Treatment without operation of hallux valgus of the great toe

Valgus deformity of the foot is perhaps the most common orthopedic disease. It manifests itself in the form of a curvature of the big toe and looks like kind of a bump near his base.

Since developing the disease is slow, it can be quite difficult to detect in the early stages, which can lead to pain and various complications. Under valgus deformity understand the pathology of the foot, in the process of development which is curved metatarsophalangeal joint of the thumb. As a result, his phalanx are angled with respect to each other.

As a result, one of them begins to bulge in the direction of the bone screw. This leads to the formation of the bumps on the outside of the foot. Sometimes this process is accompanied by pain.

Causes of valgus

Violation of the provisions of the fingers and other bones of the foot develops in the background of several reasons:

1. Violation of the anatomy. The structure of the foot always has individual characteristics. In some deviations (e.g., excess length of the first metatarsal and phalanges) of the foot tends to greater deformations under load. Normalization of the internal anatomy of the foot - the main task of an orthopedic surgeon in surgical treatment of valgus.
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2. The weakness of the ligamentous structures. It depends on the features of the structure of the collagen fibers of tendons and ligaments. With their weakened easily achieved tensile strength and vaults do not recover their shape after cessation of exercise.
3. Overweight. Constant excessive load on the foot helps the deviation of the 1st metatarsal bone medially, while the finger, respectively - outwards. Patients who are overweight have a higher risk of developing this disease.
4. Addiction to narrow and tight shoes with high heels. Wearing such shoes adversely affects the function of the foot arches.
5. Heredity. Stop for changes in blood relatives may indicate a propensity to develop deformation. Heredity "responsible" for the properties of the connective tissue that supports the arches.

As to the causes of disease emergence are different and damage to the feet.

Signs and photos

Main manifestations valgus deformity of the foot are as follows:

• there is a soft formation, which is accompanied by the fact that the skin in the area of ​​the joint is red, there are pain as inflamed joint capsule;
• thumb changes shape, becoming crooked;
• solid lump formed in the vicinity of the first knuckle;
• developing callus, irritated skin;
• there pain when walking;
• thumb loses its mobility. Over time, motor activity, and may lose the other fingers.

The photo below shows how the disease manifests itself in humans.

deformation stage

Customary to distinguish four degrees of valgus hallyus, depending on the deflection angle of the thumb:

• I degree - 15 degrees.
• II degree - 20 degrees.
• III degree - 30 degrees.
• Grade IV - more than 30 degrees.

The first two degrees of valgus toe 1 is not complicated and bring mostly cosmetic discomfort. III and IV have implications for health. Among such Hammer strain, II and III when the fingers cease to participate in the process of walking; ingrown toenails; painful calluses and corns, which become inflamed and suppurate; swelling of the foot, osteomyelitis. Therefore, timely diagnosis is of paramount importance.

Diagnostics

The first step in determining the diagnosis valgus thumb - is the visual inspection of the doctor and the staging of the disease. During the examination are taken into account the state of the plantar surface, the elasticity (turgor) top of the foot, as well as the vascular status, defined tactile sensitivity and stop functionality phalanx.

The doctor is obliged to consider all possible restrictions of movement of the foot in order to accurately determine the cause of the pathology. With the distance between the metatarsal heads determine the degree of deformation of the finger. Most often, the complaints of the patients include: a feeling of heaviness after strenuous exercise, aching pain in the front of the feet, stiffness while driving.

complications

If untreated, the disease leads to pathological processes in the spine, knee and hip joints.

Progression of the disease alters the biomechanics of the foot and may lead to a change in gait. The disease is also often the cause of bursitis thumb due to constant irritation and friction, which causes swelling and inflammation of the synovial joint capsule.

Another frequent complication valgus deformity is arthritis metatarsophalangeal joint, since due to constant friction cartilage thumb decreases.

Perhaps treatment of bone on the finger without surgery?

In the early stages of treatment without surgery is possible. Under the early stages meant valgus deformity thumb degree I-II, with a small deflection angle and without complications.

At home, conservative treatment includes special exercises, weight correction,, wearing orthopedic shoes and medication.

In the initial stages of hallux valgus of the great toe exercises can significantly reduce the deflection angle and pain accompanying this problem.

