Treatment of bones on the thumb. Valgus deformity of the toe: treatment

Valgus deformation is a very common problem, especially among women of mature age. The bumps at the base of the big toe do not look very beautiful, and as the disease progresses, the pathology causes considerable physical discomfort. So what is the bone treatment on the thumb? What means does modern medicine offer?

What is valgus deformation?

Ugly bumps on the legs in most cases are nothing more than a valgus deformity of the big toe. Under the influence of various reasons, the redistribution of load on the foot changes, which, in turn, leads to the deviation of the phalanx of the thumb from the natural axis. Undoubtedly, such changes affect the condition of all the bones of the foot - in the absence of treatment, deformation gradually covers all phalanges and joints.

The main causes of foot deformation

In fact, this pathology of the feet develops under the influence of many factors - both external and internal. First of all, the genetic predisposition should be indicated in the list of reasons - if the mother has a valgus deformity of the thumb, then the likelihood that such diseases of the feet will appear in her daughters also is high. By the way, female sex can be attributed to risk factors, as in women of mature age such a disease is diagnosed most often.

In addition, the disease is often associated with wearing uncomfortable shoes on a high unstable heel and with narrow toe capes. The fact is that such shoes during walking create an imbalance - the main load falls on the front of the foot.

Risk factors also include flat-footed transverse type, in which there is a change in muscle tone in the forefoot. On the other hand, overweight also creates an additional load, which increases the risk of deformation. Occasionally, bones on the legs appear as a result of a mechanical trauma, for example, bruising, fracture or dislocation.

Stages of development of the disease

Unfortunately, such foot foot disease is considered a fairly common problem. And here it is very important to notice the appearance of deformation in the early stages, when it is still possible to fix everything without resorting to the help of a surgeon. In modern medicine, it is common to distinguish four stages of development of valgus deformity of the thumb:

• The first degree. Accompanied by a small deviation of the thumb (less than 20 degrees) and is more aesthetic than physical inconvenience.
• At the second stage of the disease development, the angle of deviation is about 20-30 degrees.
• The third stage is characterized by a displacement of 30-50 degrees, while there is an initial deformation of other foot phalanges and limited movement in the joints of the thumb.
• In the fourth stage, the deflection angle is more than 50 degrees, while a significant deformation of the entire foot is observed, and patients complain of constant pain.

In any case, it is worthwhile to understand that such foot diseases are extremely unpleasant and dangerous. Therefore, when small cones appear at the base of the big toe, you should immediately seek help from an orthopedic doctor.

What symptoms are accompanied by the disease?

Certainly, valgus deformity is accompanied by a number of characteristic symptoms. In the initial stages, you can see the formation of small bulges, "bones" at the base of the big toe. At first, patients perceive such a phenomenon rather as a cosmetic defect, as there is no physical discomfort.

But as the disease develops, the thumb begins to deviate from the other phalanges. Patients complain of heaviness in the legs and soreness, which appears with prolonged walking, especially in uncomfortable shoes. At the third stage, the pain becomes a constant companion of man. Often the affected joints begin to become inflamed - the soft tissues swell and the skin turns red. The fourth stage of the development of the disease is characterized by deformation of almost all phalanges of the toes - the pain is present constantly, even at rest.

Methods of diagnosis

To suspect valgus deformity of the thumb is not so difficult, especially if the patient asked for help at later stages of the development of the disease. Nevertheless, there are other foot diseases that are accompanied by similar symptoms - for example, skeletal deformation may be associated with arthritis, gout and other diseases. Therefore, the patient is recommended to undergo some additional tests, in particular, X-ray examination - in the picture the doctor will be able to accurately see the presence of deformity and the degree of its severity, which, accordingly, will give answers to the question of how to properly treat a similar foot foot disease.

Treatment of bones on the thumb

If you have any doubts about the development of deformity, you should consult a doctor. Treatment of the stone on the thumb largely depends on the stage of the disease. At the initial stages, the situation can be remedied with the help of conservative means, but in any case it is worth to prepare for the fact that the therapy will be long and complex.

If there is an inflammatory process, then to begin with the doctor needs to eliminate it to alleviate the condition of the patient. To this end, a variety of anti-inflammatory drugs are used - the greatest effect in this case has special gels and ointments.

