Many women (and some men) with age, face is not very pleasant phenomenon, when the big toe appears knot. At first it is soft, but hardens over time. Then it grows and prevents you to wear fashionable (and later any) shoes. Soon it can become inflamed, causing discomfort and even severe pain, causing gait disturbance, deformity of the other toes. Because it appears a lot of problems both aesthetic and medical.
This violation (or disease) simply called "cone" or "bone" in the foot. In medicine it is called hallux valgus. It's not "alien growth", as many believe. A curvature or deformity (from the Latin valgus – curved or curved outward) joint of the first toe.
This is one of the most common orthopedic diseases. It should be noted that in varying degrees, suffer 78-85% of women and about 15% of men. That is, women, the disease appears ten times more often. Nature has taken care that men as the stronger sex, the ligaments were more flexible and stronger. Yes, the shoes are usually comfortable. Such bones in the legs usually appear in 30-40 years. But in recent years the disease is "younger" and affects even the 20-year-old.
Its cause may be a genetic predisposition that is passed from generation to generation as an innate weakness of the connective tissue, or increased the length of the first (big) toe. The same reason can lead to:
But this is only a predisposition and a trigger for the appearance of the bone on the big toe, according to doctors, is the improper distribution of the load when walking, the passion too tight or small shoes and heels excessive length. Pressure on the foot causes the toes to move in a narrow toe and make the form of shoes. This causes deformation of the joint. At constant wearing of such shoes the process becomes more intense, and in severe cases to the treatment of the bones in the leg may require surgery.
So often this disease is the price paid for beauty. Among the fashionistas of the bones in the legs can appear at an early age. Orthopedic doctors refuse to recommend a long-term relationship narrow "model" of shoes, shoes and boots with narrow toes, too high heels. And as soon as there was a small bone in the leg, the treatment is started immediately.
The reasons for the development of the disease, as has been said, is a congenital weakness of the ligaments. Occurs transverse flatfoot, which weakens the natural damping properties of the foot arch, and the load on it begins to be distributed incorrectly. The result is a subluxation of the metatarsophalangeal joint of the thumb. If this load operates continuously and is compounded by the constant wearing uncomfortable shoes for your feet may develop Hallus Valgus to the extent that when will need surgery to remove the bones on the feet.
Also causes the development of strain may be:
But the main factors from which there is bone on foot, are too tight shoes, is unreasonably high (more than 7 cm) heels and shoes with narrow toe.
According to experts studying the problems of foot surgery and orthopedics, while walking the front part of the foot is loaded in 2,5-3 times more than the rear. First, the foot rests on the heel. Then the weight is transferred to the medial and lateral parts of feet. In the final total weight is on the toes.
In shoes with heels with a long and narrow toe pressure on the head of the metatarsal bone grows exponentially. This creates a mechanical pressure on the big toe, causing it to shift and, eventually, distorted. Uncomfortable shoes creates an additional burden, damaging and deforming plyusnefalangovyy joint. Thus, there is a "bone" on the big toe, leading to osteoarthritis
Valgus deformity may have the following grades:
I degree. In this case, the big toe is deployed at 25° (at a rate of 15°). In the joint there is a small bump in the place where due to the offset thumb sticks metatarsal bone. It looks unsightly, but minor and occasional pain goes away.
II. The displacement of the finger at an angle of 30°, after the stress the pain can be considerable. "Bone" in the foot is perfectly visible, palpable and clearly visible. The tendons of the flexors are starting to move, continuing the deformity of the joint. When I and II degree treatment bone can be practiced conservatively.
III degree. The angle of displacement of the finger reaches 40° C and above. This advanced stage of the disease, when it is having problems with gait and selection of shoes. Regularly there is pain when walking, which increases at high loads. The increase in cones is not only because of the displacement joint, but also in connection with the formation of bone and cartilage growth in the damaged joint. Soft tissue of the foot becomes rough, compacted and form a scab. Occurs and begins to develop inflammation of the joint capsule (bursitis), as well as chronic inflammation of the joint (osteoarthritis). In this case, we recommend removing the bone on his thumb.
The biggest danger is in the subtle progression of the disease. Toes wedged in the trendy shoes is getting crowded. Thus the first metatarsal bone shifts inward, pushing out the first (big) toe.