Catchers

Today, orthopedic surgeons are actively using new developments, namely clips, which adjust the position of the thumb with hallux valgus. They are worn mainly at night and removed in the morning. An example of such a fastener clip is gel Valgus Pro. Analogs him a lot, but the original gives results faster, and the quality of the material itself favorably.

The use of clamps for deformed thumb allows you to completely eliminate the defect on I step and significantly reduce discomfort and bulging at degrees valgus deformity of the foot from II to IV.

Useful exercises

Doctors prescribe a special charge, which reduces swelling, damaged disease develops joints, reduces pain. To perform the exercises do not need special conditions, most importantly - is the regularity.

Exercise may be different, but some are considered to be particularly useful:

• a sheet of paper (you can use a pen or other small object) is lifted from the floor by means of the toes;
• arch strained and held in this position for a few seconds;
• toes alternately bending and extending, until fatigue appears;
• lying on the floor need to crumple a sheet of paper with the help of the toes;
• rolling pin or a small bottle of water roll foot 2-3 minutes;
• toes divorced in hand and held as a full minute.

Conservative treatment is more effective in conjunction with a special massage that removes muscle spasm and restoring joint mobility.

Physiotherapy

For the treatment of hallux valgus can be used and physiotherapeutic procedures - or ultrasound diathermy. Keep in mind that these events provide a temporary effect.

The most effective is the use of orthopedic products, which are manufactured individually after studying the shape of the foot and the way a person walks.

Using a variety of arch supports, proofreaders toes or interdigital rolls early in the disease can stop the subsequent deformation. If the process is started, the application of such products can only slightly reduce pain. Using individual insoles possible to correct the violation arch.

Footwear

When valgus deformation of the first toe shoes should be soft, with a broad nose and low-heeled (up to 4 cm). When the flat-valgus deformity of the foot must be worn new shoes with high and hard backdrop, 3 cm above the heel, with a dense and high instep.

orthopedic insoles

For deformity correction, various types of insoles and polustelek. It is best suited for this insole, made to order. With their help, it reduces the load on leg joints, improves blood circulation of the foot, reduces the feeling of fatigue in the legs.

Sometimes hard to fit insoles in shoes, especially the standard. Therefore, in order to correct pathological disorders in the foot can be used polustelki - a shortened version of the conventional insole (without anterior division).

In some mild cases may permit the wearing orthopedic orthopedic heel cushions.

Surgery

For surgery, in most cases, already resorted to advanced stages of the disease. Although surgery can be done at the beginning of valgus deformity, in this case, the surgery will be both the prevention of osteoarthritis in the first metatarsophalangeal joint. Modern surgical technique does not destroy the joints retain its support ability and mobility.

There are some ways to surgery:

• reconstruction of deformed bones;
• removing buildup operational manner;
• operation, whereby balanced periarticular muscles;
• holding the distal and proximal osteotomy, which is to change the angle between the bones;
• arthrodesis - surgical intervention for joint fixation;
• tendon transfer;
• implanted joints;
• and even about 93 techniques which are selected individually for each patient.

The process of rehabilitation after surgery can last from one to two months and, therefore, for 1.5 months, doctors advise wear special orthopedic boots that will help secure the diseased limb and give it the maximum comfort during movement.

How to prevent bone?

Prevention of the disease includes a number of proven methods:

1. Proper nutrition. Often joint damage causes overweight. From the extra kilos is better to get rid of this diet should be adjusted in favor of a healthy diet. Fatty, smoked and salty foods should be excluded.
2. Wearing comfortable shoes only. Joints that are in the correct position are rarely deformed. In some cases, you can just wear orthotics.
3. Physical exercise. Doctors developed a variety of techniques, allowing to keep your feet in good shape. It is not necessary to go to the gym, gymnastics can be practiced in the home.
4. Foot baths. Effective means relieves tired feet and improves blood circulation. To improve the efficiency should add herbs or sea salt.

When the manifestation of the first unpleasant symptoms better to see a specialist. After conducting a comprehensive diagnosis, he will tell you how and what to treat valgus deformity of the big toe. Only a timely adequate therapy can help avoid surgery.