Bone treatment in the thumb's feet should start immediately after confirming the diagnosis to prevent complications.In the first signs of the disease, it should be contacted by an orthopedist, as the bone in the toe not only damages it, but also worsens the general condition of pain and chronic inflammation.The choice is simple, but at the same time beautiful shoes are very difficult.Therefore, the need to identify timely causes and treatment on the toes determines the quality of life.
Why did the bones in your fingers happen?
Bumps, or bones in the toes, are the names of the pathology used in everyday life.In fact, the disease is the deformation of the leg valgus: the first plus bone deviation inside with the simultaneous turn of the thumb.It appears that the foot at the base of the first finger of a lump or an additional bone is formed.
In fact, the angle between the first and second metatarsal bones changes, the leg elements are moved.The prominent joint head is a lump that stands on the side.
Risk factors include:
- descent tendency;
- genetic pathology of the skeletal system;
- Characteristics -foot structure (bone added first longer than the norm);
- metabolic violations (overweight, increased load on joints, deposition of veins, infringement of carbohydrate metabolism);
- arthritis and arthrosis;
- injury (blow, ankle joint bruises, thumb phalanges);
- The age of the elderly (the amount of calcium is reduced, the synovial liquid product is significantly reduced) leading to bone and cartilage changes, the development of horizontal flat feet: 3%-In the age of 15-30, 9%-at 31-60 years and 16%for those older than 60.
According to statistics, a woman is subject to the development of deformation and thumb more often 20 times more often, than a man.This is due to the natural weakness and high elasticity of the muscles and ligaments, specific shoes.High heels, narrow and narrow socks make a big load on the feet.With long accommodation on the feet, the possibility of developing the thumb bursite increases: the feet are "flattened" and defective.
The presence of other pathologies - related diseases: can trigger the development of Hallux Valgus:
- restructuring of body hormones (pregnancy, menopause, adolescence);
- serious illnesses (tuberculosis, sepsis, gout, diabetes, psoriasis);
- High articular movement in marfan syndrome, down disease;
- various sclerosis;
- Cerebral paralysis.
Stage of development of disease
The term Hallux Valgus first used Carl Heuter in 1871, which showed that they devised the first leg of the foot out of the body's axis.This name describes the changes that occur with the thumb.Hallus is a Latin name from the toes, and Valgus is an anatomical term that means a deviation from the midline of the body.
Over time, bursitis develops the thumb.An irritated, edematous tissue plot appears, which, due to constant pressure, leads to thickening of the bone tissue.This increases the swelling and friction of the shoes.
There are four stages of development of the thumb valgus deformation:
- I Degree - 15 °, is a aesthetic weakness, no physical discomfort;
- II Degree - 20 °, there is weight and pain in the foot by foot, especially in uncomfortable shoes;
- Degree III - 30 °, while there is a slight deformation of the other and the restriction of the movement of the thumb, persistent pain in the joints;
- IV Degree - More than 30 °, there is significant deformation of almost all fingers and feet, pain is present at rest.
Degree III and IV are harmful to health, as they grow:
- Hammer -Deformation - fingers II and III do not participate in walking;
- Nails grow;
- Corn and corn that can be inflamed and poured;
- swelling of the legs;
- Osteomyelitis.
Therefore, early diagnosis is important.It will help prevent serious effects associated with inflammation complications.
Valgus deformation on children
Modification of free feet in child pathology-frequently, is 40-80% of all proper foot development violations.Most often suffer:
- preschoolers;
- teenagers.
Changes lead to the fact that increases are reduced, x -shaped curvature develops.There were complaints about pain in the legs while walking due to rapid muscle fatigue, walking to be unstable.During the examination, it was lowered:
- The distance between the ankle and the knee tight - more than 5 cm;
- Legs shift;
- the deviation of the heel and the finger outside;
- Reduces the height of the gate (flat deformation).
Children:
- It only happens on the inside of the leg, he has a gait shuffling;
- Fast tires during the game;
- He complains about pain in the leg and back, seizures and swelling.
Shoes rotate more than the inner surface.
Congenital is caused by genetic defects or pathological pregnancies, which are detected after birth, require surgical correction.
Deformation of the Valgus footed foot grows because of:
- the development of insufficient ligaments and tendons;
- Muscle hypotension.
Reason:
- disease of the musculoskeletal system;
- Wear uncomfortable or uncomfortable footwear.
Changes are lowered when children start running for the first time.This pathology is a characteristic of children with a weak body to:
- lack of nutrients during embryogenesis;
- non -premature;
- SARS regularly.
