Among all the type of pathology orthopedic is one of the first places is a hallux valgus deformity of the foot (to be more precise, the first finger of the foot). It seems that a widespread problem should be diagnosed, because of their methods of treatment without surgery: the use of tyres, correctors, bandages, templates.
But in practice, many patients do not know how to treat hallux valgus deformity of the foot, and I'm afraid that they need surgical treatment. So they put off visiting the specialist until, when the deformation becomes significant and starts to cause discomfort.
Hallux valgus (also known as hallux valgus deformity of the first finger of the foot) is a pathological reversal of the first metacarpal bone on the inside, which leads to a distortion of the first toe outwards. This pathology occurs most frequently in women of middle/old age accompanied by pain and leads to difficulty walking, problems when choosing shoes.
The appearance of hallux valgus deformity of the foot is tied up of the shoes: the tribal settlements of this disease is not, as walking barefoot maintains a constant tone of the muscles and tendons of the legs. In the developed countries, the most important causes of this strain, consider the use of improper shoes and walk plan. For more rare factors include:
Weakness of soft tissue left to maintain the arc, and the os "go". The first metatarsal bone takes place, and adiacentibus to the metatarsus-phalangem the joint becomes unstable, which leads to a distortion of the first toe. Permanent injury the shoes on the inside of the extension of the foot leads to the overgrowth of bone tissue (formation of "bumps"), hard skin (corns, calluses), chronic inflammation of the joints/periarthric bags. The process to be followed in other parts of the foot.
When the angle between the metatarsals does not exceed 5-20 degrees and with the finger deviates no more than 40 degrees (that is to say, I degree hallux valgus), lesser symptoms: painful sensations appear in the afternoon, and during the night, especially when it is used night support completely disappears. Travmiruya because of the friction of the skin reddens, blisters appear. Hallux valgus is to express a bit.
Increase the angle between metatarsals to 20-30 degrees and the deviation of the finger to 40-70 degrees (that is to say, in the second degree hallux valgus) pain becomes a constant and growing "bump", the skin at the base of the first finger coarsens, appear in the only corns (due to improper loading on parts of the feet). Inflammation periarthric bags becomes chronic. At this stage, yet effective, conservative, non-surgical treatment, including the use of valgus of the cover.
When the angle between the metatarsals is greater than 30 degrees and the first finger that is rejected by more than 70 degrees (i.e., a grade III hallux valgus), pain does not disappears, because it is caused not only by chronic inflammation and atypical of the load, but also compensate for cogo nerves bones. In this stage, the application of orthopedic designs brings temporary relief. metatarsus-phalangem the articulation is almost immobile in their projection rough skin, it can form ulcers. To restore the functions of the foot require surgical intervention.
After the detection of deviations and pathological of a finger, the doctor (usually an orthopedist or a traumatologist) prescribed the following tests:
With this type of pathology as a hallux valgus deformity of foot surgery treatment is possible in various ways. In the early stages, which can be corrected minime psidium surgical interventions (in sectione and tendon suture), which has as its goal the restoration of muscle pull. In parallel, you can remove the bony exostosis ("bumps"). In the more severe stages the use of operations in which the sawn bones and then attach them with metal structures in order to restore the axis. In particularly complex cases, form a false joint, or establish or artificial.
The rehabilitation continues for several weeks, during which you use a special brace or bandage, slowly developed a soft tissue. After removing the cloth/bandage use a wide range of orthopaedic devices to prevent the re-emergence of hallux valgus. If intervention is required in two parts, the first operation is carried out in a few months in the rest.
Treatment of hallux valgus without surgery is possible. To stop its development in the early stages, you may:
The inflammation of the joint and the prope-articulatis the exterior fabrics are treated anti-inflammatory drugs, with the possible inefficiency of intra-joint administration of drugs steroids.
The night of support (or hallux valgus splint) can be used at any stage of the hallux valgus, severely at night or during rest, because the design of the device is not designed to be worn under the shoes. First, wear a bandage for several hours, and then all night.
Early violations can easily gradu completely during sleep: do not make any effort, and the correction of the deformity. The most serious deviation of the bones of night brace reduces the pain, reduces the degree of deformation, and is a variant of the preparation for preoperative and postoperative rehabilitation.
Do not run the disease and do not take it before surgery. Start treatment as soon as possible.