In addition, it is important to choose the right shoes. From high pins and narrow toes, you will have to give up in favor of comfortable leather shoes with a wide toe. Ideally, the shoes should be orthopedic and help to properly distribute the load to the foot. The doctor will also select you the appropriate diet, which will help to control the body weight and reduce the likelihood of the development of the inflammatory process.

Extremely useful are regular (daily) exercises for the feet, which will help restore mobility to the ligament apparatus. In addition, do not forget that strained muscles also contribute to deformation - in order to eliminate this risk factor, patients are advised to undergo a course of therapeutic massage.

Naturally, therapy includes all sorts of physiotherapy. In particular, patients are offered therapeutic baths, as well as electrophoresis with medications, ultrasound therapy, mud therapy.

Orthopedic devices for deformation

Modern orthopedics offers a lot of tools that help to correct deformation in the early stages. For example, patients are advised to get special insoles, which ensure unloading of the affected joint.

In addition, an effective bandage for the bone on the leg is considered effective, which "pulls" the finger in the right direction and keeps it. This device is most often worn at night, since walking in it is not too convenient.

Interdigital cushions and special insteps help to correctly distribute the load to the forefoot and visually align it. To support the transverse arch of the foot, special screeds are used, but they are not designed for permanent wearing.

One of the most effective products of modern orthopedics are tires, in which there are pads on the bone of the thumb. They are used both for conservative treatment, and during the rehabilitation period after the surgical operation. Such a tire can be worn constantly, even under shoes.

Surgical treatment of pathology

Unfortunately, cones on the thumbs are not always amenable to conservative methods of treatment. In some cases, still have to resort to the help of a surgeon. To date, there are more than a thousand techniques for carrying out such operations - the choice of how to correct the deformation depends on the degree of development of the disease and accompanying pathologies.

In some cases, the part of the metatarsal head or the phalanx of the thumb is removed. But most often doctors can restore the normal structure of the foot. During the procedure, the surgeon restores the ligaments around the joints and returns the normal position to the last. If necessary, the bones are fixed with special screws. Only in the most severe cases, the affected joints of the foot are replaced by implants.

The period of rehabilitation after surgery

The length of the rehabilitation period depends primarily on the degree of complexity of the operation performed. In most cases, already for 1-2 days the patient can and even need to make accurate movements with his fingers. As a rule, after 10 days the patient can already walk, but, naturally, observing some precautions. It is necessary to avoid long and intensive loads on the joints of the feet.

In addition, it is worth taking care of the appropriate footwear - it must necessarily be comfortable, with a wide toe and good shock absorption. By the way, it is better to ask the doctor to pick up the appropriate orthopedic pair of shoes for you.

Preventive actions

It is much easier to prevent the development of deformity than to then try to find an effective bone treatment on the thumb. And preventive measures here are quite simple. First of all, it's worth to give up uncomfortable shoes. The heel must necessarily be stable and not too high (no more than five centimeters), and the sock is wide enough to not press on the phalanx. At least, this should look like daily shoes - for holiday occasions you can make an exception.

Remember that the joints of the foot support the weight of your body, so watch the figure and prevent the development of obesity. It is very important and care for your feet - regular warm baths, massage and gymnastics for the feet will be really very useful.

Valgus deformity in children

In children, such a disease most often arises in the form of flat-valgus flatfoot, in which the deformity of the foot is observed - the heel of the small patient is rejected outward. Such an ailment can lead to some complications. First of all, it should be noted that as the child grows up, it becomes more difficult for him to move, because walking is accompanied by constant pain. In addition, the curvature of other joints and bones, including the spine, is not excluded.

Fortunately, with the timely detection and treatment of the disease, the prognosis for children is favorable. In most cases, the deformation can be eliminated without operations. Children are selected special orthopedic shoes, make a program for practicing gymnastics, and also recommend regular sessions of massage. Positively on the development of the bone and muscle system, cycling, walking barefoot on uneven surfaces (for example, pebbles), as well as swimming will affect it. Surgical treatment of valgus feet in children is carried out only if conservative therapy does not give a positive result.