Valgus deformation of the big toe: the treatment of cosmetic defects and severe pathology

Valgus deformation of the big toe (Halyuks valgus, bunions) - it is the pathology of the legs, which is outwardly manifested by the curvature of the thumb on the outside. In popularly this disease is often called the knob either bone.

But valgus deformity of the big toe of the foot - not only a problem of aesthetic character. The prevalence of this pathology may indicate the presence of disorders at work musculoskeletal system, metabolism. Chronic bursitis can give impetus to the development of arthrosis or arthritis. Advanced cases lead to a gradual deformity of all the fingers feet.

The causes of the deformities valgus

Creates a valgus deformity of the first finger of the foot under the influence of a number of reasons. Most often, bumps on the leg appears due to improper selection of shoes (narrow pad, high heel). Confirms the hypothesis that the fact, that from the Halyus valgus suffer more often women. But modern medicine is excreted whole range of other factors:

  1. genetic predisposition;
  2. regular wearing uncomfortable shoes, which leads to excessive strain on the front share of the legs;
  3. cross flat feet;
  4. satis tractata foot injury;
  5. congenital anatomical pathology;
  6. overweight;
  7. osteoporosis;
  8. metabolic disorders caused by certain diseases, and due to old age.

The main symptoms are deformation of the first finger

What on the big finger

Manifested valgus deformity of the first finger of the foot with the advent of the small bulge in his establishment. First, it does not bring any discomfort, but later manifest additional symptoms:

  1. education in the first phalanx of the bulge, which gradually begins to increase in size;
  2. feelings of pain, swelling, redness surrounding the wound;
  3. the curvature of the thumb and loss of their mobility;
  4. the appearance of corns;
  5. discomfort when walking.

The degree of pathological changes of the legs

Halyuks valgus (Hallux - to- thumb Valgus - deviation) has four degrees of deformation, which is dependent on the angle of twist:

  1. first grade - more than 15 degrees, a person doesn't feel the discomfort;
  2. the second stage - more than 20 degrees, they begin to discover the first feelings of pain and pathology on the outside can no longer be overlooked;
  3. the third degree - more than 30 degrees, it begins the deformation of the adjacent phalanx and limitation of motion;
  4. fourth degree - 50 degrees and more, accompanied by pathological changes of the entire leg and regular painful sensations.
The first and second stage of the disease represents more of a cosmetic defect and assumes active preventive measures. In the presence of third or fourth degree diseases of the valgus deformity of the big toe foot treatment necessarily.

Diagnosis of valgus deformation of the

For the determination of the diagnosis to the patient it is necessary to turn to a podiatrist. The implementation of the diagnosis begins with an external examination of the affected area. The specialist draws attention to the degree of deviation of the thumb, the range of its movement, the presence of the associated voltage.

Outwardly signs of a blister on the foot are similar to the symptoms of such diseases as arthritis, deforming osteoarthritis, gout. To refine the diagnosis, your doctor may prescribe additional studies:

  1. Radiography in three planes to determine the pathological changes in the stop.
  2. Computer plantography shows uniform load of the foot.
  3. Computer podometrics is assigned to identify bursitis in the early stages.

In parallel, the doctor gathers information about the history of the disease: the limitations of deformation, the presence of provoking factors, the rate of progression. In the appointment of treatment determines the presence of patient comorbidities.

When the confirmation of the presence of the disease valgus deformity of the big toe the foot the treatment can be assigned to operative or conservative.

Surgical treatment is a blister on the foot

Surgery to remove the deformity valgus

The running forms of the disease suggest operative intervention. Depending on the degree of deformation is to apply one of the species (and there are more than a hundred) surgery:

  1. Small invasive correction. The operation is performed without incision. Are carried out the two small holes and using special instruments, the surgeon gives the metatarsal bone in the correct position. Such intervention takes place for the patient painless, characterized by a short clean-up period, leaving no scars.
  2. The distal osteotomy. This type of surgery involves an incision to the distal end, the damaged bone with subsequent manipulations.
  3. The proximal osteotomy. The cut happens on the proximal end of the bone to reduce the angle between the ossis metatarsalis bones.
  4. Operations Of The Keller-Brandes. The surgeon removes the damaged joint, the capsule is placed between the metatarsal bone and the main chic.
  5. Implantation of the artificial joint.

Any surgery includes post-operative care and convalescence. In the early days, you cannot stand on the operated foot, the movement is carried out with the aid of crutches. The total rehabilitation of the patient lasts for three to four weeks.

