Treatment of bone on the leg of the thumb should start immediately after confirming the diagnosis to prevent complications.It is worth contacting an orthopedic for the first signs of the disease, as the bone on the thumb of the foot not only distorts it, but also worsens the general condition due to pain and chronic inflammation.The choice is comfortable, but at the same time beautiful shoes are very difficult.Therefore, the need to identify the causes and timely treatment of the cone on the thumb of the foot determines further quality of life.
Why does the bone on your finger occur?
The name of a bump or foot thumb is a bump or a pathology used in everyday life.In fact, the disease is deformation of the foot valley: the first extra bone is deviation within the thumb at the same time.It seems that a bump has been raised on the foot of the first finger or an additional bone was formed.
In fact, the angle between the first and second metatarsal bones changes, and the elements of the foot move.The head of the protruding joint is a protruding bump on the side.
Among the risk factors:
- hereditary predisposition;
- Genetic pathology of the skeletal system;
- Characteristics of the leg structure (first plus bone longer than the norm);
- metabolic violation (overweight, improves joint load, urate deposition, carbohydrate metabolism violation);
- arthritis and arthritis;
- injuries (blowing, bruising the ankle joint, thumb walls);
- Elderly people (calcium decreases, synovial fluid products are suddenly reduced) leads to changes in bones and cartilage, to the development of transverse flat legs: 3%-15-30 years, 9%31-60 years and 16%in over 60 years.
According to statistics, a woman is exposed to deformation and the thumb is more common than a man.This is due to the congenital weakness and high elasticity of the muscles and the ligaments, the features of the shoe.The high heel, a narrow and crowded sock, creates heavy loads on the leg.As the legs have long stays, the likelihood of thumb bursite development increases: the leg is "flattened" and deformed.
The presence of another pathology - related diseases: can provoke the development of Hallux Valgus:
- Hormonal restructuring of the body (pregnancy, menopause, adolescence);
- serious illnesses (tuberculosis, sepsis, gout, diabetes, psoriasis);
- High joint mobility in Marfan syndrome, Down's disease;
- multiple sclerosis;
- Cerebral paralysis.
Stages of the development of the disease
The term Hallux valgus first used Carl Heuter in 1871, which indicated the difference in the first finger of the foot from the central axis of the body.This name describes the changes with your thumb.Hallus is the Latin name of the leg thumb, and the valgus is an anatomical expression, which is a difference away from the middle line of the body.
Over time, bursitis forms its thumb.The representation of irritated edema tissues appears, which, due to constant pressure, results in thickening of the bone tissue.This increases the swelling and friction of the shoe.
There are four stages of the development of the thumb -deformation:
- Grade - 15 °, aesthetic disadvantage, no physical discomfort;
- II.Grade - 20 °, difficulty and pain in the legs of a long walk, especially for unpleasant shoes;
- Degree III - 30 °, while mild deformation of the other Phalarang and restriction of thumb movement, constant pain in the joints;
- ARC.Grade - more than 30 °, almost every wall of the fingers and the entire foot has significant deformation of almost all walls, the pain is at rest.
The III.And IV.Grade is dangerous to health as they develop:
- Hammer deformation - II and III fingers do not take part in walking;
- adult nails;
- corn and corn that can be inflamed and poured;
- swelling of the foot;
- Osteomyelitis.
Therefore, early diagnosis is important.It helps to avoid serious consequences for complicating inflammation.
Valgus deformation in children
Simple deformation of the foot is in a child-age pathology, 40-80% of each violation of the leg development.Most often suffers:
- kindergarten child;
- teen-age.
Changes lead to a reduction in the rise and the X -shaped curvature develops.There are complaints about the pain of the legs due to the rapid fatigue of the muscles, and the gait becomes unstable.During the inspection it turns out:
- The distance between the ankles with tightly condensed knees - more than 5 cm;
- displacement of the arches of the legs;
- deviation of the heel and fingers from the outside;
- Reducing the height of the arch (flat -colliding deformation).
Child:
- It occurs only at the inside of the foot, a small walk;
- Fast tires during games;
- It complains of pain in the legs and backs, cramps and swelling of the legs.
The shoes tend to rotate from the inner surface.
Due to the congenital genetic error or abnormal pregnancy that is observed after birth, they require surgical correction.
The acquired Valgus deformation is formed:
- insufficient development of tapes and tendons;
- muscle hypotension.
Reasons:
- disease of the muscle system;
- Wearing uncomfortable or poorly fastening shoes.
Changes are revealed when the child first starts.This pathology is typical of children with weakened body:
- lack of nutrients during embryogenesis;
- no supervision;
- Frequent SARS.
