Hallux valgus is a common orthopaedic problem characterized by the deviation of the position of the big toe on the inside. At the same time, this pathology may not only affect the big toe, in the foot, but also very foot, ankle, leg and even hip. The main feature of this disease – "X"in the form of deformation, therefore, to tread it with other problems orthopedic impossible. Usually, this disorder occurs in children, but adults are also diagnosed. This may be due to a trauma, alterations in endocrine, osteoarthritis or osteoporosis.
The disease is caused by a deformity of the metatarsal joints, which leads to an alteration in the forefoot, increasing the range of motion of tendons and ligaments. The result of foot as to be displaced towards the inside. It is most frequently diagnosed in adults hallux valgus big toe, and the children – flat feet.
As mentioned above, the more often the disease occurs in children, so that the main reasons are of genetic origin. The child is born with this disease, or may acquire it in a very small age because of delays in the collection of the legs, or prolonged standing (for example, sand), or due to the excessive effort of parents to make their child faster I go.
Reasons for the emergence of this disease in children can be the following:
The causes of the deformation in adults is:
People a deformity called "os", because instead of the curvature of the thumb is formed of bone growth, which causes a lot of inconvenience, because it is difficult to find the right shoes. Without treatment, this assembly grows in size and becomes inflamed, causing a person that experiences pain when walking.
Often, parents of children faced with placing their children with this type of diagnosis as to the foot plan. In people, this condition is called flat feet, and is characterized by the inclination of the foot to the hand with the formation of a worn down topography. The genetic predisposition to flat feet in children plays an important role. However, the reasons for this violation are also found in the use of shoes uncomfortable and bad weather, the raising of the child in the legs.
Keep in mind that according to ICD-10 each deformation has its codes. So, the plan has a code M21.4, and the classic PLANO-valgus deformation of foot in children – M21.0. In addition, a disease with a genetically determined factors of development (congenital), identified by the code Q66.5.
The symptoms of this disease depend on the affected joints. With flat feet will be a violation of the march, with pain during prolonged standing or walking, the curvature of the foot position change inside.
In cases where children or adults are detected by the so-called "bone", the symptoms will be the following:
In addition, the symptoms may be local redness at the site of deformity, swelling "bones", the increase in the site of the lesion of the temperature of the skin (the place feels "hot"), the development of calluses and corns.
The treatment of this disease is mainly surgical, conservative treatment can only reduce the symptoms of the disease to slow the progression of the deformation process in the initial stages of the process.
At the same time, the treatment of flat feet, on the contrary, eminently conservative. And is effective in the majority of cases, especially in children. Therefore, with any of the orthopedic disorders described above should consult immediately to the podiatrist, who will make the diagnosis and prescribe the proper treatment that will give you the opportunity to avoid complications and major surgical procedures.
The diagnosis of this pathology such as hallux valgus in a child is established on the basis of visual inspection and radiographic studies. When the patient is diagnosed with this disorder such as flat feet, the diagnosis is established only on the basis of complaints and visual inspection, as in severe radiological changes, especially in the early stages of the disease, is not observed.
Usually, the symptoms of flat feet in children appear in the moment in which the children begin to walk. Due to the flattening of the foot the child is unable to remain on his feet, but his shoes wear unevenly. Reference to the doctor allows the disease to deal with techniques of physiotherapy. Physiotherapy in the treatment consists in the conduct little patient's the massage that helps to improve the blood circulation to the foot and to soften the muscle tissue, and ligaments, thereby restoring the foot's normal terrain.
The treatment involves bringing special shoes for orthopedic or using templates for orthopedic, it is best if they are customized. Treatment for flatfoot is performed by means of a set of special exercises, such as walking feet, "skating" foot cylindrical, objects, etc.
If we talk about the treatment of the famous "bone" is only surgical, especially if begun late. In modern medical practice there are several varieties of surgeries to get rid of this problem, until the removal of the growth with a laser and hip replacement, but the truth is that in 10% of cases of people have deformation occurs.
In the initial stages, conservative treatment of hallux valgus the big toe, will allow you to get a good effect. The most effective method is the massage, which is performed by a specialist in a medical institution or the patient's home. Massage allows the development of fixed sites, to increase the flow of blood and reduce the inflammation of the joint. At the same time, the massage is contraindicated in cases in which the area of deformation is produced inflammation of the joint – bursitis. Massage courses is 15-20 sessions and is held at least 4 times in the year before full recovery. The massage includes treatment of the muscles of the legs and the lower part of the leg is internal to the group, and also massage the muscles plantar.
If we talk about the surgery the operation using the laser is more gentle. There are No data on the treatment of this disease using the overlay special restraint of the cover. It can be worn during sleep or wear all day (depending on the model) for a long time. But, again, this type of treatment is only effective in the early stages of the disease.
As mentioned above, among all the surgical methods, the laser treatment gives the best results, and therefore, each year, becoming more and more popular, in spite of the relatively high cost of the procedure. The laser treatment has a minimum of contraindications, so it is suitable for all the people (adults and children with this deformity). In addition, the laser treatment has a minimum period of rehabilitation to recover people after only a few weeks after the intervention, while the normal operation requires several months of rehabilitation.