Valgus deformity of the thumb: treatment of cosmetic defects and severe pathology

Valgus deformity of the thumb (Halyuks valgus, bunion) - is a pathology of the foot, which is apparently manifested by the curvature of the thumb to the outside. In people, this disease is often a lump or a bone.

But valgus deformity of the big toe - not just a problem of aesthetics of the nature. The appearance of this pathology may indicate the presence of disorders of the musculoskeletal system, the metabolism. Bursitis chronic can give a boost to the development of osteoarthritis or arthritis. Advanced cases lead to the progressive deformation of all the toes.

The causes of hallux valgus

Occurs hallux valgus of the first toe of the foot under the influence of a number of reasons. Most often a blow to the leg occurs due to the incorrect selection of footwear (tight shoes, high-heel shoes). Confirms the hypothesis the fact that Halyus valgus suffer the most are women. But modern medicine highlights a number of additional factors:

  1. the genetic predisposition;
  2. to regulate the use of shoes uncomfortable, which leads to excessive tension in the frontal lobe of the foot;
  3. transverse platypodia;
  4. satisfaction tractata foot injury;
  5. congenital anatomical pathology;
  6. excess body weight;
  7. osteoporosis;
  8. the metabolic disorders caused by certain diseases and the elderly.

The main symptoms of deformation of the first toe

Bone in the big toe

It is manifested valgus deformity of the first toe with the appearance of small bumps at the base. First, don't bring any discomfort, but later manifest different symptoms:

  1. training near the first joint of the buds that gradually grow in size;
  2. pain, swelling, redness of the area of the bumps;
  3. the curvature of the gold and the loss of its mobility;
  4. the appearance of blisters;
  5. discomfort when walking.

The degree of pathological changes of the foot

Halyuks valgus (Hallux - big toe, Valgus - deviation) has four degrees of deformation in function of the angle of curvature:

  1. first grade - more than 15 degrees, a person who does not feel discomfort;
  2. second degree - more than 20 degrees, begin to appear the first pain and pathology is apparently impossible to ignore;
  3. third grade - more than 30 degrees, starts the deformation of the adjacent phalanges and the limitations of movement;
  4. fourth degree - 50 degrees and more, accompanied by pathological changes in the foot and to regulate the sensations.
The first and the second the extent of the disease is more of a default aesthetic and suggests active measures of prevention. In the presence of third or fourth degree of the disease and valgus deformity of the big toe, treatment is required.

Diagnosis of hallux valgus

For diagnosis, the patient should consult a podiatrist. Diagnosis begins with a visual examination of the affected area. The expert drew attention to the degree of deviation of the thumb, range of motion, the presence of deformities.

Apparently, the signs of the bones of the foot are similar to the symptoms of diseases such as arthritis, deforming osteoarthritis, gout. To confirm the diagnosis, the doctor may prescribe additional studies:

  1. X-rays in three planes to determine pathological changes in the foot.
  2. Computer plantography shows the uniformity of the load on the foot.
  3. Computer podometrics is assigned to identify bursitis in the early stages.

In parallel, the doctor collects information about the history of the disease: the limitations of deformation, the presence of factors led to, the speed of progression. At the time of assigning a course of treatment is determined by the presence of the diseases concomitant of the patient.

After the confirmation of the presence of the disease hallux valgus big toe, the treatment may be assigned to operative or conservative.

Surgical treatment of bunions on the foot

An operation to correct hallux valgus

Advanced cases suggest surgery. According to the phase of deformation, is applied to one of the types (and more than a hundred) surgical intervention:

  1. Small invasive correction. The operation is performed without cut. Make two small holes and using special instruments, the surgeon attaches the metatarsal bone to the correct position. This intervention is painless for the patient, which is characterized by a short period of recovery, without leaving scars.
  2. Distal osteotomy. This type of surgery involves the incision the distal end of the damaged bone, with the resulting displacement.
  3. The proximal osteotomy. The incision occurs at the end proximal of the bone to reduce the angle between the bone metatarsalis bones.
  4. The Operation Of The Keller-Brandes. The surgeon removes the damaged joint, the rest of the capsule is placed between the metatarsal bone and the phalanx proximal.
  5. Implantation of an artificial joint.

