Treatment of the bone on the leg of the thumb should begin immediately after confirming the diagnosis to prevent complications.At 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 condition due to pain and chronic inflammation.The choice is convenient, but at the same time 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 on your finger occur?
A bump, 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 valgus deformation of the foot: the deviation of the first plus bone in the inside with the simultaneous turn of the thumb outward.It seems that on the foot at the base of the first finger a bump arose or an additional bone formed.
In fact, the angle between the first and second metatarsal bones changes, the elements of the foot are displaced.The head of the protruding joint is a bump protruding on the side.
Risk factors include:
- hereditary predisposition;
- genetic pathology of the skeletal system;
- Features of the structure of the foot (the first plus bone is longer than the norm);
- metabolic violation (overweight, enhancing the load on the joints, deposition of urates, violation of carbohydrate metabolism);
- arthritis and arthrosis;
- injuries (blow, bruise of the ankle joint, phalanges of the thumb);
- The elderly age (the amount of calcium is reduced, the products of the synovial fluid are sharply reduced) leads to changes in bones and cartilage, the development of transverse flat feet: 3%-at the age of 15-30 years, 9%-at 31-60 years and 16% for those older than 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 the 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 likelihood of developing Bursite of the thumb increases: the foot is “flattened” and deformed.
The presence of another pathology - associated diseases: can provoke the development of Hallux Valgus:
- hormonal restructuring of the body (pregnancy, menopause, adolescence);
- serious diseases (tuberculosis, sepsis, gout, diabetes, psoriasis);
- High articular mobility in marfan syndrome, Down's disease;
- multiple sclerosis;
- Cerebral paralysis.
Stages of development of the disease
The term Hallux Valgus first used Carl Heuter in 1871, which indicated them a deviation of the first finger of the foot out of the central axis of the body.This name describes the changes taking place with the thumb.Hallus is the Latin name of the thumb of the leg, and Valgus is an anatomical term meaning deviation away from the middle line of the body.
Over time, Bursitis develops the thumb.A plot of irritated, edematous tissue appears, which, due to constant pressure, leads to a thickening of bone tissue.This increases swelling and friction about shoes.
There are four stages of development of the thumb valgus deformation:
- I degree - 15 °, is an aesthetic disadvantage, there is no physical discomfort;
- II degree - 20 °, there is heaviness and pain in the legs with long walking, 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;
- IV degree - more than 30 °, there is a significant deformation of almost all phalanges of the fingers and the entire foot, the pain is present at rest.
III and IV degree are dangerous to health, as they develop:
- Hammer -shaped deformation - II and III fingers do not take part in walking;
- grown nails;
- corns and corns that can become inflamed and poured;
- 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
Plain-free deformation of the foot in a child-a frequent pathology, is 40-80% of all violations of the proper development of the legs.Most often suffers:
- preschool child;
- teenager.
Changes lead to the fact that the rise is reduced, X-shaped curvature develops.There are complaints about pain in the legs when walking due to the rapid fatigue of the muscles, the gait becomes unstable.During the inspection, it is revealed:
- the distance between the ankles with tightly compressed knees - more than 5 cm;
- displacement of the arches of the feet;
- deviation of the heel and fingers in the outside;
- Reducing the height of the arch (flat -stroke deformation).
Child:
- It occurs only on the inner part of the foot, he has a shuffling gait;
- quickly tires during games;
- He complains about pain in the legs and back, convulsions and swelling of the feet.
Shoes are more spinning from the inner surface.
Congenital is due to a genetic defect or pathological pregnancy, detected after birth, requires surgical correction.
The acquired valgus deformation of the foot develops due to:
- insufficient development of ligaments and tendons;
- muscle hypotension.
Reasons:
- diseases of the musculoskeletal system;
- Wearing an uncomfortable or poorly fixing foot of shoes.
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 deficiency of nutrients during embryogenesis;
- non -prematureness;
- frequent SARS.
Deformation is complicated:
- arthrosis;
- spinal curvature;
- flat feet;
- osteochondrosis;
- violation of the shape of the pelvic bones;
- pathological disorders in the knee and ankle joints;
- shortening of the limbs.