Deformation is complicated:
- Arthrosis;
- spine curvature;
- flat foot;
- osteochondrosis;
- violation of the shape of the pelvis;
- pathological disorders in knee and ankle joints;
- Abbreviation for the limbs.
One of the causes of childhood disability is severe pathology.
With minor deformation and timely and appropriate therapeutic treatment, it is possible to complete the normal function of the joints.
Diagnostic methods
After identifying the finger's pathology, it should be done:
- determining the mobility of the first and adjacent fingers;
- Radiography (to calculate the angle between the bones, to detect structural changes in the bone, the subluxation of the joint);
- calculated planetography (analyzing the load of various sections of the foot);
- CT or MRI (in tissues to detect infringements more accurately and during the preparation phase of surgery);
- Ultrasound (if there is a suspicion of circulatory violation);
- Consultation of a neuropathologist (nerve damage).
Laboratory tests are required to exclude related diseases and prepare surgical treatment.
Treatment methods without surgical intervention
In the early stage of the disease, when changes did not take back an irreversible character, the back of the leg can be healed without surgery.The extended diagnosis leads to surgical intervention, given the following:
- At the severe stage of the disease, folk methods, wearing orthosis, and taking pharmacy drugs are ineffective;
- The older the patient, the less conservative therapy affects.
Non -surgical treatment results in deformation results of 1 and 2 degrees.It is important not to miss the start of the pathology.Folk methods are ineffective.They can only slightly reduce each symptom, but the disease does not heal.
Used for treatment:
- massage;
- Special exercises;
- weight correction;
- Orthopedic shoes;
- wearing orthosis;
- Medicines.
Lack of proper therapy leads to degrees 3 and 4 degrees of pathology, osteomyelitis: the legs swell, painful corn, suppression.In advanced cases, with the high level of displacement of the finger 1, they cause painful pain, and shoe shopping is significantly complicated.
MASSAGE
Initially, the massage is done by a qualified professional, and in the future you need to learn how to do this.
The purpose of assigning massage is:
- load distribution and reduction of inflammation;
- Blood circulation restoration (buttocks, legs, fingers, rear muscles are needed).
The course will enter into force ten times with further repetitions after time.
Overview of Valgus deformation clamps
Conservative balancing of deformed leg includes mandatory use of orthosis - special orthopedic tools.Their use is ten times cheaper than the simplest operation.They belong to:
- fasteners;
- Insole and half times;
- screes;
- orthopedic tires;
- Night concealers.
The latter records the thumb of the legs in the right position, providing the ace of sleep.Used at any stage of Hallux Valgus,
But only at night or under the others, because your plan is not intended to wear shoes.First, put a bandage for several hours, then all night.
C Repairers to correct the thumb of the legs:
- Night - hard tires only during sleep;
- Living room - soft and hinged bandages for constant wear.
In addition, they can be classified:
- adjustable and unregulated;
- On the first two fingers of the foot of the leg.
Different materials are used for manufacturing:
- plastic;
- silicone;
- textile.
Plastic concealers
Due to the large dimensions and stiffness of the structure, it is designed for sleep.This device consists of:
- from fixing and holding all of the moved fingers;
- From a belt that regulates the extent of the voltage.
Silicone clamps to the thumb
It is a complete cast sheet that is tightly secured to keep the joints in a natural position between the second and first fingers of the foot.Those:
- soft;
- persistent;
- Suitable for any shoes;
- Do not rub or form corn;
- They have a small universal dimension.
Tissue
This is a toe with specially sewn ears.The right position is able to return their legs, provided they are used in the first stages of the disease.To enhance the therapeutic effect, the soft material is combined hard.Such concealers include a wrist tire.Combine:
- Hypo allergenic medical plastic;
- durable soft tissue;
- Suitable for both legs.
Help:
- uniform distribution of load on the leg;
- correction of deformation by pulling the thumb;
- Restoring foot mobility by increasing the elasticity and elasticity of muscle fibers.
The advantage is used by the correctors with an additional recording and regulator.These features allow you:
- Change the movement angle of the joint in the correct direction, eliminating the error;
- Reduce the load, improving the curvature of other fingers.
Drug treatment and physiotherapy
The use of medicines is symptomatic treatment.The purpose of inflammation and pain relief.Most methods are effective in the initial stage of the disease.The following groups of drugs are used:
- painkillers;
- Gks;
- NSAID (non -teroid anti -inflammatory drugs);
- Improving microcirculation in tissues, venous outflow;
- Antibacterial drugs.
Depending on the condition of the joint, tablets or injections are prescribed.Occasionally intraarticular injections are used.These are related to medical procedures.
We treat the underlying disease with metabolic disorders or systemic diseases.It is prescribed by narrow professionals: rheumatologist or endocrinologist.
