Treatment of the thumb leg bone should begin immediately after confirmation of the diagnosis to avoid complications.In the first signs of the disease, it is worth contacting an orthopedist, as the bone in the leg thumb not only dislizes it, but also worsens the overall condition due to chronic pain and inflammation.The choice is convenient, but at the same time beautiful shoes are very difficult.Therefore, the need to identify the causes and timely treatment of the cone in the leg thumb determines the additional quality of life.
Why does a bone occurs on your finger?
A collision, or a bone in the leg thumb, is the name of the pathology used in everyday life.In fact, the disease is a deformation of Valgo from the foot: the deviation of the first plus bone inside with the simultaneous turn of the thumb out.It seems that, on the foot, at the base of the first finger, a swelling or an additional bone formed.
In fact, the angle between the first and second bones of the metatarsal changes, the elements of the foot are displaced.The head of the protruding joint is a swelling that projects next to it.
Risk factors include:
- Hereditary predisposition;
- Genetic pathology of the skeletal system;
- Foot structure characteristics (the first Plus bone is longer than the norm);
- metabolic violation (overweight, increasing joint load, urat deposition, violation of carbohydrate metabolism);
- Arthritis and arthrosis;
- lesions (blow, bruise of the ankle joint, thumb phalanges);
- The elderly age (the amount of calcium is reduced, synovial fluid products are markedly reduced) leads to bone and cartilage changes, transverse flat-foot development: 3%-15 to 30 years, 9%in 31 to 60 years and 16%for those over 60.
According to statistics, a woman is subject to deformation development and the thumb is 20 times more often compared to a man.This is due to the innate weakness and high elasticity of the muscles and ligaments, the specificities of the shoes.A high heel, a narrow and tight sock, creates a large load on the foot.With a long stay on the legs, the likelihood of developing the thumb burburus increases: the foot is "flat" and deformed.
The presence of another pathology - associated diseases: can cause the development of Halux Valgus:
- hormonal restructuring of the body (pregnancy, menopause, adolescence);
- serious diseases (tuberculosis, sepsis, gout, diabetes, psoriasis);
- High joint mobility in Marfan's syndrome, Down disease;
- Multiple sclerosis;
- Cerebral palsy.
Stages of disease development
The term Halux Valgus used Carl Heuter for the first time in 1871, which indicated a deviation from the first finger of the foot of the central axis of the body.This name describes the changes that are occurring with the thumb.Hallus is the Latin name of the thumb of the leg, and Valgus is an anatomical term that means deviation from the middle line of the body.
Over time, the bursitis develops the thumb.An irritated and edematosa tissue chart appears, which, due to constant pressure, leads to a thickening of the bone tissue.This increases swelling and friction on shoes.
There are four stages of development of the deformation of the Valgus thumb:
- I Diploma - 15 °, is an aesthetic disadvantage, there is no physical discomfort;
- II - 20 °, there is weight and leg pain with long walk, especially in uncomfortable shoes;
- III degree - 30 °, while there is a slight deformation of other phalanxes and restriction of the movement of the thumb, constant pain in the joints;
- IV - More than 30 °, there is a significant deformation of almost every phalanx of the fingers and the whole foot, the pain is present at rest.
III and IV are dangerous to health as they develop:
- Hammer deformation - fingers II and III does not participate in the walk;
- grown nails;
- corns and grains that can be inflamed and spilled;
- swelling of the foot;
- Osteomyelitis.
Therefore, early diagnosis is important.This will help to avoid serious consequences associated with a complication of inflammation.
Valgus deformation in children
Free deformation of foot in a child-frequent child is 40 to 80% of all violations of proper leg development.Most of the time it suffers:
- pre -school child;
- adolescent.
Changes lead to the fact that the increase is reduced, X -shaped curvature develops.There are complaints about leg pain when walking due to the rapid fatigue of the muscles, the march becomes unstable.During the inspection, it is revealed:
- The distance between the ankles with well -compressed knees - more than 5 cm;
- shift of the feet arches;
- Deviation from heels and fingers outside;
- Reducing the height of the arc (flat deformation).
