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, because the bone on the thumb of the leg disfigures not only, but also aggravates the general condition due to pain and chronic inflammation.The choice is practical, but at the same time, beautiful shoes are very difficult.Consequently, the need to identify the causes and the timely treatment of the cone on the thumb of the leg determines the new quality of life.
Why does a bone on your finger occur?
A bump, or a bone on the thumb of the leg, is the name of the pathology used in daily life.In fact, the disease is a valgus deformation of the foot: the deviation of the first bone plus inside with the simultaneous turn of the thumb to the outside.It seems that on the foot at the base of the first finger, a bump appeared or an additional bone formed.
In fact, the angle between the first and the second metatarsal bone changes, the elements of the foot are moved.The head of the protruding joint is a protruding bump on the side.
Risk factors include:
- hereditary predisposition;
- genetic pathology of the skeletal system;
- Characteristics of the foot structure (the bone of the first plus is longer than the norm);
- Metabolic violation (overweight, improving the load on the joints, deposit of uras, violation of the metabolism of carbohydrates);
- Arthritis and osteoarthritis;
- injuries (blow, bruise of the ankle joint, Phalanges du Pouce);
- The elderly age (the quantity of calcium is reduced, the products of the synovial fluid are strongly reduced) leads to changes in the bones and cartilage, the development of the transversal flat feet: 3%-at the age of 15 to 30 years, 9%-31-60 years and 16%for people aged 60 years.
According to statistics, a woman is subject to the development of deformation and the thumb is 20 times more often, compared to a man.This is due to innate weakness and high elasticity of muscles and ligaments, the specifics of shoes.A high heel, a narrow and cramped sock create a large load on the foot.With a long stay on the legs, the probability of developing a scholarship in the thumb is increasing: the foot is "flattened" and deformed.
The presence of another pathology - associated diseases: can cause the development of Hallux Valgus:
- Hormonal restructuring of the body (pregnancy, menopause, adolescence);
- serious illnesses (tuberculosis, septicemia, drop, diabetes, psoriasis);
- High joint mobility in Marfan syndrome, Down disease;
- multiple sclerosis;
- Brain paralysis.
Steps of the development of the disease
The term Hallux Valgus used Carl Heuter for the first time in 1871, which indicated them a deviation from the first finger of the foot out of the central axis of the body.This name describes the changes that take place with the thumb.Hallus is the Latin name of the thumb of the leg, and Valgus is an anatomical term meaning deviation distant from the intermediate line of the body.
Over time, bursitis develops the thumb.A plot of irritated edematous tissue appears, which, due to the constant pressure, causes a thickening of the bone tissue.This increases swelling and friction on shoes.
There are four stages of development of the deformation of the Valgus of the thumb:
- I degree - 15 °, is an aesthetic disadvantage, there is no physical discomfort;
- II degree - 20 °, there is heaviness and pain in the legs with a long step, especially in uncomfortable shoes;
- III degree - 30 °, while there is a slight deformation of the other phalanges and a restriction of the movement of the thumb, constant pain in the joints;
- IV degree - 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, as they develop:
- The hammer -shaped fingers - II and III do not participate in the march;
- Adult nails;
- Corns and cors which can become inflamed and paid;
- Swelling of the foot;
- osteomyelitis.
Therefore, an early diagnosis is important.It will help avoid serious consequences associated with a complication of inflammation.
Valgus deformation in children
The unanswered deformation of the foot in a frequent child pathology is 40 to 80% of all violations of the appropriate development of the legs.Most often suffers:
- preschool child;
- Teenager.
The changes lead to the fact that the climb is reduced, the X -shaped curvature is developing.There are complaints regarding the pain in the legs when walking due to the rapid muscle fatigue, the approach becomes unstable.During the inspection, it is revealed:
- The distance between the ankles with closely tablet knees - more than 5 cm;
- displacement of the arches of the feet;
- Deviation of the heel and the fingers outside;
- Reducing the height of the arc (flat deformation).
Child:
- This occurs only on the inner part of the foot, it has a mixture of mixture;
- Quickly pulls during the matches;
- He complains about pain in the legs and back, convulsions and swelling of the feet.
The shoes run more from the interior surface.
The congenital is due to a genetic defect or a pathological pregnancy, detected after birth, requires surgical correction.
The acquired valgus deformation develops due to:
- Insufficient development of ligaments and tendons;
- Muscle hypotension.
Reasons:
- diseases of the musculoskeletal system;
- Wear an uncomfortable or poorly fixed shoe.
Changes are revealed when the child begins to walk for the first time.This pathology is characteristic of children with a weakened body for:
- a nutrient deficiency during embryogenesis;
- non-preremature;
- Frequent sras.
