Treatment of the bone on the leg without surgery in Moscow

Bone on foot, or as it is called, Hallux Valgus, is a disease characterized by a deformity of the big toe with deviation in the direction of the little finger and lump formation at its base.

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The symptoms of the disease vary depending on the degree of deformation. In some patients, there is little discomfort when walking, others have severe pain that restricts daily life.

The deformation is not immediately, but progresses gradually. With the increased curvature is exacerbated and the onset of symptoms. In the end, a "bump" at the base of the 1st finger, which patient to find comfortable shoes and walk normally, you have to visit more than one Shoe store.

In severe cases may develop swelling and inflammation, and sometimes pain is so strong that it causes lameness, not allow to walk long distances.

The disease most often affects women over the age of 35, but there are men, and children. In addition to external factors, the development of deformation leads to a genetic predisposition. In the initial stages of the disease can be treated successfully. In severe forms, surgery is indicated.

A little bit about the anatomy of the foot

metatarsophalangeal joint of the 1st toe of the foot is formed by coniunctas head of the 1st metatarsal and base of proximal(nearest to body) joint of the big toe.

On the structure of the foot is very similar to the brush, but here the bone elements present a lower mobility, which nature was exchanged for the strength and elasticity. In the area of the sole concentrated a powerful muscle that helps bend the foot "in arc". Because of these qualities stop is able to bounce and to withstand the large axial load, not only while walking but also while jumping and running.

The connection of the foot work well throughout life until one of the elements of the mechanism breaks down. As soon as weakened ligaments can develop flat feet. This means that the foot is no longer able to spring and dampen the vertical oscillations. Against the background of these changes develops pain, appears lameness, weak joints begin to deform the joints of the toe. One of the largest of them – the first finger.

Over time, due to the deformation on the inner surface are formed of mineral deposits and growths, resembling a lump. If the patient wears uncomfortable shoes, protruding surface of the bone begins to RUB, causing pain.

Affect the tone of the foot and correct posture if the spine is smooth, the load during walking is evenly distributed on both feet. In the presence of curvature on one limb has a greater pressure than another. Tissues of the foot that receive higher loads, begin to stretch, deform is formed flat, and in the future, and valgus deformity of the big toe.

 

Risk factors that contribute to "bone on foot"

Hallux Valgus develops with failure of the connective tissue in the joint base of the big toe, when from the weakness of the ligamentous apparatus of the evolving deformation. The cause of the weak tone of the ligaments is often impaired hormonal is why the disease most often affects women over 35 years and is aggravated with age. In men pathology develops less often because the ligaments men are less stretchy and more durable. Exacerbates the disease flat feet, which contributes to a shift of the thumb outwards and the formation of a corner at its base. The greater the angle, the more strain and clinical manifestations.

The main reasons for the development of Hallux Valgus:
  • Family history is one of the main reasons for the development of bone on the foot. According to statistics, if one of the parents was revealed deformity of the big toe, the likelihood of its development in children is greatly increased. Inherited not the disease, and predisposition genetic characteristics that reduce the strength of the ligaments, small joints.
  • Injuries of the foot. The curvature can lead to damage to the ligaments. When subluxation of the ligaments are stretched, reduced their strength, the joint of the big toe is curved and deviates from the natural position. During the injury often is formed flat.
  • Disease musculoskeletal (rickets, polio) destroy the connective tissue of the joint, reduce the strength of ligaments, flat feet and provoke the development of Hallux Valgus.
  • Curvature of the spine. The long walk one of the limbs is overloaded, which leads to the development of flatfoot, entailing a deviation of the big toe.
  • Obesity and physical inactivity. When the muscles ligaments do not receive the required load, the blood circulation and tissue regeneration. Against the background of these changes is a weakening of the ligaments of the foot and plantar muscles. The extra weight stretches the ligaments and contributes to the curvature of the big toe joint.
  • Overload of the foot. Excessive physical activity contributes to the "wear and tear" of connective tissue that leads to a stretching of the ligaments and deformities.
  • Arthritis and arthrosis destroy joint tissue. The cartilage surface become thinner and uneven, the functions of the joints are broken. At high physical stress, degenerative processes are enhanced, evolving deformation.
  • Osteoporosis. The destruction of bone tissue in the joint of the 1st finger leads to its deformation and the formation of lumps. Over time, the bone is rubbed on tough shoes, inflamed, edema of the soft tissues. If pathological processes do not subside over time in the injured region edema.
  • Endocrine disorders. When disorder of certain glands is a change of a hormonal background of an organism. Over time, reduced elasticity of the ligaments, including in the area of the base of the thumb.
  • Congenital malformations are less common other listed reasons, but it is much harder to treat. If underdevelopment of one of the articular surfaces of the joint is easily deformed. Such a violation leads to a defective functioning of the joints of the foot, which contributes to the development of flat feet and curvature of the thumb.

