Peripheral deformation of foot toe: degree, treatment

Valvular deformation of the toe is the most common orthopedic disease.Its main feature is the curvature of a nephalanx joint.In the early stages, it manifests itself in the form of a small growth near the thumb.The pathology develops slowly, so it is difficult to diagnose it in the initial stage.Peripheral deformation is often combined with a blood supply that violates the tissue, resulting in the development of arthritis or arthritis.In the absence of treatment in the thumb joint, an acute inflammatory process occurs, called bursite.

What helps the curvature of the finger?

The reasons for tilt deformation may be different, mainly: The main reasons are:

• Flat feet
• Congenital pathology of positive and partial joints;
• Muscle weakness leads to pathological mobility on the bone surface;
• Foot injury;
• Destruction of cartilage in the context of arthritis or arthritis.

Wearing uncomfortable shoes is the direct cause of this disease, but it can accelerate the development of the pathological process.Therefore, khalus external guard is most commonly found in women.There are other pathological reasons why the first finger of the foot can be bent.Osteoporosis develops when calcium is leached from bone tissue, so they become less common.This is what causes the shape of the joints to change.Almost everyone with valgus deformity symptoms have one of two types of flat feet.Endocrine diseases cause lower ligament strength, which is why they cannot keep joints in the right place.Risk groups include women who are used to walking in high heels.The load on the toes accelerates the curvature process of the joint.The ballerina is forced to stand on the socks for a long time, which can cause the feet to deform.Therefore, only 3% of people under the age of 30 find valgus deformation, while in the elderly, every 5 people have similar problems.This disease is often found in patients whose parents have musculoskeletal system pathology.

Clinical pictures of the disease

The curvature of the legs and thumbs in the initial stage is difficult to notice.One noticed that he was uncomfortable wearing his usual shoes.Pain syndrome occurs after standing in a long position.Over time, the main signs of pathology appear - with the formation of SO called cones, the deviation of the first metataphangeal joint to the second joint.The rest of the fingers have a hammer shape.Patients may experience chronic fatigue and difficulty in choosing shoes.As time goes by, corn appears on the skin of the feet, causing many inconveniences to a person.The most common sign of valgus deformation is the painful sensation associated with synovial inflammation.A soft seal appeared on the first finger.Skin in affected areas blushed and swelled.Over time, bone corn forms, irritating cartilage and cartilage.Strong pain occurs while walking.The joints have limited mobility and the pathological process can cover all fingers of the foot.

Several valgus deformations are distinguished, and each level has its own symptoms:

1. The first-level rumble valgus is characterized by the curvature of the fingers not exceeding 20°.There is no pain at the same time.
2. If you have a 2 degree disease, the joint will move 21-30°.The unpleasant feeling is gentle by nature and the movement of the fingers is not disturbed.
3. With the outward deformation of 3 degrees, the curvature angle exceeds 30°.Pain in affected areas is obtained for constant characteristics.They stop a person from wearing familiar shoes, walking and playing sports.
4. During the 4 stages of the disease, the joints are shifted more than 50°.This degree of deformation is characterized by intense pain, difficulty in choosing shoes, and corn formation.

How this disease is revealed

To make a preliminary diagnosis, foot and release history were examined.The doctor should:

• Assess the severity of gait changes;
• degree of curvature of joints;
• The existence of corn;
• Bone cone.

Main treatment measures

The choice of a specific method depends on the degree of deformation of the joint and the severity of the pain syndrome.The most effective treatment for valgus deformation of the foot toe is in the early stages.Treatment can be conservative and surgical.In addition, the development of orthopedic shoes helps to properly distribute the load and prevents the emergence of corn, which helps pause the development of pathological processes.To reduce pressure in affected areas, special insoles and washers.Due to the large number of side effects, these funds are not suitable for long-term use.Drug treatment does not completely save someone from valgus deformation.With its help, you can only eliminate signs of pain and inflammation.To treat the disease, a physical therapy procedure is usually used - diabetes or ultrasound.However, these methods also only bring temporary relief.The most effective is the use of individual characteristics of the foot pedal to use orthopedic equipment.In the early stages of the disease, the use of supporters and fingers can prevent further joint deformation.With advanced forms of disease, orthopedic equipment allows you to make walking more comfortable.With the help of special insoles, you can eliminate the main reasons for curvature flat feet.When conservative treatment is ineffective, 3-4 degrees of valgus deformation is usually required.The choice of this method depends on the severity of deformation.The fingers are slightly displaced, removing only bone growth.To do this, small incisions are made in the affected area and then cut and remove the protrusions.

Distal osteotomy is designed to reduce the angle of curvature.Dissect the lower part of the bone and install it in the correct position.Proximal osteotomy means the effect on the upper part of the finger.During Keller-Brandes's operation, the joints of the thumb are completely removed, and the remaining synovium is located between the bone and the main ovate.Surgical interventions are used in most cases of late valgus deformation.The effectiveness of treatment depends to a large extent on the correctness of the implementation of rehabilitation measures.After the operation, it is necessary to wear sturdy shoes or use special equipment.To reduce the load on the operating legs, you need to use a crutch.Shoes should have wide toes and low heels.It should be remembered that any surgical intervention can lead to the development of complications.

