Valgus deformity of the big toe

So, valgus deformity of the big toe or, according to medical terminology, Hallus valgus, is a very unpleasant ailment that causes a lot of inconveniences, etc.

valgus deformity of the big toe

The term has a meaning, as Hallus is a sign of thumb in medicine, and valgus – a designation that lets you know that deformation of a finger occurs at the deviation from the midline of the body. As with any illness, if in time not to see the problems, the process will entail the following changes, such as deviation of bones above it in a different direction.

In fact, bursitis of the big toe is a reaction to pressure from shoes. First, there is a fragment tumidam tissue, specifically one that takes on the friction shoes, as this inconvenience takes on bone and under soft tissue, such constant friction will eventually cause compaction of bone tissue, resulting to receive even more friction due to the swelling of the skin.

The root cause

For the most part the major factors in the diseases of feet are excessive load or friction, often pathological. In order to determine the impact, you should inspect the feet. Because the foot is upholstered leather hard bone, most often symptoms appear gradually and steadily, due to the fact that the tissue and skin soften pressure on the leg, or friction. But, nevertheless, sooner or later, a reaction to the influence manifests itself not with the best hand, as well as corn, he will still appear if you wear tighter uncomfortable, tight shoes. The result of the friction will be formed corn, soft tissues respond to excessive pressure and tension. It should be remembered that corn and cloth under him speak and inflamed in response, to relieve stress, you need to wear loose shoes, and to seek help in removal of excess or compacted tissue to the doctor.

The risk of the disease

Often special influence on the manifestation of the deformation of the big toe is providing footwear, in this case it suffers most of all from youth, it is connected with the desire to "keep up" with fashion. Of course, young people try to stand out from the crowd, follow the fashion and to be in the "trend", however, this pursuit, especially in shoes can lead to dire consequences. Too high heels or an uncomfortable fit, but also emissiones habent, all this increases the load on the foot and leg is more subject to deformation. Fashionable tight shoes is not a trend, is an upcoming headache, and problems with the health of your feet, which you can still escape. Of course fashion trends to adhere to and aged people, as does not removes the problem.

Let's look at the options that may occur deformation of the big toe:

  • high heels, narrow, incorrectly matched lifting shoes in women;
  • ballerina is the first to suffer from this disease, given constant training on blocks and all sorts of "PA" on the toes;
  • the worst affected by the deformation of the finger over the age of 60 years (16 %), those from 31 to 60 years, are in second place – about 9 %, and from 15 to 30 years is almost 3%. We conclude that the deformation of the big toe are associated directly with age.
  • the genetic characteristics of a person also influence the deformation;
  • leg problems can provoke deformation of the fingers.

It should also be noted that some diseases can give impetus to the development of hallux valgus, and a number of associated diseases.

the symptoms of deformity of the thumb

The main symptoms of the disease

The main symptom of the disease Hallus valgus is a bunion big toe, that is the destruction of his joint. And the disease is very painful, and above all, by the pronounced deformation occurs visible cosmetic complication will be evident. When the disease occurs a problematic choice of footwear, especially for females, who tend to follow fashion trends. Selection of shoes turns into real torture, and worse, will now be much more difficult to stand on heels. In addition, the bursitis of the big toe corresponds to a shift of the next, second, finger, thereby moving the second finger, starts rubbing with the shoes, which can also result in an unpleasant outcome.

The diagnosis of bursitis

How is it possible to diagnose hallux valgus destruction:

  • pain in big toe when walking and sharp movements (most likely the deformation of articular cartilage);
  • enduring aching pain in the metatarsal area, especially after removing the shoes, can say that the deformation increases;
  • trauma or arthritis of various kinds;
  • sharp pain in the back of the thumb, or tingling in it, it can be a sure sign of traumatic neuritis of the cutaneous nerve back;
  • pain, discomfort in the region of the second toe;
  • the ulceration on the finger and between the big and second toes;
  • the development of skin disease between the toes.

External examination of the patient with bursitis

One of the main points of inspection is the observation of the gait of the patient, it will show what are the difficulties in the legs. It is associated with the degree of discomfort when walking, the more impaired gait, the more complications associated with deformation.

Determining the location of the big toe towards the other four and the middle of the body, it is necessary to clarify the distortion of the joint, or rather her projection.

