This phenomenon is very common and adversely affects the quality of life, so you need to talk more about the types of disease, symptoms, causes and methods of treatment.
What is valgus deformation?
Deformation of the prohibition valgus is an orthopedic pathology, in which a deformity of the first finger plusnoplancing occurs. With it, the first (big) finger on the foot is gradually deviated from the outside, the other fingers deform. The most characteristic characteristic of the disease is the development of exophytes (increased bone fraud), the foot grows to a transverse size, bending inside. Diagnosis is made when some indicators differ immediately: the most characteristic feature of the disease is the development of exofs.
Causes, mechanism
With foot deformity, the joint biomechanics is disturbed and the bone of Plusneva occurs, which leads to leg bending. The weakness of the leg connective tissue is guilty of deforming the valgus. With foot deformity, the joint biomechanics is disturbed and the bone of Plusneva occurs, which leads to leg bending. The thumb can no longer look inside and deviates out.
Further, the patient expects inflammatory processes where the bone parishes, bursitis and changes in bone tissue in area of 1 plus bone (its head) are observed. All this leads to the ear of union, arthritis and arthritis. All this is complicated by the development of corn and calls.
Reasons:
improper shoes (high heels and lack of it, short or small shoes, tight fingers);
flat feet;
Hypermobility of the ankle joints;
short calf muscle;
genetics and inheritance;
osteoporosis;
working conditions (those who are forced to stay for a long time);
disorders in the work of the endocrine system;
Excess weight.
The types
There are the following varieties of foot valgus deformation:
Static deformation is combined with flat feet and occurs as a result of curvature of the spine. Treatment should begin with the treatment of the back.
The reason for the structural deformation of the foot valgus is an innate anomaly of foot development.
The cause of the paralytic species is encephalitis or polio.
Rachitic develops as a result of vitamin D deficiency and other substances. Also possible as a result of a violation of mineral metabolism.
Traumatic occurs after fractures of the ligaments or fractures.
Spastic deformity develops due to muscle cramps.
With a compensatory, the tendons are cut and the shape of the foot joint changes.
Hyper -Correctional develops after obscure clubfoot therapy.
With the deformation of foot balance planning, walking is worried, the only one is very curved from the inside, and after a long stay, the person feels severe pain. This disease develops as a result of cerebral palsy and is often found in infants.
When installing a flat valgus foot, it does not have a transverse and hungry adjustment.
The type of fifth-valgular deformation develops due to the improper location of the foot directly to the mother in the abdomen. The front of the foot is very assigned, and the heel visually joins with the lower leg.
Symptoms at different stages
The disease develops slowly, but permanent, therefore, at different stages of leg valgus deformation, the symptoms will change.
At an early stage, there are:
painful sensations when wearing some types of shoes (with a long finger or tight shoes);
Redness of the skin in the area of prolonged seeds.
In the 2nd stage, there are:
Inflammatory processes in the joints;
pain;
swelling;
Growths become more noticeable.
In the 3rd stage:
The pain becomes exhausting and sharp;
On the foot there is corn or keratinized skin;
There is a deformity of all fingers and ankle joints.
Troubleshooting
The main diagnostic methods for determining the foot valgus deformation are:
Clinical inspection. The orthopedist will evaluate the level of finger and heel deviations, in terms of foot arches softened and how much it has moved inside, plus the presence of edema.
X -Ray. Is performed on foot and immediately in 2 projections. Allows you to accurately evaluate all the angles between the nodes.
Ultrasound.
Plantography. It will help to determine how large the foot load is and the phase of the flat legs.
Computer analysis. Otherwise, a computer study is called postometry and allows you to determine the pressure on the foot.
Treatment in children and adults
If the deformation is not too neglected, conservative treatment is used.
Physical education
It is better to do it in the hospital, but you can at home. It strengthens the foot and helps in the proper distribution of foot load, plus improves blood circulation and does not allow edema to develop. The complex recommends an orthopedic, or you can deal with the video.
Here are the most effective exercises:
Exercise bike is effective for press and hips but will help the feet
The bike is effective for the press and hips, but will help the legs. When moving your leg away from you, pull your foot forward when pulling your foot over yourself.
Sitting on the floor. We perform based on the floor with our hands. We bend 8 times and extend our feet to the ankle, spread our fingers widely and turn them into I. P. effectively compressing and unlocking our fingers 6 times.
In the chair. We only move our feet with our fingers front and back. You can grab your finger pen 1 and 2 and draw them on what you like.
We stretch our feet straight into a chair in a chair and pull the ankle on ourselves until it stops. We bend it and the maximum first finger. Behind the foot, we lie down by ourselves and bend our fingers as much as possible. For children, get up in socks, walking on the inside of the foot will be effective.
It will be useful to walk on any surface with strips, sand, pebbles (not fast) and only along a narrow path. A scooter and a bike will be useful for children because they strengthen the muscles and joints of the foot. Swimming is also able to strengthen the leg muscles and improves blood circulation in it.
Orthopedic
Various devices are used here, but they are selected only with one orthopedic:
Orthopedic shoes. Such shoes should have a hard and high coast, and a special heel, longer from the inside. It should also have a great discovery that allows you to wear it with other accessories (cortrays and latches).
Layers. They can be called by sales from evidence. Overlaps prevent deformities from development, reduction of friction and pressure and do not allow for fake articular positions to be formed. Made of silicone.