Child:
- It occurs only on the inside of the foot, it has a rear gear;
- tired quickly during games;
- He complains about legs and back pain, seizures and swelling of the feet.
The shoes are more spinning from the inner surface.
Congenital is due to a genetic defect or pathological pregnancy, detected after birth, requires surgical correction.
The acquired deformation of the Valgus of the foot develops due to:
- Insufficient development of ligaments and tendons;
- Muscle hypotension.
Reasons:
- musculoskeletal diseases;
- Wearing an uncomfortable or poorly fixed foot of shoes.
Changes are revealed when the child begins to walk for the first time.This pathology is characteristic of children with a weakened body to:
- a nutrient deficiency during embryogenesis;
- Do not premature;
- Frequent.
The deformation is complicated:
- arthrosis;
- Curvature of the spine;
- Smooth feet;
- osteochondrosis;
- violation of the shape of the pelvic bones;
- Pathological disorders in the knee and ankle joints;
- shortening of the limbs.
A severe degree of pathology is one of the reasons for incapacity in childhood.
With lower deformation and timely and proper therapeutic treatment, a complete restoration of the normal function of the joints is possible.
Diagnostic methods
After identifying finger pathology, it is necessary to perform:
- determine the mobility of the first and adjacent fingers articulation;
- Radiography (to calculate the angle between the bones, the detection of structural changes in the bone, the subluxation of the joint);
- Calculated planetography (the load in various departments of the foot is analyzed);
- CT or magnetic resonance imaging (for a more accurate detection of tissue violations and as a surgery preparation stage);
- Ultrasound (if circulatory violation is suspected);
- Consultation of a neuropathologist (with nerve damage).
Laboratory studies are necessary to exclude associated diseases and in preparation for surgical treatment.
Treatment methods without surgical intervention
In the early stage of the disease, when the changes did not take on an irreversible character, the back of the foot can be cured without surgery.Prolonged diagnosis leads to surgical intervention, given the following:
- In the severe stage of the disease, folkloric methods, using orthosis, taking drugs for pharmacies are ineffective;
- The older the patient, the less conservative therapy acts.
Non -surgical treatment provides the result with 1 and 2 degrees of deformation.It is important not to lose the beginning of the pathology.The folkloric methods are ineffective.They can only lightly reduce a few symptoms, but the disease will not cure.
For treatment are used:
- massage;
- Special exercises;
- weight correction;
- orthopedic shoes;
- Using orthosis;
- Medication.
The lack of adequate therapy leads to the development of the 3rd and 4th degree of pathology, osteomyelitis: the feet swell, the painful callus and the suppression appear.In advanced cases, with a large angle of displacement of the 1st finger, painful pain is delivered, shoes purchase is significantly complicated.
MASSAGE
Initially, the massage is performed by a qualified specialist;In the future, it is necessary to learn to do so alone.
Objective of massage assignment:
- load distribution and inflammation reduction;
- Restoration of blood circulation (it is necessary to massage buttocks, feet, fingers, muscles of the back).
The course is effective 10 times with other repetitions after time.
Review of Valgus deformation clamps
Conservative straightening of the deformed foot includes the mandatory use of spelling - special orthopedic devices.Its use is ten times cheaper than the simplest operation.These include:
- Fixers;
- insoles and half joint;
- tcradas;
- orthopedic tires;
- Night reviewers.
The latter fixes the leg thumb in the correct position, providing arapeutic sleep.It is used at any stage of Halux Valgus,
But only at night or for the rest, as its design is not intended to wear shoes.First, put a bandage for several hours and then all night.
C fixers to correct the leg thumb are:
- Night - hard tires for use only during sleep;
- Day - Soft and articulated bandages for constant wear.