The position of the joint and its behavior, swelling, swelling of tissues in this area, irritation and other indicators that might create uncomfortable shoes.

diagnosis

Equally important is the determination of the range of motion of the thumb in the joint and its flexing. Here tribute should be paid to the presence of pain, and crepitations (if there is pain, but no crepitations, therefore, there is a place synovitis).

Keratosis (skin disease of a different nature) of any kind which promotes chafing from incorrect gait, it becomes a problem for many, and often neglected.

Deformation can also imply both flexible and rigid flat feet. Such deformations, due to the fact that the lateral support of the foot falls, the faster provoke hallux valgus deformation of the big toe.

If the plans of treatment through surgery, you should focus on circulatory circulation and skin condition, as it directly affects the delay in the early postoperative wounds.

A careful study of movements and changes in the joint (dorsiflexion; position the toes; increased raptus finger in the plane of the front).

What you need to explore? First and foremost in the series of studies is the passage of x-rays, this will allow you to figure out what is the measure of destruction, or to indicate another illness or disease with similar symptoms.

Ultrasonography is useful in cases of suspected violation of blood circulation, and monitoring vessels. Also need to identify whether the associated diseases, which is important when the operable solution to the problem.

Treatment

Treatment options for hallux valgus of the big toe quite a lot, ranging from folk medicine to operations. It should be remembered that self to anything good will not, he is not allergic to sweet candy, and much more serious, if not to resort to timely treatment, you can simply forget about the beautiful shoes, easy gait, etc. Consider options for deformity treatment:

Treatment is conservative

This version of the cure starts with choosing comfortable shoes that will not cause discomfort and friction, the opposite leg will feel relaxed and comfortable as possible. If at the initial stage to choose comfortable shoes with a wide nose, then you can avoid and stop the progression of the deformity of the finger. Since pain when bursitis occurs from Shoe pressure on the skin and tissues of the foot, then you should start with the fact that to remove the inconvenience of using more free shoes. Shoes with a wide toe prevents deformation increase and reduce the pressure on the finger.

There are many orthopedic devices that distribute the tension on the foot, reduce stress on her and will not give the friction.

treatment of deformation of the

Medications and physical therapy

There is appropriate anti-inflammatory drugs together with physical therapy that interact and reduce the inflammation and pain. If long-term physical therapy does not give positive results, you should consult corticosteroids, injections can be more effective.

Orthopedics and orthopedic products

To stop the deformation process, you can resort to the use of orthopedic products, all kinds of insoles, toe cushions, proofreaders toes and other things. These orthotic devices help to correct gait, to remove pain and to slow down the process, however, this is effective only in the early stages. Very effective are corrective individual insoles, which improve the arch of the foot, if it was broken. But don't forget that inoperable treatment should be fully implemented, and after forget about the old threat of shoes.

If the destruction is connected with disease of any body systems, then urget treatment, which is aimed at correction of the underlying disease (this will require the assistance of a rheumatologist or endocrinologist).

The prompt resolution of problems

For the treatment often resort to surgical intervention. Today the world knows more than one hundred techniques for the treatment of bursitis:

  • removal of the bunion surgically;
  • reconstruction of the bone components of the thumb;
  • trim periarticular muscles.

Elimination of build-up

Elimination of growth on the articular capsule, which is formed when the bursitis, is performed through an incision in the area of the bunion and on the same side of the foot. After the cut growth is removed using a special medical surgical chisels, and the bone is subjected to alignment, and then sutured.

If after removal of build-up remains necessary for reconstruction of the thumb (the angle between the first and second metatarsal bones) then cut and the first metatarsal bone to align the angle.

Subiectum distal osteotomy

Using two small incisions carried out the operation in course of which made the cut distal end of the bone and moved laterally, whereby the angle between the bones decreases.

operation

Osteotomy of the proximal

This surgery involves an incision in the proximal end of the bone. After 2 – 3 incisions, the surgeon changes the angle between the bones, making it smaller. After surgery on the leg to wear special bandage.

Postoperative rehabilitation

For the successful flow of postoperational period, remember a few simple rules:

  • use shoes with wooden soles or orthopedic bandage;
  • not to focus on leg - put your weight on the crutches;
  • as necessary take a course of physical therapy;
  • use shoes with wide toe box;
  • remember orthopedic correctors and other products.

Here are the simple rules, which if you can get back to a normal walk and easy gait. If you have no problem with the big toe of the foot, do everything you can to later I got there!

03.01.2019