Practice therapy
Treatment and gymnastics are used in the first phase of the disease.Doctors prescribe gymnastics:
- Removal of edema;
- Improving joint mobility;
- Reducing the symptom of pain.
The real result of gymnastics is done with regular implementation.Gymnastics is different for children and adults.Charging should take into account the phase of the muscle bone system development.Examples of the exercises performed at the seat (all exercises must be done 20 times):
- Bend your fingers on your feet;
- Straighten your feet, pull your fingers on your feet, try to combine the foot of the foot with each other;
- fingers to lift a sheet of paper lying on the floor;
- rotary movement of the legs;
- Prepare the legs of the legs with a paper sheet;
- Keep the most tense leg in the accepted position for a few minutes;
- Keep your feet in a position where the wide fingers of the foot have fingers;
- Five and extend their toes to make alternately feel tired;
- Roll the bottle to the floor for a few minutes on stairs.
Exercises for barefoot while walking:
- alternating walk with socks and corner hands and belts;
- movement on the outside and inner sides of the foot, bending the fingers;
- transfer the severity of the body from socks to the corner and back;
- It raises the socks while standing on the inner surface of the limbs.
A set of exercises to train finger joints:
- Extend the elastic bar between the fingers;
- tighten the ball or a special roller with your fingers;
- Skating skating: several minutes load on each leg;
- Circular movements with your thumb.
DIET
Proper nutrition plays an important role in the fight with this pathology:
- Fatty, smoked, acute, too salty foods are excluded;
- Sweet consumption is reduced.
This reduces inflammatory processes.Products with high vitamin A, E, C. are the correct diet leads to a reduction in overweight, which is a common cause of valgus deformation of the legs.In the presence of severe diseases related to the pathology of joint pathology or metabolism, a special diet prescribed by narrow professionals is used.
Folk treatment
No folk method can save Valgus halus as it is an organic joint mistake.Compression, baths and home ointments generally have a symptomatic effect on folk drugs: symptomatic effects:
- slightly reduces inflammation;
- Reduce the pain.
But they are not used as a basis for treatment, but as a complement to the doctor's prescription.
Useful product
Currently, traffic towards promoting a healthy lifestyle (a healthy lifestyle) has received a new product.This includes the goods that contain beekeeping products:
- honey;
- pollen;
- propolis;
- drying;
- wax;
- bee and drone milk;
- Extract of bee burning;
- Kitozan.
At the same time, the product, as indicated by instructions, can be used to treat vision, digestive tract pathology, gynecological diseases, cardiovascular and nervous systems, and colds.
Tools for internal and external use are offered:
- nutrient -drage;
- Honey drinks;
- Healing balms;
- cream and ointment for joints;
- tonic;
- Body and hair care products;
- Cosmetic cosmetic collections of hands and feet;
- Oral cavity care products;
- detergents;
- immunostimulating products;
- A series of children of health prevention.
But many positive overviews of patients are not objective evaluation.When choosing folk medicine, you should consult with a specialist.Later, doctors are widely treated with the consequences of folk drugs.It has nothing to do with medicines.If the patient refuses the prescribed therapy, herself with a tool that cures all diseases at the same time, then pathology leads to complications in which surgery needs to be used.
Maclu
Folk healers are effective in getting rid of the punch at the foot of Maklu - Adam's Apple (Chinese Orange, Indian Orange).The fruit resembles green apples or immature orange.It is located in China and in Central -Asia.It is recommended for treating valgus, tinctures, ointments, oil skills.The plant contains toxic substances.Due to the low knowledge of its beneficial properties, conventional medicine does not use the plant to produce dosage forms.It is forbidden under the following conditions:
- There is diabetes;
- individual intolerance;
- Possible allergic reactions.
Sold in the form of ready dosage forms.When the first signs of oppression and deterioration appear, treatment should be stopped as the plant is very toxic.
Other methods
The bay leaf is considered to be the best home medicine for treating Hallux valgus.The medicine is prepared within a week.Its use relieves pain and reduces finger tumors.The necessary ingredients:
- 100 ml 96% alcohol;
- 5 large bay leaves;
- 1 tablespoon sodium -hydrogen -carbonate;
- 3 liters of water.
Recipe: Pour the bay leaf alcohol, stick to a seven -week dry place at room temperature.Before use, keep the legs in the heat solution of sodium hydrogen -carbonate.Before going to bed, rub the resulting product into the joint, put the cotton socks up.
Sign up for the affected areas before you go to bed, the following funds are recommended:
- Add 10 ml of iodine to crushed acetylsalicylic acid (200 mg), mix with a homogeneous consistency - this penny significantly improves the condition during regular use;
- Lemon juice and iodine - use for 2 weeks;
- salt with iodine to prepare warm baths;
- Vinegar and iodine (10 drops of iodine 2 teaspoons table vinegar).