In addition, they can be classified:
- for adjustable and unregulated;
- In the first two fingers of the foot or without it.
For manufacturing, different material is used:
- plastic;
- silicone;
- textile.
Plastic reviewers
Designed to sleep due to large sizes and stiffness of the structure.This device consists of:
- of a tire immobilizing and holding all displaced fingers;
- Of a belt that regulates the degree of tension.
Silicone clamps for thumb
It is an entire casting tab, which is firmly arrested to hold the joints in the natural position between the second and the first fingers of the foot.They:
- soft;
- durable;
- Suitable for any shoe;
- Do not rub and do not form calluses;
- They have small universal dimensions.
Fabric bandages
This is a finger with specially sewn guides.The correct position is capable of returning the foot as long as they are used in the early stages of the disease.To improve the therapeutic effect, soft material is combined with difficult.Such reviewers include a Valgus hinge tire.Combines:
- Hypoallergenic medical plastic;
- durable soft fabric;
- Suitable for both legs.
Help:
- uniform distribution of the load on the foot;
- correction of deformation pulling the thumb;
- Restoration of feet mobility increasing the elasticity and flexibility of muscle fibers.
The advantage is used by the brokers with an additional fixer and regulator.These functions allow:
- Change the moving angle of the joint in the right direction, eliminating the defect;
- Reduce load, correcting the curvature of other fingers.
Drug treatment and physical therapy
The use of medicines is a symptomatic treatment.In order to reduce inflammation and pain relief.Most methods are effective at the early stage of the disease.The following drug groups are used:
- painkillers;
- GKS;
- AINE (anti -non -esteroids);
- Improving microcirculation in tissues, venous output;
- Antibacterial medications.
A tablet or injection is prescribed, depending on the condition of the joint.Sometimes intra -articular injections are used.They relate to medical procedures.
With metabolic disorders or systemic diseases, the underlying disease is treated.It is prescribed by narrow experts: a rheumatologist or an endocrinologist.
Exercise therapy
Treatment with charging and gymnastics is used in the early stages of the disease.Doctors prescribe gymnastics for:
- edema removal;
- Improvement of joint mobility;
- Reducing the symptom of pain.
The real result of gymnastics occurs with regular execution.Gymnastics for children and adults differs.Loading should take into account the stages of the development of the musculoskeletal system.Examples of sitting exercises (each exercise should be done 20 times):
- Fold your fingers on your legs;
- End your legs, pull your fingers yourself, try to combine the soles of the feet with each other;
- fingers to lift a sheet of paper lying on the floor;
- rotational leg movements;
- Complete the legs of the legs with a sheet of paper;
- Keep your feet tense for several minutes in the adopted position;
- Keep your legs in a position with wide fingers and standing foot;
- Five and extend the fingers of the fingers to feel fatigue alternately;
- Wrap the bottle on the floor with steps for several minutes.
Exercises performed while walking barefoot:
- Alternate walks in socks and heels with the raised hands and in the belt;
- movement on the outside and inner side of the foot, bending the fingers;
- transfer of gravity from the body of socks to jumps and back;
- Raising the sock, standing on the internal surfaces of the limbs.
A set of exercises for finger joint training:
- Stretch the elastic range between the fingers;
- Tighten the ball or a special roll with your fingers;
- Skating skating: several minutes of load for each leg;
- Circular movements with the thumbs.
DIET
An important role in the struggle with this pathology is played by proper nutrition:
- Fatty, smoked, sharp and salty foods are excluded;
- Sweet consumption decreases.
This reduces inflammatory processes.Products with high vitamins A, E, C. The correct diet leads to a decrease in overweight, which is one of the frequent causes of leg deformation of the legs.In the presence of serious diseases that lead to joint pathology, or associated with metabolism disorders, special diets prescribed by narrow specialists are used.
Folkloric treatment
No folkloric method is capable of saving Halus Valgus, as this is a defect of the organic joint.Compresses, baths and domestic ointments usually have a symptomatic effect used in folk medicine: symptomatic effects:
- Lightly reduce inflammation;
- Reduce pain.