Deformation is complicated:
- arthrosis;
- spinal curvature;
- flat feet;
- osteochondrosis;
- violation of pelvic bone form;
- pathological disorders in the knee and ankle joints;
- Shorten the limbs.
Severe pathological levels are one of the causes of defects in children.
With timely and timely deformation of therapeutic treatment, complete recovery of normal functioning of the joints is possible.
Diagnostic method
After identifying finger pathology, it should be implemented:
- determine the mobility of the first and adjacent finger joints;
- Radiography (to calculate the angle between the bones, the detection of structural changes in the bone, the joint subluxation);
- Calculated planetography (loads in various legs are analyzed);
- CT or MRI (for the detection of more accurate violations in the tissue and as the level of preparation for surgery);
- Ultrasound (if blood circulation violation is suspected);
- Consultation of neuropathologists (with nerve damage).
Laboratory studies are needed to exclude related diseases and in preparation for surgical treatment.
Method of treatment without surgical intervention
In the early stages of the disease, when the change did not take the irreversible character, the back of the foot could be cured without surgery.Prolonged diagnosis leads to surgical intervention, given the following:
- In severe stages of the disease, folk methods, wearing orthosis, taking pharmaceutical medications are ineffective;
- The older the patient, the less conservative therapy action.
Non -curved treatment produces 1 and 2 degrees of deformation.It is important not to miss the beginning of the pathology.People's methods are ineffective.They can only reduce the symptoms, but the disease will not cure.
For treatment used:
- Massage;
- special training;
- heavy correction;
- orthopedic shoes;
- wearing orthosis;
- Medicine.
Adequate lack of therapy leads to the development of the 3rd and 4th pathological levels, osteomyelitis: swollen feet, painful corn, suppuration appears.In the case of advanced, with the first finger displacement, painful pain is conveyed, the purchase of shoes is very complicated.
Massage
Initially, massage is done by a qualified specialist, in the future it is necessary to learn how to do it yourself.
Purpose of Massage Assignment:
- load distribution and reduction of inflammation;
- Recovery of blood circulation (should massage the back, feet, fingers, back muscles).
This course is effective 10 times with further repetition after time.
Valgus deformed clamp study
Conservative legs of defective feet include the use of mandatory orthosis - a special orthopedic device.Their use is ten times cheaper than the simplest operation.These include:
- fixators;
- insoles and half -stetts;
- screeds;
- orthopedic tires;
- Reader of the night evidence.
The last one fixes the toes in the right position, giving you a arapeutic sleep.It is used where -when the Hallux Valgus level is,
But only at night or during the rest, because the design is not intended to wear shoes.First, place the bandage for several hours, and then the whole night.
C Fixer to fix the toes is:
- Night - hard tires to use only during sleep;
- Day - soft bandages and are expressed for continuous wear.
In addition, they can be classified:
- to adjustable and uncontrolled;
- On the first two fingers of the foot or without it.
For manufacturing, different materials are used:
- plastic;
- silicon;
- textiles.
The reader of the plastic evidence
Designed for sleeping due to large size and structural stiffness.This device consists of:
- from the tires that are not moving and holding all the moved fingers;
- From the belt that controls the level of tension.
Silicone clamps for thumb on the toes
It is the entire tab, which is tightly mounted to hold the joints in the natural position between the second and first legs.Them:
- soft;
- durable;
- Suitable for any shoes;
- Do not rub and do not form corn;
- They have small universal dimensions.
Clothing
This is a foot with a special sewing tab.Proper position can restore the feet, provided it is used in the first stage of the disease.To enhance the therapeutic effect, the soft material is combined hard.Such proof readers include valgus hinges.It combines:
- hypoallergenic medical plastic;
- Durable soft cloth;
- Suitable for both feet.
Help:
- uniform distribution of load on the feet;
- deformation correction by pulling the thumb;
- Recovery of foot mobility by increasing the elasticity and flexibility of muscle fibers.
Advantages are used by corrections with sewer and additional regulators.This function allows:
- Change the joint displacement angle in the right direction, eliminating defects;
- Reduce the load, correct the curvature of the fingers.
Drug and physiotherapy treatment
The use of drugs is a symptom treatment.It is intended to reduce inflammation and relieve pain.Most methods are effective in the early stages of the disease.The following drug groups are used:
- painkillers;
- GKS;
- NSAIDs (anti -nonsoid drugs);
- improves micro circulation in tissues, venous flow;
- Antibacterial drugs.
Tablets or injections are prescribed depending on the condition of the joints.Sometimes intra -articular injection is used.They are related to medical procedures.
With metabolic disorders or systemic diseases, basic diseases are treated.It is prescribed by a narrow specialist: a rheumatologist or an endocrinologist.