The deformation is complicated:
- osteoarthritis;
- vertebral curvature;
- flat feet;
- osteochondrosis;
- violation of the form of pelvic bones;
- pathological disorders in the knee and ankle joints;
- shortening of members.
A serious degree of pathology is one of the reasons for invalidity in childhood.
With a minor deformation and rapid and adequate therapeutic treatment, complete restoration of the normal joint function is possible.
Diagnostic methods
After having identified the pathology of the finger, it is necessary to achieve:
- Determine the mobility of the joint of the first and the adjacent fingers;
- radiography (to calculate the angle between bones, detection of structural changes in the bone, the subluxation of the joint);
- calculated planetography (the load on various foot departments is analyzed);
- CT or MRI (for more precise detection of violations in tissues and as a stage of surgery preparation);
- Ultrasound (if a circulatory violation is suspected);
- Consultation of a neuropathologist (with damage to the nerves).
Laboratory studies are necessary to exclude associated diseases and in preparation for surgical treatment.
Treatment methods without surgical intervention
At the start of the disease, when the changes did not take an irreversible character, the back of the foot can be cured without surgery.The prolonged diagnosis leads to surgery, given the following elements:
- In the severe stage of the disease, popular methods, orthosis, taking medication in pharmacies are ineffective;
- The older the patient, the less conservative therapy acts.
Non -churgical treatment gives the result with 1 and 2 degrees of deformation.It is important not to miss the start of the pathology.Popular methods are ineffective.They can only slightly reduce certain symptoms, but the disease will not heal.
For treatment is used:
- massage;
- special exercises;
- weight correction;
- orthopedic shoes;
- carry orthosis;
- Drugs.
The absence of adequate therapy leads to the development of the 3rd and 4th degree of pathology, osteomyelitis: the feet swells, painful cors, suppuration appears.In advanced cases, with a wide angle of displacement of the 1st finger, painful pain is delivered, the purchase of shoes is considerably complicated.
MASSAGE
Initially, massage is carried out by a qualified specialist, in the future, it is necessary to learn to do it yourself.
Objective of assigning massage:
- load distribution and inflammation reduction;
- Restoration of blood circulation (it is necessary to massage the buttocks, feet, fingers, back muscles).
The course is effective 10 times with other rehearsals after time.
Examination of the Valgus deformation pliers
The conservative recovery of the deformed foot includes the compulsory use of orthosis - special orthopedic devices.Their use is ten times cheaper than even the simplest operation.These include:
- fixers;
- Interior and half-platforms;
- hats;
- orthopedic tires;
- Reread at night.
These fix the thumbs of the legs in the right position, providing arranged sleep.It is used at any stage of Hallux Valgus,
But only at night or during the rest, because its design is not intended to wear for shoes.First, put a bandage for several hours, then all night.
C The fixers to correct the thumbs up are:
- Night - hard tires to use only during sleep;
- Daytile - Sweet and articulated bandages for a constant port.
In addition, they can be classified:
- to adjustable and not regulated;
- On the first two fingers of the foot of the foot or without him.
For manufacturing, different materials are used:
- plastic;
- silicone;
- textile.
Plastic replay
Designed to sleep due to large sizes and the rigidity of the structure.This device consists of:
- from a tire immobilizing and holding all the moved fingers;
- A belt that regulates the degree of tension.
Silicone pliers for the thumb on the leg
It is an entire tab, which is closely attached to maintain the joints in a natural position between the second and first fingers of the foot.They:
- soft;
- sustainable;
- Suitable for all shoes;
- Do not rub and do not form the corns;
- They have universal dimensions.
Fabric bandages
It is a toe with specially sewn tabs.The correct position is capable of turning the foot, provided they are used in the first stages of the disease.To improve the therapeutic effect, the flexible material is combined with hard.These tests include a hinge valgus tire.He combines:
- hypoallergenic medical plastic;
- Durable mild 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 correctors with an additional fixer and regulator.These functions allow:
- Change the displacement angle of the joint in the right direction, eliminating the defect;
- Reduce the load, correcting the curvature of the other fingers.
Treatment of drugs and physiotherapy
The use of drugs is a symptomatic treatment.Aimed at reducing inflammation and pain relief.Most methods are effective in the initial stage of the disease.The following groups of drugs are used:
- analgesics;
- GKS;
- NSAIDs (non-steroidal anti-inflammatory drugs);
- Improvement of microcirculation in the tissues, venous outlet;
- Antibacterial drugs.
A tablet or injection is prescribed according to the state of the joint.Sometimes intra-articular injections are used.They relate to medical procedures.
With metabolic disorders or systemic diseases, the underlying disease is treated.It is prescribed by narrow specialists: a rheumatologist or an endocrinologist.
