The treatment of the bone on the thumb leg should start immediately after confirming the diagnosis to prevent complications.In the first signs of the disease, it is worth contacting an orthopedist, since the bone on the thumb of the leg not only disfigures it, but also worsens the general conditions due to the pain and chronic inflammation.The choice is convenient, but at the same time the beautiful shoes are very difficult.Therefore, the need to identify the causes and timely treatment of the cone on the thumb of the leg determines the further quality of life.
Why does a bone occur on the finger?
A binnoccolo, or a bone on the thumb of the leg, is the name of the pathology that is used in everyday life.In fact, the disease is a deformation of the foot of the foot: the deviation of the first bone more inside inside with the simultaneous turning point of the thumbs towards the outside.It seems that an additional bone has been formed on the base of the first finger at the first finger.
In fact, the corner between the bones of the first and the second metataleal changes, the elements of the foot are moved.The head of the protruding joint is a Bump that protrudes on the side.
Risk factors include:
- hereditary predisposition;
- genetic pathology of the skeletal system;
- Characteristics of the foot structure (the first bone is longer than the norm);
- Metabolic violation (overweight, improvement of loading on the joints, deposition of underground, violation of the metabolism of carbohydrates);
- arthritis and arthrosis;
- lesions (blow, bruises of the ankle joint, picols of the thumb);
- The age of the elderly (the quantity of calcium is reduced, the products of the synovial fluid are clearly reduced) leads to changes in the bones and cartilage, the development of transparent dishes: 3%-on the age of 15-30 years, 9%-31-60 years and 16%for the older ones of 60 years.
According to statistics, a woman is subject to the development of the deformation and the thumb is 20 times more often, compared to a man.This is due to the innate weakness and the high elasticity of the muscles and ligaments, the details of the shoes.A high heel, a narrow and narrow sock creates a large load on the foot.With a long living room on the legs, the probability of developing thumb surveillance increases: the foot is "flattened" and deformed.
The presence of another pathology - associated diseases: it can cause the development of Hallux Valgus:
- hormonal renovation of the body (pregnancy, menopause, adolescence);
- serious diseases (tuberculosis, sepsis, gout, diabetes, psoriasis);
- High joint mobility in Marfan syndrome, Down disease;
- Multiple sclerosis;
- Cerebral paralysis.
Disease development phase
The term Hallux Valgus used Carl Heuter for the first time in 1871, which indicated them a deviation of the first finger of the foot outside the central axis of the body.This name describes the changes that take place with the thumb.Hallus is the Latin name of the leg of the leg and Valus is an anatomical term that means deviation away from the average line of the body.
Over time, Borsite develops the thumb.An irritated edematous tissue diagram is displayed, which, due to constant pressure, leads to a thickening of the bone tissue.This increases swelling and friction for shoes.
There are four phases of development of the deformation of the thumb valgus:
- I degree - 15th, is an aesthetic disadvantage, there is no physical discomfort;
- II degree - 20 °, there is heaviness and pain in the legs with long walks, especially in uncomfortable shoes;
- III degree - 30 °, while there is a slight deformation of other phalanges and restriction of the movement of the thumb, constant pain in the joints;
- Grade IV - More than 30 °, there is a significant deformation of almost all the phalanges of the fingers and the entire foot, the pain is present at rest.
III and IV are dangerous for health while developing:
- Hammer -shaped deformation - fingers II and III do not take part in the walk;
- cultivated nails;
- seeds and tutes that can inflame and pour;
- swelling of the foot;
- Osteomyelitis.
Therefore, early diagnosis is important.It will help to avoid serious consequences associated with a complication of inflammation.
Valgus Deformation in children
The simple deformation of the foot in a frequent child's pathology is 40-80% of all violations of the correct development of the legs.The most often suffers:
- preschool child;
- teenager.
The changes lead to the fact that the increase is reduced, the X -shaped curvature develops. There are complaints for leg pain when walking due to the rapid effort of the muscles, the pace becomes unstable.During the inspection, it is revealed:
- The distance between the ankles with strictly compressed knees - more than 5 cm;
- movement of the arches of the feet;
- deviation of the heel and fingers outside;
- Reduce the height of the arch (flat deformation).
