Valgus deformity of the big toe

Valgus deformity of the big toe is more common in women after 40 years. A multifactor disease that develops gradually over several years. Medical help patients already under a running process, when they begin to suffer from pain and inflammation and bulging of the bone on the leg allows you to wear open shoes.

hallux valgus

Causes hallux valgus big toe

Hallux valgus deviation (hallux valgus) is a consequence of another deformation – transverse expandentes of the foot. Two of the pathological process going on in parallel. By the predisposing factors of the disease include:

  • genetic predisposition;
  • the weakness of the muscular-ligamentous apparatus.
  • rickets, the childhood;
  • weight;
  • diabetes mellitus;
  • the defeat of lower extremities vessels;
  • connective tissue dysplasia;
  • menopause;
  • chronic inflammation of bones and joints.

The main reasons why hallux valgus big toe include prolonged pressure on the legs (especially a profession), wearing uncomfortable shoes.

Note!

The problem is more common in women, because of adolescence, girls begin to wear models high heels. Redistributes pressure on the foot, and the burden falls on the forefoot. Over time have the remodeling of bone formation. Disrupted ligaments, muscles are in constant tension.

Symptoms and stages

The disease develops gradually and the symptoms are not obvious. To the doctor a woman presents with a complaint that bulging bone does not allow the model to choose open shoes. The main symptom that develops with a significant shift of the big toe pain.

Clinical symptoms accompanying hallux valgus:

valgus
  • the displacement of the joint of the first toe outward;
  • fatigue legs;
  • pain in the head 1 metatarsal bone of varying intensity and duration;
  • pain and plantar callosities with plantar side in the projection of the middle of the metatarsal bones;
  • regular corn skin in the area of "bone".

Depending on the degree of displacement of the metatarsal bone of the thumb is isolated strain:

  1. The deflection angle 20-29°.
  2. The deflection angle of 30-39°.
  3. The deflection angle of over 40°.

Determine the degree of hallux valgus on radiographs of the anterior stop. The ratio of the degree of hallux valgus and clinical manifestations to determine the staging of the disease.

Stage I

This period of the disease is characterized by a slight deviation of the thumb and corresponds to 1 degree of deformation. Patients complain of recurrent pain in the joint, which are aggravated towards evening, or after prolonged static load. On the skin of the soles and bulging of the joint is defined by subtle fading.

Stage II

In the absence of a correction at this stage there is a further bending of the big toe, which corresponds to 2 degrees. Pains become almost constant, appear amazonencore, which do not pass. Starts the offset of the adjacent toes.

Stage III

The deformation reaches 3 degrees of valgus deformation of the big toe. Intense constant pain, reliance on foot is virtually impossible. Rough calluses and corns are not. In the joint on the articular surface develops arthritis, and the involvement in the pathological process of the periarticular shoulder bursitis. There is a shift of 2 and 3 fingers – they are rejected first. At this stage occurs informibus malleus deformity of the toes.

Important!

Bunions with hallux valgus is characterized by the occurrence of intense throbbing pain in the metatarsal joint of the big toe. Marked redness of the skin in the projection of inflammation, the increase of the local temperature. Movement in the joint is limited and painful. The process can become chronic with periods of remission and exacerbation.

Treatment

Treatment of valgus deformation of the big toe without surgery is possible only at stage 1 of the disease. Conservative therapy includes the use of physiotherapeutic treatment for the affected area, physical therapy, application of ointments on the skin. Supplement prescription can folk remedies.

physiotherapy

Physiotherapy

On the 1st and 2nd stage, the purpose of physiotherapy is one of the effective methods of treatment. Due to the effect of physical factors on the tissue of the foot pain decreases, the severity of inflammatory processes, improves microcirculation and tissue nutrition.

For the correction of hallux valgus apply the following types of physiotherapy:

  • laser therapy;
  • to magnetic waves;
  • UHF;
  • mud;
  • electrophoresis of anesthetics;
  • phototherapy;
  • shock-wave effects on bone structure;
  • ozokerite and paraffin application.

Important!

Physiotherapy is relatively safe, but when assigning this type of treatment should be considered contraindications. Not recommended similar procedures in pregnant and breast-feeding in acute diseases, damaged skin in the treated area, presence of a pacemaker. Thermal procedures are contraindicated with the development of purulent bursitis.

Physical therapy

Therapeutic exercise orthopedic pathology is the basis of treatment and recovery of functioning limbs. Conducted a course of physical therapy on prescription and under the supervision of an instructor. The only contraindication to physical activity include acute inflammation in the joint.

