Conservative methods for the treatment of valgus deformation

The treatment of the bone on the thumb should begin immediately after confirmation of the diagnosis to avoid complications.At the first sign of the disease, it is worth confronting an orthopedist because the bone not only disfigures it at the thumb of the leg, but also deteriorates the general condition due to pain and chronic inflammation.The choice is comfortable, but at the same time beautiful shoes are very difficult.Therefore, the need to identify the causes and the timely treatment of the cone at the thumb of the leg determines the further quality of life.

Why does a bone appear on your finger?

A bump or a bone on the thumb of the leg is the name of the pathology used in everyday life.In fact, the disease is a valgus deformation of the foot: the deviation of the first plus bone inside with the simultaneous turn of the thumb to the outside.It seems that a bump or an additional bone was created on the base of the first finger.

In fact, the angle changes between the first and second midfoot bones, the elements of the foot are shifted.The head of the protruding joint is a bump that protrudes on the side.

The risk factors include:

• hereditary disposition;
• genetic pathology of the skeletal system;
• Features of the structure of the foot (the first plus bone is longer than the norm);
• Metabolic injury (overweight, improvement of the load of the joints, deposition of urates, violation of the carbohydrate metabolism);
• Arthritis and arthrosis;
• Injuries (blow, bruises of the ankle joint, phalanges of the thumb);
• The older age (the calcic species is reduced, the products of the synovial fluid are greatly reduced) leads to changes in bones and cartilage, the development of cross-foot: 3%-MAI of 15 to 30 years, 9%-at 31-60 years and 16%for older than 60 years.

According to statistics, a woman is subject to the development of deformation and thumb is 20 times more often compared to a man.This is due to the innate weakness and high elasticity of muscles and ribbons, the special features of shoes.A high and cramped sock creates a large load on the foot.With a long stay on the legs, the likelihood of developing the bursite of the thumb takes: 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, youth);
• serious diseases (tuberculosis, sepsis, gout, diabetes, psoriasis);
• High joint mobility in Marfan syndrome, Down disease;
• Multiple sclerosis;
• Brain paralysis.

Development stages of the disease

The term Hallux Valgus used Carl Heßer for the first time in 1871, which indicated that the first finger of the foot from the central axis of the body pointed out to deviate the first finger of the foot.This name describes the changes with the thumb.Hallus is the Latin name of the leg of the leg, and Valgus is an anatomical concept that means deviation from the middle line of the body.

Bursitis develops the thumb over time.A representation of irritated edema tissue appears, which leads to a thickening of the bone tissue due to the constant pressure.This increases the swelling and friction in relation to shoes.

There are four thumbs -valgus development levels:

• I degree - 15 ° is an aesthetic disadvantage, there is no physical complaints;
• II degree - 20 °, there is severe 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 enttire foot, the patin is present at rest.

III and IV degree are dangerous for health while developing:

• Hammer -zeformed deformation - II and III finger do not take part in walking;
• Adult nails;
• Körner and grain that can be inflamed and poured;
• Swelling of the foot;
• Osteomyelitis.

Therefore, early diagnosis is important.It will help to avoid serious consequences in connection with a complication of inflammation.

Valgus deformation in children

A simple deformation of the foot in a child-a common pathology is 40-80% of all violations of the proper development of the legs.Most often suffers:

• Preschool child;
• Teenager.

Changes lead to the increase is reduced, an X-shaped curvature develops.There are complaints about pain in the legs when walking due to the quick tiredness of the muscles, the gait becomes unstable.During the inspection it is announced:

• The distance between the ankles with densely compressed knees - more than 5 cm;
• Shifting of the arches of the feet;
• Deviation of heels and fingers outside;
• Reduction of the height of the arch (flat line deformation).

Child:

• It only occurs on the inner part of the foot, it has a mixing gear;
• ripen quickly during the games;
• He complains about pain in the legs and back, cramps and swelling of the feet.

Shoes rotate more from the inner surface.

Counter is due to a genetic defect or a pathological pregnancy that has been demonstrated after birth requires surgical correction.

The acquired valgus deformation of the foot develops based on:

• Inadequate development of ligaments and tendons;
• Muscle hypotension.

Reasons:

• Diseases of the musculoskeletal system;
• Wear an unpleasant or poorly repairing foot of shoes.

Changes are uncovered when the child begins to run for the first time.This pathology is characteristic of children with a weakened body for:

• a lack of nutrients during embryogenesis;
• Not -private;
• Common sars.

The deformation is complicated:

• Arthrosis;
• Spinal curvature;
• flat feet;
• Osteochondrosis;
• Violation of the form of the pelvic bones;
• Pathological disorders in the knee and ankle joints;
• Shortening of the limbs.