Child:
- It occurs only in the inside of the foot, has a mixed pace;
- tires quickly during the games;
- He complains of pain in the legs and back, convulsions and swelling of the feet.
The shoes are more shot by the internal surface.
The congenital is due to a genetic defect or a pathological pregnancy, detected after birth, requires surgical correction.
The Valgus deformation acquired in the foot develops due to:
- Insufficient development of ligaments and tendons;
- muscle hypotension.
Reasons:
- Diseases of the musculoskeletal system;
- Wear a foot of uncomfortable or scarcely fixed shoes.
The changes are revealed when the child starts walking for the first time.This pathology is characteristic of children with a weakened body for:
- a lack of nutrients during the embryogenesis;
- not premature;
- Will be frequent.
The deformation is complicated:
- arthrosis;
- Spinal curvature;
- flat feet;
- osteochondrosis;
- violation of the shape of the pelvic bones;
- pathological disorders in the joints of the knee and ankle;
- Shortening the limbs.
A serious degree of pathology is one of the reasons for disability in childhood.
With a minor deformation and a timely and adequate therapeutic treatment, a complete restoration of the normal function of the joints is possible.
Diagnostic methods
After identifying the pathology of the finger, it is necessary to perform:
- determine the mobility of the articulation of the fingers before and adjacent;
- X -ray (to calculate the corner between the bones, the detection of structural changes in the bone, the subluxation of the joint);
- Computer planetography (the load is analyzed on various foot departments);
- CT or magnetic resonance imaging (for a more accurate detection of violations in tissues and as a phase of preparation for surgery);
- Ultrasound (if a circulatory violation is suspected);
- Consultation of a neuropathologist (with nerves damage).
Laboratory studies are needed to exclude associated diseases and in preparation for surgical treatment.
Treatment methods without surgery
In the initial phase of the disease, when the changes have not taken an irreversible character, the back of the foot can be treated without surgery.The prolonged diagnosis leads to surgery, given the following:
- In the serious phase of the disease, the folk methods, which wear the orthoses, the intake of drugs are ineffective;
- The older is the patient, the less conservative therapy acts.
Non -surgical treatment provides the result with 1 and 2 degrees of deformation.It is important not to lose the beginning of the pathology.Folk methods are ineffective.They can only slightly reduce some symptoms, but the disease will not take care of.
For treatment are used:
- massage;
- special exercises;
- weight correction;
- Orthopedic shoes;
- wear orthosis;
- Medicines.
The lack of adequate therapy leads to the development of the 3rd and 4th degree of pathology, osteomyelitis: the feet swell, the painful seeds have appeared, the suppuration.In advanced cases, with a large movement angle of the 1st finger, painful pain is paid, the purchase of shoes is significantly complicated.
MASSAGE
Initially, the massage is performed by a qualified specialist, in the future it is necessary to learn to do it alone.
The purpose of the assignment of the massage:
- Distribution of the load and reduction of inflammation;
- Restoration of the blood circulation (it is necessary to massage the buttocks, the feet, the fingers, the muscles of the back).
The course is effective 10 times with further repetitions after time.
Revision of Valgus deformation terminals
The conservative straightening of the deformed foot includes the mandatory use of orthosis: special orthopedic devices.Their use is ten times cheaper even than the simplest operation.These include:
- fixing;
- Somettes and Set of Set of Set of Set;
- screeds;
- orthopedic tires;
- Night surrender.
The latter fixes the thumb of the legs in the correct position, providing Arapeutic sleep.It is used at any phase of Hallux Valgus,
But only at night or during the rest, since its design is not destined to wear shoes.First, put a bandage for several hours and then all night.
Fixers C to correct the thumb of the legs are:
- Night - hard tires for use only during sleep;
- Daytime - Soft and articulated bandages to wear constant.
In addition, they can be classified:
- to adjustable and not regulated;
- On the first two fingers of the foot of the foot or without it.
