Hallux valgus in adults - treatment and prevention

Regardless of the fact that more than 25% of the planet is in front of this pathology, the diagnosis of hallux valgus in adults have listened to a few. Growths in the lower limbs that are similar in appearance where the bones. They hinder the movement and cause lot of discomfort — this is an orthopedic disease that requires timely treatment. Hallux valgus in adults — treatment and prevention methods. How dangerous is the disease, and why is it produced?

What is it?

The curvature of the foot is a specific disease of the legs, that is to say, a violation of their position and functional. Externally this disease is seen as a deformation of the bone in the area of the big toe, which completely change the shape of the foot.

Hallux valgus in adults is the main signs — a violation of the axis of the foot, reducing its height, causing all the elements of the lower part of the limbs occupy a wrong position (heel, phalanges).

valgus

There are many different causes of this disease. Pathologies associated with deformity of the foot, making highly qualified doctors — orthopaedists-traumatologists.

The causes of the disease

In addition to the aesthetic discomfort, the so-called flat feet in adults causes other, not less unpleasant symptoms. Thus, patients with this diagnosis are constantly complaining of pain in the strained bones, as well as the ankle and even thighs. Because of the pathology, very often the-fly changes. Externally it looks like rolling from one foot to the other, which is also the case for other orthopaedic diseases.

For the correct selection of treatment, it is necessary to make an accurate diagnosis, that has doctor. self-medication in this case is absolutely inappropriate and even dangerous.

There are different causes that lead to pathology. The most common:

  • disability of the lower limbs in the womb at the different stages of pregnancy;
  • poorly matched shoes, especially for children, the poor quality of the material of the Shoe;
  • dysplasia of the connective tissues;
  • the appearance or the aggravation of diseases endocrine, hormonal imbalances;
  • the alters the metabolism, not amenable to therapy;
  • paralysis, paresis, osteoporosis and similar disease;
  • postural, regularly wearing shoes with high heels;
  • pregnancy and after delivery;
  • overweight, obesity, in which there is abundant pressure on the bones of the lower limbs;
  • mechanical damage, trauma — fractures, ruptures of tendons, ligaments, cracked bones, etc.

There are other factors that make the diagnosis of valgus foot in adults. You should determine a doctor after a series of diagnostic procedures.

There are cases where the hallux valgus is associated with banal platypodia, especially in the late stages. Or it could be a genetic predisposition that is not so strange.

Unfortunately, it is not always pathology is treatable, especially the conservative. In the majority of cases, patients too late to go to the doctor, which leads to the impossibility to correct the situation without surgery.

That falls into a risk group?

In a situation of risk, in the first place, people who spend most of their time on their feet — sellers, hairdressers, athletes, teachers, and so on. With a long stay in one position can cause other unpleasant symptoms: burns the soles of the feet, there is a feeling of heaviness and swelling and other.

In the second place, in the risk group are the elderly. Due to the fact that in the age of onset of disorders in the metabolic processes, reduces the efficiency of all organs and appear in many pathologies, including cardiovascular system may occur, and this orthopaedic disease.

Very rare deformity of the foot appears in childhood but emerge in childhood, it can do it. This is usually the result of mismatched baby shoes.

deformation of said

The types and phases of development

Orthopedic traumatologists there are several types of valgus deformity of the foot, which differ depending on the cause of their occurrence. You can highlight some of the most common forms of the pathology:

  • static;
  • paralytic;
  • compensatory;
  • spasms;
  • rachitic, etc.

In addition to the forms and types vary and stage of the disease, have certain clinical characteristics and to individual characteristics:

  • Phase I. The main feature in the corner between the metatarsal bones, there is a slight change in the shape of the union. And sesamoid ligaments are still in movement, with the result that there is a kind of subluxation of the foot. The finger begins to deviate from its axis to about 15 degrees.
  • Stage II. Tendon to follow the displacement with compounds of the thumb. As a result, the angle of deviation of a finger is already 15 to 20 degrees;
  • Phase III. There is a special vulnerability of the connective and bone tissues, it will weaken, no longer cope with the load. The deviation of the finger is 20 to 30 degrees with respect to the axis of the foot.
  • Stage IV. This is the final stage in the external changes of the lower extremities, which can cause serious consequences. The finger deviates from the axis of the foot more than 30 degrees, you can completely cover the adjacent fingers.

