Bunions feet

Bunions feet, or in other words an inflammatory process of the bags joint is one of the most common diseases of the musculoskeletal system.

The inner cavity is lined with a special shell, which produces a fluid that performs a painless and easy movement. As a result of various infections and changes in the cavity of the first joint of the metatarsophalangeal department inflamed, which leads to disruption of its direct functions and limitations of physical activity.

In medical practice there was of the opinion that bunions legs develops in those individuals who use large amounts of salt, but in later studies, this hypothesis has not been confirmed. However, a situation where the articular bag inflammation due to salt deposits, they are not so rare. For example, this phenomenon is normal during the day, when feet are set in the salt of uric acid compounds. Also, inflammation may develop and in violation of the functions of immunity, more specifically for rheumatism, rheumatoid arthritis, psoriasis. However, the main reason for diseases – flat feet. It is observed when wearing uncomfortable shoes, flat feet, the pathology of the muscles and ligaments of the foot, most often this disease occurs in women.

Code according to ICD-10

M71.5 Other disease, is not an ad to another category

The causes of the diseases of the thumb legs

The causes of the diseases inches the legs are varied, but the main factor, провоцирующий the inflammatory process – excessive accumulation of fluid in the joint of the bag. In standard this fluid is located in the cavity of each joint, and it is thanks to its properties to every movement in the joint is going smoothly. In addition, the pressure on the bone is also reduced, that makes the movements in the joint painless. If for some reason the fluid in the bag of the joint begins to accumulate in large quantities, then it leads to the development of the inflammatory process. In chronic inflammation and травматизации in the bag of the joint to form a seal. Over time, because of the seal bone shifted, for the reason that in place of the joint completion of the joints to form the bumps.

The reasons that the risk of developing inflammation of the synovial bags can be classified as follows:

  • Flat feet.
  • With great mobility of the joint, most often occurs in his weakness.
  • In diseases of the musculoskeletal system, for example – arthritis.
  • In chronic травматизации or long passing injury of the thumb of the foot.
  • When congenital deformation of the feet.
  • With infection of the joint cavity.
  • In the metabolic disorders.
  • When allergy.
  • Due to intoxication.
  • When inflammation of the surrounding tissues.

To prevent the disease inch leg is worth thinking about in time to prevent this disease – follow the way of life, diet, wear comfortable shoes, especially if debt service has to stand on his feet.

Symptoms of diseases of the thumb legs

bursit

Symptoms of diseases of the thumb legs, as usual, it is difficult to confuse with other diseases of the musculoskeletal system. The first symptoms indicative of inflammation of the bags of the joint is:

  • Deformity of the thumb legs, education in the area of the joint seal.
  • The emergence of pain in the joint of the big toe, which is amplified when walking.
  • Discomfort and pain when wearing shoes.
  • Education bruising on the joint.
  • Violation of the sensitivity in the area of the thumb of the foot.

The first symptoms of the disease is hard to leave without attention, in many respects thanks to that the inflammation of the synovial bags it is possible to determine at an early stage. Clarify the diagnosis in initial stage will help a specialist, because inflammation of the synovial bags can be similar with arthritis, gout, cerebral palsy, multiple sclerosis, etc. At an early stage of developing painful seal can stop the development of the disease and restore joint and fast handling the professional and competent comprehensive therapy can achieve a full recovery. In the opposite case, the inflammatory process will lead to the development of arthrosis, and, respectively, deformation of the foot.

The festering bunions feet

It is an acute inflammatory disease that involves the entire cavity of the joint bags. Joint bag or синовиальная handbag - it's cavity, covering the head of the joint; inside the cavity is a small quantity of a special liquid, which contributes to normal movement without pain in the joint, it reduces friction between the bones, muscle tissues and ligaments.

The synovial fluid can become infected for several reasons – in case of contact with in her agents of infection through the bloodstream and лимфу, and despite the early channel of the synovial bags (when разрывах, рассечении, огнестрельном heavy harm to the health of the operative intervention, etc.). But the special danger is the availability of an outbreak гнойного inflammation near the joint of the joints, and this:

  • гнойного arthritis;
  • фурункулеза;
  • erysipelas;
  • subcutaneous флегмоны etc.

The most common activators of inflammation of the synovial bags – стрептококки and стафилококки, the less often there are cases of infection of the intestinal wand and etc.

The festering bunions is dangerous by the fact that in the course of the inflammatory process in the cavity of the joint occurs melting the walls of the cavity of the joint and festering exudate penetrates into the tissue, which leads to this осложнению how флегмона feet. It is an acute surgical disease, requiring неотложного rapid intervention and comprehensive treatment with antibiotics. In the quick manipulation to the doctor and compliance with treatment rules, there is rapid restoration of function of the joint.

Where it hurts?

Pain in the joints of the fingers feet

Diagnosis of diseases of the thumb legs

Diagnosis of diseases of the thumb legs is carried out according to the survey of the patient, in the later stages tends to be enough data inspection and palpation – to the naked eye it is possible to mark the availability of вальгусной deformation. But it is also important to perform x-ray of the affected joint to determine the degree of deformation and condition of the adjoining bone system of the foot.

Such methods such as CT and ULTRASOUND is prescribed as an additional method of diagnosis, when there is suspicion for the presence of associated pathologies of the musculoskeletal system. In addition, without exception, is prescribed for the clinical and biochemical analysis of blood. With their help it is possible to obtain accurate information about the condition of uniform elements in the blood, which are very sensitive to inflammation and other changes in the organism, and also to obtain information about the state of the organs and systems of the human body.

