Hallux valgus: causes, symptoms, treatment

valgus deformity of the finger 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 metatarsal - phalangeal 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.

The symptoms of hallux valgus

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

Diagnostic methods

  • examination by a podiatrist;
  • x-rays stop in 3 projections;
  • plantography – footprints 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– 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 – the disease Deychlendera.

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

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, fully relying on the metatarsus, is possible, 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.

23.08.2018