The treatment of bone in the thumb leg should begin immediately after confirming the diagnosis to prevent complications.In the first signs of the disease, it is worth contacting an orthopedist, since the leg bone of the leg not only disfigurement, but also worsens the general condition due to pain and chronic inflammation.The choice is convenient, but at the same time beautiful shoes are very difficult.Therefore, the need to identify the causes and timely treatment of cone in the thumb determines the additional quality of life.
Why does a bone occur on the finger?
A protuberance, or a bone in the thumb of the leg, is the name of the pathology used in everyday life.In fact, the disease is a deformation of the feet of the foot: the deviation of the first bone inside with the simultaneous turn of the thumb out.It seems that on the foot in the base of the first finger a bump arose or an additional bone was formed.
In fact, the angle between the first and second metatarsal bones changes, the elements of the foot are displaced.The head of the outstanding joint is a bump that stands out on the side.
Risk factors include:
- hereditary predisposition;
- genetic pathology of the skeletal system;
- Characteristics of the structure of the foot (the first bone is longer than the norm);
- Metabolic violation (overweight, improves the load in the joints, deposition of urratos, violation of carbohydrate metabolism);
- arthritis and osteoarthritis;
- Injuries (coup, hematoma of the ankle joint, Pulgar phalanges);
- The elderly (the amount of calcium is reduced, the products of the synovial fluid are reduced considerably) leads to changes in the bones and cartilage, the development of transverse flat feet: 3%at the age of 15 to 30 years, 9%to 31-60 years and 16%for those over 60 years.
According to statistics, a woman is subject to the development of deformation and thumb is 20 times more often, compared to a man.This is due to innate weakness and a high elasticity of muscles and ligaments, the details of the shoes.A high heel, a narrow and narrow sock create a great load in the foot.With a long stay on the legs, the probability of developing the thumb increases: the foot is "flattened" and deforms.
The presence of another pathology - associated diseases: can cause the development of HALLUX VALGUS:
- hormonal restructuring of the body (pregnancy, menopause, adolescence);
- Serious diseases (tuberculosis, sepsis, gout, diabetes, psoriasis);
- High joint mobility in Marfan Syndrome, Down's disease;
- multiple sclerosis;
- Cerebral palsy
Stages of disease development
The term Halux Valgus first used Carl Heuter in 1871, which indicated them a deviation from the first finger outside the central axis of the body.This name describes the changes that take place with the thumb.Hallus is the Latin name of the thumb of the leg, and the valgo is an anatomical term that means deviation away from the midline of the body.
Over time, bursitis develops the thumb.An irritated edematous tissue plot appears that, due to constant pressure, leads to an thickening of bone tissue.This increases swelling and friction on shoes.
There are four stages of deformation development of the thumb:
- I grade - 15 °, is an aesthetic disadvantage, there are no physical discomfort;
- II grade: 20 °, there is heaviness and leg pain with long walks, especially in uncomfortable shoes;
- III grade: 30 °, while there is a slight deformation of other phalanges and restriction of the thumb movement, constant pain in the joints;
- IV Grade: More than 30 °, there is a significant deformation of almost all the phalanges of the fingers and all the foot, the pain is present at rest.
III and IV The degree are dangerous to health, as they develop:
- Hammer -shaped deformation: fingers II and III do not participate in walking;
- cultivated nails;
- Cornos and calluses that can be inflamed and pour;
- Foot swelling;
- osteomyelitis.
Therefore, early diagnosis is important.It will help avoid serious consequences associated with an inflammation complication.
Valgo deformation in children
Footless deformation in a child, a frequent pathology, is 40-80% of all proper development violations of the legs.Most of the time he suffers:
- preschool child;
- teenager.
The changes lead to the fact that the increase is reduced, the curvature is developed in the form of X. There are complaints about the pain in the legs when walking due to the rapid fatigue of the muscles, the march becomes unstable.During the inspection, it is revealed:
- The distance between ankles with well -compressed knees: more than 5 cm;
- displacement of the arches of the feet;
- heel deviation and fingers abroad;
- Reduction of arc height (flat deformation).
