Valgus deformity of the big toe of the foot, methods of treatment without surgery

the treatment of hallux valgus big toe

Hallux valgus is today one of the most frequent diseases, which manifest themselves in the deviation of the big toe to the inside of the foot. In addition to ugly, this disease alters the entire structure of the foot: ligaments, tendons, joints and bones.

In addition to the appearance of a protruding bone on the inside of the foot and the curvature of the finger may be a manifestation of other diseases, these include:

  • bursitis chronic;
  • internal varus deviation of the metatarsal bone;
  • deforming arthrosis;
  • ecstasy heads of the bone;
  • combined or cross-walk plan.

Causes of valgus deformity

The Factors that lead to the formation of the bones of the foot, can be various. One of them can be attributed to a genetic predisposition to the disease, and the presence of inflammatory processes in the joints and the ligaments.

Also complications in the form of protruding bones of the legs may occur as a result of these diseases with the foot such as flatfoot and clubfoot.Com a general rule, this pathology is more exposed to women, who have a valgus deformity of the finger is the most common orthopaedic problem after 30 years.

Probably the most popular reason for the formation of hallux valgus feet of young girls is a constant of the medium is beautiful, but it is uncomfortable, too tight shoes, and models in a great heel.

Here is a very short sock and shoes and also the shoes are of smaller size, when the toes to the foot are forced into a position unnatural contributing to the formation of bursitis of the big toe (which can cause valgus deformation of the leg).

Causes of hallux valgus

The constant bending of the legs in some places and leads to the formation of bumps. Through time, these protruding bumps start to deliver quite a painful and discomfort.

The basis of the valgus deformity of the finger is also a weakness congenital of the connective and bone tissues, which leads to the appearance of flat feet (especially this applies to women because they have connective tissue, by nature, is very weak and tend to quickly deform in the presence of negative factors).

It is necessary to focus on the fact that the deformation of the legs in the first place, the results in poorly matched shoes. Shoes with narrow toe or high-heel shoes creates uneven tension in the front part of the foot, that over time, and it appears the deformation of this area is formed osteoarthritis of the thumb.

With this in mind, the best way to get out of this situation is to avoid the manifestation of this disease. If you suddenly saw that there was deformity of the foot and the mass begins to grow - you need urgently to consult a doctor for help.

Summarizing this section, it is possible to assign these causes, the result of which there is valgus deformity of the thumb:

  • Osteoporosis - this disease is the release of calcium from the bones and change their structure. That causes the deformation of bones and the foot.
  • Tv - practically every patient who suffers from this disease, and also has a cross-walk plan. Many of them define a longitudinal flat feet.
  • Hereditary disposition of the disease, the fledgling muscle-ligamentous system may be born. In this case, pretty high risk of flatfoot, which is the cause of valgus deformity of the foot.
  • The excess of weight in the case of excess of weight increases the loading of the legs and the appearance of the foot plan, and, as a result of this, and formed a valgus deformity of the big toe.
  • Disorders of the endocrine system - due to the strong hormonal changes the background, for example, during menopause or pregnancy or even insignificant, but fluctuations in periodic, conditional menstrual period - although this may be the reason for the weakness of the ligamentous apparatus, and is, as already mentioned above, leads to the appearance of the flat foot and deformities of the feet.
  • Badly selected footwear (this described in the beginning of this section on the causes of the disease).
  • Also the causes of the disease are different and damage to the feet.

Varieties of the disease

Varieties of the disease

In medicine, there are varieties of hallux valgus feet:

  • congenital;
  • static;
  • the outcome of treatment of clubfoot;
  • rachitic;
  • paralytic;
  • traumatic.

In addition, there are three stages of hallux valgus of the great toe, which depend on the angle of its game:

  • The first stage - the said rejected less than 20 gr.;
  • The second phase - the finger it was rejected by 25 and 35 gr.;
  • The third stage - the finger is pushed back at an angle greater than 35 degrees.

Signs and symptoms

To determine this pathology orthopedic in the early stages, you need to know what are the main appearance of the disease. The symptoms can be distinguished based on its stage.

In the initial phase of the disease is the following appearance:

  • The first and main symptom of the disease is a painful and uncomfortable feeling when walking, difficulty in wearing shoes, the presence of fatigue, the appearance of painful calluses and corns. Through time there has been a change in the position and form of the joints of the first and second fingers of the feet, formed a "lump", of the skin in the area of the bumps is red, there is a slight swelling in the area.
  • The skin near the bone has a characteristic of consumption.
  • The presence of this disease mean, and painful "pain" sensation in the feet, aggravated by during the driving.

In the middle stage hallux valgus:

  • It is characterized by the formation of the cornflower below the average and third phalanges of the fingers.
  • Typical are inflammation and pain in the affected area, the formation of tumors in the head of the phalanx.
  • In the joints there is inflammation.

On the operation stage of the disease:

  • This stage is characterized with severe pain in the sole of the foot and big toe.
  • The skin under the 2nd and 3rd phalanges, covered with corpulence and calluses.
  • Can the naked eye see the protruding build-spike.