A severe degree of pathology is one of the reasons for disability in childhood.
With minor deformation and 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 carry out:
- determining the mobility of the joint of the first and adjacent fingers;
- radiography (for calculating the angle between the bones, the detection of structural changes in the bone, the subluxation of the joint);
- computed planetography (the load on various departments of the foot is analyzed);
- CT or MRI (for a more accurate detection of violations in the tissues and as a stage of preparation for surgery);
- Ultrasound (if circulatory violation is suspected);
- Consultation of a neuropathologist (with nerves damage).
Laboratory studies are necessary to exclude associated diseases and in preparation for surgical treatment.
Treatment methods without surgical intervention
In the early stage of the disease, when the changes did not take on an irreversible character, the back of the foot can be cured without surgery.Prolonged diagnosis leads to surgical intervention, given the following:
- In the severe stage of the disease, folk methods, wearing orthosis, taking pharmacy drugs are ineffective;
- The older the patient, the less conservative therapy acts.
Non -surgical treatment gives the result with 1 and 2 degrees of deformation.It is important not to miss the beginning of the pathology.Folk methods are ineffective.They can only slightly reduce some symptoms, but the disease will not cure.
For treatment are used:
- massage;
- special exercises;
- weight correction;
- orthopedic shoes;
- wearing orthosis;
- Medicines.
The lack of adequate therapy leads to the development of the 3rd and 4th degree of pathology, osteomyelitis: the feet swell, painful corns, suppuration appear.In advanced cases, with a large angle of displacement of the 1st finger, painful pain is delivered, 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 how to do it yourself.
Purpose of the assignment of massage:
- load distribution and reduction of inflammation;
- Restoration of blood circulation (it is necessary to massage the buttocks, feet, fingers, back muscles).
The course is effective 10 times with further repetitions after time.
Review of Valgus deformation clamps
The conservative straightening of the deformed foot includes the mandatory use of orthosis - special orthopedic devices.Their use is ten times cheaper than even the simplest operation.These include:
- fixators;
- insoles and half -settings;
- screeds;
- orthopedic tires;
- Night proofreaders.
The latter fix the thumb of the legs in the correct position, providing arapeutic sleep.It is used at any stage of Hallux Valgus,
But only at night or during the rest, since its design is not intended for wearing for shoes.First, put on a bandage for several hours, and then for the whole night.
C fixers for correcting the thumb of the legs are:
- Night - hard tires for use only during sleep;
- Daytime - soft and articulated bandages for constant wearing.
Additionally, they can be classified:
- to adjustable and unregulated;
- on the first two fingers of the foot of the foot or without it.
For manufacture, different material is used:
- plastic;
- silicone;
- textile.
Plastic proofreaders
Designed for sleeping due to large sizes and stiffness of the structure.This device consists of:
- from a tire immobilizing and holding all the displaced fingers;
- From a belt that regulates the degree of tension.
Silicone clamps for the thumb on the leg
It is a whole cast tab, which is tightly attached to hold the joints in the natural position between the second and first fingers of the foot.They:
- soft;
- durable;
- Suitable for any shoes;
- do not rub and do not form corns;
- They have small universal dimensions.
Fabric bandages
This is a toe with specially sewn tabs.The correct position is able to return the foot, provided they are used in the first stages of the disease.To enhance the therapeutic effect, the soft material is combined with hard.Such proofreaders include a hinge valgus tire. It combines:
- hypoallergenic medical plastic;
- durable soft fabric;
- Suitable for both legs.
Helps:
- uniform distribution of the load on the foot;
- correction of deformation by pulling the thumb;
- restoration of foot 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 angle of displacement of the joint in the right direction, eliminating the defect;
- Reduce the load, correcting the curvature of other fingers.
Drug treatment and physiotherapy
The use of medicines is a symptomatic treatment.Aimed at reducing inflammation and relief of pain.Most methods are effective at the initial stage of the disease.The following groups of drugs are used:
- painkillers;
- GKS;
- NSAID (non -steroidal anti -inflammatory drugs);
- improving microcirculation in tissues, venous outflow;
- Antibacterial drugs.
