Valgus deformation of the thumb of the feet: qualifications, treatment

The valgus deformation of the thumb of the feet is the most common orthopedic disease.Its main feature is the curvature of a Plusnephalanx joint.In the early stages, it is shown in the form of a small growth near the thumb.The disease has a slow development, so it is quite difficult to diagnose it in the early stages.Valgus deformation is often combined with violations of blood supply for tissues, leading to the development of arthritis or joints.In case of no treatment in the joints of the thumb, an acute inflammatory process occurs, called a burst.

What contributes to the curvature of the finger?

The cause of Valgus deformation may vary, which is considered:

• Flat feet;
• Congenital pathology of Plusnoplange joints;
• Muscle weakness, leading to pathological movement of bone surface;
• Leg injury;
• The destruction of cartilage on the background of arthritis or joints.

Bringing uncomfortable shoes to the direct reason for the occurrence of the disease not applicable, but it can accelerate the development of the pathological process.Therefore, Khalus Valgus is often found in women.There are other pathological reasons why the first finger of the foot can bend.Osteoporosis develops when filtering calcium from bone tissue, so they become less dense.This is what leads to a change in the shape of the joint.Almost everyone with symptoms of Valgus deformation has one of the two types of flat feet.Endocrine disorders contribute to reducing the strength of the ligament, which is why they cannot hold the match in the right position.The risk group includes women who are used to walking in high shoes.The supply of load increases to the toes to accelerate the curvature of the joint.The ball dancers are forced to stand on socks for a long time, which can lead to deformation of the foot.Therefore, Valgus deformation is only found at 3% of people under 30 years old, while out of 5 elderly people have similar problems.This disease is often found in patients with parents who have the pathology of the musculoskeletal system.

Clinical images of the disease

The curvature of the thumb of the leg in the early stages is quite difficult to pay attention.A person announced that he became uncomfortable when walking in normal shoes.After a long time in the standing position, the pain syndrome occurs.Over time, the main sign of the disease appears - the deviation of the first Metatarsophalangeal joint on the second side with the formation of the cone is placed.The rest of the fingers shaped in the shape.Patients can experience chronic fatigue and difficulty in choosing shoes.Over time, the corn appeared on the skin of the feet, bringing a lot of inconvenience to one person.The most common signs of Valgus deformation are painful sensation related to epidemic inflammation.A soft seal appears in the first finger.The skin of the affected area blushes and swelling.Over time, corn bones are formed, stimulating soft and cartilage.The strong pain appears while walking.The mobility of the joint is limited, the pathological process can cover all the fingers of the feet.

Some levels of Valgus deformation are distinguished, each with its own symptoms:

1. Hallux Valgus of level 1 is characterized by the curvature of the finger not more than 20 °.There is no pain at the same time.
2. In the case of 2 degrees of illness, joints are moved by 21-30 °.The uncomfortable feeling is light in the wild, the mobility of the finger is not disturbed.
3. With Valgus deformation at level 3, the curvature angle exceeds 30 °.Pain in the affected area has a constant characteristic.They prevent a familiar shoes, walk and play sports.
4. In 4 stages of the disease, joints are moved more than 50 °.The deformation of this level is characterized by strong pain, difficulties with the choice of shoes, the formation of a corn.

How is this disease revealed?

For preliminary diagnosis, a foot test and a history of Anamnesis were performed.The doctor should:

• assess the severity of the change of gait;
• The level of curvature;
• the presence of maize;
• Bone cone.

Main treatment measures

The selection of a specific method depends on the level of joint deformation and the severity of the pain syndrome.The most effective treatment for Valgus deformation of the thumb of the feet is in its early stages.Therapy can be both conservative and surgery.In addition, the development of orthopedic shoes, contributing to the exact distribution of the load and preventing the appearance of maize, helping to suspend the development of the pathological process.To reduce the pressure on the affected area, especially with the gasket and pads.Due to the large number of side effects, these funds are not suitable for prolonged use.Drug therapy cannot completely save one person from Valgus deformation.With its help, you can only eliminate pain and inflammatory signs.To treat the disease, physical therapy procedures are often used - Diathermy or ultrasound.However, these methods also only bring temporary relief.The most effective is the use of orthopedic devices created to take into account the personal characteristics of the foot.The use of supporters and fingers in the early stages of the disease prevents more common deformation.With the advanced forms of the disease, orthopedic devices allows you to make walking more comfortably.With the help of special bases, you can eliminate the main cause of curvature - flat feet.Activities are often required for 3-4 degrees deformation of Valgus, when conservation treatment is ineffective.The selection of the method depends on the severity of the deformation.With the slight movement of the finger, only bone development is removed.To do this, a small incision is done in the affected area, then the swelling is cut and removed.

Cut bone far away for the purpose of reducing the curvature angle.The lower part of the bone is dissected and installed in the right position.Close bone cutting implies affecting the upper part of the finger.In the operation of Keller - the brand, the joint of the thumb is completely removed, the remaining epidemic shell is placed between the main bone and the main phalanx.Surgical intervention is used in most advanced Valgus deformation cases.The effectiveness of treatment largely depends on the accuracy of the implementation of rehabilitation measures.During the postoperative stage, it is necessary to wear firm shoes or use special equipment.To reduce the load on the operation, you need to use crutches.Shoes should have a wide toe and low heel.Remember that any surgical intervention can lead to the development of complications.

