Treatment of valgus deformation of the big toe

Valgus deformity of the big toe (it is also called hallux valgus or bunion) is a pathological change of form of the metatarsophalangeal joint, which is bent big toe of the foot outwards. If not treated, the disease, then there is a painful lump (bone), where it is difficult to walk.

valgus deformity of the big toe

Bone on foot appears from behind a cross of flat feet in those who are predisposed to it anatomically. When flexibility (hypermobility) of the joints is large, it disturbed the balance of the capsule — ligament apparatus, which causes a curvature of the first metatarsal bone.

Valgus. not only looks ugly, it also shows that disrupted musculoskeletal and metabolism. When the disease becomes chronic, it develops arthrosis or arthritis. Launched bursitis leads to deformation of all of the fingers on his leg.
Valgus deformity of the big toe develops for other reasons:

  1. anatomic pathology, which have been since birth;
  2. diseases of the endocrine system;
  3. the presence of transverse flatfoot;
  4. genetic predisposition;
  5. the use of narrow shoes with high heels and tight shoes, hard to walk that leads to a strong load on the front part of the foot;
  6. weight;
  7. osteoporosis;
  8. advanced age;
  9. impaired hormonal (pregnancy or menopause).

The bone in the foot is caused due to mechanical injuries of the joints of the legs, which in time has not healed. According to statistics, in women the disease occurs more often than men, that they have the muscles and ligaments weaker and more elastic.

Detection of orthopaedic diseases

Hallux valgus in the initial phase manifests itself by redness and swelling of the skin. Then around the first phalanx of the finger on the leg appears lumpy, which is gradually growing, the pain and swelling. Then the big toe is bent and stops moving, a blister. Walking becomes difficult.

Basically change the metatarsal bones of both feet. If you are already noticeable initial symptoms of the disease, you need to go to the podiatrist. If this is not done, then the lump starts to hurt. Fingers are at even greater deformation, nails grow, popping corn, develops arthritis.

the stage of the disease

There are 4 stages of the disease:

  1. joint offset at 20 degree – the appearance of bumps on his leg, the pain is still there;
  2. thumb offset at a 30 degree angle during the movement feels burning sensation and pain in the legs;
  3. metatarsal bone is shifted by 50 degrees, it's painful to wear shoes, appear inflammation and blisters;
  4. the metatarsal bone is shifted more than 50 degrees – the pain persists even when the person is not moving, only an operation will help.

The first two stages bring aesthetic discomfort, it will help prevention. The third and fourth stages require treatment.

Diagnosis

To find out your diagnosis, you need to go to the podiatrist. The doctor will examine the problematic leg and will take into account the angle of deviation of the finger, its mobility and the degree of deformation.

A podiatrist will prescribe examination:

  1. 3D x-rays of the foot to determine its changes;
  2. planography to determine the level of burden on the leg;
  3. podometry to identify bursitis.

Specialist figures out how long ago the changes started in the foot, what causes them provoked, the rate of change. Recorded and related diseases. The treatment of this disease may be conservative or surgical.

Treatments

Hallux valgus develops gradually. If the time to obtain expert advice, then you can do without surgery.

For the treatment of hallux valgus the big toe is affected by the degree of neglect. In the initial stage used complex therapy, but it only stops the bending of the joint.

Treatment without surgery need to lock the foot in position, evenly distribute the load, improve blood circulation, keeping the tone of the ligaments and muscles.

To Treat Valgus. in several ways:

Traditional medicine

Traditional medicines (iodine, turpentine, honey compresses, herbal lotions), but they can be used as a Supplement to the basic treatment and after consultation with the doctor.

treatment with splints and retainers

Tires and locks

The use of the tire, latch, tie, ties, digitus proofreaders that you can apply at any time of the day, they fix the joint, to properly distribute the load on the foot. Slow pace, but the thumb again takes its normal position and the pain goes away. Such orthopedic devices can be purchased at the pharmacy or order through the Internet, but before that you need to consult with a specialist.

Physiotherapy

Physiotherapy treatments are conducted in hospital in the last stages of the disease. They include treatment with waves, applications ozokeritoterapija, electrophoresis. This method splits the outgrowth of cartilage, relieves pain, accelerates recovery.

Cream

The treatment of hallux valgus of the first toe of the foot using non-steroidal creams. Cream eliminate inflammation and pain. Buy them in pharmacies or made at home. Before applying the ointment is better to consult a doctor.