Of patients had relapsed disease and the animal will appear again. To avoid this problem, following a few months after the surgery is indicated to wear comfortable wide shoes. Good effect in the period of rehabilitation shall provide rehabilitation procedures.

It must not be forgotten nor the possibility of complications after the surgery:

  1. injection of soft tissue;
  2. bleeding;
  3. problems with coalescentibus bones;
  4. the development of arthritis, osteomyelitis, avascular neurosis.

Conservative treatment of valgus deformation of the first finger of the foot

Hallux Valgus - a condition that arises in one day and not for one month. Timely appeal to the specialist-a podiatrist, when pathological changes have not reached yet a critical mass to relieve from the necessity to conduct the operation.

Conservative treatment is aimed at fixing the correct position of the feet, uniform load distribution, improves blood circulation and stabilize the muscular-ligamentous tone. Modern medicine has a number of techniques that allow you to perform the treatment of valgus deformation of the first finger of the foot without surgery:

Holders for fingers feet
  1. special orthopedic correctors;
  2. therapeutic massage;
  3. physiotherapy;
  4. trays;
  5. non-steroidal anti-inflammatory drugs;
  6. a healthy life style.

A separate group is treatment bumps folk ways: by using iodine, turpentine, bridal poultice, lotions of medicinal herbs. The use of folk methods should only accompany the main course of treatment and carry out only after consultation with the attending physician.

The greatest influence in the conservative treatment Halyuks valgus brings the regular wearing of orthopedic correctors. They allow you to stop the pathological processes in the early stages, or greatly slow down the pace of their development. Share several types of corrections:

  1. orthopedic tyres - construction, which firmly establishes the deformed joint, causing him to depart away;
  2. arch supports, orthopedic insoles and interdigital rollers - accessories that are visually balance the foot and helps to properly distribute pressure on her front department;
  3. screed - a means to maintain the normal situation of the transverse arch of the foot;
  4. toe correctors - a special structure, which holds the finger in a natural position, which pull on the duration of night sleep.

The removal of the bumps on the legs with the use of night braces (valgus tires)

The most popular concealer - valgus bus (chips). It is a versatile accessory, which with success is used in several ways:

  1. one of the conservative methods of treatment of bursitis;
  2. as a preventive measure;
  3. in the period of recovery after surgery.

Valgus tire is a little leg warmers, adjustable comfortable strap. She firmly captures the joint in the correct position. When this case happens the normalization of blood circulation in the injured area, clamped the muscles relax. Changing the position of the strap, the concealer can be worn alternately on both legs.

Regular use of night braces allows you to remove or prevent the deformation of the foot, and also to carry out correction of the position of the transverse arch.

Valgus splint do not wear along with shoes! For the are designed other orthopedic correctors. The best option - it's a bandage, which is recommended to wear at the time of sleep and rest. The Design allows to maintain the mobility of the legs, so absolutely will not cause discomfort during sleep.

There are some contraindications for the use of night braces:

  1. the fourth degree of development of the disease;
  2. the presence of open wounds, abrasions on the feet;
  3. inflammatory diseases of the joints;
  4. tumors of the joints.

Prevention of deformity of the foot

If a person feels, maybe, according to dress-code, for several hours a day to spend in uncomfortable shoes, or his parents had a blister on the stop, then it is also in the risk group. According to statistics, the valgus deformation of the big toe most often affects women after fifty years. Already now it is worth thinking about prevention. The disease is very dirty and does not have any explicit symptoms in the early stages. Discover the valgus deformation of the can in small children.

The basic preventive measures include:

  1. A selection of comfortable footwear. Ideally, the socks must be wide and not to squeeze the phalanx and stable heel with a maximum height of five centimeters. It is desirable that the footwear was made from natural "breathing" materials.
  2. In the case that the entire day had to pass on the stilettos, then in the evening tired legs definitely need to arrange a relaxing treatment. It can be a warm bath or massage.
  3. A balanced diet and refusal of bad habits. These measures allow to avoid the disruption of metabolism, the emergence of excess weight.
  4. Regular exercises to strengthen the ligaments of the foot.
  5. Use for preventive purposes, orthopedic correctors. The regular wearing of night braces - the optimal way to prevent Halyuks valgus.
  6. Mandatory annual examination by a specialist-orthopedist.

Take care of your feet, in time to consult your doctor and do not start the disease, until it can be cured. Be healthy!

20.08.2018