Valgus foot deformity in adults: treatment

Orthopedic diseases of the Hallux valgus is characterized by the curvature of the joint, in which the first finger to deviate in the legs, and the outside is formed is used what. When this is observed, other symptoms of the disease.

Valgus

Issue as the main reasons, which affect the deformation of the feet:

  • Incorrect footwear. When the choice is pay attention to the size, to be approached, and also the shoes should not squeeze the foot around the edges.
  • Wear high heel. The deformation of the legs is often observed in adult women, which is associated with regular use, boots on a high wedge, either heels — more than 4 see
  • Injuries of different nature. Derogation can also occur when subluxation of the phalanges of the lower limb.
  • The progression of the disease gout. The disease is characterized by the accumulation of uric acid in the tissues, and that provokes the deformation processes.
  • Weak tendons. Violation is congenital or acquired type.
  • A genetic factor, which affects the flat feet in adults.
  • Obesity, which increases the load on the joints and tendons.
  • The hormonal imbalance. It is often the reason manifests itself in women at a mature age.
  • Pregnancy and the birth of a child. In this period the pressure on the leg increases, and there are different hormonal disruptions in the body.
  • Flat feet have various degrees of severity.

The reasons for the development of

The most common cause of valgus in women, wearing high heels shoes with narrow spout. These shoes any serious harm to the health.

To 35 years the risk of developing flat feet and deformities. Everything happens for the reason that shoes high-heeled shoes with a narrow nose does not properly distribute the load on the legs.

Valgus is manifested as follows:

Heels
  • appears discomfort while walking;
  • size of shoes is becoming more;
  • in the area of the joint of the big toe appears redness and swelling;
  • the passage of time they appear acute pain and feeling of fatigue;
  • the joint begins to increase in size;
  • in more advanced cases, valgus becomes a cause of serious difficulties when walking.

But in fact changes the shape of that part of the body, which is, in fact, is its support, constitutes a serious sign that you need to think about their own health and to apply certain measures to correct the problem.

What it is

Valgus deformation of the feet represents a specific pathology of the lower part of the limb, which is in its violation of the right functional position. The main symptoms of this disease is the disruption of the axis of the legs, but also reduce its height.

Because of the pathology of all the elements of the soles accept a bad situation. This refers to the, including the and the heel, and phalanges of the fingers.

For this reason alone legs takes x-similar appearance.

Valgus deformation of the big toe of the foot – it is changing the correct position of the phalanx of the first finger, which is trying to outwards. This happens due to the fact that the angle between the first and second metatarsal bones increases.

Initial examination of the patient with the problems with the deformation of the feet should be performed by a qualified surgeon-traumatologist. In some cases, it can direct the patient in response to other related professionals, but in general problems of data pathologies is engaged exclusively on.

Classification pathology

To properly prescribe the drug, to describe the symptoms of the disease, to compare pathology with previously understood, accepted classification as a deformation. According to the severity of the process we distinguish the stage of the disease is dependent on the angle of deflection of the finger of the legs in degrees.

Depending on the reasons for the development of a valgus deformity posing a variety of its forms:

  1. Static - disorders of posture.
  2. Structural - congenital vertical talus.
  3. Compensation - appears in the shortening of the length of the achilles tendon, when the skew ankle and a violation of the provisions of the tibia.
  4. Paralytic - in diseases of the nervous system.
  5. Spastic - caused by muscle spasms in the muscles of the lower leg, legs, hips and thighs.

Depending on the shape of the curvature of the legs, the pathology exists in three types:

  • lateral - tendon of the fingers unnaturally strained and the curvature has a view of the hammer. Patients complain of pain during walking, and gait disturbance;
  • longitudinal - ptosis of the longitudinal arch of the foot. If there was a violation of the walk; the pain when walking and on palpation, and the deformation changes are observed visually;
  • combined - combines symptoms of both transverse and longitudinal deviations, and called the transverse-longitudinal flat foot. Despite this, the pain and other discomfort is missing.
Computer podometry

Phase manifestations valgus in adults

In the children's age, including newborns, are recorded various types of curvature of the legs. May be both congenital, determined by heredity and genetic defects, so purchased, which are reflected in the period of verticalization of the child on his feet and start walking.

The dog may follow the outer (valgus) or inward (varus, or clubfoot deformity was) aside, that often combine with other kinds of deformations. So, Valgus or varusNaya stop often complicates longitudinal or cross flat feet; this combined pathology is manifested in the smaller school and adolescent age.

In addition, some diseases of the brain and other divisions of the nervous system may have in its clinical picture of foot deformities in the child spastic (or neurological) origin.

These conditions are referred to as equino-valgus or equino-varus deformity of the foot. Depending on how serious the damage to the nervous system, the degree of curvature is also different.

While a child cannot learn to walk, or they walk "on tiptoe".

However, most often the deformation of the feet in young children should be exactly the curvature that begins to form with year-old age, but often diagnosed only for 3-4 years.

Immature muscles of the lower limbs, weak ligaments of the ankle joint, imperfect coordination and, as a result, frequent loss of balance and falling, congenital dysplasia of the connective tissue – these factors are predisposing to the manifestation of the disease.

Gradually stops, as would be set out and the whole weight of the load of a toddler throwing himself on the longitudinal the domestic sector of the foot, it's a great hansel and inner part of the heel. When this load on the little finger reduces the, and it gradually rises above all the other fingers.

