Hallux valgus in adults: treatment

Orthopedic disease Hallux valgus is characterized by the curvature of the joint, in which the first finger is diverted to the inside of the foot, and the outside is formed that protrude out of the bone. There are other symptoms of the disease.

Valgus

Allocation of these basic factors influencing the deformation of the foot:

  • The incorrect use of the shoes. When you select should pay attention to the size to fit, and the shoes should not constrict the foot at the edges.
  • Wearing high heel. The deformity is often observed in adult women and is associated with the regular use of shoes with high wedge heels or the heel more than 4 cm.
  • Injuries of a different nature. The deviation can occur when subluxation of the phalanx of the thumb of the lower part of the limbs.
  • The progression of gout. The disease is characterized by the accumulation of uric acid in the tissues, which causes the deformation processes.
  • Weak tendons. The violation is congenital or acquired type.
  • The genetic factor that affects adult flatfoot.
  • Obesity, which increases stress on the joints and tendons.
  • The Hormonal imbalance. Most often the cause manifested in women in adulthood.
  • The gestation and birth of a child. During this period, the pressure on the feet increases, and is subjected to various hormonal changes in the body.
  • Flat feet varying severity.

The reasons for the development

The most common cause of valgus in women is the gateway to high-heel shoes, with a narrow spout. These shoes have a serious prejudice to the health.

For 35 years the risk of development of flat feet and deformity. All this is due to the fact that high-heel shoes with a narrow nose does not allow to correctly distribute the load on the legs.

Valgus is manifested in the following way:

Heels
  • a discomfort when walking;
  • the Shoe size gets bigger;
  • in the area of the big toe joint appears redness and swelling;
  • with time, there is a sharp pain and feeling of fatigue;
  • the joint begins to increase in size;
  • in advanced cases, valgus causes serious difficulties when walking.

But in reality, changing the shape of the part of the body, which, in fact, is its support, constitutes a serious signal that you need to think about their own health and to apply certain measures to solve the problem.

What is

Valgus deformity of the foot is a specific pathology of the lower part of the limb, which is a violation of their correct position functional. The main symptoms of this disease is a violation of the axis of the foot, as well as reducing its height.

Because of the pathology, all the elements of the foot is taking a wrong position. This concerns, including the heel, and phalanges.

Because of this, the wayfarer x-like look.

Valgus deformity of the big toe is change the correct position of the phalange of the index finger, which looks towards the outside. This is due to the fact that the angle between the first and second metatarsal bones increases.

Initial examination of the patient with problems of the foot deformities should be carried out by a technician orthopedic trauma. In some cases, they may refer the patient to other professionals, but, in General, the problems of these diseases is engaged exclusively in it.

Classification pathology

For the proper prescribe a treatment, to describe the symptoms of the disease, to compare pathology with those previously studied, adopted the classification of this type of deformation. According to the seriousness of the process to distinguish the stage of the disease, in function of the angle of displacement of the tip in degrees.

Depending on the reasons for the development of valgus deformity appear in different forms:

  1. The stance static.
  2. Structural - congenital vertical position of the talus.
  3. Compensatory - appears when the shortening of the length of the Achilles tendon, with the bezel of the ankle and the violation of the provisions of the tibia.
  4. Paralytic - diseases of the nervous system.
  5. Spastic - caused by muscle spasms in the muscles of the lower leg, foot, thigh.

Depending on the shape of the curvature of the foot, the pathology is of three types:

  • transverse tendons of the fingers unnaturally stretched, and the curvature has the shape of a hammer. Patients complain of pain on walking and walking disorders;
  • longitudinal - the reduction of the arc longitudinal of the foot. If you experience disorders of motion, pain during walking and on palpation, the deformation changes are observed even visually;
  • combine - combines the features of both cross-sectional and longitudinal abnormalities and is called the transverse — longitudinal flat foot. In spite of this, the pain and the various disorders are absent.
Computer podometry

The stages of manifestations valgus in adults

In children, including babies, are recorded various types of curvatures of the feet. Can be congenital, due to heredity and genetic defects or acquired, that are in the period of the baby getting up on its feet and start walking.

The foot can look to the outside (valgus ) or with the inner (varus, or clubfoot) side, which it is often combined with other types of deformations. Thus, Valgus or varus foot is often complicated longitudinal or transverse flat feet; this combined pathology is evident in younger school and teenage age.

In addition, some diseases of the brain and other parts of the nervous system may be the clinical picture the deformity in a child with ulcerative colitis (or neurological) origin.

These States are referred to as equino-valgus or equino-varus deformity of the foot. Depending on how severe, damage in the nervous system, the degree of curvature is also different.

In this case, or the baby may not learn to walk, or walk "on tiptoe".

The most common deformity of the foot in children you should call-the curvature, which begins to form from one year of age, but often is diagnosed only for 3-4 years.

The immature muscles of the lower limbs, weak ligaments of the ankle joint, imperfect coordination and, as a consequence, frequent loss of balance and falling, dysplasia congenital of the connective tissue are the factors that are predisposing to the manifestation of the disease.

Slowly stop as it unfolds outside and all the weight of the baby falls on the longitudinal inside of the sector of the foot that is on the big toe and inner heel part. While the load on the little finger is reduced and gradually rises above the rest of the fingers.