The most dangerous thing is:

• Soft tissue infection;
• osteomyelitis;
• bleed;
• displacement of bone fragments;
• The recovery process slowed down;
• Loss of finger sensitivity.

The more rare complications are vascular neurosis and post-traumatic arthritis.Preventing valgus deformation is an ongoing visit to orthopedics.Shoes wearing high heels should be refused.Orthopedic insoles are recommended.It is prohibited to stay in a standing position for a long time.Valvular deformation is a rather serious disease that can worsen the patient's quality of life, so treatment should begin early.

No surgery

Excessive weight, wearing uncomfortable shoes, foot trauma causes pain from the inside, high blood protruding at the bottom of the thumb.It is called -Allux altgus.What is Hallux external guard?The clear term is literally deciphered as follows: Hallux is the thumb, and the outside is the curved.The protrusion formed is the medial part of the first bone bone.At the same time, it gradually deviates from other meta bone bones, visually increasing the size of the bumps.This disease shows severe pain and it is impossible to wear ordinary shoes.In rare cases, the skin above the protrusions constantly rub and become inflamed.With the out-of-time cycle of medical help, significant deformation of all metatophangeal joints occurs.The first finger and the second finger cross, and the other fingers can be bent involuntarily, while extension is impossible.

Causes of the disease

To better understand what the Khalus exopatrol is, you need to understand the causes and mechanisms of this disease.It develops most frequently in women because their ligamental instruments are not as strong as men.This deformation does not develop independently, and the manifestation of the following pathogenic factors is necessary:

• Weight gains - In people with fat, plus the increased load on concentrated joints, which leads to ligaments that extend the ligament, which connects the bones of meta bones.
• Critical, uncomfortable, pressing, high heels, shoes are the main triggers of this state.Wearing shoes with narrow toes often, and high heels, can cause the physiological position of the thumb to be constantly changing, which is why it gradually deviates from the thumb.
• Changes in the hormonal background usually occur in fairness people, which lead to changes in the metabolism and differences of connective tissue, resulting in an increase in tendon stretching, thus impairing their integrity.
• Trauma - The huge disruption of muscle tendons that perform leading and metastatic functions will inspire one of the efforts to dominate, which is the reason for the first meta bone deviation.
• Diabetes - leads to the development of diabetic foot, characterized by blood circulation and malnutrition in muscles, tendons and ligaments, which enables manifestation as deformation;
• Arthritis and arthritis of the thumb of the legs can lead to the development of chronic inflammation focus, and these diseases also stimulate the growth process of the bone genus bone, which may cause deformation of the affected joints;
• Pregnancy is a period in women’s life when a complete hormonal recombination occurs and an increase in the abdomen transfers the load to the front of the foot, which inspires the development of the Caralous hood.

Hallex's Stage

The degree of gravity of the Khalus valgus is determined based on the angle between the first bone and the second proton bone and the skew angle of the thumb from the first bone bone.There are three stages of development of this disease:

1. The first degree rumble appearance is characterized by the minimum deviation of the composition: the interventricular angle is less than 12 degrees, and the thumb deviation does not exceed 25 degrees.At the same time, the patient may not have completely absent in the pathological symptoms, and the visual changes are almost invisible.
2. Khalus altgus 2 degrees - manifested by an increase in the interpulmonary angle to 18 degrees, when the first finger is rejected more than 25 degrees.With the development of deformation, you will feel painful and uncomfortable when wearing ordinary shoes.The pain is exacerbated due to excessive over-structure of the body.The convex part of the bone is often rubbed, and the high blood swells, indicating the inflammatory process.
3. The 3rd degree of surgery shows obvious curvature performance, the angle between the meta bones exceeds 18 degrees, and the intersection of the first and second fingers.A large number of red bulges were observed inside, painful during palpation.Due to pain, wearing any shoes is impossible, and the patient is constantly weak, avoiding the affected limbs.

Treatment strategies depend on neglect of pathological processes.In the first phase, you can use conservative methods with tires and other fixing equipment.The following stages require emergency surgery, and the foot can deform without it, and other adverse complications will also occur.

Halus processing method outward

Before starting treatment, it is necessary to rule out the effects of pathological factors.First, you need to lose weight.To this end, patients are advised to participate in exercise and live an active lifestyle.An important point is that when performing physical fatigue, it is prohibited to apply force on the affected limbs.The appointment of diet therapy is an important step in the treatment of Harlus' external guard.Experts can recommend an effective diet, but must include products rich in vitamins and minerals, which will help improve the condition of the affected joints.

Orthopedic tires and fixators

They are used to continuously fix deformed bones, with fingers closer to the rest of the foot.You can use a rigid lock - tire that does not allow fingers to move when fixed to the foot.Use this device during sleep, as well as long rest.You can turn to the use of a silicone holder.There are silicone holders attached to the thumb only and all fingers are attached to all fingers.The main advantage of this development is the ability to wear shoes.Meanwhile, the effective bone-added bone continues and the latch itself is barely felt when worn.