In the complex of therapeutic exercises in hallux valgus uses exercises to strengthen the muscles of the calf:

  • Original standing position. Slow rolling from toe to heel. Performed 3 sets of 10 volvens.
  • Bearing wall or handrail, feet pulled back in a standing position with support on the entire sole. Alternately rising to the toe with a delay of 5 seconds. The exercise is repeated 20 times for each leg.
  • Sitting position, legs extended. The simultaneous pulling of the feet, followed by their abstraction. Performed 15 movements back and forth 2 times.

The duration and intensity of the exercises increases gradually during the 5 days. The course is 10 days, followed by a break of at least 2 weeks.

Note!

Complement physical therapy exercises at home, swimming in the pool.

Local media

Topical therapy plays a secondary role in the struggle with valgus deformity of the big toe. The main group of medicines for application to the skin in the area of inflammation:

treatment without surgery
  • nonsteroidal anti-inflammatory drugs, anti-inflammatory and have analgesic effect;
  • dermatoprotectornoe and stimulators of regeneration – protects skin from negative influence and promote the repair of damaged tissues;
  • means having an absorbing effect – help to reduce edema.

Topically you can use lotions or compresses. Solution impregnated gauze, folded in several layers and applied to the big toe joint. On top of it is the compressor paper or polythene wrap and a bandage. The duration is 4 hours.

Traditional medicine

Homemade methods based on the use of recipes of traditional medicine cannot help to get rid of the curvature of the first toe. Treatment of hallux valgus popular method is applicable as facilitating associated symptoms. Below are a few effective recipes:

  1. The foot bath. In warm water (37°) with a volume of 5 liters, dissolve 2 table. L. dining room soda and 10 drops of a 5% solution of iodine. Lower in the basin with the treatment solution of the feet for 10 minutes. After the procedure, wipe his feet, and protruding places to grease with iodine. The recipe is not recommended for violations of the thyroid gland.
  2. Tincture of partitions of a walnut. To collect raw materials when cleaning the ripe nuts in a glass container with a volume of 500 ml. Pour partitions vodka with no additives or medical alcohol to the brim. Infuse the mixture for 2 weeks in a warm place, shaking occasionally. Lubricate the exposed bone 3 times a day, for months.
  3. Lotion from medicinal plants. Dried flowers of chamomile and calendula to take 1 table. L. mix. The mixture pour 250 ml of boiling water and insist to cool. To coactam infusion, add 3 table. L. fresh aloe juice and mix well. Make lotions for 15 minutes, twice a day for 2 weeks.

Important!

Any home method should be negotiated with your doctor. The use of folk remedies is supplemented by daily exercises for the feet, foot-massage, contrast baths.

Orthopedic correction of hallux valgus

Orthopedic salons on sale have many special adaptations that contribute to the prevention and treatment of hallux valgus. Among such means of correction are:

insoles
  • tires for abduction of thumb (used during sleep);
  • tape-tape;
  • orthoses;
  • orthotics;
  • interdigital septum;
  • silicone lining in the shoes;
  • airmen;
  • bandages.

Note!

In addition to these funds effective, especially in the early stages of the disease, individual orthopedic shoes. Significant disadvantages of such models of shoes are high cost and unpresentable appearance. For these reasons, patients often refuse this method of correction.

Surgical treatment

Valgus deformity of the first toe of the foot is treated promptly in the presence of the following readings:

  • deformation of 2-3 degrees;
  • permanent pain syndrome;
  • cosmetic defect;
  • the deflection angle of the metatarsal by more than 25 degrees;
  • dislocation of phalanges 2-3 fingers;
  • hammer-like the curvature of the adjacent toes.

Methods of surgical correction there are many. The operation takes place in several stages. First, remove excess tissue, followed by bone grafting, reconstruction, and prosthetics soft tissue of the foot. In the recovery period prescribe a comprehensive exercise therapy and orthopedic shoes.

Prevention

Prevention of hallux valgus the big toe is directed on strengthening of muscular-ligamentous frame and restriction of exposure to precipitating factors. The main directions of preventing the development of pathology are:

prevention
  • daily gymnastic exercises;
  • a complete diet enriched with vitamins and minerals;
  • wearing comfortable shoes with a low heel;
  • the prevention of domestic and sports injuries;
  • the use of special orthopedic splints and orthoses in the predisposition to deformation;
  • limit the long period of standing;
  • control of body weight;
  • prevention of postmenopausal osteoporosis in women is menopause.

A bump on the foot is causing discomfort and physical beauty. Therefore, the struggle with this disease should begin at early stages, when it is possible to do without surgery. Timely treatment for medical assistance allows you to choose individual conservative treatment.

10.12.2018