Exercise therapy
Treatment with load and gymnastics is used at the first stages of the disease.Doctors prescribe gymnastics for:
- withdrawal of 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.The burden must take into account the development stages of the musculoskeletal system.Examples of exercises performed seated (each exercise must be done 20 times):
- Fold your fingers on the legs;
- Set your legs, pull your fingers on yourself, try to combine the soles of the feet with each other;
- the fingers to lift a sheet of elongated paper on the ground;
- Leg rotation movements;
- Complete the legs of the legs with a sheet of paper;
- Keep your feet the most tense for several minutes in the position adopted;
- Keep your legs in position with wide fingers of the foot;
- Five and extend your toes to feel fatigue alternately;
- Roll the bottle on the floor with steps for several minutes.
Exercises carried out while walking barefoot:
- Alternate walking on socks and heels with raised hands and on the belt;
- movement on the outside and inside of the foot, folding the fingers;
- Transfer of the gravity of the body of socks to heels and back;
- Raising the sock, while standing on the interior surfaces of the members.
A set of exercises for the formation of finger joints:
- Stretch the elastic band between the fingers;
- Collect the ball or a special roll with your fingers;
- Skating skating: several minutes of loading for each leg;
- Circular movements with thumbs.
DIET
An important role in the fight with this pathology is played by good nutrition:
- Fat, smoked, high, too salty foods are excluded;
- Sweet consumption decreases.
This reduces inflammatory processes.Products with high content of vitamins A, E, C. The correct diet leads to a decrease in overweight, which is one of the frequent causes of deformation valgus of the legs.In the presence of serious illnesses which lead to the pathology of joints or associated with metabolism disorders, special diets prescribed by narrow specialists are used.
Popular treatment
No folk method is able to save the Haus valgus, as it is an organic joint defect.Compresses, baths and domestic ointments generally have a symptomatic effect used in popular medicine: symptomatic effects:
- slightly reduce inflammation;
- Reduce pain.
But they are not the basis of treatment, but are used as adding to the prescription of a doctor.
Useful product
Currently, turnover in the sense of advertising a healthy lifestyle (healthy lifestyle) has won a new product.It includes products that include beekeeping products:
- Honey;
- pollen;
- propolis;
- Dress;
- wax;
- uterine milk and drone;
- Bee shooting 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.
The means for internal and external use are proposed:
- Nutrients;
- honey drinks;
- healing balms;
- Cream and ointment for joints;
- tonic;
- Body and hair care products;
- Cosmetic collections of hand and feet;
- Oral cavity care products;
- detergents;
- immunostimulant products;
- Children's health prevention series.
But many positive patient journals are not an objective assessment.When choosing a folk remedy, it is necessary to consult a specialist.They are doctors who later deal with the consequences of popular drugs with a wide range of use.They have nothing to do with drugs.If the patient refuses prescribed therapy, self-medication with the use of a means that heals all diseases at a time, pathology will lead to complications in which surgery should be used.
Maklura
Popular healers consider that it is effective in getting rid of a bump on the maklura - Adam's Apple (Chinese orange, Indian orange).The fruit looks like a green apple or an immature orange.It is found in China and Central Asia.For the treatment of the valgus, dyes, ointments, oil hoods are recommended.The plant contains toxic substances.Due to the low knowledge of its beneficial properties, traditional medicine does not use the factory in the manufacture of dose forms.It is prohibited to use it under the following conditions:
- There is diabetes;
- individual intolerance;
- Possible allergic reactions.
Sold in the form of ready -to -use dose forms.When the first signs of oppression and deterioration appear, it is necessary to stop treatment due to the fact that the plant is very toxic.
Other methods
The Bay Leaf is considered the best home remedy for the treatment of Hallux Valgus.The drug is prepared in a week.Its use relieves the pain and reduces the tumor with the finger.The necessary components:
- 100 ml of 96%alcohol;
- 5 large bay leaves;
- 1 tablespoon of sodium bicarbonate;
- 3 liters of water.
Recipe: Pour alcohol from bay leaves, insist in a dry place for 1 week at room temperature.Before use, hold the legs in a thermal solution of sodium bicarbonate.Before going to bed, rub the product resulting in the joint, put cotton socks.
Apply to the affected areas before going to bed the following funds are recommended:
- Add 10 ml of iodine to crushed acetylsalicylic acid (200 mg), mix with a homogeneous consistency - this sou will considerably improve the condition with regular use;
- lemon juice and iodine - use for 2 weeks;
- iodine salt for the preparation of hot baths;
- Vinegar and iodine (10 drops of iodine for 2 teaspoons of table vinegar).