Child:
- It occurs only on the inside of the foot, it has a delayed march;
- He gets tired quickly during the games;
- He complains about the pain in the legs and back, seizures and swelling of the feet.
The shoes revolve more from the internal surface.
The congenital is due to a genetic defect or a pathological pregnancy, detected after birth, requires surgical correction.
Valgo deformation acquired from the foot is developed due to:
- Insufficient ligament and tendons development;
- Muscle hypotension
Reasons:
- Musculoskeletic system diseases;
- Use an awkward foot or bad fixing the shoes.
The changes are revealed when the child begins to walk for the first time.This pathology is characteristic of children with a weakened body for:
- a nutrient deficiency during embryogenesis;
- not premature;
- Frequent Sars.
Deformation is complicated:
- osteoarthritis;
- spinal curvature;
- flat feet;
- osteochondrosis;
- violation of the shape of the pelvic bones;
- pathological disorders in knee joints and ankle;
- limb shortening.
A severe degree of pathology is one of the reasons for disability in childhood.
With a minor deformation and a timely and adequate therapeutic treatment, a complete restoration of the normal function of the joints is possible.
Diagnostic methods
After identifying the pathology of the finger, it is necessary to perform:
- determine the mobility of the first and adjacent fingers articulation;
- Radiography (to calculate the angle between the bones, the detection of structural changes in the bone, the subluxation of the joint);
- Calculated planetography (the load is analyzed in several foot departments);
- CT or MRI (for a more precise detection of violations in the tissues and as a stage of preparation for surgery);
- Ultrasound (if a circulatory violation is suspected);
- Consultation of a neuropathologist (with nervous damage).
Laboratory studies are necessary to exclude associated diseases and in preparation for surgical treatment.
Treatment methods without surgical intervention
At the early stage of the disease, when the changes did not take an irreversible character, the back of the foot can be cured without surgery.Prolonged diagnosis leads to surgical intervention, given the following:
- In the severe stage of the disease, popular methods, the use of orthosis, taking pharmaceutical medications are ineffective;
- The greater the patient, the less conservative therapy acts.
Non -surgical treatment gives the result with 1 and 2 degrees of deformation.It is important not to miss the beginning of the pathology.Popular methods are ineffective.They can only slightly reduce some symptoms, but the disease will not heal.
For treatment they are used:
- massage;
- special exercises;
- weight correction;
- orthopedic shoes;
- dressing orthosis;
- Medications
The lack of adequate therapy leads to the development of the third and fourth degree of pathology, osteomyelitis: the feet swell, painful streets appear, suppuration.In advanced cases, with a large angle of displacement of the first finger, painful pain is delivered, the purchase of shoes is significantly complicated.
MASSAGE
Initially, the massage is done by a qualified specialist, in the future it is necessary to learn how to do it yourself.
Purpose of the massage allocation:
- load distribution and inflammation reduction;
- Restoration of blood circulation (it is necessary to massage the buttocks, feet, fingers, back muscles).
The course is effective 10 times with more repetitions and time.
Valgus deformation clamps review
The straightening of the deformed footing includes the mandatory use of orthosis: special orthopedic devices.Its use is ten times cheaper than even the simplest operation.These include:
- fixers;
- templates and stockings;
- Ards;
- orthopedic tires;
- Night runners.
This last fixes the thumb of the legs in the correct position, providing an arapheutic dream.It is used at any stage of hallux valgus,
But only at night or during the rest, since its design is not intended to wear shoes.First, put a bandage for several hours, and then throughout the night.
C The fixers to correct the thumb of the legs are:
- Night: hard tires for use only during sleep;
- Daytime: soft and articulated bandages for constant use.
In addition, they can be classified:
- to adjustable and not regulated;
- in the first two fingers of the foot of the foot or without it.