In addition to the visual differences in these stages, different symptoms. If the first stage is characterized by the abundance of pain and regulate the sensation of fatigue, then, in the fourth stage may appear a strong pain, sometimes people can't even fully stand up on the foot.

Symptoms

In addition to the aesthetic discomfort, can appear in and discomfort, pain, and these signs:

  • the pain that occurs without shoes, and in her, even if its size is larger than the size of the foot;
  • change the size of the foot, lengthening;
  • the feeling of heaviness and pain at the end of the day;
  • the appearance of vesicles painful in the big toe;
  • poor circulation of the lower limbs;
  • the development of osteoarthritis.

Externally, the big toes start to turn to the outside of the stop, therefore, the thumb may even be others that could also lead to difficulties in the selection of shoes.

Diagnosis

Treatment of hallux valgus should begin by approaching an experienced doctor and undergo diagnostic procedures. The main study that prescription orthopedic traumatologists, is the x-ray. X-rays are carried out in three different projections for a careful study of the medical image.

With the help of x-rays, the doctor determines the form of the disease, its stage, and possibly of other diseases that may cause deformation, for example, flat feet.

If necessary, the orthopedic trauma can assign computer planotography — is a diagnostic method that allows to define some options available when foot deformity. During the exam, the doctor will have to exclude cysts, avascular necrosis, and inflammation of the periosteum, and so on.

-mira-potologiya

The possible consequences if no treatment

The treatment should begin in the early detections of the disease. Otherwise there may be complications and negative consequences, such as atrophy of the first fingers during the march, ingrown nails, a permanent calluses causing pain, osteomyelitis and so on.

It is possible the development of dangerous diseases. For example, osteomyelitis is a purulent-necrotic process that develops in the bone tissues. As a result of its existence and aggravation of the possible complete destruction of the divisions of the bones of the foot.

The therapy of the disease

Treatment should appoint a doctor orthopedist-traumatologist after studying the situation and the passage of the patient's diagnosis. Depending on the stage of the disease, the different methods and their treatment.

Thus, the first stage is pretty easy to care, through the use of special means of orthopedic surgery. Normally, in these cases, specialists prescribe orthotic footbed with hallux valgus, that will help to maintain the situation without starting. With special shoes for orthopedic or inserted, the correction of the foot, these tools allow you to attach the lower limbs to the right position.

You can also assign special correctors (corset) for large toes. As therapy, doctors advise completely change the shoes and the rhythm of life. Sometimes the disease begins to develop because of permanent stay in the standing position. In this case, you must make pauses regular, exercises for feet with hallux valgus.

The third stage of the disease is almost impossible for the therapy, the more conservative. Only surgery and comprehensive measures that allow to achieve a result.

What must be taken into account:

  • physiotherapeutic methods only relieve the symptoms, but it is not a treatment method;
  • with existing the inflammatory process and a strong pain, you may be prescribed analgesics and local internal action;
  • surgical intervention is indicated only in very advanced situations, in the last stage.

During the operation, the installation of a deformation of the bone to its original place, as well as its fixation, which is done with special pins. There are times when after the surgery, the effect lasted only a few months, and then, in spite of the exercises and the use of corsets orthopedic, templates, the situation was repeated.

As for the therapy of the house, it is best not to participate in these self-medication, as it can be dangerous, but the result, as practice shows, very rarely live up to expectations.

Prevention

When you have a hereditary predisposition to hallux valgus or falling into the risk group, the need to take care of the prevention of this disease. Therefore, as preventive measures orthopedic traumatologists suggest to undergo periodic review to monitor the situation and to prevent the development of the disease.

The second, and perhaps the main measure of prevention is to wear special shoes for orthopedic and templates for orthopedic. In this way, it will significantly reduce the risk of the emergence and development of deformation stop. Optionally, if prescribed by a doctor, that you will need to use special keys for the fingers which are maintained in the correct position, not allowing the pathology to develop.

It is important to plan your working day. This tip is especially important for people whose jobs require prolonged standing. Periodically, you need to take breaks. Of course, I should worry more responsible in the choice of shoes. You give up the heels, or completely flat soles.

treatment

Do not tighten with a visit to the doctor. Sometimes, if timely treatment, can remedy the situation without drastic measures and damage to your health. Self — treatment is not the best option for hallux valgus. Therefore, it is better to entrust the matter to a specialist.

13.08.2018