Deformity of the big toe or Hallux valgus is a common orthopaedic problem, especially in women. "Bone" ugly sticks out at the edge of the foot, any shoes much rubbed, popping corn, to the end of the day, legs tired. All this makes the lady change ones shoes model of shoes in spoiled shoes, to try various "grandmother" means. What is it Hallux valgus, how to get rid of pain and return quality of life?
The proverbial "bone", "cone" on a difficult medical language is called "Halyus the hammertoe" or "Halyus Halyus stop." This deformity of the lower legs are represented as offsets from change ones shoes axial center. The victims of this disease are often women, as the beautiful ladies are spoiled fashion throughout life. However, the concept of "fashionable shoes" and "comfortable shoes" are often very far from each other. Bundles of men more strong, so Halyus valgus occur they often result in injury.
By the way, Halyus valgus is a bone in the literal sense of the word. This is only a tiny cartilage growth, designed to support the big toe in a straight position. But this is the ideal. If growth increases, the formation of the bones of the foot broken. The big toe begins to deviate "hostages" on their neighbors, edema, pain gait halo, perhaps valgus. Wrong distributable load leads to problems with the spine, knee and hip joints.
In ICD-10 Halyus Halyus attributed to diseases of the musculoskeletal system and connective tissue (Chapter XIII). Code Hallux valgus according to ICD-10 refers to the section, "Acquired deformities of fingers and toes" and has a numerical designation 20.1.
His contribution to the emergence of Halyus Halyus (wrong name: halgus Halyus) lead to disruptions in the endocrine system: don't accidentally "bump" is actively growing during menopause when a woman experiences frequent hormonal disruption and lack of estrogen. Possible genetic predisposition: Halyus valgus often gets the girl mom and grandmother.
This pathology is, as the transverse flat feet (often it is congenital), also leads to Halyus valgus. In the presence of flat feet is necessary to visit the podiatrist. There are many methods and tools that can suspend the development of flat feet. For example, insoles-insoles: they support the foot in a healthy position and relieve pressure during walking. Choose these insoles are strictly individual, together with doctor. Also, when transverse flat feet apply therapeutic exercises, massage, physiotherapy.
The culprit for the development Halyus deformation may become overweight, under pressure from the bones of the foot are flattened. Obesity not only prevents the growth Halyus valgus on the toes, but will also reduce the load on the spine will help to avoid a number of cardiovascular diseases.
Uncomfortable or tight shoes also leads to the appearance of "bumps". Especially wary to treat high hairpins with sharp toe cap: the load on the forefoot that gradually causes its deformation. Perfect for everyday wear - shoes for low (5 cm) heel with a rounded toe and a soft sole.
Develops Halyus for a very long time, and the higher its degree, the more difficult the full treatment. In the early stages of this disease causes a visual discomfort (location crooked toes and ugly bumps). Later, however, patients increasingly difficult are able to pick shoes to hide the defect. Then there are pain - both when driving and at rest. The increase of the bones in the feet over time begins to have a negative impact on the quality of life of the patient, on his mood. Unsightly appearance has faded into the background.
The occurrence of this disease in science can be subdivided into several degrees of difficulty. All four of them. The easiest first degree Halyus Halyus is different from the last (fourth) degree of displacement of the thumb relative to the axis, the degree of manifestation of pain and increased discomfort in everyday life. Remember: it is important to identify the disease in its primary form of development.
Redness and swelling Halyus Halyus stop can be triggered by the following reasons:
These diseases have some common symptoms, but differ in the characteristics of the flow of inflammatory processes in the period of exacerbation. For example, arthritis is accompanied not only by the redness of the bones and severe pain attacks, but also the General increase in body temperature.
Gout inflamed place can acquire deep red color, significant swelling and even visible pulsation. This disease is manifested by periodic attacks of pain and exacerbated by the abuse of fatty foods.
Bursitis - and at a very tricky disease that may occur after a few months. This significantly aggravates the situation in choice of treatment.
In General, the treatment aims to eliminate pain in Halyus Halyus. To reduce pain, your doctor may prescribe physiotherapy, local administration of glucocorticosteroid medications (diprospander, kenologist). If the joint deformity is very pronounced, possibly surgical intervention.
To improve the quality of life will help orthopedic silicone rollers, through which the stem lines (put them between the first and second finger). There are still finger corrector, which is worn at night (allows the fingers to deviate) and special tyres, which create a comfortable barrier between the shoes and swollen fingers.
Suffering from pain at Halyus Halyus will help to facilitate the following procedures:
It must be remembered that such methods can only alleviate the suffering. For a full treatment visit the doctor's office, and often a surgeon, is inevitable.
In severe cases the treatment of choice is surgery. The most simple surgical correction is the operation Shede. When such treatment Hallux valgus is removed only accrued lump, ie it seems to be cut back to their feet looks. Decrease pain, legs less tired. However, since correction of comorbidities (eg, flat feet) are not provided for Shede, the effect of treatment is extremely short.
Another option is the surgical treatment of Hallux valgus - displacement of the metatarsal bones to the desired position and locking them with special needles. The disadvantages of such operations: three months later there is a need for prompt removal of the structure. For a long time is necessary to limit the load on the leg to use crutches. Difficult recovery period, pain and the need for repeated surgery has made this operation is not popular with patients and surgeons.
In major surgical centers conduct different type of surgery - osteotomy. There are more than 150 methods of operating; the choice of method of operation depends on the degree of disease comorbidities and the patient's General condition.
In osteotomies in a day you can get up and gently walk, and after a couple of weeks - to go home. In addition to getting rid Halyus valgus, is plastic tendons, corrects the transverse arch of the foot and reduces flat feet. In severe cases, the bones fixed with special titanium screws, then they do not need to remove.
The operation is performed with the use of epidurals, which "turns off" only the lower half of the body. A couple of weeks the stitches will be removed, plaster and crutches are not required. Some time may still be swelling, so it will take a special walking mode: special shoes - 1.5 months in free shoes - 3 months.
Making a decision about surgery, it is important to take into account a lot of nuances, namely:
The surgery not resolved all of the patient. Typically, they first try treatment Halyus Halyus without surgery. Severe pain, discomfort, often - dissatisfaction, feeling of inferiority, lead women to more radical attempts to cope with the disease. The choice of surgeon and methods of operation - a complex and demanding task.
To avoid mistakes, remember: never trust a single expert! Ideally, it is better to consult three different doctors to compare their opinions and only then make the decision about the operation.