For manufacturing, a different material is used:
- plastic;
- silicone;
- textile.
Plastic correctors
Designed to sleep due to large sizes and rigidity of the structure.This device consists of:
- of a tire that immobilizes and holds all displaced fingers;
- Of a belt that regulates the degree of tension.
Silicone hugs for thumb on the leg
It is a complete cast iron tab, which is well linked to hold the joints in the natural position between the second and the first fingers of the foot.They:
- gentle;
- durable;
- Suitable for any shoe;
- Do not rub and do not form calluses;
- They have small universal dimensions.
Fabric bandages
This is a foot of the foot with especially sewn eyelashes.The correct position can return the foot, provided they are used in the early stages of the disease.To improve the therapeutic effect, soft material is combined with hard.Such correctors include a valgus hinge tire.Combine:
- hypoallergenic medical plastic;
- Durable soft fabric;
- Suitable for both legs.
Aid:
- uniform distribution of load on the foot;
- Deformation correction by pulling the thumb;
- Restoration of foot mobility by increasing elasticity and flexibility of muscle fibers.
Correctors use the advantage with an additional fixative and regulator.These functions allow:
- Change the displacement angle of the joint in the right direction, eliminating the defect;
- Reduce the load, correcting the curvature of other fingers.
Pharmacological and Physiotherapy Treatment
The use of medicines is a symptomatic treatment.Aimed at reducing inflammation and pain relief.Most of the methods are effective in the initial stage of the disease.The following drug groups are used:
- analgesics;
- GKS;
- NSAID (non -steroidal anti -inflammatory drugs);
- Improvement of microcirculation in tissues, venous output;
- Antibacterial medications.
A tablet or injection is prescribed depending on the condition of the joint.Sometimes intra -articular injections are used.They relate to medical procedures.
With metabolic disorders or systemic diseases, underlying disease is treated.He is prescribed by narrow specialists: a rheumatologist or an endocrinologist.
Exercise therapy
Cargo and gymnastics treatment is used in the early stages of the disease.Doctors recipe gymnastics for:
- Edema elimination;
- Improvement of joint mobility;
- Reducing the symptom of pain.
The true result of gymnastics occurs with regular execution.Gymnastics for children and adults differs.The load must take into account the stages of development of the musculoskeletal system.Examples of exercises carried out (each exercise must be done 20 times):
- bend your fingers on the legs;
- Straighten your legs, pull your fingers on you, try to combine the soles of your feet together;
- fingers to lift a sheet of paper lying on the floor;
- Rotational legs of the legs;
- Complete the legs of the legs with a sheet of paper;
- Keep your feet tense for several minutes in the position adopted;
- Keep your legs in a position with foot -standing fingers;
- Five and extend the fingers of the feet to feel fatigue alternately;
- Roll the bottle on the floor with steps for several minutes.
Exercises done while walking barefoot:
- Alternating walking on socks and heels with raised hands and in the belt;
- movement on the outer and internal side of the foot, bending the fingers;
- Transfer of the gravity of the body of socks to heels and back;
- Raising the sock, while it is located on the internal surfaces of the limbs.
A set of exercises to train fingertips:
- Stretch the elastic band between the fingers;
- Press the ball or a special roller with the fingers;
- Skating skating: several minutes of load for each leg;
- Circular movements with the thumbs.
DIET
An important role in the fight with this pathology is performed by adequate nutrition:
- Fatty, smoked, acute, too salty foods are excluded;
- Sweet consumption decreases.
This reduces inflammatory processes.Products with a high vitamins A content, E, C. The correct diet leads to a decrease in overweight, which is one of the frequent causes of the deformation of the legs of the legs.In the presence of serious diseases that lead to the pathology of the joints, or associated with metabolism disorders, special diets prescribed by narrow specialists are used.
Popular treatment
No popular method is able to save the Valgus Halus, since this is an organic joint defect.Compresses, bathrooms and ointments at home generally have a symptomatic effect used in popular medicine: symptomatic effects:
- Slightly reduce inflammation;
- Reduce pain.
