It would seem that such a widespread problem should be diagnosed, because of its treatment, there are no surgical techniques: the use of tyres, correctors, bandages, insoles.
But in practice, many patients do not know how to treat valgus deformity of the foot and I'm afraid that they'll need surgical treatment. So they put off visiting the specialist until, when the deformation becomes significant and starts to cause discomfort.
Hallux valgus (also known as the valgus deformity of the first toe) is a pathological reversal of the first bone to the inside, which leads to a distortion of the first toe outwards. This pathology occurs most frequently in women of middle/old age accompanied by pain and leads to difficulty with walking, problems when choosing shoes.
His appearance valgus deformity of the foot bound shoes: the tribal settlements of this pathology is not found, as walking barefoot maintains a constant tone of the muscles and tendons of the legs. In developed countries the most important causes of this strain, consider the wearing of improper shoes and flat feet. For more rare factors include:
Weakened soft tissue cease to hold the arch, and bone "go". The first metatarsal bone takes place, and adjacent to it in the metatarsophalangeal joint becomes unstable, which leads to a distortion of the first toe. Permanent injury the shoes the inner part of the extended foot leads to the overgrowth of bone tissue (formation of "bumps"), thickening of the skin (corns, calluses), chronic inflammation of the joint or near the joint capsule. The process involved other parts of the foot.
When the angle between the metatarsals does not exceed 5-20º and the finger deviates no more than 40º (i.e. there is I degree hallux valgus), minor symptoms: painful sensations appear in the evening, and during the night, especially when you use the night brace fully goes away. Gets injured due to friction the skin reddens, blisters appear. Hallux valgus is expressed slightly.
Increasing the angle between metatarsals to 20-30º, and the deviation of the finger to 40-70º (i.e., at the II degree hallux valgus) pain becomes constant, is growing "bump", the skin at the base of the first finger coarsens, appear on the sole corns (due to improper load on the parts of feet). Inflammation around the joint capsule becomes chronic. At this stage, still effective conservative non-surgical treatment, including the use of valgus of the tire.
When the angle between the metatarsals exceeds 30º and the first finger rejected more than 70º (i.e. grade III hallux valgus), pain does not disappears, because it is caused not only by chronic inflammation and atypical load, but also the compression of nerves in the bones shifted. At this stage, the application of orthopedic designs brings temporary relief. In the metatarsophalangeal joint is almost immobile, his projection rough skin can form ulcers. To restore the functions of the foot require surgical intervention.
After the detection of pathological deviations of a finger, the doctor (usually an orthopedic surgeon ) prescribed the following tests:
With such pathology as a valgus deformity of the foot treatment by surgery is possible in several ways. In the early stages it can be corrected mini-invasive surgical interventions (incision and stitching of the tendons), which are aimed at the recovery of muscle pull. In parallel, it is possible to remove bone in exostosis condimentum ("bumps"). In the more severe stages used operations in which the sawn bones and then fasten them with metal structures to restore the axis. In particularly complex cases, form a false joint, or establish artificial.
Rehabilitation continues for several weeks, during which worn special brace or bandage, gradually developed a soft tissue. After removing the cloth/bandage use a full range of orthopedic devices to prevent the re-occurrence of hallux valgus. If intervention is required on both sides, first the operation is performed on one, a few months on the other.
Treatment of hallux valgus without surgery is possible. To stop its development in the early stages can:
Inflammation in the joint and around the joint tissues are treated by external anti-inflammatory drugs, with their possible ineffectiveness of intra-articular administration of steroid drugs.
Night brace (or valgus splint) can be used at any stage of the hallux valgus, severely at night or during rest, because the design of the device is not designed to be worn under the shoes. First, wear a bandage for several hours, and then for the whole night.
Early violations can easy leveling fully during sleep: you don't make any effort, and the deformity is corrected. A more serious deviation of the bones of night brace reduces pain, reduces the degree of deformation, and is a variant of preoperative preparation and postoperative rehabilitation.
Do not run the disease and do not bring her before the surgery. Start treatment as soon as possible.