A tablet or injection is prescribed depending on the condition 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 charging and gymnastics is used at the first stages of the disease.Doctors prescribe gymnastics for:
- removal of edema;
- improvement of joint mobility;
- Reducing the pain symptom.
The real result from gymnastics occurs with regular execution.Gymnastics for children and adults differs.Charging should take into account the stages of development of the musculoskeletal system.Examples of exercises performed sitting (each exercise must be done 20 times):
- bend your fingers on the legs;
- Straighten your legs, pull your fingers on yourself, try to combine the soles of the feet with each other;
- fingers to lift a sheet of paper lying on the floor;
- rotational movements of the legs;
- Comple the legs of the legs with a sheet of paper;
- keep the most tense feet for several minutes in the adopted position;
- keep your legs in a position with wide -parted fingers of the foot;
- Five and extend your toes to feel fatigue alternately;
- Roll the bottle on the floor with footsteps for several minutes.
Exercises performed while walking barefoot:
- alternating walking on socks and heels with raised hands and on the belt;
- movement on the outer and inner side of the foot, bending the fingers;
- transfer of the severity of the body from socks to heels and back;
- Raising the sock, while standing on the inner surfaces of the limbs.
A set of exercises for training joints of the fingers:
- stretch the elastic band between the fingers;
- clench the ball or a special roller with your fingers;
- Skating skating: several minutes of load for each leg;
- Circular movements with the thumbs.
DIET
An important role in the struggle with this pathology is played by proper nutrition:
- Fatty, smoked, acute, too salty foods are excluded;
- Sweet consumption decreases.
This reduces inflammatory processes.Products with a high content of vitamins A, E, C. The correct diet leads to a decrease in overweight, which is one of the frequent causes of valgus deformation of the legs.In the presence of serious diseases that lead to pathology of the joints, or associated with metabolism disorders, special diets prescribed by narrow specialists are used.
Folk treatment
No folk method is able to save the Valgus halus, since this is an organic joint defect.The compresses, baths, and home ointments usually have a symptomatic effect used in folk medicine: symptomatic effects:
- slightly reduce inflammation;
- Reduce soreness.
But they are not the basis for treatment, but are used as an addition to a doctor's prescription.
Useful product
Currently, the turnover in the direction of advertising a healthy lifestyle (healthy lifestyle) has gained a new product.It includes goods that include beekeeping products:
- honey;
- pollen;
- propolis;
- parch;
- wax;
- uterine and drone milk;
- extract of bee firing;
- chitosan.
At the same time, the product, as indicated in the instructions, can be used to treat vision, pathology of the digestive tract, gynecological diseases, the cardiovascular and nervous systems, colds.
Means for internal and external use are offered:
- nutrient dragees;
- 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;
- immunostimulating products;
- Children's series of health prevention.
But many positive reviews of patients are not an objective assessment.When choosing a folk remedy, it is necessary to consult a specialist.It is doctors who later treat the consequences of folk drugs with a wide range of use.They have nothing to do with medicines.If the patient refuses the prescribed therapy, self -medication with the use of a means that cures all diseases at once, the pathology will lead to complications in which surgery will have to be used.
Maklura
Folk healers consider it effective for getting rid of a bump on the foot Maklura - Adam's Apple (Chinese orange, Indian orange).The fruit resembles a green apple or an immature orange.It is found in China and Central Asia.For the treatment of Valgus, tinctures, 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 plant in the manufacture of dosage forms.It is forbidden to use it under the following conditions:
- There is diabetes;
- individual intolerance;
- Possible allergic reactions.
Sold in the form of ready -made dosage 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 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 the tumor of 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 bay leaf alcohol, insist in a dry place 1 week at room temperature.Before use, hold the legs in a heat solution of sodium bicarbonate.Before going to bed, rub the resulting product into the joint, put on 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 to a homogeneous consistency - this penny will significantly improve the condition with regular use;
- lemon juice and iodine - use for 2 weeks;
- salt with iodine for the preparation of warm baths;
- vinegar and iodine (10 drops of iodine for 2 teaspoons of table vinegar).
Ointments are recommended, which include medical bile (ready -made pharmacy forms are sold).