Ointments are recommended that include the medical bid (selling finished pharmacy forms).
But these measures can only temporarily relieve suffering by relieving the pain and difficulty of the legs.They will not be able to completely repair the bone.The no medical dudor continues to grow.
Who should you contact for your help?
The pathology of bones and joints requires special medical attention.If the first signs of the disease appear, you should contact a traumatologist or orthopedist.
About the unexplained treatment
Doctors believe that treating foot deformation is quite possible without surgery.
Stop developing in the early stages:
- correct shoes;
- Orthopedic correctors;
- insole to normalize the load on the leg;
- Physiotherapy (massage, ultrasound, diathermia);
- daily therapeutic gymnastics;
- Regular baths for the legs;
- Fighting overweight.
In what cases is the operation needed?
Purpose of the Operational Management Method:
- Get rid of the suppositories;
- Straighten your finger;
- prevent further bone growth;
- Fight with complications;
- Remove the other shaped feet deformation.
The surgical intervention can be seen as follows:
- transverse flat legs from grade II-IV;
- Progression of pathology with a symptom of persistent pain;
- poorly corrected violation of the muscle muscle function of the foot;
- pronounced aesthetic deficiencies (desire to get rid of deformation and wear more elegant shoes).
The surgery is performed in the absence of conservative therapy.
Currently, there are more than 400 radical intervention methods for repairing transverse flat legs, which are complex on the legs.About 200 are used in the world.
You can get any face according to the mandatory health insurance policy for free operation.There are quotas for this, but the waiting period can be sent to an orthopedic or traumatologist for several months for surgical intervention.The type of operation depends on the installation of the hospital and the availability of the necessary professionals.At the same time, you can remove the climbed nail, straighten the blurred pitty curve, which closes the skin as a complication of pathology.
Small -invasive methods
Smaller invasive surgery contributes to correcting the first finger of the foot.Methods with minimal bones displacement and scarring are used by the intervention of soft tissues.After treatment, the finger bends.
Miniino method - percutane removal of the bump on the foot.It is used to eliminate moderately cried curvature and to overcome the fire function.Operations are in the cut of the bone tissue.Healing occurs quickly after this type of valgus function.
Small invasive surgical treatment is a distant displacement: the 1 finger of the foot moves distant, from the 1st plushenfalance taste.It is performed with a slight or moderate deformation of the foot and the finger is in balance.They use well cheaper titanium screws that do not require removal.After the operation, the patient does not feel discomfort.Good cosmetic results are achieved with minimal scarring.
Side release (pulling the medial joint capsule) is another minimal invasive surgical treatment method.You have many benefits:
- minimal damage to soft tissues;
- Small traumativity helps to reduce the recovery process (adult patients move in a short period of time);
- Reduction of foot postoperative edema compared to other surgical interventions.
Operations related to bone manipulation can be performed not only by traditional surgical instruments.The modern method is used to laser, the use of shock wave therapy (UVT).Start the shock wave on the joint.This allows you to crush the joint bag and compensate for the foot index finger.It interrupts the difference and releases, causing discomfort and pain, and its appearance improves.Healing occurs after 4-5 sessions.They have to keep them once a week.
If the first metatarsofalangeal joint is formed by arthrosis, minimally invasive treatment cannot be performed.In this case, the device performs a triple artrodesis.This is a special operation when the total motility of the joint is artificially created.
Preventive recommendations
Many measures can be used to overcome pathology.Both adults and children need:
- physiotherapy physical education;
- massage;
- Orthosis (involves wearing orthopedic shoes or using special inserts in the shoes).
How to avoid the incidence of bone?
To avoid the occurrence of pathology, pathology is required:
- orthopedic examination for timely detection of flat legs;
- decrease in body weight;
- Proper treatment of related diseases;
- Compliance with the system of work and relaxation if the profession is related to the long stay of the legs.
The comfortable shoe choice
In the 19th century, it was common that Khalus Valgus was the result of growth of the first metatarsal bone bone and soft tower due to poorly selected shoes.The opinion was formed based on observations: the disease is almost never found in cultures that do not wear shoes.
Many problems that arise in the legs are the result of abnormal pressure or friction, as they wear literately selected shoes for daily wear.The pathology of the leg joints develops because of the following:
- Too large corner;
- narrow or excessively wide nose;
- Incorrect size.
Bursitis of the leg thumb, which initially formed, is the result of a reaction of the shoe pressure.
A condition that promotes the avoidance of foot injury and the development of further serious complications is to wear prnavil shoes:
- without pins;
- without a sharp nose;
- of natural materials;
- With a heel up to 5 cm.
This allows you to have a nice and healthy condition.