So baby I can't save the horizontal position of the feet, because of their outer part, which is inevitably a little rise above the level of the floor.

Suspect early symptoms of this pathology may only a doctor-a pediatrician, the parents themselves hard to make a conclusion about wrong installation stop with your child. So the preliminary diagnosis of valgus is to put on the children's inspection, usually at the age from 1 year, but most of the cases is pathology find themselves revealed in 2-3 years, when the symptoms are clear enough.

For the final diagnosis valgus feet are used by the computer methods.

These methods help to determine the stage of pathological gambling process, the involvement of the other joints of the foot and ankle, state of the muscular tissue and ligaments, the availability of longitudinal or transverse flat feet. Then the orthopedist develops a scheme of treatment.

Treatment of valgus deformity of the foot in children – a long process that requires patience, perseverance, strict adherence to all recommendations.

The aim of the treatment of the complex is the strengthening of the muscular apparatus, emphasis on footsteps, a child's physiological provisions, prevention of the spread of disease to other structures of the lower extremities. In many ways therapy is determined by whether the curvature congenital or acquired.

If the deformation of the birth, then the child superimposed on the soles of the feet and ankle joint plaster bandages, which the foot is held in a normal position, and the relevant ligaments and tendons begin to function.

But in some cases it is required surgical treatment, which consists in the transplantation of tendons, installation of the device external fixation, or is carried out in a different way, which is chosen individually.

Causes of deformation in adults

Massage

  • the control of body weight;
  • socks comfortable shoes (high heel and narrow narrow shoes worth to give away, or put no more than 30 minutes up to 3 times per month);
  • control courses (keep your posture, try to move smoothly and slowly, very well to "educate" healthy walking madness pilates and yoga);
  • physical activity for strengthening the muscles of the legs;
  • proper nutrition for the prevention of wear of the tendons, ligaments, joints;
  • effective treatment of injuries and inflammatory diseases (bursitis, tendonitis, arthritis);
  • the use of orthopedic insoles.

Legs it is helpful to regularly massage. To strengthen the muscles try to as often as possible to walk barefoot on various surfaces (grass, pebbles on the beach). If work is sedentary or is associated with prolonged standing, must be regularly engaged in sports, use the massage pads for your feet.

In adults, the correction of the deformation requires much more effort and not always effective. He believed that to get rid of this defect is possible only by operation.

Indeed, when properly made of surgical correction will come quite a long compensation. It is at some time a person gains almost a good foot.

But you need to realize that it is just a method of compensation.

To date, developed several options of operations for valgus to stop. All pursuing the goal to reduce the angle between the instep bones. It will allow a large finger feet not deviate outward.

It is necessary to take into account that the overall prognosis of this type of disease is relatively unfavorable. In other words, if you constantly keep supporting and stimulating therapy, even after surgical correction is a high probability of deterioration, so that both the operative intervention eliminates the very cause of the disease.

The consequences of a valgus deformity

Due to the valgus deformation is changing not only the joint, but also muscles, blood circulation is disturbed in the tissues. Surgery in adults relaxes skeletal deformation, but to restore the healthy mobility needs to work on muscle tone, improve blood circulation.

In valgus deformities suffer not only the foot, but all the overlapping joints. A frequent consequence — the arthrosis of the instep and the knee joints. Physical hardening and massage in a valgus deformity, it is appropriate to carry out the more extensive the areas: starting from the the sacral area, and further on the internal surfaces of the shins, thighs. It is important to the overall strengthening of the muscular apparatus.

Foot massage

Prevention of deformities of the feet in children and adults

For adults is the best prevention of pathological deformation of the foot can serve the correct choice of footwear, healthy lifestyle, massage, swimming.

As with adults, valgus the deformation may develop slowly, many do not pay attention to her in the early stages, and noticed only when wearing shoes, accompanied by painful. To not to in addition, it is recommended in the initial stages of deformation the use of orthopedic shoes.

It is useful to walk barefoot to draw textures on the surfaces (pebbles massage mat), do the exercises to download the arch of the foot (stand and walk on socks).

In the fight against valgus deformities are recommended the following procedures:

  • massage, aimed at relaxation of the muscles of the back, legs and buttocks;
  • performing special exercises;
  • the implementation of professional physiotherapy;
  • the use of medical drugs;
  • wearing special bandages and orthopedic shoes;
  • swimming and baths for the feet;
  • surgery.

It is time to turn to a doctor-a podiatrist, it will help cure a valgus deformity of the foot in the initial stage.

The adult human skeleton is fully formed, so the treatment of bone diseases and complicated. Deformity of the foot in adults in the early stages can be cured by conservative therapy: treatment of without surgery strengthens the ligaments and muscles, prevents possible complications and associated diseases. For this use wellness exercises.

"Flat feet" in itself is a clinical diagnosis. According to statistics, from 5 to 15% of the population own legs with indicators flat feet.

Many people live with flat feet, without feeling any discomfort, and not have an excuse not only for surgery, but generally speaking — to appeal to doctors. But for some people, flat feet is manifested can scare pain, feeling of instability, swelling, deformity of the feet, whose cause has become the flat feet.

Valgus foot in adults – it is always acquired pathology, in which the whole does not change the installation stop, and initially suffering from the joints of the fingers. And starts the disease with the thumb, more precisely – with its metatarsophalangeal joint.

31.08.2018