The most dangerous is:

• Soft tissue infection;
• osteoarthritis;
• bleed;
• the shift of bone pieces;
• slow the treatment process;
• Losing the sensitivity of the finger.

The rarer complications are vascular nerves and post --Traumatic arthritis.Prevention of Valgus deformation is a continuous visit to an orthopedic doctor.Wear shoes with high heels should be rejected.The use of the recommended orthopedic base.Stay in a banned standing position.Valgus deformation is a fairly serious disease that can deteriorate the quality of the patient's life, so the treatment should start in the early stages.

Khalus Valgus (Hallux Valgus) treatment without surgery

Excessive body weight, uncomfortable shoes, trauma of the foot leads to the appearance from the inside at the bottom of the thumb of protruding, pain.It is called - Hallux Valgus.What is Hallux Valgus?The term determined in the literal sense is decoded as follows: Hallux is a thumb, and Valgus has a curvature.The protruding formation is the intermediate part of the first methatarsal bone.At the same time, it gradually departs from other methatarsal bones, increasing visual intuitive size.This disease is manifested by severe pain, unable to wear normal shoes.The skin above the protruding part is constantly rubbed, inflamed, in rare cases, they are bleeding.With the inadequate circulation of medical assistance, a significant deformation of all Metatarsophalangeal joints occurs.The first and second fingers are crossed out, other fingers can bend without voluntary, while the extension becomes impossible.

Causes of the disease

To better understand what Khalus Valgus is, you need to know the cause and mechanism of this disease.It develops most often in women, because their ligament movements are not as strong as in men.Such deformation does not develop independently, the effect of the following pathogens is necessary for its manifestation:

• The body weight increases - in fat people, there is an increase in the area of the area of the plus joints, leading to the extension of the ligament movement, Metatarsal bone connection;
• Narrow, uncomfortable, pressing, in high heels, shoes are the main activation of this state.Regularly wearing shoes with a narrow toe, also in high heels, contributing to constantly changing in the physiological position of the thumb, which is why it gradually deviated;
• Changes in hormonal platforms often occur in people with fair gender, contributing to the change in metabolism and spoils of connective tissue, leading to prolonged rise, impairing their integrity;
• Injury - significant damage to muscle tendons performing the leading and redirect functions, causing the dominance of the efforts of one of them, which is the cause of the first methatarsal bone deviation;
• Diabetes - leads to the development of diabetes, characterized by weakened blood circulation and trophism of muscles, tendons and ligaments, which can manifest with deformation;
• The arthritis and joints of the thumb of the leg can lead to the development of a chronic inflammatory center, which also stimulates the growth of bone cells that can cause the deformation of the affected joint;
• Pregnancy is the period in a woman's life, when the hormonal restructuring completely occurs, and the abdominal increase will convey to the front of the foot, causing the development of Khalus Valgus.

The stages of Hallux Valgus

The gravity level of Khalus Valgus is determined on the basis of the angle between the first and second methatarsal bone, as well as the irregular angle of the thumb from the first metatarsal bone.There are three stages of development of this disease:

1. Hallux Valgus of level 1 is characterized by the minimum deviation that makes up: The angle between 12 degrees and the deviation of the thumb does not exceed 25 degrees.At the same time, patients may not be completely absent in pathological symptoms and almost invisible visual changes.
2. Khalus Valgus 2 degrees - is manifested by an increase in angles between 18 degrees, at this time, the first finger is rejected more than 25 degrees.With the development of deformation, painful feeling appears, uncomfortable when wearing normal shoes.With excessive physical level, the pain is enhanced.The convex part of the bone tip is constantly rubbing, hypertension, swelling, showing an inflammatory process.
3. Hallux Valgus 3 degrees are manifested by significant curvature, the angle between the methatarsal bone exceeds 18 degrees, and the first and second fingers are surpassed.A significant red aneurysis is observed inside, painful when touching.Wearing any shoes becomes impossible due to pain, the patient is constantly limping, ignoring the affected limb.

Treatment tactics depend on the evaluation of the pathology.In the first stages, you can do with conservative methods with tires and other repair equipment.The following stage requires emergency surgery, without feet that can be deformed, other unwanted complications will occur.

Halus valgus treatment

Before starting treatment, it is necessary to eliminate the impact of pathological factors.First of all, you need to reduce body weight.For this, the patient is recommended to play sports, leading a dynamic lifestyle.An important point is that when implementing physical efforts, it is banned from applying the forces on the affected limb.The appointment of diet therapy is an important step in Khalus Valgus treatment.An expert can propose an effective diet, but it must necessarily include products rich in vitamins and minerals that will help improve the condition of the affected joint.

Tires and orthopedic people

They are used for continuous fixation of deformation plus bones and fingers close to the rest of the foot.You can use hard locks - tires, when repaired on the feet, do not make it move a finger.Such a device is used during sleep, as well as long rest.You can use the use of silicon repair devices.There are people who repair silicon only attached to the thumb, as well as attached to all fingers.The main advantage of this development is the ability to walk in shoes in it.At the same time, the effectiveness of the bone continues to continue and the actual closing itself does not feel when wearing.