For production, different material is used:
- plastic;
- silicone;
- textile.
Plastic draft surfaces
Designed to sleep due to large size and rigidity of the structure.This device consists of:
- from a tire immobilize and keep all the fingers displaced;
- From a belt that regulates the degree of tension.
Silicone clamps for the thumb on the leg
It is an entire cast card, which is strictly attached to keep the joints in the natural position between the second and the first fingers of the foot.They:
- soft;
- durable;
- Suitable for any shoe;
- Do not rub and do not form the seeds;
- They have small universal dimensions.
Fabric bandage
This is a finger with specially sewn cards.The correct position is able to return the foot, provided that they are used in the early stages of the disease.To improve the therapeutic effect, the soft material is combined with hard.These drafts of drafts include a valgus tire.It is combined:
- Hypoallergenic hypoallergenic medical plastic;
- Durable soft fabric;
- Suitable for both legs.
Help:
- uniform distribution of the load on the foot;
- Correction of the deformation by pulling the thumb;
- Restoration of feet mobility by increasing the elasticity and flexibility of muscle fibers.
The advantage is used by the correctors with an additional fixing and regulator.These functions allow:
- change the movement angle of the joint in the right direction, eliminating the defect;
- Reduce the load, correcting the curvature of other fingers.
Pharmacological treatment and physiotherapy
The use of medicines is a symptomatic treatment.Aimed at reducing inflammation and pain relief.Most of the methods are effective in the initial phase of the disease.The following groups of drugs are used:
- painkillers;
- GKS;
- NSAIDs (non -pounded anti -anti -inflammatory drugs);
- Improve microcirculation in the tissues, venous outflow;
- Antibacterial drugs.
A tablet or an injection is prescribed according to the condition of the joint.Sometimes Intra -articular injections are used.Refer to medical procedures.
With metabolic disorders or systemic diseases, the disease below is treated.It is prescribed by restricted specialists: an rheumatologist or an endocrinologist.
Operating therapy
The treatment with charging and gymnastics is used in the early stages of the disease.Doctors prescribe gymnastics for:
- removal of the edema;
- improvement of joint mobility;
- Reduce the symptom of pain.
The real result of gymnastics occurs with regular execution.Gymnastics for children and adults differs.Refill should take into account the phases of the development of the musculoskeletal system.Examples of seated exercises (each exercise must be done 20 times):
- Fold the fingers on the legs;
- Straightened the legs, pull your fingers on you, try to combine the sole of the feet with each other;
- Fingers to lift a sheet of paper lying on the floor;
- Rotational movements of the legs;
- Complete the legs of the legs with a sheet of paper;
- Keep your feet more tense for several minutes in the position adopted;
- Keep your legs in a position with wide fingers;
- Five and extend the toes to feel the fatigue alternately;
- Roll the bottle on the floor with the steps for several minutes.
Exercises performed while I was walking barefoot:
- alternating walking on socks and heels with raised hands and on the belt;
- Movement on the outside and internal side of the foot, bending the fingers;
- transfer of the severity of the body from socks to heels and back;
- Raising the sock, while he was on the internal surfaces of the limbs.
A series of exercises for the joints of the fingers:
- extend the elastic band between the fingers;
- Tighten the ball or a special roller with your fingers;
- Skating skating: several minutes of load for each leg;
- Circular movements with inch.
DIET
An important role in the struggle with this pathology is played by proper nutrition:
- The fatty, smoked, sharp, too salty foods are excluded;
- Sweet consumption decreases.
This reduces inflammatory processes.Products with a high content of vitamins A, and, C. the correct diet leads to a decrease in overweight, which is one of the frequent causes of the valgus deformation of the legs.In the presence of serious diseases that lead to the pathology of the joints, or associated with metabolism disorders, special diets prescribed by restricted specialists are used.
Popular treatment
No popular method is able to save Valgus Halus, since it is an organic articulation defect.The compositions, bathrooms and domestic ointments usually have a symptomatic effect used in folk medicine: symptomatic effects:
- slightly reduce inflammation;
- Reduce pain.
