Deformity of the big toe or Hallux valgus is a common orthopaedic problem, especially in women. "Bone" ugly sticks on the edge of the foot, any shoes much rubbing, popping corn, at the end of the day, the tired legs. All this makes the lady to change the shoes model of shoes in worn out shoes, to try various "grandmother" means. What is Hallux valgus, as to get rid of the pain and return quality of life?
The proverbial "bone", "cone" in a difficult medical language is called "Halyus the hammertoe" or "Halyus Halyus stop." This deformity of the lower legs are represented as offsets to change the shoes axial center. The victims of this disease are often women, as the beautiful ladies are none of the fashion throughout life. However, the concept of "fashionable shoes" and "shoes" are often very far from one another. The bundles of the stronger men, so that Halyus valgus occur, they often cause injuries.
By the way, Halyus valgus is a bone in the literal sense of the word. This is just a small cartilage growth, designed to support the big toe in a position straight. But this is the ideal. If the growth increases, the formation of the bones of the foot broken. The big toe begins to deviate "hostages" in their neighbors, edema, pain up halo, perhaps valgus. Wrong distribution of load leads to problems with the spine, the knee and hip joints.
In ICD-10 Halyus Halyus attributed to diseases of the musculoskeletal system and connective tissue (Chapter XIII). Code Hallux valgus according to the ICD-10 refers to the section, "deformities Acquired of the fingers of the hands and feet" and has a designation number 20.1.
Their contribution to the emergence of Halyus Halyus (wrong name: halgus Halyus) lead to alterations in the endocrine system: don't accidentally "bump" is growing actively during the menopause, when a woman experiences frequent hormonal disruption and lack of estrogen. Possible genetic predisposition: Halyus valgus often gets the girl that the mother and the grandmother.
This pathology is, as a cross-walk plan (it is often congenital), also leads to Halyus valgus. In the presence of flat feet is necessary to visit the podiatrist. There are many methods and tools that can suspend the development of flat feet. For example, templates-templates: support the foot in a healthy position and relieve the pressure during the march. Choose these templates are strictly individual, along with the doctor. Also, when cross-walk plan to apply exercises therapy, massage, physiotherapy.
The culprit for the development Halyus deformation can be excess weight, under the pressure of the bones of the foot are flattened. Obesity not only prevents the growth Halyus valgus on the toes, but also reduce the load on the spine will help to prevent a number of cardiovascular diseases.
Uncomfortable or tight shoes also leads to the appearance of "dents". Especially careful to treat high hairpins with strong finger towards: the load on the forefoot that gradually causes its deformation. Perfect for daily use - shoes, low (5 cm) heel with a tip rounded and soft sole.
Develops Halyus for a very long time, and the higher your degree, the more difficult the full treatment. In the early stages of this disease causes discomfort visual (location crooked toes and ugly times). Later, however, patients increasingly difficult are able to pick up the shoes to hide the defect. Then there is pain - both when driving and at rest. The increase of the bones of the feet with time begins to have a negative impact on the quality of life of the patient, in his state of mind. Unsightly aspect has faded into the background.
The incidence of this disease in the science can be subdivided in various degrees of difficulty. All four of them. The easiest of first-degree Halyus Halyus is different from the last (fourth) degree of displacement of the thumb relative to the axis, the degree of manifestation of pain and the increase of discomfort in everyday life. Remember: it is important to detect the disease in its primary form of development.
Redness and swelling Halyus Halyus stop can be triggered by the following reasons:
These diseases have some common symptoms, but differ in the characteristics of the flow of inflammatory processes in the period of exacerbation. For example, the arthritis is accompanied, not only by the redness of the bones and intense pain attacks, but also the General increase of the body temperature.
Gout inflamed place can acquire deep red color, important inflammation and even visible pulsation. This disease is manifested by periodic attacks of pain and aggravated by the abuse of fatty foods.
Bursitis - and in a very complicated disease that can occur after a couple of months. This significantly aggravates the situation in the choice of treatment.
In General, the treatment aims to remove the pain in Halyus Halyus. To reduce the pain, your doctor may prescribe physiotherapy, of the local administration of glucocorticosteroid medications (diprospander, kenologist). If the joint deformity is very pronounced, possibly surgical intervention.
To improve the quality of life will help orthopedic silicone rollers, through which the mother-of-lines (put them between the first and the second finger). There are still finger spell, which is worn at night (allows the fingers to deviate) and special tires, it creates a comfortable barrier between the shoes and the swelling of fingers.
Suffering from pain in Halyus Halyus will help to facilitate the following procedures:
We must remember that these methods can only alleviate the suffering. For a complete treatment please visit the doctor's office, and often a surgeon, it is inevitable.
In severe cases, the treatment of choice is surgery. The simplest correction surgery is the operation Shede. When this treatment Hallux valgus is removed only accrued knot, that is to say, that seems to be down to his feet you see. Decrease pain, the legs less tired. However, since the correction of comorbidities (eg, flat feet) are not provided for Shede, the effect of the treatment is very short.
Another option is the surgical treatment of Hallux valgus - displacement of the metatarsal bones to the desired position and lock them with needles special. The disadvantages of this type of operations: three months later, there is a need for prompt removal of the structure. For a long time it is necessary to limit the load on the leg to use crutches. Difficult period of recovery, the pain and the need to repeat the surgery has made this operation it is not popular with patients and surgeons.
In major surgical centers conduct different type of surgery - osteotomy. There are more than 150 methods of exploitation; the choice of method of operation depends on the degree of disease comorbidities and the patient's General condition.
In osteotomies in a day you can get up and gently walk, and after a couple of weeks to get back home. In addition to get rid Halyus valgus, is plastic, tendons, corrects the transverse arch of the foot and reduces flat feet. In severe cases, the bones are fixed with special screws made of titanium, since there is no need to remove.
The operation is performed with the use of epidurals, which "turns off" only the lower half of the body. A couple of weeks the stitches will be removed, plaster and crutches are not necessary. Some time may still be swelling, so that it will take a special walking mode: special shoes - 1.5 months in free shoes - 3 months.
Make a decision about the surgery, it is important to take into account a lot of nuances, that is to say:
The surgery will not have resolved all of the patient. Normally, they would try treatment Halyus Halyus without surgery. Severe pain, discomfort, often - dissatisfaction, feeling of inferiority, which lead women to more radical attempts to deal with the disease. The choice of surgeon and methods of operation - a complex and demanding task.
To avoid errors, remember: never rely on a single expert! Ideally, it is best to consult three different doctors to compare their opinions and only then make the decision about the operation.