But they are not the basis of treatment, but they are used as an addition to a doctor's recipe.
Useful product
Currently, billing in the direction of announcing a healthy lifestyle (healthy lifestyle) has won a new product.Includes goods that include beekeeping products:
- Honey;
- pollen;
- propolis;
- roast;
- wax;
- uterine milk and drones;
- Bee shooting extract;
- chitosano.
At the same time, the product, as indicated in the instructions, can be used to treat the vision, the pathology of the digestive tract, gynecological diseases, cardiovascular and nervous systems, colds.
Means for internal and external use:
- Dragyes nutrients;
- honey drinks;
- healing balms;
- Cream and joint ointment;
- tonic;
- Body and hair care products;
- cosmetic collections of hand and feet;
- Oral cavity care products;
- detergents;
- Immunostimulating products;
- Children's Health Prevention Series.
But many positive revisions of patients are not an objective evaluation.When choosing a popular remedy, it is necessary to consult a specialist.It is the doctors who then deal with the consequences of popular drugs with a wide range of use.They have nothing to do with medications.If the patient rejects prescribed therapy, the self -medication with the use of a medium that cures all diseases at the same time, the pathology will lead to complications in which surgery should be used.
Maklura
Popular healers consider that it is effective to get rid of a lump in the foot Maklura: Adam's apple (Chinese orange, Indian orange).The fruit resembles a green apple or an immature orange.It is located in China and Central Asia.For the treatment of Valgo, Tinuras, Ointments, oil bells are recommended.The plant contains toxic substances.Due to the low knowledge of its beneficial properties, traditional medicine does not use the plant in the manufacture of dosing forms.It is forbidden to use it in the following conditions:
- There are diabetes;
- individual intolerance;
- Possible allergic reactions.
Sold in the form of dosing forms ready of facts.When the first signs of oppression and deterioration appear, it is necessary to stop treatment due to the fact that the plant is very poisonous.
Other methods
The bay leaf is considered the best home remedy for the treatment of Halux Valgus.The medicine is prepared within a week.Its use relieves pain and reduces finger tumor.The necessary components:
- 100 ml of 96% alcohol;
- 5 big sheets of the bay;
- 1 tablespoon of sodium bicarbonate;
- 3 liters of water.
Recipe: Pour the bay leaf alcohol, insist in a dry place 1 week at room temperature.Before using, keep your legs in a heat solution of sodium bicarbonate.Before bedtime, rub the resulting product in the joint, put cotton socks.
Request the affected areas before bedtime the following funds are recommended:
- Add 10 ml of iodine to crushed acetylsalicylic acid (200 mg), mix with a homogeneous consistency: this penny will significantly improve the condition with regular use;
- Lemon and iodine juice: use for 2 weeks;
- salt with iodine for the preparation of warm baths;
- Vinegar and iodine (10 drops of iodine for 2 teaspoons of table vinegar).
Ointments are recommended, which include medical bile (prepared pharmacy forms are sold).
But all these measures can only temporarily relieve suffering by relieving pain and heaviness in the legs.They will not be able to completely fix the bone.A lump without medical attention will continue to grow.
Who to contact for help?
The pathology of bones and joints requires specialized medical attention.If the first signs of the disease appear, it is necessary to contact a traumatologist or orthopedist.
About treatment without surgery
Doctors believe that the treatment of the feet of the foot of the foot without surgery is quite possible.
Stop its development in the early stages can:
- correct shoes;
- Orthopedic correctors;
- templates to normalize loads in the whole foot;
- Physiotherapy (massage, ultrasound, diathermia);
- Daily therapeutic gymnastics;
- regular feet baths;
- The fight against excess weight.
In what cases is the operation necessary?
The objectives of the operational treatment method:
- get rid of the cones;
- Straightening his finger;
- avoid the greatest growth of bone;
- fight complications;
- Eliminate other deformations formed in the foot.