A serious level of pathology is one of the reasons for childhood disabilities.

With minor deformation and timely and adequate therapeutic treatment, the normal function of the joints is possible complete.

Diagnostic methods

After the pathology of the finger has been identified, it is necessary to carry out:

• Determination of the mobility of the joint of the first and adjacent fingers;
• Radiography (to calculate the angle between the bones, the detection of structural changes in the bone, the subluxation of the joint);

• Calculated planetography (the load on various foot departments of the foot is analyzed);
• CT or MRI (for a more precise recognition of violations in the tissues and as a stage of preparation for the operation);
• Ultrasound (if the circulatory violation is suspected);
• Consultation of a neuropathologist (with nerve damage).

Laboratory studies are required to rule out the associated diseases and prepare for surgical treatment.

Treatment methods without surgical interventions

In the early phase of the disease, the back of the foot can be healed without surgery if the changes do not have a irreversible character.A longer diagnosis leads to surgical intervention in the following:

• In the severe stage of the disease, folk methods are ineffective that carry orthoses, taking pharmacy medication.
• The older the patient, the less conservative therapy.

A non -surgical treatment results in the result with 1 and 2 degrees deformation.It is important not to miss the beginning of the pathology.People's methods are ineffective.You can only reduce some symptoms slightly, but the disease does not heal.

For treatment, are used:

• Massage;
• special exercises;
• Weight correction;
• Orthopedic shoes;
• Wear orthosis;
• Medicines.

The lack of adequate therapy leads to the development of the 3rd and 4. degree of pathology, osteomyelitis: the feet swell, painful grains and appearance appear.In advanced cases, the purchase of shoes with a large shift angle of the 1st finger becomes considerably complicated.

MASSAGE

First, the massage is carried out by a qualified specialist.In the future it will be necessary to learn how to do it yourself.

Purpose of the task of the massage:

• Load distribution and reduction of inflammation;
• Restoration of the blood circulation (it is necessary to massage the buttocks, the feet, the fingers, the back muscles).

The course is effective ten times with further repetitions after the time.

Review of the Valgus deformation terminals

The conservative equipment of the deformed foot includes the mandatory use of orthosis - special orthopedic devices.Your use is ten times cheaper than even the easiest operation.This includes:

• Fixers;
• Insoles and half settings;
• Screed;
• Orthopedic tires;
• Night correction artery.

The latter fixes the thumb of the legs in the correct position and ensures araputic sleep.Hallux valgus is used in every phase of Hallux ValgusBut only at night or during the rest the design is not intended to wear shoes.At first, put on a bandage for several hours and then all night.

C are fixers to correct the thumb of the legs:

• Night - hard tires only in sleep;
• Day - Soft and articulated bandages for constant wear.

In addition, they can be classified:

• to adjustable and unregulated;
• With the first two fingers of the foot of the foot or without him.

Different material is used for production:

• Plastic;
• Silicone;
• Textile.

Plastic corrections

Developed for sleeping due to great sizes and stiffness of the structure.This device consists of:

• From a tire that immobilizes and holds all displaced fingers;
• From a belt that regulates the voltage degree.

Silicone terminals for the thumb on the leg

It is a whole casting bottle that is firmly attached to keep the joints in the natural position between the second and the first fingers of the foot.She:

• soft;
• permanently;
• Suitable for shoes;
• Do not rub and do not form a grain;

• You have small universal dimensions.

Gangs

This is a toe with specially sewn tabs.The correct position is able to return your foot, provided you are used in the first stages of the disease.To improve the therapeutic effect, the soft material with hard.These correction arteries include a Scharnier 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 the deformation by pulling the thumb;
• Restoration of footmobility by increasing the elasticity and flexibility of muscle fibers.

The advantage is used by corrators with an additional fixer and controller.Allow these functions:

• Change the shift angle of the connection in the right direction and eliminate the defect;
• Reduce the load and correct the curvature of other fingers.

Drug treatment and physiotherapy

The use of medicinal products is symptomatic treatment.The aim of reducing inflammation and pain relief.Most methods are effective in the early stages of the disease.The following groups of drugs are used:

• Pain reliever;
• GKS;
• NSAID (non -steroidal anti -inflammatory medication);
• Improvement of microcirculation in tissues, venous drain;
• Antibacterial medication.

A tablet or an injection is prescribed depending on the condition of the connection.Sometimes intra -karticular injections are used.They refer to medical procedures.

The underlying disease is treated for metabolic disorders or systemic diseases.It is prescribed by tight specialists: a rheumatologist or endocrinologist.

Training therapy

Treatment with charge and gymnastics is used in the first stages of the disease.Doctors prescribe gymnastics for:

• Distance from edema;
• Improvement of common mobility;
• Reduction of pain symptom.

