Hallux valgus: causes, symptoms, treatment

Hallux valgus (hallux valgus), or, as they say, "bone" ("bump") of the big toe is quite common in the fair sex.

Valgus deformity of foot (hallux valgus) is a condition in which the curved joint of the first finger and the other fingers are deformed. The disease is characterized by the inability to wear ordinary shoes because of the resulting "bumps" at the base of the big toe and is accompanied by aching pain.

Hallux valgus

The symptoms of hallux valgus:

  • the deviation of the big toe outward, the gradual increase in "bones";
  • deformity of the other toes;
  • pain in joints of feet;
  • fatigue of legs;
  • difficulties with the selection of shoes.

Methods of diagnosis:

  • examination by a podiatrist;
  • x-rays stop in 3 projections;
  • imprint stop to identify flat feet.

Diseases with similar symptoms: arthritis; gout; deforming osteoarthritis.

The disease

Valgus feet develops gradually. First, the patient complains that it was uncomfortable to wear shoes the usual size, hard to find shoes, then there are pains in the feet by the end of the day bends the first finger of the foot. The bone in the foot with increasing cross-footed significantly deform the forefoot. The sole is flattened and it bulges in the center; in this place are formed painful calluses, dramatically impede walking; the second finger is raised upwards and often takes the form of a hammer (hammer finger)– it is bent, not bend, it produces corn. In General, the deformation impairs blood flow and the innervation of the forefoot, which contributes to the development of arthritis.

Complications

  • if untreated, the joints of the foot deform permanently - there is a chronic bursitis;
  • the restructuring of the metatarsal bones.

Forecast. When a minor strain, and timely treatment the appearance and function of the joints of the foot can be restored. In advanced cases, pain can persist even after the surgery.

Causes and prevention

The cause of hallux valgus brake cross flat feet, genetics, endocrine disorders, osteoporosis. The disease is congenital weakness of the connective and bone tissues, leading to the development of flatfoot. The development of deformation contributes to the mismatched shoes. This is especially true of high heels and shoes with narrow toe. These shoes leads to uneven load distribution, which falls more on the forefoot, with the result that deformation occurs in this zone and developing osteoarthritis of the big toe joint.

Prevention:

  • examination by a podiatrist for early detection of flat feet;
  • wearing the rational of shoes (no heels, no sharp noses, natural materials, heel no higher than 7 cm);
  • wearing orthopedic insoles;
  • if the profession is associated with prolonged stay on his feet, to observe the regime of work and rest.

Treatment

Treatment

The treatment of hallux valgus stop deals with the podiatrist. To go to the doctor it is necessary at the first sign of the disease, as the correction of the deformity in the early stages can save you from surgery:

  • selection of orthopedic insoles
  • the purpose of a complex physical therapy, prevents the development of flatfoot.

With advanced forms of the disease require surgery. Osteotomy is a complex bone reconstruction, comprising interference in multiple bones of the foot, aims to change the axis of the metatarsal bone and the first phalanx of the thumb.

To go, relying totally on foot, starting from the third week after surgery. In most cases, treatment is completed at the 6th week after surgery, the patient returns to normal lifestyle. The recovery period is 2-3 months.

"Bone on foot"? Fix the problem

Long wearing uncomfortable shoes with heels often leads to pathological processes in the foot. The ligaments and muscles weaken, there is a divergence of bones — this deviation was called hallux valgus , which is commonly referred to as a "bone" or "bump" on the leg. Subsequently, this process may affect the other toes, so it is not recommended to let it slide. Today, there are many effective techniques to combat this problem.

Bone

Valgus deformity of the big toe is one of the most common diseases, externally it looks like a curved deviation of the finger. On the soles also appear calluses and corns that cause pain, making it more difficult for walking and wearing shoes.

The causes of deformation

Pathology of the forefoot is not just an aesthetic defect. Valgus deformity entails a number of changes in the structures of the foot:

  • cartilage damage of the joints;
  • combined or transverse platypodia;
  • the curvature of the metatarsal bones.

Today there are different methods of surgical treatment of hallux valgus ("bunions" on the foot). Usually, their essence consists in the displacement of the bones and fixing them in position by means of metal devices (plates, screws, etc.), removal of which is often serious and traumatic surgery with a long recovery period and the rejection of high heels. Modern advances in Orthopaedics offer the most innovative and totally non-traumatic method of treatment!

Destruction of bone through a percutaneous surgery of the foot

Percutaneous correction of hallux valgus of the big toe (Hallux Valgus) is an advanced technique that involves stable physiological correction of the deformity of the big toe and other abnormalities of the forefoot and, as a consequence, faster rehabilitation and return to normal life in the shortest possible time.

One of the main advantages of percutaneous surgery of the foot — the ability to load the operated foot immediately after the intervention, coping without internal fixation (osteosynthesis) of bone fragments. Fragments of phalanges are fixed with a bandage, playing in percutaneous surgery is a very important role. And to push the distal lateral metatarsal bones of the early load is necessary, because under its influence the heads of the metatarsal bones are displaced and find your ideal position.

Removal

Another reason for performing percutaneous surgery — painless acquired or congenital deformities or peculiarities of the structure of the feet. Often such defects are present to a greater extent psychological than an orthopedic problem, especially for patients of young age. Traditional "open" surgery often does not allow to solve these tasks: Troubleshooting a small defect can lead to the formation of more noticeable than the original problem of scars on the skin. The percutaneous method allows to eliminate as barely noticeable, and gross cosmetic defects stop.

"Technique of percutaneous osteotomy PBS provides a stable and physiological correction of the hallux valgus big toe without the use of any artificial materials, says the podiatrist clinic of plastic surgery and cosmetology Frau Klinik Eugene Zaitsev. — The main difference between percutaneous osteotomy from previously adopted methodologies — comfortable rehabilitation period. The patient after the surgery will not suffer any inconvenience from metal construction, foot securely with an elastic bandage. Immediately after the surgery required full load on the foot and walk without crutches, only in the first two weeks it is recommended to wear special orthopedic shoes. Within 15-18 days after percutaneous osteotomy the patient is fully back to normal life."

The advantages of this method of treatment of hallux valgus:

  • the operation is carried out on an outpatient basis under block anesthesia (anesthetized only stop);
  • the surgery takes 15 to 20 minutes;
  • surgical procedures are performed through small incisions and leaves no scars on the skin;
  • the possibility of independent movement immediately after surgery;
  • the foot regains its anatomical form, completely disappear pain;
  • for correction does not use artificial materials, and there is no need to plaster the patient after surgery, for 10-14 days wears special footwear that captures the foot in its new position;
  • shoes with heels can be worn for 3-6 months after the correction;
  • the result of the operation is retained for life.
11.08.2018