Rehabilitation after surgery Halyus valgus

Rehabilitation after removal of bone on the big toe lasts, depending on the degree of development of the strain and complications of surgical intervention. Restore the full health of the patient depends on him, how he will fulfill a prescription, to undergo physiotherapy to exercise and develop the foot.

In most cases, recovery takes no more than 2-3 months. During this period there is a complete fusion of bone structures, the recovery of damaged tendons and ligaments.

posleoperazionny period

The postoperative period

On the first day after surgery Halyus valgus recommend patients at rest, with any load on the operated limb were excluded. In hospital the patient is placed in bed and elevate the leg to prevent bleeding and infectious processes.

When minimally invasive surgical operations, if you removed only the lump, it is best to purchase a special locking mechanism for a limb orthosis.

This device minimizes the load on the front areas of the foot that allows you to completely eliminate the displacement of bone joints.

With this fixation, patients are allowed to walk within two days, and in some cases the next day after surgery and send them home in five days.

Rehabilitation after reconstructive surgery of hallux valgus is longer and more complex for patients. The hospital stay lasts up to 10-15 days. During this period, the patient change dressings, help to walk, select the desired clip. In more severe cases, after healing, it is possible to impose a plaster bandage, which is removed after 1.5-2 months.

During bed rest, patients are allowed to work. For purposes of fulfilling the minimum movement of the fingers, and also the entire foot, provided that there is no load on the front part of it.

Medications after surgery

In the case of severe pain, during recovery after surgery of hallux valgus are allowed to take non-steroidal anti-inflammatory drugs. The pain occurs because of the strong activity of the patient, execution of load on operated leg.

The foot can swell, which is also accompanied by pain. Do not be afraid, surrounding the wound area can be lubricated with a gel or ointment, which have a decongestant and analgesic effect. Severe pain rarely bothers patients, who carefully carry out all the doctor's recommendations and limited in mobility.

Shoes after surgery

It is important to know! After discharge from the hospital, you must wear ankle about a month without this device to perform any load on the limb is prohibited. After 30-40 days allowed to remove the orthosis and wear normal shoes.

Shoes, in the period of rehabilitation after operations of hallux valgus must meet the following criteria:

  • free and flexible part of the bow — the front part of the Shoe should not squeeze the toes or metatarsal bone, and during the walk to give;
  • low heel — ideal for women heel should not exceed 4-5 cm, 3-4 cm;
  • natural materials — they allow well-ventilated stop, to eliminate severe sweating and rubbing;
  • anatomical arch support — there must be an elevation on the inner part of the sole, for uniform distribution of load on all areas of the feet.

These shoes will allow you to avoid disease recurrence, and possible pain and discomfort during the recovery period.

Physiotherapy

Please note! During rehabilitation after surgery for hallux valgus patients are monitored as an outpatient for about 4-6 months. During this period they undergo physiotherapy, which is aimed at faster healing of postoperative wounds and Union of bones.

For this purpose:

  • Massage ill massage the entire limb, which improves blood flow, lymph flow. Massage during rehabilitation after Halyus valgus, will remove the swelling of the foot and improve healing of injuries.
  • VVT is a method of shock wave therapy based on the effects of magnetic, pneumatic and electrohydraulic waves in place of postoperative fractures that improve their adhesion. Also, this technique will be useful in strengthening the bone joints with screws, it reduces the percentage of occurrence of pain and discomfort.
  • Electrophoresis is used in case of complications hallux valgus — osteoarthritis or arthritis of the metatarsophalangeal joint. Allows you to enter analgesic, chondroprotective, anti-inflammatory drugs through the skin.
therapeutic exercises

Physiotherapy

With the aim of restoring normal motor activity in the first metatarsophalangeal joint, as well as in the whole of the foot is recommended to do special exercises.

Note! Exercises after surgery hallux valgus is to perform a special set of exercises aimed at strengthening muscles, ligaments and tendons of the foot and increase range of motion in the metatarsophalangeal joints.

You must perform the following exercises:

  • Traction of the thumb — it is in the sitting position you have to pull hand thumb in the direction of the foot, the exercise is repeated 3 times a day for several approaches.
  • Pull the finger forward and back — allows you to increase the amplitude of movements in the metatarsophalangeal joint. Finger to gently pull in the direction of the plantar surface, and then to the dorsum of the foot. For convenience, you can use a towel or rope.
  • In the supine position perform alternating flexion and extension of the foot at the ankle joint, it is necessary to try to pull the thumb.
  • To perform this exercise needs a smooth floor and a long thin rag, which you can then replace the towel. The cloth is spread on the floor and on one side put a stop. Necessary by bending the big toe, crumple a rag or towel.
  • To assemble, spread on the floor, small toys or items using only the big toe.

After a month of such exercises gradually allowed to increase the load on the foot. An effective exercise is the focus his hands on the wall, lead foot back and pinning its entire surface on the floor. Then gently move your pelvis to the wall, then hips. Should be fixed in such a position, and then to repeat it again.

When can I play sports?

Throughout the period of rehabilitation after surgery on his foot with Halyus valgus, the patient should be periodically observed by the surgeon. It is mandatory to run x-ray control, after which the doctor decides about the possibility to do sports. With proper fusionem ossa, the performance of all physiotherapeutic procedures and exercises, you can gradually start to exercise. It is allowed to run slowly, increasing the tempo and the load on the forefoot. You also need to do exercises on your feet.

23.08.2018