But they are not the basis for treatment, but they are used as an addition to a doctor's prescription.
Useful product
Currently, turnover towards announcing a healthy lifestyle (healthy lifestyle) has gained a new product.Includes goods that include beekeeping products:
- honey;
- pollen;
- propolis;
- parchment;
- wax;
- Uterine milk and drone;
- Bee shooting extract;
- Chitosana.
At the same time, the product, as indicated in the instructions, can be used to treat vision, digestive tract pathology, gynecological diseases, cardiovascular and nervous systems.
Means for internal and external use:
- nutrient dragees;
- honey drinks;
- Healing Balms;
- Cream and ointment for joints;
- tonic;
- Body and hair care products;
- Hand and feet cosmetic collections;
- Care products with oral cavities;
- detergents;
- immunestimulating products;
- Children's Health Prevention Series.
But many positive reviews of patients are not an objective assessment.When choosing a popular remedy, you need to consult a specialist.These are doctors who later treat the consequences of folk drugs with a wide range of use.They have nothing to do with medications.If the patient refuses prescribed therapy, self -medication with the use of a means that heals all diseases at the same time, the pathology will lead to complications in which surgery should be used.
Maklura
Folk healers consider it effective for getting rid of a bump in the Foot Maklura - Adam's Apple (Chinese orange, Indian orange).The fruit resembles a green apple or an immature orange.It is found in China and Central Asia.For the treatment of valgus, tincture, ointments, oil hoods are recommended.The plant contains toxic substances.Due to the low knowledge of its beneficial properties, traditional medicine does not use the plant in the manufacture of dosage forms.It is prohibited to use it in the following conditions:
- There are diabetes;
- Individual intolerance;
- Possible allergic reactions.
Sold in the form of ready -made dosage forms.When the first signs of oppression and deterioration appear, it is necessary to interrupt treatment due to the fact that the plant is very poisonous.
Other methods
Bay leaf is considered the best home remedy for Hallux Valgus treatment.The drug is prepared within a week.Its use relieves pain and reduces finger tumor.The necessary components:
- 100 ml of 96% alcohol;
- 5 large loose leaves;
- 1 tablespoon of baking soda;
- 3 liters of water.
Recipe: Pour alcohol from bay leaves, insist in a dry place 1 week at room temperature.Before using, hold your legs in a baking soda thermal solution.Before going to bed, rub the resulting product in the joint, put cotton socks.
Apply to affected areas before going to bed the following funds are recommended:
- Add 10 ml of iodine to crushed acetylsalicylic acid (200 mg), mix with a homogeneous consistency - this penny will significantly improve the condition with regular use;
- Lemon and iodine juice - use for 2 weeks;
- salt with iodine for the preparation of hot baths;
- Vinegar and iodine (10 drops of iodine for 2 teaspoons of table cider vinegar).
Ointments are recommended, which include a medical billion (ready -to -sell pharmacy forms sold).
But all these measures can only temporarily relieve suffering, relieving pain and weight in the legs.They will not be able to completely fix the bone.A collision without medical care will continue to grow.
Who gets in touch for help?
The pathology of bones and joints requires specialized medical care.If the first signs of the disease appear, it is necessary to contact a traumatologist or orthopedist.
About treatment without surgery
Doctors believe that the treatment of Valgus deformation of the foot without surgery is quite possible.
Stop your development in the early stages can:
- Right shoes;
- Orthopedic brokers;
- insoles to normalize loads in the whole foot;
- Physiotherapy (massage, ultrasound, diathermia);
- Daily therapeutic gymnastics;
- regular baths for the feet;
- The fight against overweight.
In what cases is the operation necessary?
The objectives of the operational treatment method:
- Free of the cones;
- straighten your finger;
- prevent additional bone growth;
- combat complications;
- Remove other foot deformations formed.