But they are not the basis for treatment, but they are used as added to the prescription of a doctor.
Useful product
Currently, the turnover in the direction of advertising a healthy lifestyle (healthy lifestyle) has gained a new product.Includes goods that include beekeeping products:
- Honey;
- pollen;
- Propolis;
- PARCH;
- there was;
- uterine milk and drone;
- Ape fire extract;
- chitosan.
At the same time, the product, as indicated in the instructions, can be used to treat vision, the pathology of the digestive tract, gynecological diseases, cardiovascular and nervous systems, colds.
Means for internal and external use are offered:
- Drages nutrients;
- honey drinks;
- healing balms;
- cream and ointment for the joints;
- tonic;
- Body and hair care products;
- Cosmetic collections of hand and feet;
- products for the care of the oral cavity;
- detergents;
- immunostimulating products;
- Series of health prevention for children.
But many positive reviews of patients are not an objective evaluation.When choosing a popular remedy, you need to consult a specialist.These are the doctors who later deal with the consequences of popular drugs with a wide range of use.They have nothing to do with medicines.If the patient refuses the prescribed therapy, the car -mediation with the use of a vehicle that takes care of all diseases simultaneously, the pathology will lead to complications in which surgery will have to be used.
Maklura
Folk healers consider him effective to get rid of a hearing on the foot Maklura - Apple of Adam (Chinese orange, Indian orange).The fruit recalls a green apple or an immature orange.It is located in China and Central Asia.For the treatment of valgus, tinctures, ointments, oil hoods.The plant contains toxic substances.Due to the low knowledge of its beneficial properties, traditional medicine does not use the system in the production of dosage forms.It is forbidden to use it in the following conditions:
- There is diabetes;
- individual intolerance;
- Possible allergic reactions.
Sold in the form of forms of dosage ready.When the first signs of oppression and deterioration appear, it is necessary to stop the treatment due to the fact that the plant is very poisonous.
Other methods
The bay leaf is considered the best home remedy for the treatment of Hallux Valgus.The medicine is prepared within a week.Its use relieves pain and reduces finger cancer.The necessary components:
- 100 ml of alcohol at 96%;
- 5 large bay leaves;
- 1 tablespoon of sodium bicarbonate;
- 3 liters of water.
Recipe: Pour alcohol of bay leaves, insist in a dry place of 1 week at room temperature.Before use, keep your legs in a sodium bicarbonate heat solution.Before going to bed, rub the product resulting in the joint, put on cotton socks.
It is recommended to apply to the areas concerned before going to bed the following funds:
- Add 10 ml of iodine acetylsalicylic acid iodine (200 mg), mixes with a homogeneous consistency: this penny will significantly improve the condition with regular use;
- lemon and iodine juice - use for 2 weeks;
- salt with iodine for the preparation of hot baths;
- Vinegar and iodine (10 drops of iodine for 2 teaspoons of table vinegar).
Ointments are recommended, which include medical bile (ready -made pharmaceutical modules are sold).
But all these measures can only temporarily alleviate suffering by breeding the pain and heaviness in the legs.They will not be able to completely repair the bone.A Bernoccolo without medical care will continue to grow.
Who to contact for help?
The pathology of bones and joints requires specialized medical care.If the first signs of the disease appear, it is necessary to contact a traumatologist or an orthopedist.
On the treatment without surgery
The doctors believe that the treatment of the deformation of Valgus del Pieda without surgery is completely possible.
Stop its development in the early stages can:
- correct shoes;
- Orthopedic correctors;
- sunshine to normalize the loads on the set of the foot;
- Physiotherapy (massage, ultrasound, diathermia);
- Daily therapeutic gymnastics;
- regular toilet bathrooms;
- The fight against excess weight.
In which cases is the operation necessary?
The objectives of the operating treatment method:
- Get rid of the cones;
- straightened the finger;
- prevent further growth of the bone;
- fight complications;
- Remove other deformations of the format formed.