But all these measures can only temporarily alleviate suffering by relieving pain and heaviness in the legs.They will not be able to completely fix the bone.A bump 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 orthopedist.
About treatment without surgery
Doctors believe that the treatment of valgus deformation of the foot without surgery is quite possible.
Stop its development in the early stages can:
- correct shoes;
- Orthopedic correctors;
- insoles to normalize loads on the set of the foot;
- Physiotherapy (massage, ultrasound, diathermy);
- daily therapeutic gymnastics;
- regular baths for feet;
- The fight against excess weight.
In what cases is the operation necessary?
The objectives of the operational treatment method:
- get rid of the cones;
- straighten your finger;
- prevent the further growth of the bone;
- fight complications;
- Remove other formed foot deformations.
Surgical intervention is shown in the presence of:
- transverse flat feet of the II-IV degree;
- progression of pathology, accompanied by a persistent pain symptom;
- poorly corrected violation of the musculoskeletal function of the foot;
- pronounced aesthetic shortcomings (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 methods of radical intervention to correct transverse flat feet complicated by the formation of cones on the legs.About 200 of them are used in the world.
Free to be treated operationally can get any face according to the compulsory medical insurance policy.For this, there are quotas, but the waiting time can be several months to send an orthopedist or traumatologist for surgical intervention.The type of operation depends on the equipment of the hospital, the availability of the necessary specialists.At the same time, you can remove the ingrown nail, straighten the curve of the Clouded Pitty, which is sealing the skin as a complication of pathology.
Small -invasive methods
Minor invasive surgery contributes to the correction of the location of the 1st finger of the foot.Methods with minimal bone displacement and scarring are used by intervention on soft tissues.After treatment, the finger begins to bend.
Miniinoval method - percutaneous removal of the bump on the leg.It is used to eliminate moderately pronounced curvature and fight a violation of the function of the foot.Operations consist in excision of bone tissue.Recovery after a valgus operation of this type occurs quickly.
Small-invasive surgical treatment is a distal displacement: the 1st finger of the foot moves distally, starting from the 1st Plushenfalance Joint.It is carried out with a mild 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 with minimal scarring is achieved.
The lateral release (pulling the medial joint capsule) is another minimally invasive surgical treatment method.It has several advantages:
- minimum damage to soft tissues;
- Little traumativity helps to reduce the recovery process (adult patients become mobile in a short time);
- Reducing postoperative edema of the foot compared to other surgical interventions.
Operations related to bone manipulations can be carried out not only with the help of traditional surgical instruments.The modern method is used-the use of laser, shock wave therapy (UVT).On the joint begin to act in a shock wave.This allows for several sessions to crush the joint bag and level the index finger of the foot.He ceases to deviate and stick out, causing discomfort and pain, its appearance improves.Healing occurs after 4-5 sessions.They need to be held once a week.
If arthrosis of the first metatarsophalangeal joint has developed, minimally invasive treatment cannot be carried out.In this case, a triple arthrodesis is performed by the device.This is a special operation when the complete immobility of the joint is artificially created.
Preventive recommendations
To combat pathology, a whole range of measures is used.Both adults and children need:
- physiotherapy physical education;
- massage;
- Orthosis (involves wearing 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 pathology, pathology is necessary:
- orthopedic examination for timely detection of flat feet;
- decrease in body weight;
- adequate treatment of associated diseases;
- Compliance with the regime of work and rest if the profession is associated with a long stay on the legs.
The choice of comfortable shoes
In the 19th century, it was common that Khalus Valgus was the result of the growth of bone tissue of the first metatarsal bone and its soft-tower shell due to poorly selected shoes.The opinion was formed 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 wearing illiterately selected shoes for daily wear.The pathology of the joints of the foot develops because of:
- too large heel;
- narrow or excessively wide nose;
- Incorrect size.
Bursitis of the thumb of the foot, which develops initially, is the result of the reaction to the pressure from the shoes.
A condition that will help to avoid injury to the foot and develop further severe complications is wearing prnavilic shoes:
- without studs;
- without sharp noses;
- from natural materials;
- With a heel no higher than 5 cm.
This will make it possible to keep your legs beautiful and healthy.