In the initial stages of treatment of the bones is pretty easy. But if the pressure is repeated regularly and for a long time, at the head of the bone (first metatarsal) starts to appear a bump, or Bud the same "bumps". At the initial stage of a bone in the foot is almost imperceptible, and pain with almost no. But as the development process of Bursa SAC joint starts to become inflamed, which leads to bursitis. But over time, there are other troubles – high sensitivity region, which is beginning to bulge, then irritated and severe pain. In this case, you forget about heels and talking about fashionable footwear.
Uncomfortable shoes is the wrong location and angle relative to the foot of the first finger (thumb). Resulting in the joint to prematurely wear out. There is a loss of articular cartilage, and then the increase in bone growth.
To accurately determine the severity of deformity by x-ray results of the study. The duration and methods of treatment depend on the stage of the disease. The sooner you consult your doctor, the easier it will be to get rid of the problems. In the initial stages the disease is amenable to conservative treatment.
To date, developed more than 300 techniques for getting rid of bunions on the feet. Among them is the use of special insoles, orthoses, clips. Effective physical therapy and baths with sea water, as well as valgus splint (night brace).
Used many other methods:
In exacerbations of inflammatory processes may be appointed anti-inflammatory therapy in the form of compresses, ointments, gels or tablets. Correctly prescribed treatment will help to slow or stop the process of deformation.
If the bones in the feet are highly expressed – that is, when running the II and III degrees of deformation, there is swelling, inflammation, pain develop. Impossible to wear many types of shoes. In such cases, the removal of bone is possible only through surgical intervention.
Modern techniques are very different from those used in the last century. Now no longer in fashion steel spokes and cast, and crutches in the postoperative period.
Surgeons will be able to choose for each patient the most suitable technique of operation. There are more than 200 effective ways to remove bunions on the big toe. The newest technologies their field and possess the experts allow to spend almost jewelry operation. The choice depends on the anatomy of the patient and the extent of the disease.
For example, often used such method of operation, as Shede. In the process with the medial surface is removed ekzostoz. In other cases, the treatment of bones at the foot of the thumb may be performed using techniques Scarf. To do this, use a power tool. This method provides a stable positive result. Each of the selected methods for the removal of bones on the feet provides excellent postoperative rehabilitation. And chosen by professionals recovery program will match the characteristics of the patient.
Continues surgery to remove the bones on the legs depending on the complexity and extent of the disease. Its General duration is from several minutes to hours. We use anesthesia – spinal anesthesia. No postoperative complications do not arise.
Complete removal of the bones of the thumb together with the period of rehabilitation will take a minimum of time. Walk the patient begins on the second day, in a special Shoe to reduce the load. He will spend in the hospital for 2-3 days. For a full treatment of bone recovery period continues at home. The stitches are usually removed two weeks after surgery. Then you need to gradually increase the load. In the office you can start working after 3-4 weeks, the physical labor people have to wait 1-2 months. Our patients will be able to wear stylish shoes after 6 months.
Millions of women suffer from a moderate strain of feet and still, the only way to get rid of them was an open traumatic operation. The procedure was so painful that often operated with only one leg, to incapacitate the patient completely.
The formation of postoperative scarring was inevitable, and often normal shoes are impossible to wear for up to one year.
Now available new technologies and treatments "bones" on the feet with minimal recovery time, and, most surprisingly, scars (scars) are almost invisible.
Surgery for correction of deformity still with a reputation as a very painful and traumatic, with a long recovery period.
New mini invasive surgery — in fact, the operation is not purely laser and combined. Laser-cut leather. Dissection can be from 2 mm to 1 cm, This means that no traces almost does not remain, in the early postoperative period the patient is not experiencing such severe pain, as in open surgery. Next, we introduce a special milling cutter with side sharpening and removed the "bone" (ekzostoz of the metatarsal head).
It is very important that this new method is a specialized orthopedic surgery of the foot and ankle.
Tools used in Miniinvazivnoy foot surgery, originally developed for operations on the head, face and neck, very thin and rotate at high speed to make tiny, precise ostetomii. Then the orthopedist took these methods into consideration.
Minimally invasive technique allows the surgeon to perform the surgery through small punctures in the skin. This procedure reduces soft tissue injury and scarring and allows correction of the deformity with minimal surgical intervention.
The main benefits for patients include:
This technique was developed by surgeon specialists which have extensive experience with the open method.
This new method allowed us to perform traditional operations but in a less invasive manner, which means that patients can have the predictable recovery that is associated with open forefoot surgery but with much less damage to the skin and soft tissues.