The ointments are recommended, including medical bile (ready -to -use pharmacy forms are sold).
But all of these measures can only temporarily relieve suffering by relieving pain and heaviness in the legs.They will not be able to completely repair the bone.A bump without medical care will continue to grow.
Who contacts 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 surgery without surgery
Doctors believe that the treatment of deformation valgus of the foot without surgery is quite possible.
Stop its development in the early stages:
- Correct shoes;
- Orthopedic correctors;
- Interior soles to normalize the loads on the entire foot;
- Physiotherapy (massage, ultrasound, diathermia);
- daily therapeutic gymnastics;
- regular feet baths;
- The fight against excess weight.
In which case is the operation necessary?
The objectives of the operational treatment method:
- Get rid of the cones;
- straighten your finger;
- prevent new growth in bone;
- fight complications;
- Remove the other deformations from the formed foot.
Surgical intervention is shown in the presence of:
- Transversal flat feet of degree II-IV;
- progression of pathology, accompanied by a symptom of persistent pain;
- poorly corrected violation of the musculoskeletal function of the foot;
- Pronounced aesthetic gaps (the desire to get rid of deformation and wear more elegant shoes).
The operation is carried out in the absence of the effect of conservative therapy.
Currently, there are more than 400 radical intervention methods to correct transverse flat feet complicated by the formation of cones on the legs.About 200 of them are used worldwide.
Free to be processed in terms of operational level can get any face in accordance with the compulsory medical insurance policy.For this, there are quotas, but the waiting time can be several months to send an orthopedist or a traumatologist for surgery.The type of operation depends on hospital equipment, the availability of the necessary specialists.At the same time, you can eliminate the incarnated nail, straighten the curve of the Pitty darks, which sees the skin as a complication of the pathology.
Small invasive methods
Minor invasive surgery contributes to the correction of the 1st finger of the foot.Methods with minimal bone displacement and scars are used by intervention on soft tissues.After treatment, the finger begins to fold.
Miniinoval method - percutaneous elimination of the bump on the leg.It is used to eliminate moderately pronounced curvature and fight against a violation of the function of the foot.Operations consist of excision of bone tissue.Recovery after a valgus operation of this type occurs quickly.
Invasive surgical treatment is a distal displacement: the 1st finger of the foot moves distly, from the 1st joint of the end of the glow.It is carried out with a degree of soft or moderate deformation of the foot, the finger begins to straighten.Well tolerated titanium screws are used, which do not require withdrawal.After this operation, the patient does not feel any inconvenience.A good cosmetic result with a minimum of scars is obtained.
Lateral release (drawing the medial joint capsule) is another method of mini-invasive surgical treatment.It has several advantages:
- Minimum damage to soft tissue;
- Little traumativity helps reduce the recovery process (adult patients become mobile in a short time);
- Reduce the postoperative edema of the foot compared to other surgical interventions.
Operations related to bone manipulations can be carried out not only using traditional surgical instruments.The modern method is used - the use of laser, therapy with shock waves (UVT).On the joint begins to act in a shock wave.This allows several sessions to crush the joint bag and level the index of the foot.He ceases to deviate and go out, causing discomfort and pain, his appearance improves.Healing occurs after 4 to 5 sessions.They must take place once a week.
If osteoarthritis of the first metatarsophalangeal joint has developed, mini-invasive treatment cannot be carried out.In this case, a triple arthrodesis is carried out by the device.This is a special operation when the complete immobility of the articulation is artificially created.
Preventive recommendations
To combat pathology, a whole range of measures is used.Adults and children need:
- Physiotherapy physiotherapy;
- massage;
- Orthosis (involves wearing orthopedic shoes or using special inserts in shoes).
How to avoid the occurrence of a bone?
In order to avoid the occurrence of a pathology, a pathology is necessary:
- Orthopedic examination for timely detection of flat feet;
- decrease in body weight;
- adequate treatment of associated diseases;
- Compliance with the work and rest regime if the profession is associated with a long stay on the legs.
The choice of comfortable shoes
In the 19th century, it was common for Khalus Valgus to be the result of the growth of the bone tissue of the first metatarsal bone and its soft power shell due to poorly selected shoes.Opinion was trained on the basis of 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 wearing of shoes to daily wear.The pathology of foot joints develops because of:
- Talus too large;
- narrow or excessively wide nose;
- Incorrect size.
The bursitis of the thumb of the foot, which is initially developing, is the result of the reaction to the pressure of the shoes.
A condition that will help avoid injury to the foot and develop new serious complications wear prnavilical shoes:
- without studs;
- Without lively nose;
- natural materials;
- With a heel not greater than 5 cm.
This will keep your legs beautiful and healthy.