The diagnosis of the disease

The first step to determine the diagnosis of hallux valgus the big toe is the visual of the medical examination and the determination of the stage of the disease.

During the inspection, it must take into account the state of the surface of the plant, the elasticity (turgor) top of the feet, as well as vascular status, is determined by the touch sensitivity of your feet and the functionality of the phalanx.

The physician is obligated to consider all the possible restrictions of the movement of the foot to determine the cause of the disease. Using the distance between the metatarsal heads to determine the degree of deformation of the finger.

Most often the complaints of the patients are: a feeling of heaviness after strenuous exercise, pain the pain in the front part of the foot, stiffness in the movement.

Additional ways

There are also a number of new methods of diagnosis:

  • With the help of the computer analysis, podometry, makes it possible to identify the pressure on the foot.
  • The analysis of the image's feet - makes it possible to accurately determine the probability of a degree of flat feet, also defines the degree of stress on the feet.
  • To reveal the detailed changes of the foot, the patient sent for x-rays.

According to the results of this integrated diagnostic and select the most appropriate methodologies for the treatment of the deformity.

Treatment

Treatment

Because the manifestations are similar to the signs of hallux valgus feet, it can be observed in other orthopedic diseases of the foot, the first step is to contact a professional with experience who can make an accurate diagnosis. If the diagnosis is a disease that can be treated. You need to be prepared for the fact that it will be quite time-consuming and protracted.

Treatment of the deformity of the gold can be divided into two types: surgical and conservative. The latter type is used in the initial phases of the disease and, unfortunately, is not in all cases, have a completely positive result. However, due to the timely and the right approach can significantly slow further progress of the deformation or the time to postpone the operation.

We consider in detail the methods of conservative treatment:

  • drug therapy, which is to enter into the cavity of the joints of the hormones (such as hydrocortisone or diprospander). They eliminate the inflammation;
  • physiotherapy course;
  • the use of arch supports, night splints and shoes for orthopedic and templates, and toe pads, orthopedic correctors (the use of these devices slows down a bit the development of the pathological process, eliminate the pain and correct the gait).

Also in the treatment of drug available, treatment with corticosteroids and at the same time with the use of anti-inflammatory drugs. To get the best results, this should join together and physiotherapy course. If valgus is the result of a systemic disease, then first determine the causes that led to the pathology underlying leads to valgus deformity of the foot, and treat it.

During the treatment, an important role has properly chosen for each patient shoes orthopedic. She must have a certain softness, broad said, it is possible to heel not more than 4 cm In the early stages of hallux valgus treatment begins with the formulation of recommendations on the right selection of shoes with a large toe box, that will eliminate the inconvenience and reduce the pressure-free and welcoming, that will not allow the subsequent deformation.

Very frequently valgus deformation of the big toe accompanied by the tv-lingual deformity - flat feet. During the plantar fasciitis changes the direction of the axis of the leg and dropping to his lap. In this case, the shoes should have a thick instep, and tight and high heels. It is very important to use templates for orthopedic, the best option is that if they make the personal order, in this case, we can take into account even the smallest features of the feet of the patient.

If to consider physiotherapy, then there is a very good effect of shock wave therapy. Due to its therapeutic action increases the blood circulation to the affected location, and also reduces the inflammation and the pain.

Surgical intervention, usually used in advanced stages of the disease. Operation of hallux valgus can be made in the initial phase, in this case surgical intervention is the prevention of osteoarthritis. The modern technology and operations are not destroying the joint, the preservation of their mobility and ability to work.

Today there are more than 100 different ways of operations valgus deformity of the foot. The general objective of these methods is the reduction of the angle of departure of the finger that gives you the opportunity to put it in the correct position.

There are versions of the operations:

operations
  • removal of tumors of the operational method;
  • implementation of the joints;
  • reconstruction of deformed bones;
  • the proximal and distal osteotomy, consists in the change of the angle between the phalanges;
  • the operation, which balances muscles around the joints;
  • tendons transplant;
  • arthrodesis is fixation of a joint;
  • and around a 93 methods that are selected individually.

Rehabilitation after surgery can take 1-2 months to 1.5 months, doctors recommend to wear boots orthopedic, securely fixed to the patient's limb and provides her the rest in motion.

In addition to the above methods of treatment without surgery, in the early stages of the disease a good result shows the performance of special exercises. They reinforce the weakness of the muscles, develop the fingers of the feet. The most important thing, they do it every day and without gaps.

Besides exercises you also need to perform daily restorative massage, but not only feet, but also for the back, hips, buttocks.

And in the end, we need to talk about the prognosis of this disease. When you are not strong deformation, if treatment is started in the initial phase, it is possible to maintain the function of the joints of the foot, as well as its appearance. In advanced stages pain can stay even after the surgery. In view of this, it is important to monitor the health and the appearance of some suspicions about valgus deformation, immediately consult a doctor. Do not self medicate, only prolong the disease.

20.08.2018