Any surgery involves the subsequent post-operative care and the recovery period. In the early days, it should not fall on the operated foot, the movement is done with the help of crutches. Full rehabilitation of the patient takes up to three to four weeks.

In some patients there is a relapse of the disease and the knot appears again. To avoid this problem in the next few months after surgery are shown to wear comfortable, wide shoes. A good effect in the period of rehabilitation provide physiotherapy.

We should not forget about the possibility of complications after the surgery:

  1. the infection of the soft tissues;
  2. bleeding;
  3. problems with coalescentibus bones;
  4. the development of arthritis, osteomyelitis and avascular neurosis.

The conservative treatment of hallux valgus of the first toe

Hallux Valgus is a disease that occurs not in a day or even a month. Timely access to a specialist-orthopedist, when pathological changes have not yet reached a critical level, it removes the need for surgery.

Conservative treatment is aimed at fixing the correct position of the foot, uniform distribution of the load, improves the blood circulation and the stabilization of the musculo-ligamentous tone. Modern medicine has a number of methods that allow the treatment of hallux valgus of the first toe without surgery:

The clips toe
  1. special orthopedic correctors;
  2. therapeutic massage;
  3. physiotherapy;
  4. baths;
  5. nonsteroidal anti-inflammatory drugs;
  6. a healthy way of life.

Another group is the treatment cones popular ways with iodine, turpentine, honey poultice, lotions of medicinal herbs. The use of traditional methods should only accompany the main course of treatment and conducted only after consultation with your doctor.

The greater effect in the conservative treatment Halyuks valgus has the to regulate the use of orthopedic correctors. They allow you to stop the pathological processes in the early stages, or significantly slow the pace of its development. There are several types of correctors:

  1. orthopedic bus design, which well captures the deformation joint, can not deviate;
  2. arch supports, orthotics and interdigital rollers - devices that visually aligns the foot and helps to distribute correctly a burden on your previous;
  3. screed - a tool to maintain the normal position of the transverse arch of the foot;
  4. finger proof - special design to keep the finger in a natural position, are placed in the night.

Remove the blows to the leg with a night brace (valgus tires)

The most popular checker - valgus tire (chips). It is a versatile device that has been used with success in several areas:

  1. one of the conservative methods of treatment of bursitis;
  2. as a preventive measure;
  3. during the recovery period after the surgery.

Valgus splint is a small bandage, adjustable comfortable strap. Is fixed rigidly to the joint in the correct position. Therefore, the normalization of the circulation of the blood in the region damaged, clenched muscles relax. Changing the position of the belt, the checker can be used as an alternative to the two legs.

Regular use of a night brace helps to eliminate or prevent the deformation of the foot, as well as to carry out the correction of the position of the transverse arch.

Valgus splint can not be used in conjunction with street shoes! To this effect, developed other orthopedic correctors. The best option is a night of support, it is recommended that you wear during sleep and rest. The design allows to maintain the mobility of the foot, so it absolutely will not cause discomfort during sleep.

There are some contraindications for the use of a night brace:

  1. the fourth degree of the disease development;
  2. the presence of open wounds, abrasions to the leg;
  3. inflammatory diseases of the joints;
  4. tumors of the joints.

Prevention of the deformity

If a person has, perhaps, following the dress code, a couple of hours a day to spend on shoes uncomfortable, or his parents had bone in the foot, is also at risk. According to statistics, in hallux valgus the big toe, often affects women after fifty years. Now is the time to think about prevention. The disease is very insidious and has no obvious signs in the early stages. To appear hallux valgus can even in children.

The main measures of prevention are:

  1. Selection of comfortable shoes. Ideally, the tip should be wide and not to squeeze the phalanges and the heel stable with a maximum height of five inches. It is desirable that the shoes were made of natural "breathable" materials.
  2. If the whole day had to run in heels, then in the evening, tired feet need to perform a treatment relaxing. Can be warm baths or massages.
  3. A balanced diet and refusal of bad habits. These measures will help to prevent the metabolic disorders, the appearance of excess weight.
  4. Regular exercise to strengthen the ligaments of the foot.
  5. The use of prophylactic orthopedic correctors. To regulate the use of the night brace is the best way to avoid Halyuks valgus.
  6. Requires annual examination by a specialist-a podiatrist.

Take care of your feet, immediately contact your doctor and not the start of the illness until it can heal. Be healthy!

20.08.2018