Therefore, the child can no longer maintain the horizontal position of the feet, since the outer parts of them inevitably go up a little above floor level.

To detect the first signs of this disease can only be a pediatrician, the parents is difficult to conclude that the incorrect configuration of the stop for your baby. Therefore, an initial diagnosis of valgus is placed on pediatric exams, usually after the age of 1 year, but most of the cases of pathology are detected in the next 2-3 years, when the symptoms be bright enough.

For a definitive diagnosis valgus of the foot using computer media.

These methods help to determine the stage of the pathological process involving other joints of the foot and the ankle, the state of the muscle and ligament tissue, the presence of longitudinal or transverse flatfoot. Then, the prosthodontist develops a treatment plan.

Treatment of valgus deformation of foot in children is a long process, that requires patience, perseverance, strict compliance with all the recommendations.

The purpose of a medical complex is the strengthening of the apparatus of the muscle, giving baby feet physiological situation, the prevention of the spread of the disease to other structures of the lower extremities. In many ways, the treatment is determined if the curvature congenital or acquired.

If the deformity is congenital, the child of the imposition on the foot and ankle, to project, to which the foot is held in a normal position, and the corresponding ligaments and tendons began to function.

But in some cases needed operative treatment, which consists in the transplantation of tendons, the installation of fixing external device or implemented in another way, which is chosen individually.

The causes of the deformity in adults

Massage

  • control of weight;
  • sock comfortable shoes (high heels and narrow, tight shoes should be removed or put in no more than 30 minutes up to 3 times per month);
  • control of the motion (keep your posture, try to move gently and slowly, very well to raise healthy up fascination of Pilates and yoga);
  • physical activity to strengthen the muscles of the legs;
  • proper nutrition to avoid the wear and tear of the tendons, ligaments, joints;
  • effective treatment of injuries and inflammatory conditions (bursitis, tendonitis, arthrosis);
  • the use of templates for orthopedic.

Foot massage is useful for periodically. To strengthen the muscles try as often as possible to walk barefoot on different surfaces (grass, pebbles on the beach). If the work is sedentary or is associated with prolonged standing – must exercise regularly use massage furry.

In adults, the correction of the deformity requires much more effort and is not always effective. It is widely believed that to get rid of this defect is possible only through surgery.

In fact, when properly performed correction surgery is coming quite a long pay-per-view. That is to say, at some point, you get an almost healthy foot.

But we must remember that this is only the method of payment.

To date, several variants of the operations in the valgus foot. All of them aim to decrease the angle between the metatarsal bones. This will allow the big toe to deviate towards the outside.

Keep in mind that the overall prognosis of these diseases are conventionally unfavorable. In other words, if, constantly, not to carry out by supporting and stimulating the therapy, even after the correction surgery of a high probability of degradation, as the surgical intervention doesn't remove the very cause of the disease.

The effects of the deformation valgus

As a result of valgus deformation changes not only the set, but also the muscles, the blood circulation in the tissues. Surgery in adults relieves bone deformation, but to restore the health of the mobility to work on the muscle tone, improve the circulation of the blood.

When the valgus deformation affects not only the feet, but all overlying the joints. A frequent consequence of arthritis of the metatarsal and knee joints. Therefore, physical training and massage for valgus deformation is preferably carried out in the wide area: from of the region of the sacrum, and later in the interior of the surfaces of the calves, thighs. Important for the whole of the strengthening of the apparatus of the muscles.

Massage

Prevention of deformities in the feet in children and adults

For adults, the best prevention of pathological deformation of the foot can be used as the right selection of footwear, healthy lifestyle, massage service, swimming pool.

As in adults, valgus the deformation may develop slowly, many people do not pay attention in the early stages, and noticed only when wearing shoes, accompanied by the pain syndrome. Not to do so, it is advisable in the early stages of deformation to use shoes orthopedic.

It is useful to walk barefoot on the texture of the surfaces (pebbles massage Mat), to do exercises to correct the arch of the foot (the foot and walking on toes).

In the fight with valgus deformity we recommend the following methods:

  • massage aimed to relax the muscles of the back of the legs and buttocks;
  • realization of special exercises;
  • professional conduct the physical therapy;
  • the use of drugs;
  • wearing special bandages and shoes orthopedic;
  • swimming and baths for the feet,
  • the surgery.

Must be timely to go to the podiatrist, this will contribute to the healing of the valgus deformity at an early stage.

The skeleton of an adult is already fully formed, so that the treatment of the bone diseases is complicated. Foot deformation in adults, for early stages treated with therapy conservative: a treatment without the surgery strengthens the ligaments and muscles, prevents possible complications and related diseases. For this purpose physical exercise.

"Floor" itself is not a clinical diagnosis. According to statistics, from 5 to 15% of the population own feet with the indicators of flatfoot.

Many people with flat feet, without feeling any discomfort and without excuse, not only for the surgery, but in general — to address to the doctor. But some people have flat feet is manifested may disturb the pain, feelings of instability, swelling, deformity of the foot caused by flat feet.

Valgus foot in adults – it is always acquired pathology, in which, in General, does not change the configuration of the stop, and initially affects the joints of the fingers of the hands. And the disease begins with a thumb, to be exact – with its metatarsophalangeal joint.

31.08.2018