Gymnastics and massage

Gymnastics and massage is used for medicinal purposes and as a preventive. Podiatrist prescribes massage to eliminate muscle spasm and restoring joint mobility, as well as potin' exercises to relieve edema, consequat joints, reduce pain. These exercises are simple, but do them regularly. The most useful of them: toes to pick up small item (pen, paper); to strain and hold in this position, the arches of the foot for a few seconds; before fatigue sets in flexion and extension of the toes; the toes to squeeze a sheet of paper lying on the floor, and roll foot rolling pin or a bottle for 2 or 3 minutes; dissolve the toes to the sides and keep them at least a minute.

Surgery

Surgery is necessary in advanced form of the disease. Before its implementation it is necessary to pass tests, x-rays of the patient's joint and ultrasonography of leg veins.

Surgery consists of several procedures:

  1. Valgus deformity of the big toe, surgery, the cost of which ranges from 3,000 rubles to 5,000 rubles, is called an exostectomy is the removal of the inflamed bumps and bags of the metatarsophalangeal joint through a puncture of the skin or open access. Almost no scars, and no recovery takes a long time.
  2. If the angle between the first and second metatarsal bones is greater than 12 degrees, then do a metatarsal osteotomy (surgical fracture and displacement of bone outwards). Pieces of bone are held together by screws.
  3. Cut the muscle that attaches the patient finger. So the joint to the right shape. However, this procedure is not enough.
  4. Surgery to correct hallux valgus is called osteotomy of the proximal phalanx. Make it section of the base bone of the patient, his thumb put in the correct position. Then placing a sterile bandage and fascia (without gypsum). Screws made of titanium removed after about a month and a half.
  5. The use of the artificial joint.
hallux valgus surgery

There are complications after surgical procedures (infections of soft tissues, bleeding, poor bone bonding, the appearance of arthritis), but they are rare. Need patient care and time to recover (3-4 weeks). After surgery you cannot bear weight on leg, will have to move on crutches. Recovery operations perform the following procedures: gymnastic exercises and massage, physiotherapy, the use of orthopedic shoes. There are cases when a lump appears again, to avoid this, a few months should wear comfortable shoes.

People speak about surgical interventions in different ways, positive evaluation give approximately 80% of patients. However, you must choose comfortable shoes and not to overload the patient's foot for a year after surgery.

The use of night brace

Treatment of valgus. the thumb is carried out by splinting. This device is universal, it is used as a non-surgical method of treatment of valgus., as a way of preventing this disease as part of reconstructive procedures after surgical treatment of hallux valgus deformation of foot.

This device is small in size fascia, which easily adjustable straps (can apply it on both feet at a time). So the joint will be properly and rigidly fixed, normalizes blood circulation, relax the muscles.

The jockstrap can be used at night, this eliminates or prevents the change in the foot, an adjustment in the position of the transverse arch of the foot.

The tire is not designed to be worn with shoes. There are other fasteners that can be used with shoes (in the afternoon). A night brace to wear before bed or a longer break. The mobility of the legs will remain that will not be disturbed in my sleep.

However, there are limits to such adaptations:

  1. The fourth stage of bursitis;
  2. Lesions on the skin;
  3. Inflammation of the joint;
  4. The swelling of the joint.

Preventive measures

When a person all day is not comfortable shoes, in his family someone had suffered from the bumps on his leg, he risks to get the same disease. Mostly at risk are women who are over 50 years old. However, even the kids found valgus.. So you should pay attention to prevention.

There are several preventive measures to prevent valgus.:

preventive measures
  1. Foot bath with medicinal herbs or sea salt. They will relieve fatigue and normalize blood circulation.
  2. The self-massage.
  3. The use of comfortable shoes (natural materials, a wide toe box, do not squeeze phalanx, chunky heel about two inches), her joints will have a normal situation and not subjected to deformation. Fit orthotics, insoles and toe cushions for visual alignment of the foot that the load was distributed correctly.
  4. A healthy diet (do not eat fatty, smoked and salted) and a healthy lifestyle to avoid excess weight, which hurts joints.
  5. Gymnastic exercises to maintain feet in good shape.
  6. The use of orthopedic devices to prevent (night brace).
  7. Examination by a podiatrist every year.

If the symptoms valgus., you must visit a podiatrist. You may be able to do without surgery.

19.01.2019