The actual result of gymnastics takes place with regular execution.The gymnastics for children and adults are different.The fees should take into account the development phases of the musculoskeletal system.Examples of exercises that sit (each exercise must be carried out 20 times):

• Bend your fingers on your feet;
• Submit your legs, pull your fingers on yourself, try to combine the soles of the feet.
• Finger to raise a sheet of paper on the floor;
• Rotation movements of the legs;
• Compile the legs of the legs with a sheet of paper;
• Keep the tense feet in the adopted position for a few minutes;
• Hold your legs in a position with wide fingers of the foot;
• Five and extend their toes to feel alternately fatigue.
• Roll the bottle on the floor for a few minutes.

Exercises that were carried out during the barefoot walking:

• alternating walking on socks and heels with elevated hands and on the belt;
• Movement on the outer and inner side of the foot bend your fingers;
• Transfer of the severity of the body of socks and back;
• Increasing the sock while standing on the inner surfaces of the limbs.

A number of exercises for training joints of the fingers:

• Stretch the rubber band between the fingers;
• Bale the ball or a special roller together with your fingers;
• Skating skating: a few minutes load for each leg;
• Circular movements with the thumb.

DIET

The right nutrition plays an important role in the fight with this pathology:

• Fat, smoked, acute, too salty foods are excluded;
• The 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 the valgus deformation of the legs.In the presence of serious diseases that lead to a pathology of the joints or are connected to metabolic disorders, special diets are used, prescribed by narrow specialists.

Folk treatment

No folk method is able to save the Valgus Halus because this is an organic joint defect.The compresses, baths and house ointments usually have a symptomatic effect in folk medicine: symptomatic effects:

• reduce slight inflammation;
• Reduce pain.

However, they are not the basis for the treatment, but are used as a supplement to a doctor's bond.

Useful product

The turnover towards advertising for a healthy lifestyle (healthy lifestyle) has currently won a new product.It contains goods with beekeeping products:

• Honey;
• Pollen;
• Propolis;
• drain;
• Wax;
• Uterus and drone milk;
• Extract from bee shot;
• Chitosan.

At the same time, as stated in the instructions, the product can be used for the treatment of vision, pathology of the digestive tract, gynecological diseases, the cardiovascular and nervous systems.

Funds for internal and external use are offered:

• Nutrient drages;
• Honey drinks;
• Healing balms;
• Cream and ointment for joints;
• Tonic;
• Body and hair care products;
• Cosmetic collections by hand and feet;
• Mundhole cavity care products;
• Cleaning agent;
• Immunstimulating products;
• Children's series of health prevention.

However, many positive reviews of patients are not an objective assessment.When choosing a folk remedy, it is necessary to consult a specialist.They are doctors who later treat the consequences of folk medication with a variety of consumers.You have nothing to do with medication.If the patient rejects the prescribed therapy, the self -mediation using a means that heals all diseases at the same time, pathology leads to complications in which surgery must be used.

Braised

Folk healers consider it effective to get rid of a bump at the foot -maklura - Adams apple (Chinese orange, Indian Orange).The fruit is similar to a green apple or an immature orange.It occurs in China and Central Asia.To treat valgus, tinctures, ointments, oil hoods are recommended.The plant contains toxic substances.Due to the low knowledge of its advantageous properties, traditional medicine does not use the system for the production of forms of dosage.It is forbidden to use it under the following conditions:

• There is diabetes;
• Individual intolerance;
• Possible allergic reactions.

Sold in the form of preparing forms of doses.If the first signs of oppression and deterioration occur, it is necessary to stop treatment because the plant is very toxic.

Other methods

The laurel leaf is considered the best home remedy for the treatment of Hallux Valgus.The drug is prepared within a week.Its use relieves pain and reduces the tumor of the finger.The necessary components:

• 100 ml 96% alcohol;
• 5 large laurel leaves;
• 1 tablespoon of sodium bicarbonate;
• 3 liters of water.

Recipe: Pour Bay leaf alcohol, pass 1 week at room temperature in a dry place.Hold the legs in a heat solution of sodium bicarbonate before use.Before you go to bed, rub the resulting product into the joint and put cotton socks on.

Apply for the affected areas before the following means go to bed.It is recommended:

• Add 10 ml iodine to crushed acetylsalicylic acid (200 mg), mix a homogeneous consistency - this penny significantly improves the disease with regular use.
• Use lemon juice and iodine - for 2 weeks;
• Salt with iodine to prepare warm baths;
• Vinegar and iodine (10 drops iodine for 2 teaspoons of table vinegar).

Ointments are recommended, including medical bile (finished pharmacy forms are sold).