Some scientists suggest that uncomfortable shoes is the main cause of the disease. According to this theory, the pathology develops most often in women because of wearing high heels, which have a narrowing front portion, where the fingers pressed the sides. The weakening of ligaments in the big toe rapidly deforms and is deflected outwards.

According to this theory, there are three risk factors associated with wearing uncomfortable shoes:
  • Very high heel. According to the statistics of particular danger is the heel over 7.6 cm in length At this position of the foot dramatically increases the load on her anterior of which the base joints of the fingers are forced to blend outwards and rapidly deformed.
  • Shoes with narrow toes. In this form the fingers are squeezed on the sides, which leads to severe damage during exercise. Prolonged wearing such shoes on the background of weakness of the ligaments Hallux Valgus develops.
  • If the shoes restrict the leg in the anterior position of the fingers Is no less dangerous because they fail to fully straighten. The thumb resting against the obstacle, begins to deviate outward. The weakening of ligaments and prolonged wearing of such shoes develops a resistant strain and bone formation in the foot.
In most cases, Hallux Valgus develops as a result of exposure to several reasons, but the basis is always the violation of the integrity of the connective tissue structure. According to the observations of scientists, the bone in the foot most often occurs in the following diseases:
  • Bursitis – inflammation of the joint capsule of the 1st finger.
  • Rheumatoid arthritis. This disease is characterized by lesions of small joints, including the thumb.
  • Osteoporosis – deterioration of bone tissue in the zone of cartilage with its subsequent deformation.
  • Gout – deposition of salts in the joints due to disorders of uric acid metabolism. In this disease the joint of the base of the 1st finger of the affected one of the first.

Important! At any pathology early treatment is the guarantee of quick recovery. In the Clinic Sasha you will be able to pass a full examination and get the necessary treatment that will help to cope with "bone on foot".

The mechanism of disease development

Under the action of causal factors is a weakening of the ligaments that leads to disruption of the function of the foot – there is instability, manifested a weak fixation of the bone elements of the joint. On the background of weakness of the ligaments formed by a transverse flat feet – plantar surface of the foot becomes more flat shape and ceases to spring during walking and running. The result of the increased load on the anterior – region, which is the base joints of the fingers. Because of the weakness of the ligaments and instability of the joints of the fingers begin to deviate from its natural position. If the person is wearing tight, uncomfortable shoes, her walls slip your thumb outwards. Pathology does not develop immediately. The curvature takes years, if predisposing factors are not eliminated. To stop the disease can change shoes and the implementation of preventive measures – a course of physiotherapy, physiotherapy.

Classification of the disease

"Bone on foot" is a disease with chronic, developing over several years. Symptoms manifested at later stages of disease, when the degree of joint disease is pronounced. According to the international classification of diseases 10th revision of this pathology corresponds to the cipher of M 20.1.

It is accepted to allocate three degrees of deviation of the big toe:
  • I degree is characterized by the deviation of the thumb relative to its axis up to 40°. The angle between the 1st and 2nd metatarsal bones is not more than 20°. The patient may complain of some discomfort in the area of curvature, sometimes the bone can RUB on shoes and hurt.
  • II degree – the angle of deflection ranges from 40 to 70°. Valgus deformation visible to the naked eye, the angle between the metatarsal bones is 20-30°. On the inner surface appears moderately severe "bump". If the patient continues to walk in uncomfortable shoes, have pain when walking, lameness. At the site of lesion edema.
  • III degree – it is characterized by a strong deviation of the finger from the normal axis: the angle is more than 70°, and intertarsal – more than 30°. At this stage, the patient is unable to wear regular shoes are usually comfortable sneakers or shoes without a heel, which is larger by 1 or 2 sizes.

Depending on the stage of the disease prescribe certain types of treatment. In the initial stages the symptomatology is minimal, it is possible to achieve high efficiency from the traditional conservative therapy, the strengthening of procedures . At the second degree of curvature, the method of treatment determined by the attending physician. In advanced stages shows an operation with a long rehabilitation period.

09.08.2018