Surgical intervention is shown in the presence of:
- transverse planes of grade II-IV;
- Pathology Progression, accompanied by a persistent symptom of pain;
- poorly corrected violation of the musculoskeletal function of the foot;
- pronounced aesthetic shortcomings (the desire to get rid of deformation and wear more elegant shoes).
The operation is performed in the absence of the effect of conservative therapy.
Currently, there are over 400 radical intervention methods to correct the transverse planes complicated by the formation of cones in the legs.About 200 of them are used in the world.
Free to be operationally treated can obtain any face according to the Compulsory Medical Insurance policy.For this, there are quotas, but the waiting time can take several months to send an orthopedist or traumatologist for surgical intervention.The type of operation depends on the hospital equipment, the availability of the necessary specialists.At the same time, you can remove the ingrown nail, straighten the cloudy pitty curve, which is sealing the skin as a complication of the pathology.
Small Methods -Invasive
Lower invasive surgery contributes to the correction of the location of the first toe.Methods with displacement and minimal bone scars are used by intervention in soft tissues.After treatment, the finger begins to bend.
Miniinval Method - Percutaneous removal of leg collision.It is used to eliminate moderately pronounced curvature and combat a violation of foot function.Operations consist of bone tissue excision.Recovery after such a valgus operation occurs rapidly.
Small invasive surgical treatment is a distal displacement: the 1st finger moves distally, starting from the 1st articulation of Pluxushenhance.It is performed with a light or moderate degree of foot deformation, the finger begins to straighten.The well -done titanium screws are used, which do not require removal.After this operation, the patient feels no inconvenience.A good cosmetic result with minimal scars is achieved.
Lateral release (pulling the medial joint capsule) is another minimally invasive surgical treatment method.Has several advantages:
- minimal damage to soft tissues;
- Little traumivity helps reduce the recovery process (adult patients become furniture in a short time);
- Reducing post -operative edema of the foot compared to other surgical interventions.
Operations related to bone manipulation can be performed not only with the help of traditional surgical instruments.The modern method is used the use of Shock Wave Therapy (UVT).In the articulation, they begin to act in a shock wave.This allows several sessions to crush the joint bag and level the index finger of the foot.He stops diverting and standing out, causing discomfort and pain, his appearance improves.Cure occurs after 4-5 sessions.They need to be kept once a week.
If arthrosis of the first metatarsophalangic joint has developed, the minimally invasive treatment cannot be performed.In this case, a triple arthrodesis is performed by the device.This is a special operation when the full immobility of the joint is artificially created.
Preventive recommendations
To combat the pathology, a whole range of measurements is used.Adults and children need:
- Physical Education of Physiotherapy;
- massage;
- Orthos (involves the use of orthopedic shoes or the use of special shoes insertions).
How to avoid the occurrence of a bone?
To avoid the occurrence of pathology, pathology is required:
- Orthopedic examination for timely detection of flat feet;
- decreased body weight;
- Proper treatment of associated diseases;
- Compliance with the work and rest regime if the profession is associated with a long leg in the legs.
The choice of comfortable shoes
In the nineteenth century, it was common for Khalus Valgus to be the result of bone growth of the first metatarsal bone and his soft tower shell due to poorly selected shoes.The opinion was formed based on observations: the disease is almost never found in cultures that do not wear shoes.
Many problems that arise in the legs are a consequence of pathological pressure or friction due to the use of illiterately selected shoes for daily wear.The pathology of the foot joints develops because of:
- Very large jump;
- narrow or excessively wide nose;
- Incorrect size.
The footage of the foot thumb, which initially develops, is the result of the reaction to the pressure of the shoes.
A condition that will help avoid foot injuries and develop more serious complications is wearing prnavilic shoes:
- No nails;
- without sharp nose;
- of natural materials;
- With a jump not exceeding 5 cm.
This will make it possible to keep your legs beautiful and healthy.