The surgery is shown in the presence of:
- Transversal dishes of Grado II-IV;
- progression of the pathology, accompanied by a symptom of persistent pain;
- poorly correct violation of the musculoskeletal function of the foot;
- Aesthetic deficiencies pronounced (the desire to get rid of deformation and wear more elegant shoes).
The operation is performed in the absence of the effect of conservative therapy.
Currently, there are more than 400 radical intervention methods to correct transverse dishes complicated by the formation of cones on the legs.About 200 of them are used in the world.
Free to be treated at an operational level, it can obtain any face based on the compulsory medical insurance policy.For this, there are quotas, but waiting times can be several months to send an orthopedist or traumatologist for surgery.The type of operation depends on the hospital equipment, on the availability of the necessary specialists.At the same time, it is possible to remove the incarnitated nail, straighten the curve of the drowned crowds, which is sealing the skin as a complication of the pathology.
Small methods -vasive
Mild invasive surgery contributes to the correction of the position of the 1st finger of the foot.The methods with minimum bone movement and scars are used for intervention on soft tissues.After the treatment, the finger begins to bend.
MINIINOVAL METHOD - Percutaneous removal of the Bump on the leg.It is used to eliminate the moderately pronounced curvature and fight a violation of the function of the foot.Operations consist in the excision of bone tissue.Recovery after Valgus operation of this type occurs quickly.
Small invasive surgical treatment is a distal shift: the 1st finger of the foot moves distantly, starting from the 1st joint of rainfall.It is performed with a slight or moderate degree of deformation of the foot, the finger begins to straighten.Well -tolerated titanium screws are used, which do not require removal.After this operation, the patient does not feel any inconvenience.A good cosmetic result is obtained with minimal scars.
The lateral release (which pulls the capsule of the medial articulation) is another method of minimally invasive surgical treatment.It has several advantages:
- they damage minimal tissues;
- Little traumativity helps to reduce the recovery process (adult patients become furniture in a short time);
- Reduce the postoperative edema of the foot compared to other surgical interventions.
Operations relating to bone manipulations can be performed not only with the help of traditional surgical tools.The modern method is used, the use of the laser, the therapy of shock waves (UVT).On the joint he begins to act in a shock wave.This allows different sessions to crush the joint bag and level the foot index.Ceases to deviate and protrude, causing discomfort and pain, its appearance improves.Healing takes place after 4-5 sessions.They must be retained once a week.
If the arthrosis of the first metatarsal -Falangea joint has developed, it is not possible to carry out a minimally invasive treatment.In this case, the device is performed a triple arthrodesis.This is a special operation when the complete immobility of the joint is artificially created.
Preventive recommendations
To combat the pathology, an entire range of measures is used.Both adults and children need:
- physical education of physiotherapy;
- massage;
- Orthosis (provides for the use of orthopedic shoes or the use of special inserts in shoes).
How to avoid the occurrence of a bone?
In order to avoid the occurrence of the pathology, pathology is required:
- Orthopedic examination for timely detection of the flat feet;
- decrease in body weight;
- adequate treatment of associated diseases;
- Compliance with the working and rest regime if the profession is associated with a long stay on the legs.
The choice of comfortable shoes
In the nineteenth century, it was common that Khalus Valgus was the result of the growth of the bone tissue of the first metatarsal bone and its soft tower shell due to scarcely selected shoes.The opinion was formed on the basis of the observations: the disease is almost never found in cultures that do not wear shoes.
Many problems that arise in the legs are a consequence of pathological pressure or friction due to the wear of the shoes selected for daily clothing.The pathology of the foot joints develops due to:
- Tanno too large;
- narrow nose or excessively wide;
- Incorrect dimensions.
Borsite of the thumb of the foot, which develops initially, is the result of the reaction to the pressure of the shoes.
A condition that will help to avoid foot injuries and develop further serious complications is to wear PNAvilic shoes:
- without studs;
- without sharp noses;
- from natural materials;
- With a heel not exceeding 5 cm.
This will allow you to keep your legs beautiful and healthy.