Surgical intervention is shown in the presence of:
- Transverse flat feet of grade II-IV;
- Progression of pathology, accompanied by a symptom of persistent pain;
- poorly corrected rape of the musculoskeletal function of the foot;
- pronounced aesthetic deficiencies (the desire to get rid of deformation and wear more elegant shoes).
The operation is carried out in the absence of the effect of conservative therapy.
Currently, there are more than 400 radical intervention methods to correct the transverse flat feet complicated by the formation of legs in the legs.Around 200 of them are used in the world.
Free to be operated operationally can have a face in accordance with the mandatory medical insurance policy.For this, there are quotas, but the waiting time can be several months to send an orthopedist or traumatologist for surgical intervention.The type of operation depends on the hospital team, the availability of the necessary specialists.At the same time, you can eliminate the incarnate nail, straighten the cloudy pitty curve, which is sealing the skin as a complication of the pathology.
Small invasive methods
The lower invasive surgery contributes to the correction of the location of the first finger.Methods with minimum bone displacement and scars are used by soft tissue intervention.After treatment, the finger begins to bend.
Miniinoval method: percutaneous elimination of leg protuberance.It is used to eliminate moderately pronounced curvature and combat a violation of foot function.Operations consist of bone tissue splitting.The recovery after such a valo operation occurs rapidly.
Small invasive surgical treatment is a distal displacement: the first finger moves distally, starting from the first plushenfalance joint.It is carried out with a slight or moderate degree of foot deformation, the finger begins to straighten.Well tolerated titanium screws are used, which do not require elimination.After this operation, the patient does not feel any inconvenience.A good cosmetic result with minimal scars is achieved.
Lateral release (pull the medial joint capsule) is another minimally invasive surgical treatment method.It has several advantages:
- minimum damage to soft tissues;
- Little traumativity helps reduce the recovery process (adult patients become mobile in a short time);
- Reduction of postoperative foot edema compared to other surgical interventions.
Operations related to bone manipulations can be carried out not only with the help of traditional surgical instruments.The modern method is used: the use of laser, shock wave therapy (UVT).In the joint begins to act in a shock wave.This allows several sessions to crush the joint bag and level the foot -to -index finger.Stop deviating and exceling, causing discomfort and pain, its appearance improves.Healing occurs after 4-5 sessions.They need to be celebrated once a week.
If the osteoarthritis of the first metatarsophalangeal joint has been developed, a minimally invasive treatment cannot be performed.In this case, the device performs a triple arthrodesis.This is a special operation when the complete immobility of the joint is created artificially.
Preventive recommendations
To combat the pathology, a wide range of measures is used.Both adults and children need:
- Physiotherapy Physical Education;
- massage;
- Orthhosis (involves wearing orthopedic shoes or the use of special inserts in shoes).
How to avoid the occurrence of a bone?
To avoid the appearance of pathology, pathology is necessary:
- Orthopedic exam for timely detection of flat feet;
- decrease in body weight;
- proper treatment of associated diseases;
- Compliance with the work and rest regime if the profession is associated with a long leg stay.
The choice of comfortable shoes
In the nineteenth century, it was common for Khalus Valgus to be the result of the growth of the bone tissue of the first metatarsal bone and its shell of the soft tower due to poorly selected shoes.The opinion was formed on the basis of observations: the disease is almost never found in crops that do not wear shoes.
Many problems that arise in the legs are a consequence of pathological pressure or friction due to the use of illiterately selected shoes for daily use.The pathology of foot joints develops due to:
- Heel too big;
- narrow or excessively wide nose;
- Incorrect size
Bursitis of the thumb of the foot, which is initially developed, is the result of the reaction to the pressure of the shoes.
A condition that will help avoid foot injuries and develop more serious complications is to wear prnavilical shoes:
- No bolts;
- without sharp noses;
- of natural materials;
- With a heel not exceeding 5 cm.
This will allow you to keep your legs beautiful and healthy.