But all of these measures can only temporarily relieve suffering by relieving pain and severity in the legs.You will not be able to repair the bones entirely.A bump without medical care will continue to grow.

Who you have to contact for help?

The pathology of bones and joints requires special medical care.If the first signs of the disease occur, it is necessary to contact a traumatologist or orthopedic surgeon.

About treatment without surgery

Doctors believe that the treatment of the valgus deformation of the foot is quite possible without surgery.

Stop its development in the early stages:

• Correct shoes;
• Orthopedic corrators;
• Soles for the normalization of loads at the foot of the foot;
• Physiotherapy (massage, ultrasound, diathermia);
• daily therapeutic gymnastics;
• Normal baths for feet;
• The fight against overweight.

In which cases is the operation required?

The goals of the operational treatment method:

• they get rid of tap;
• Direct your finger;
• prevent further growth of the bone;
• Fight complications;
• Remove other shaped foot deformations.

The surgical intervention is shown in the presence:

• Cross-flat feet of the II IV degree;
• Progress of pathology, accompanied by a persistent pain symptom;
• poorly corrected violation of the movement articles of the musculoskeletal system of the foot;
• Pronounced aesthetic defects (the desire to get rid of deformation and wear more elegant shoes).

The operation is carried out without the effect of conservative therapy.

There are currently more than 400 methods of radical interventions to correct the transverse flat feet complicated by the formation of cones on the legs.Around 200 of them are used in the world.

Freelance to be treated in the company can receive a face according to the mandatory health insurance.There are quotas for this, but the waiting time can take several months to send an orthopedic surgeon or a 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, the curve of the coasted Pajor pajore, which seals the skin as a complication of the pathology.

Small invasive methods

A minor invasive surgery contributes to correction of the place of the 1st finger of the foot.Methods with minimal bone shift and scars are used by intervention on soft tissues.After the treatment, the finger begins to bend.

Miniinoval method - percutaneous removal of the bumps on the leg.It is used to eliminate a moderately pronounced curvature and to combat a violation of the function of the foot.Operations consist of the excision of the bone tissue.The restoration after a valgus operation of this type takes place quickly.

A small invasive surgical treatment is a distal shift: the 1st finger of the foot moves distally, starting from the 1st plush falance joint.It is carried out with a light or moderate degree of foot on the foot, the finger begins to smooth.Well -tolerated titanium screws are used that do not have to be removed.After this operation, the patient does not feel any inconvenience.A good cosmetic result in minimal scars is achieved.

The lateral release (drawing of the media joint capsule) is another minimally invasive surgical treatment method.There are several advantages:

• Minimum damage caused by soft tissue;
• Little dreamativity helps reduce the restoration process (adult patients become mobile in a short time).
• Reduction of the postoperative edema of the foot compared to other surgical interventions.

Operations in connection with bone manipulations can not only be carried out with the help of traditional surgical instruments.The modern method is used for the use of laser, shock wave therapy (UVT).Start working in a shock wave on the joint.This enables several sessions to crush the common bag and use the index finger of the foot.He stops deviating and keeping out what causes discomfort and pain, his appearance improves.Healing occurs after 4-5 sessions.You have to take place once a week.

If osteoarthritis of the first metatarsophalangeal joint has developed, a minimally invasive treatment cannot be carried out.In this case, a triple arthrodesis is carried out by the device.This is a special operation if the complete immobility of the joint is artificially created.

Preventive recommendations

A number of measures are used to combat pathology.Both adults and children need:

• Physiotherapy sports lessons;
• Massage;
• Orthosis (contains orthopedic shoes or the use of special inserts in shoes).

How do you avoid the occurrence of a bone?

In order to avoid the occurrence of pathology, the pathology is required:

• Orthopedic examination for the timely detection of flat feet;
• Acceptance of body weight;
• adequate treatment of the associated diseases;
• Compliance with the regime of work and the air conditioning when the profession is connected to a long stay on the feet.

The selection of comfortable shoes

In the 19th century it was common for Khalus Valgus to be the result of the bone tissue of the first midfoot bone and its softure shell due to badly 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 occur in the legs are a result of the pathological pressure or friction, as it carries for daily wear of unauthorized selected shoes.The pathology of the foot fuks develops due to:

• Too large heel;
• narrow or excessive wide nose;
• Wrong size.

Bursitis of the specialist foot, which initially develops, is the result of the reaction to the pressure of the shoes.

An illness that contributes to avoiding injuries to the foot and developing further serious complications is to wear Prnavilic shoes:

• without tunnels;
• without sharp noses;
• made of natural materials;
• Not higher than 5 cm with a heel.

This makes it possible to keep your legs beautiful and healthy.