Sometimes they avoid surgery, but with advanced stages they are not recommended. They tightly adjust the joints and allow it to be constantly in a calm state, relax the muscles and prevent swelling. All this allows the union to take a healthy and accurate form.
Bandage. They are used for Hallus Valgus, which is similar to tires, but they are softer.
Supiners. So otherwise they call it orthopedic bedding. These are mechanical support that correct the load distribution and the fixing joints. With valgus deformation, transverse, transverse and frame supervisors can be used.
Interconnection divisions. They can be called gaskets, rollers or separator. Ease the condition and warn the deformation, but they cannot cure dramatically. Normalize walking. They can be with locks, made of gel or silicone.
Orthodes and tutors. Such products are needed with valgus deformation of the lower leg or knees. Their task is a rigid foot fixation. Heralds on sale can also be called bedding, which are written above.
Massage carpets. They perform the same functions as any uneven surface in which it is recommended to walk during the disease. Improve blood flow, prevent swelling, relieve pain.
Physiotherapy
Its task is to relieve a symptom of pain, prevent stagnant leg processes, improve blood circulation and relieve inflammation with swelling:
Electrophoresis is performed with calcium preparation, chondroitin with glucosamine, anti -inflammatory and analgesic drugs
Diadinamotherapy. This treatment with electricity (50-100 Hz. ). Relieves pain has a myostimulating effect, improves joint nutrition. In the treatment of joints, bifurcated electrodes are used. It is contraindicated at high temperature, hypertension, asthma, epilepsy, radiculitis and neuritis, damage.
Electrical stimulation. The effect of pulsating currents with different indicators allows you to train and strengthen the deeper muscles. Because of this, the foot is strengthened. Performed by applying electrodes to the skin. Duration - no more than 2/3 hours, the course is up to 30 procedures. Contraindications are the same as with diadia therapy plus skin damage.
Electrophoresis. In this disease, electrophoresis is performed with calcium preparation, chondroit with glucosamine, anti -inflammatory and analgesic drugs. There are no contraindications, but you have to choose the right medicine.
Magnetotherapy. It stimulates all cells and accelerates the metabolic processes in the joint, used as an auxiliary agent. The electromagnetic field stimulates nerves and muscles.
Mud applications. Relieve inflammation, swelling and pain. Mud can be Sapropelia, Hydrothermal and Peat, Volcanic and Sopom. Applied to the feet in the form of "socks" and covered with fabric. Contraindicated in skin damage and diabetes.
Ozokerite. It warms and nourishes the joints, stops inflammation. Used in the form of bathrooms or "boots".
Paraffin applications. The paraffin is thrown into the injured legs. Underneath they can apply anti -inflammatory oil. Ease of inflammation and pain, improve blood supply. The contraindications are the same as in the treatment of mud and ozker.
Night baths. Relax the leg muscles, relieve pain and inflammatory processes. Most applicable to salt baths and dirt.
Acupuncture. It will help to eliminate some causes of the development of foot deformity if caused by any disease of the nervous system or endocrine: you should only act correctly at the correct points.
Correction of operation
With overly neglected leg deformation and an overloaded exofite, surgery is the only effective method. About a hundred types of operations are used to treat deformation today.
The most effective are:
Recovery begins on the 2nd day, when the operated is allowed to move your fingers
surgical removal of growth (minus is that it can grow again);
balancing periarticular muscle;
functioning of deformed bone reconstruction;
Joint fixation - Attodesis;
surgery to restore ligaments and their correct location;
implantation of the union or tendon;
Operation for removing bone heads plus - exostctomy;
The surgery to change the angle between the bones and the removal of Phalanx or Plus is osteotomy. Can be chevarine, proximal or distal;
Dozens of other operations.
Recovery begins on the 2nd day, when the operated is allowed to move your fingers. After 1. 5 weeks, you can start walking, but you can't go to an operated area.
It is possible to give a foot load at 4-5 weeks. After 6 months, you can wear heel and start playing sports.
During rehabilitation, it is recommended to undergo shock wave therapy, which improves blood circulation in the tissue and reduces edema. The methods of physiotherapy described above will be useful.
Popular methods of treatment
Not the best method of correction of foot valgus deformation and waiver of bone. But you can try.
The compresses are popular.
They use iodine, cabbage leaf, fish (river), aspirin, turpentine, snow, beaver oil:
The cabbage leaf can be applied to the affected joint, wrapped in a scarf and go to bed.
The shamentine is first rubbed on the skin after warming the leg and going to bed.
Baths with iodine. A teaspoon of iodine is needed per liter of water. Color your legs for 1/3 hour and grind it well.
But practice shows that popular treatment of valgus leg bending is ineffective and can damage.
PREVENTION
Relapses in this disease occur because the weakness of the ligaments and muscles is not that simple.
Prevention includes:
Wearing the right shoes: natural, with no tight socks and on a small heel;
Treatment of flat feet in time;
Rest on foot;
load adjustment;
Relaxing baths;
Orthopedic bedding or supervisor.
Should what should be shoes?
It is best to order orthopedic shoes in special stores and after counseling with an orthopedic.
Shoes should be:
Soft;
The sock should be wide;
Kabulk is required - up to 4 cm. ;
The background and supervisor should be dense and high (background height - 3 cm from the heel).