Exercise therapy
Treatment with charging and gymnastics is used in the first stage of the disease.Doctors set gymnastics for:
- removal of edema;
- increased mobility shared;
- Reduces symptoms of pain.
The actual results of gymnastics occur with normal implementation.Gymnastics for children and adults are different.The filling should take into account the development of the musculoskeletal system.Examples of exercises performed (each training must be done 20 times):
- Bend your fingers on the feet;
- Straighten your feet, pull your fingers on yourself, try to combine the feet with each other;
- fingers to lift a piece of paper located on the floor;
- foot rotation movements;
- Fasten the feet with a piece of paper;
- Keep the feet the most tense for a few minutes in the lift;
- Make sure your feet are in a position with the toe width;
- Five and extend your toes to feel alternating fatigue;
- Roll the bottle on the floor with a step for a few minutes.
Exercises are done during footless walking:
- alternating walking on the socks and heels with raised hands and on the belt;
- movement on the outside and inner legs, bending the fingers;
- transfer of body severity from socks to heel and back;
- Increase socks, while standing on the inner surface of the limbs.
A set of exercises for finger joint exercises:
- stretch the elastic band between the fingers;
- Hold a special ball or roller with your finger;
- Skating skating: a few minutes of load for each foot;
- Round movement with thumb.
Diet
An important role in the struggle with this pathology is played by proper nutrition:
- Fatty foods, smoke, acute, too salty are excluded;
- Sweet use decreases.
This reduces the inflammation process.Products with high content of vitamins A, E, C. The right diet leads to excess weight loss, which is one of the most common causes of valgus foot deformation.In the presence of serious illnesses leading to joint pathology, or associated with metabolic disorders, a special diet prescribed by a narrow specialist is used.
Folklore
There is no people's method of saving Valgus, as this is an organic joint defect.Compression, bathing, and home ointment usually have the effects of the symptoms used in folk medicine: Symptomatic effects:
- slightly reducing inflammation;
- Reduces pain.
But they are not the basis for treatment, but are used in addition to the doctor's prescription.
A useful product
Currently, the revenue of advertising a healthy lifestyle (healthy lifestyle) has gained a new product.It includes items that include bee products:
- Honey;
- pollen;
- propolis;
- parch;
- candles;
- uterus and drone milk;
- bee extracts;
- Chitosan.
At the same time, the product, as shown in the instructions, can be used to treat vision, digestive tract pathology, gynecological disease, cardiovascular and nervous system, flu.
Means for internal and external use are offered:
- Dragees nutrients;
- Honey drinks;
- healing balm;
- creams and ointments for joints;
- tonic;
- Body and hair care products;
- Cosmetics collections of hands and feet;
- oral cavity care products;
- Detergent;
- immunostimulating products;
- Children's Health Prevention Series.
But many positive reviews of patients are not objective assessments.When choosing folk medicine, you should consult a specialist.It is a doctor who later treats the causes of folk medicine with various uses.They have nothing to do with medicine.If the patient rejects the prescribed therapy, the medication by using the method of cure all diseases at once, the pathology will lead to complications in which surgery should be used.
Maklura
Healers think it is effective in getting rid of lumps in footwear - Apple Adam (Orange Chinese, Orange India).The fruit resembles green apples or immature oranges.It is found in China and Central Asia.For the treatment of valgus, tinctures, ointments, oil lid is recommended.This plant contains toxic substances.Due to its low knowledge of its beneficial properties, traditional medicine does not use plants in the manufacture of dosage forms.Do not use it under the following conditions:
- There are diabetes;
- individual intolerance;
- Possible allergic reactions.
Sold in the form of ready -made doses.When the first signs of oppression and deterioration arise, it is necessary to stop the treatment due to the fact that the plant is very toxic.
Other methods
Bay leaves are considered the best home remedy for the treatment of Hallux Valgus.This medicine is available within a week.Its use relieves pain and reduces finger tumors.Components required:
- 100 ml 96% alcohol;
- 5 large bay leaves;
- 1 tablespoon of sodium bicarbonate;
- 3 liters of water.
Recipe: Pour bay leaf alcohol, insist on a dry place 1 week at room temperature.Before use, hold the legs in the heat solution of sodium bicarbonate.Before bed, rub the product that is produced into the joints, place the cotton socks.
Apply to the affected area before bed, the following funds are recommended:
- Add 10 ml of iodine to crushed acetylsalicylic acid (200 mg), mixing to homogeneous consistency - this cents will improve the condition with normal use;
- lemon juice and iodine - use for 2 weeks;
- salt with iodine for warm bath preparation;
- Vinegar and iodine (10 drops of iodine for 2 tablespoons table vinegar).
