Hallux valgus (halus valgus) is a disease affecting the musculoskeletal system and connective tissue surrounding the joint of the first toe. This pathological condition is characterized as slowly progressive. The sooner it is identified, the more effective the treatment of valgus deformation of the big toe, the nature of which is determined on the basis of visual inspection and complaints of the patient and the results obtained during x-ray examination.
The initial form halus valgus amenable to conservative (without surgery) treatment, aimed to eliminate the symptoms and slow the progression of disease. Hallux valgus progresses slowly, developing over many years, so patients often do not pay attention to the symptoms characteristic of the initial stage of the disease.
Basically a doctor on the second or third stages, when the base of the thumb appears bone-bump causing pain. In this case, to eliminate effuse bone tissue can only be surgical (operative) way. This can be avoided and for treatment of deformity of the toes with the help of conservative methods (without surgery), if you see a specialist in time.
In case of late detection of significant deviations of the joint of the big toe from its normal position is elected for surgical (operative) treatment. To determine which treatment will provide optimal results in your case, after consultation with the relevant doctor.
At our clinic are receiving experienced professionals that will help you to choose the tactics of treatment at any degree of hallux valgus of the first toe.
Operations at halus valgus are the deformations of I-IV degrees. The surgeon determines the type of surgical intervention and the need for aggregate data about the angles between the first and second metatarsal bones and the position of the thumb relative to the metatarsal bone.
Until recently, the only option for surgical treatment of hallux valgus in adults remained operation Shad, during which bulging of the bone sawed off part or removed the head of the metatarsal bone.
In modern orthopedic clinics patients are offered hundreds of options for surgical correction of hallux valgus the big toe is different from the Shad a more lasting effect and a small rehabilitation period.
For example, osteotomy (surgery to correct deformities or to improve function by artificial bone fracture) allows you to return the joint back in place and lock it into position, sparing the patient from constant pain when walking and preventing the development of late complications halus valgus.
Surgery to correct halus valgus carried out in the hospital, in a specialized Department (traumatology or orthopedics). Times when after surgery for treatment of deformity, the patient had to use crutches and walk in a cast, was in the past.
The use of innovative techniques of surgical correction allows to load the foot immediately after surgery, evenly distributing the load by using an orthosis.
The decision on whether conservative therapy halus valgus should take a profile doctor — podiatr, podiatrist (treatment stop) or orthopedic surgeon, because such a tactic is justified only in case of a slight deviation of the joint from its normal position.
The main therapeutical areas are in the early stages:
The basis of any treatment plan aimed at eliminating halus valgus, is the selection for a patient comfortable and wide enough shoes, do not hesitate to deformed toes.
To the load while walking is distributed correctly, it is recommended that casual wear of various orthotic designs: customized insoles, arch supports, foot cushions, which are installed between your fingers. Using these devices, patients are not only getting rid of pain, but also visually correct the deformed foot.
Goals of therapeutic treatment of hallux valgus are preventing the development of pathology in young patients and pain at any degree of deformation in the elderly.
Primary measure – removal of the causes:
In the treatment of hallux valgus in adults show a good result, finger correctors, worn at night. They do not cause discomfort and is securely fixed to the finger relative to the axis of the foot. Also for the correction of the arch of the foot during sleep are advised to wear a special gum-ties.
Severe pain in region of bone growth, swelling and signs of inflammation use its warming and anti-inflammatory creams. A good effect has a circular massage of the protruding bone ("bumps") with a piece of ice. Pain syndrome help relieve intra-articular and periarticular injection of diprospan and hydrocortisone. This treatment deformation of the toes for courses on an outpatient basis. As drug therapy, we recommend taking ibuprofen, nimesulide.
During remission halus valgus assigned courses ozokerito - or paraffinotherapies, magnetic therapy, UHF, electrophoresis with anti-inflammatory drugs.
Effective methods of conservative treatment halus valgus – medical gymnastics and massage conducted courses. Massage movements help to relax the muscles of the foot. In this case, run the active rubbing and kneading the joint, tapping, forced circular motion with your fingers, multiple diverting them to the side. For relaxing muscles and perform massage of the lumbar spine, back of the thighs, knee joints.
Therapeutic exercises aimed at elimination flatfoot, rehabilitation and strengthening of muscular-ligamentous apparatus. A special set of exercises you must perform daily: they improve blood circulation and help to reduce the unpleasant manifestations of the symptoms of hallux valgus.
Today hallux valgus is observed not only in people of Mature age, but also possible in children and adolescents. Timely conservative treatment helps to avoid problems in the future, so if there were typical symptoms halus valgus, do not postpone visit to the doctor. Clinic specialists will select for you the best course of conservative therapy for the treatment of deformity of the big toe.