big heel;
- narrow or too wide nose;
- Incorrect size.
The bursitis of the thumb of the foot that initially develops is the result of the pressure reaction from the shoes.
A condition that will help to avoid injury to the foot and to develop additional severe complications is wearing PRNAVILIC shoes:
- no studs;
- No sharp noses;
- of natural materials;
- With a fifth no higher than 5 cm.
This will allow you to keep your feet beautiful and healthy.