In the diagnostic section to provide confirmation of the diagnosis is necessary as soon as possible to begin treatment. In the early stage of the disease can be completely eradicated, revived the functionality of the joint. Diagnosis at a later stage complicates further treatment, but at observance of all rules and the relevant ортопедическом the treatment outcome of the disease is favourable.

What should be examined?

  • Stop
  • The joints of the bones of the foot

How to examine?

  • ULTRASOUND examination of the joints
  • Diagnostics of the joints

Who to turn to?

  • Ревматолог
  • Orthopedist

Treatment of diseases of the thumb legs

Treatment of diseases of inches the legs can be both conservative and operational. The treatment of this disease is in the competence of the surgeon. The effectiveness of the treatment depends on the timing of treatment to the doctor. Acute bursitis treat outpatient and осложненный chronic requires treatment in a hospital environment).

  • Upon the occurrence of severe pain in the больном joint, it is necessary to repair the damaged joint (using бандажа, any holder), attach through the mass to the patient the connections between the bag of ice or snow, the bandage stops the elastic бинтом, and the limb to keep positive by ступню on the pillow.
  • For the prevention of complications of the acute form of inflammation may prescribe anti-inflammatory and pain medications. In diseases of the prescribe antibacterial agents, but only after the data of bacterial seeding of the synovial fluid and identify the causative agent.
  • In неострой stage of prescribe physiotherapy, UHF.

In the chronic form of inflammation of the synovial bags is shown operative intervention. A surgeon dissecting суставную bag, removing adhesions and growths inside her, after which the cavity washed with an antiseptic solution, parallel prescribe antibiotics, anti-inflammatory and pain medications. The process of restoring the movements in the joint, can a busy few months.

The operation in diseases of the inches feet

The operation in diseases of the inches to feet is done in those cases, when other treatment options have failed, the pain in the joint does not properly move, or discovered the principle of deformation of the foot, which prevents walking. Also, surgery is appointed in the cases, when the disease passes in the chronic form.

Before surgery, the doctor assesses the general physical condition of the patient, the condition of the feet, the data x-ray, венозное and blood circulation. Also it is worth to take into account the possible complications that may accompany the post-operative period. It is the development, tumors, infections, occurrence of bleeding, displacement or укорачивание finger feet, re-development of the inflammation. The risk group includes patients who have poor health, insufficient or excessive nutrition, patients with diabetes, smokers or abuse alcohol.

bursit-bolshogo-palca-tracks

Before surgery is granted either under general anesthesia, and either spend local anesthesia - depending on the complexity of the patient's condition. After anesthesia the doctor dissecting суставную bag about an inch of the foot. Then it is removed part of the phalanx (the implementation of the osteotomy), her head is formed so as to фаланга was in the correct position. In severe cases is for the maintenance and formation of bones фалангу fix штифтами from surgical steel. After the morning ушивается and on her bandage. Overall, the operation takes 30-120 minutes, depending on the complexity of the case.

The operation in diseases of the thumb legs gives the option to restore mobility in the joint and reduce pain while walking. Full recovery occurs after 8 weeks after surgery.

Disease prevention-inch legs

Disease prevention inches feet touches nearly everyone – in the pursuit of fashion shoes not all care about her comfort. Heel shoes, shoes with зауженным toe, with frequent wearing, favorable deformation of the bones of the foot. Pressure on the joint of the thumb, is constantly supported, which leads to the formation of corns and change of position of the phalanx. Later, the offset preventing a walk, appears a very strong pain in ступне, joint.

To highlight the development of diseases of the thumb legs, it is necessary to choose comfortable shoes, especially if the debt service represent a lot of time is spent in a standing position. In the extreme case, have an additional kit, shoes with a wide toe. Also useful to do massage the soles of the feet, in particular, massaging the joint of the big toe. If the fact inflammation is confirmed, then it is worth it to immediately leave the narrow shoes and wear the special bracket-washer. The bracket is positioned between the first and second finger, that doesn't make on the first phalanx of the change position and makes the burden on the суставную bag much less, and also reduces feelings of pain when walking.

Disease prevention-inch legs and its timely detection enable at an early stage to take control of the further development of the disease, and save you from surgery.

kak-lechit-bursit-bolshogo-palca-tracks

The prognosis of the disease inches feet

The prognosis of the disease the thumb feet in the early diagnosis and treatment are favorable, but in later dates, when is already created by the deformation. It's dangerous, that may develop such complications as arthritis, and this will lead to restrictions on the work of the joint and pain during movement. Arthritis leads to disturbances of gait and posture, and this will lead to inflammation of the overlying joints. In the case of infection in the synovial fluid, through the infection in the wound channel in the area of the joint completion of the joints and the development of гнойного of the disease, the recovery process takes longer, because it will require operative intervention.

In severe forms of the disease big toe of the feet spend bone remodeling the bones of the foot, the aim of which is to change the position of the bones of the ankle and the phalanges of the first finger. But it's an extreme method of treatment, when other treatment options are not effective.

Relying on the hock and the foot is already possible on the third week after the operation and recovery of motor function occurs after 6-8 weeks. During the 8-12 weeks of the process of full restoration is completed, but it is necessary not to forget about preventive measures – wear comfortable shoes with a wide toe, use a special фиксаторы and orthopedic insoles.

25.07.2018