Treatment of bunions on the big toe. Valgus deformity of the big toe treatment

Ugly bumps on legs in most cases are nothing like valgus deformation of the big toe. Under the influence of those or other reasons, changing the redistribution of the load on the foot, which in turn leads to rejection of the joint of the big toe from the natural axis. Of course, such changes affect the status of all bones of the foot — without treatment, the deformity gradually covers all the phalanges and joints.

Hallux valgus

The main causes of foot deformities

In fact, such pathology of the feet is developed under influence of many factors - both external and internal. First on the list of reasons you need to specify a genetic predisposition — if the mother has valgus deformity of the big toe, there is a high likelihood that such afflictions will appear and stop her daughters. By the way, the risk factors include female gender, as in women of Mature age similar to the disease diagnosed most often.

In addition, the disease is often associated with wearing uncomfortable shoes with high unstable heels and narrow toe. 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 there is a change of muscle tone in the front part of the foot. On the other hand, excess weight and also creates an additional burden that increases the risk of deformities. Occasionally the bones in the feet are the result of mechanical trauma, e.g. injury, fracture or dislocation.

Stage of development of the disease

causa

Unfortunately, such a disease of the feet is a fairly common problem. And it is very important to note the appearance of deformation in the early stages when you can still fix it without the help of a surgeon. In modern medicine it is accepted to allocate four stages in the development of hallux valgus thumb:

  • First degree. Accompanied by a slight deviation of the thumb (less than 20 degrees) and is more aesthetic than physical discomfort.
  • At the second stage of the disease the deflection angle of approximately 20-30 degrees.
  • The third stage is characterized by the offset of 30-50 degrees, there is an initial deformation of the other phalanges of the foot and limited movement in the joints of the thumb.
  • In the fourth stage, the deflection angle is over 50 degrees, there is significant deformity of the whole foot, and the patients complain about constant pain.

In any case, it should be understood that such a disease of the foot is extremely unpleasant and dangerous. Therefore, the appearance of small bumps at the base of the big toe should immediately seek the assistance of the podiatrist.

Diagnostic modos

What symptoms accompany the disease?

Of course, a valgus deformity is accompanied by a number of characteristic symptoms. In the initial stages, you may notice the formation of small bumps, "pits" at the base of the big toe. At first, patients perceive this phenomenon rather as a cosmetic flaw, as no physical discomfort.

But with the development of the disease the big toe begins to deviate towards the other phalanx. Patients complain of heaviness in the legs and soreness, which appears during prolonged walking, particularly in uncomfortable shoes. In the third stage, the pain becomes a constant companion of man. Often the affected joints start inflammation, soft tissue swelling, and the skin reddens. The fourth stage of development of the disease is characterized by the deformation of almost all the phalanges of the foot — the pain is present constantly, even at rest.

Diagnostic methods

Suspect valgus deformation of the big toe is not so difficult, especially if the patient asked for help in the later stages of the disease. However, there are other diseases of the foot, accompanied by the same symptoms — for example, the deformation of the skeleton may be associated with arthritis, gout and other diseases. Therefore, the patient is recommended to undergo some additional tests, in particular, x-ray examination — the doctor can see the presence of deformation and the degree of severity, which, respectively, provide answers to the question about how to treat such a disease of the feet.

Curatio bunions toe in magna

Treatment of bunions on the big toe

The appearance of the slightest suspicion on the development of deformation should consult a doctor. Treatment of the bone on the thumb largely depends on the stage of the disease. In the initial stages the situation can be corrected through conservative means, but in any case you should prepare for the fact that the therapy is long and comprehensive.

If the inflammatory process to begin with the doctor is necessary to eliminate it to alleviate the patient's condition. With this purpose, a variety of anti — inflammatory drugs- the largest effect in this case possess special gels and ointments.

In addition, it is important to find the right shoes. From high heels and narrow nose will have to be abandoned in favor of comfortable leather shoes with a wide toe box. Ideally, the shoes have to be orthopedic and to facilitate the proper load distribution on the foot. The doctor also will select 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 feet that will help restore the mobility of the ligament apparatus. In addition, we should not forget that tight muscles also contribute to the deformation — with the aim of eliminating this risk factor patients will be advised to undergo therapeutic massage.

Naturally, the therapy includes various physio treatments. In particular, patients are offered therapeutic baths, as well as electrophoresis with drugs, ultrasound therapy, mud therapy.

Orthopedic fixtures to eliminate warping

Modern orthopedics offers a lot of tools that help correct the deformity in the early stages. For example, patients are advised to acquire a special insole that provide offloading of the affected joint.

In addition, an effective is considered a special brace for bone on the foot that "removes" finger in the right direction and keeps it. This device is often put on at night, so as to walk in it comfortably.

Between the finger cushions and special arch supports help to distribute the load on the forefoot and visually align it. To support the transverse arch of the foot using special ties, but they are not intended for continuous wear.

One of the most effective products of modern orthopedics are the tires, which have a lining on the bone of the thumb. They are used for conservative treatment and during the rehabilitation period after surgery. The bus can be worn all the time, even under the shoes.

Surgical treatment of pathology

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 thousands of methods in such operations, the choice of method of deformity correction depends on the degree of development of the disease and comorbidities.

In some cases, carried out the removal of the head of the metatarsal bone 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 rehabilitation period after surgery

The duration of the rehabilitation period depends primarily on the degree of difficulty of the operation. 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, observing some precautions. You should avoid prolonged and intensive stress on the joints of the foot.

In addition, you should take care of the Shoe — it must necessarily be comfortable with a wide toe box and good cushioning. By the way, it is better to ask the doctor to locate a suitable orthopedic pair of shoes.

Preventive measures

It is much easier to prevent the development of deformity, than to try to find an effective treatment for bunions on the big toe. But preventive measures are quite simple. The first is to refuse to uncomfortable shoes. The heel must 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.

Remember that the joints of the foot bear the weight of your body, so follow the figure and avoid obesity. Extremely important is foot care, regular warm baths, massage, and exercises for the legs will be really useful.

Valgus deformity in children

Children have similar to the disease occurs most often in the form of AD-valgus flat pedes, in which there is deformity of the arch of the foot — the heel in a young patient rejected to the outside. Similar to the disease can lead to some complications. For a start it is worth noting that as a child gets older, it becomes harder to move, because the walk is accompanied by constant pain. In addition, it is possible the bending of the other joints and bones, including the spine.

Fortunately, with early detection and treatment of the disease the prognosis for children is favorable. In most cases, correct the deformation is possible without surgery. Children are selected by a special orthopedic shoes, make up the programme for gymnastics, and also recommend regular massage sessions. Positively on the development of the skeletal and muscular systems affect the Cycling, walking barefoot on uneven surfaces (e.g. gravel), as well as swimming lessons. Surgical treatment of valgus feet in children is done only if conservative treatment has not given positive result.

28.03.2018