Degree hallux valgus stop

Valgus feet develops gradually: at first the patient complains that his feet hurt after long walks, especially on the heels begins to inflame the big toe joint, where with a slight bump, then it becomes very difficult to find shoes, bends the big toe and the forefoot. On the sole increases seal corns or calluses, the second finger goes to the top and takes the form of a hammer, it will bend and not bend. Disturbed blood supply to the joint, accompanied by severe pain when walking, later threatened by disability.

hallux valgus degree

Hallux valgus is widespread among women after 40, as well as among infants from 9 months to 1.5 years, when a skill walk. Pathology is an internal and external change in the bone tissue of the foot caused by negative external effects, accompanied by painful sensations, the identification of "bumps" near the big toe and its curvature. Formed from incorrect load on the inner part of the foot, whereby it is the outer part and the little finger slightly raised.

The running condition of the disease has very negative effects: cutting pains excessive load on the spine, its curvature, the appearance of arthritis and osteoarthritis, clubfoot, bunions. You need a proper timely treatment, as well as the use of individually tailored orthopedic shoes.

The causes of the disease and hallux valgus degree

The main causes of deformity:

  • transverse platypodia,
  • heredity,
  • endocrine diseases,
  • osteoporosis.

The disease can also cause varicose veins, flat feet, congenital defects, trauma, intensive joint mobility and others.

Even uncomfortable shoes or boots that encourage developing bones in the foot, however, are not the root cause. Deformation arises from incorrect load on the inner part of the foot, whereby it is the outer part and the little finger slightly raised. Is disruption of the connective tissue (ligaments).

Most importantly, what we can do to prevent the disease choosing the right shoes or using orthopedic insole on time, not losing time.

hallux valgus degree is measured using the following variables:

  • the angle between I and II metatarsals;
  • the angle of divergence of the great toe and I metatarsal bone.

So, there are several degrees of valgus deformation of the big toe:

  1. Hallux valgus degree 1: characterized by the presence of an angle smaller than 12° between the 1st and 2nd metatarsal bones, and deviation of the first toe less than 25°.
  2. Hallux valgus 2 degree represents the angle deviation between the metatarsal bones of at least 18 degrees, and the angle of deflection of the thumb more than 25°.
  3. Hallux valgus of 3 degrees, it is also the final, has a deflection angle of more than 18° of the first criterion and the angle larger than 35° the second criterion.
hallux valgus degree treatment

Causes of disease in children and the degree Halus valgus

The disease in children can be congenital or acquired. However, the first appearance of the disease is very rare, whereas the second causes are often connective tissue dysplasia, leading to minuit ligaments, which can not withstand the excessive pressure of the spine. In addition, an unsuitable baby shoes, bad ecology, excessive weight, genetic predisposition also contribute to the development of this disease.

In medicine it is accepted to distinguish four degrees of hallux valgus disease:

  1. The slope of the heel part does not exceed 15°. Enough preventive measures to eliminate the causes of disease.
  2. A deviation from the norm of up to 20°. In this case, will help to simple physical treatments.
  3. The deflection angle does not exceed 30°. For its elimination it is recommended that intensive and prolonged treatment, however, surgical intervention can be avoided.
  4. The angle of inclination more than 30°, which is the critical level at which surgical intervention is necessary.

Please note that for the determination of degree of deformation it is necessary to consult a qualified specialist who revealed on x-ray the degree of hallux valgus, prescribe effective treatment.

The symptoms of hallux valgus

How can we recognize the presence of this disease?

First, patients suffer from pain in the feet, namely in the field of I metatarsal bone. It manifests itself after a long walk or load on the legs. The manifestation of hallux valgus stop depending on its deformation degree and the stage is different in nature and strength – from discomfort to acute and aching pain.

Second is a visual deformity of the big toe. As shown in the photo, the foot loses its normal shape, developing bone ekzistas (hardening of bone tissue – "bump"), and the big toe starts to deviate from its axis and moves to a rest, lying on the second finger.

In addition, under the phalanges of the second and third fingers appear corns, the sensitivity of feet decreases, swelling and redness of the skin.

Plana hallux deformity of foot, as stated above, is a pathological violation of the provisions of the foot. The pressure is curved, the height is reduced, and its operation proceeds in an unnatural manner. Characteristic symptoms:

  1. Pronounced deformity of the foot. Its axis dramatically shifted to the side, the distance between the ankles is increased in the standing position. Please note: legs and feet at this stage are x-shaped.
  2. Obvious cosmetic defects are accompanied by discomfort when walking inconvenience when choosing shoes. In addition, the hallux valgus contributes to the development of abnormalities: flat feet, osteoarthritis and other diseases, due to improper operation of the joint.

All these symptoms lead to the conclusion about the presence of abnormalities, but the reliability of the information necessary x-rays and other procedures.

Diagnosis of hallux valgus

A first step is a thorough examination of the patient by a specialist foot examination of the bones. Timely treatment can be the main factor in the appointment of treatment. X-ray will show which of the stages a patient. Given that this disease provoke the development of comorbidities, after the above procedures, the picture becomes clearer.

Diagnosis of hallux valgus in children is more complicated. For the full study, detection, causes and complications of the disease recommended treatment by several specialists: pediatric orthopedist, the neurologist and the surgeon. Depending on external manifestations doctor prescribes:

  • conducting x-rays;
  • Ultrasound diagnostics of joints and ligamentous apparatus.
  • Computer plantography.
Attention! Noticing the symptoms of hallux valgus in a child, in any case do not spend self-treatment, as this may contribute not only to the progress of the disease, but also lead to complications.

Treatment of hallux valgus

The disease lends itself sparing treatments in most cases. The main ways of dealing with valgus deformity of the big toe are:

  1. Regular wearing of specially selected orthopedic shoes and corrective insoles.
  2. Sports (race walking, Jogging, gymnastics).
  3. The use of separating the toes of the pads.
  4. The use of orthoses for joint of the first finger.
  5. The purpose of the massage of certain areas on the feet.
hallux valgus degree adult

These methods of treatment is also indicated for hallux valgus in children. An experienced physician can be assigned to electrophoresis, electrical or magnetic stimulation of the muscles, would be useful paraffin and swimming.

Depending on the stage of a warp use different ways of rectification.

  1. At the initial degree, when it begins to become inflamed bone, it is necessary to raise the arch of the foot using insoles with transverse tubercle. Then compresses with Dimexidum, bath salt, physiotherapy, massage. But most importantly, the right shoes.
  2. At the second degree, when a small deformation of the front toe of the foot: make sure the insole, the use of silicone inserts between the big and second finger, or applying a valgus splint for abduction of the thumb. Physiotherapy, massage, traditional methods of relieving joint inflammation.
  3. In the most severe extent of deformity the use of traditional methods of physiotherapeutic treatment will not bring the desired result. Surgical intervention is necessary.

When running 3 degrees of the disease may need an extreme measure the surgery. Is divided into several types:

  • the method of Dobbs, consisting of 6 sessions of correction of the foot with further gypsum;
  • artdesire operations, associated with the increase and strengthening of the muscles of the foot, however, this method is accompanied by prolonged pain, and therefore is not often applied;
  • minimally invasive surgeries allow you to increase the tension of the ligamentous apparatus, by changing the angle between the bones.

As follows from the above, Plana hallux deformity of the foot is quite common, especially in women. Lends itself well to effective treatment, in both adults and children. Timely detection and proper treatment will prevent its development and complications. Follow the health of their feet, and they will please you with their strength, beauty, endurance for many years.

03.09.2018