Ointment is recommended, including medical bile (ready -made pharmaceutical form).
But all of these steps can only reduce temporary suffering by relieving pain and weight in the feet.They will not be able to correct the bones completely.Bumps without medical treatment will continue to grow.
Who to contact for help?
Bone and joint pathology requires specialized medical treatment.If the first signs of the disease appear, it is necessary to contact a traumatologist or orthopedic.
About treatment without surgery
Doctors believe that the treatment of foot valgus deformation without surgery is possible.
Stop the development at an early stage can:
- the right shoes;
- Orthopedic correction;
- insoles to normalize the load on the set of feet;
- Physiotherapy (massage, ultrasound, diathermy);
- Daily therapeutic gymnastics;
- normal baths for feet;
- The struggle against overweight.
In what case what operation is needed?
OBJECTIVE OPERATIONAL METHODS:
- removes cones;
- Straighten your finger;
- prevent further bone growth;
- against complications;
- Remove the shape of the formed foot.
Surgical intervention is indicated by the presence:
- flat feet horizontally from degree II-IV;
- pathological development, accompanied by persistent symptoms of pain;
- unscrupulous violations of the musculoskeletal function of the foot;
- The aesthetic deficiency is called (the desire to eliminate deformation and wear more elegant shoes).
The operation was carried out without the effects of conservative therapy.
Currently, there are more than 400 radical intervention methods to correct the complex flat feet of the cone to the foot.About 200 of them were used in the world.
Free to be treated on an operation can get a face according to compulsory medical insurance policy.For this, there is a quota, but the waiting time can be a few months to send an orthopedic or traumatologist for surgical intervention.The type of operation depends on the hospital equipment, the availability of the specialist required.At the same time, you can remove the sinking nails, straighten the cloudy pitty curves, which seal the skin as a pathological complication.
Small methods
Small invasive surgery contributes to the correction of the location of the first leg.Methods with minimal bone displacement and scars are used by intervention on soft tissue.After treatment, the fingers begin to bend.
Miniminoval method - removal of percutaneus on the feet.It is used to eliminate significant curvature and fight against foot function.The operation consists of bone tissue isolation.Recovery after surgery of this type of valgus occurs quickly.
Small-invasive surgical treatment is a distal displacement: the first finger moves distal, starting with the plushenfalance joints 1. It is done with a mild or medium deformation level, the fingers begin to straighten.Good titanium screws are used, which does not require removal.After this operation, the patient does not feel difficult.Good cosmetic outcomes with minimum scars are achieved.
Side discharge (pulling medial joint capsule) is another slight invasive surgical treatment method.It has several advantages:
- minimal damage to soft tissue;
- Small traumativity helps reduce the recovery process (adult patients become mobile in no time);
- Reduces postoperative edema of the foot compared to other surgical intervention.
Operations related to bone manipulation can be performed not only with the help of traditional surgical instruments.Modern methods used-laser use, shock wave therapy (UVT).In the joints begin to act in shock waves.This allows several sessions to destroy the bag together and measure the index finger.He stopped deviating and sticking, causing discomfort and pain, his appearance improved.Healing occurs after 4-5 sessions.They need to be held once a week.
If the first metatarsophalangeal joint arthrosis has been developed, minimal invasive treatment cannot be performed.In this case, triple arthrodesis is performed by the device.This is a special operation when complete immobility of the joints is made.
Preventive suggestions
To combat pathology, various steps are used.Both adults and children need:
- Physiotherapy physical education;
- Massage;
- Orthosis (involves wearing orthopedic shoes or use of special inserts in shoes).
How to prevent bones?
To prevent pathology, pathology is required:
- Orthopedic examination for timely detection of flat feet;
- weight loss;
- adequate treatment of related diseases;
- Compliance with the work regime and rest if the profession is associated with long accommodation in the foot.
A comfortable choice of shoes
In the 19th century, it was common that Khalus Valgus was the result of the growth of the first metatarsal bone tissue and its soft tower shell due to less selected shoes.The opinion is based on observation: the disease is almost never found in a culture that does not wear shoes.
Many of the problems that arise in the feet are the result of pathological or friction pressure because they wear illiterate shoes for daily clothing.The pathology of the foot joint develops because:
- the heel is too large;
- narrow or excessive nose;
- Incorrect size.
Bursitis from the toes, which develops initially, is the result of a reaction to the pressure of the shoe.
Conditions that will help prevent foot injuries and have worse complications wear prnavilic shoes:
- without a button;
- without sharp nose;
- from natural materials;
- With the heel not higher than 5 cm.
This will make it possible to keep your feet beautiful and healthy.