Causes of pitting stones on the big toes, is effective treatment possible?
Stone on the big toe: extent and symptoms of the disease
Valgus deformity (translated in Latin hallux valgus) is a curvature of the metatarsophalangeal joint of the big toe. When a phalangeal disease of the thumb deviates from each other, a lump grows on the finger, inflammation begins. Anger can grow and hurt.
Valgus deformity of the first toe has 4 degrees of development:
- The angle of displacement of the thumb is less than 20 degrees.
- The angle of displacement of the thumb in the range from 20 to 30 degrees.
- The angle of displacement of the thumb in the range of 30 to 50 degrees.
- The angle of displacement of the thumb is more than 50 degrees.
At the first degree, the person does not experience any painful sensations, only an aesthetic moment is present. The second brings discomfort with prolonged walking.With the third foot begins to deform significantly, and the bone bulge, it grows. The skin near the thumb turns red and swollen. The joint at this degree loses mobility. The fourth degree of the disease is characterized by significant painful sensations, the formation of callous growths, there are problems with the choice of shoes.
Causes of seed formation on the big toes
There are the following main factors provoking the deformity of the metatarsal joint:
- uncomfortable shoes;
- hereditary factor;
- flat feet;
- rheumatoid arthritis;
- intense loads on the legs;
- excess weight.
Women suffer from this disease more often than men, and this can be explained by the long wearing of high-heeled shoes. Tight shoes also often provoke the formation of growth on the thumb.
It is proved that there is a genetic predisposition to the development of valgus deformity of the first toe. According to experts, this is the most common cause of the disease. So, if the mother had such a deformity, then, most likely, the daughter will suffer from the same illness.
A leg injury, for example, the fall of a heavy object, can lead to the development of deformity of the thumb. As a rule, a child is more at risk of developing the disease than an adult, since bones are especially thin and flexible in childhood. It is not uncommon for a healthy leg to suffer later on from the disease.
In people whose professional activity is associated with large loads on the feet (ballet dancers, athletes, waiter, etc.), in most cases this disease occurs.
With overweight, the legs of the feet are under heavy stress, as a result of which obese people are particularly susceptible to all kinds of orthopedic ailments.
Conservative treatment of bone on the big toe
In the early stages of the disease, the doctor prescribes treatment by conservative means. These methods include:
- The use of orthopedic devices.
- Physiotherapeutic methods.
Among a wide variety of orthopedic devices for correcting the shift of the metatarsal joint, we can distinguish such effective means:
- valgus corrector;
- interdigital roller;
- insoles and arch supports.
With the help of a valgus corrector, the patient's thumb is fixed, taking the anatomically correct position. The device prevents further development of the deformation of the finger and is used, usually during sleep.
The orthopedic tire performs the same function as the valgus corrector. Ease of use tires is that it can be worn under shoes.
Orthopedic screed supports transverse arch of the foot. It looks like a rubber band with an insert. This device is not recommended for permanent wear.
Interdigital orthopedic roller, insoles, special instep supports are used to evenly distribute the load on the forefoot.
The following physiotherapy methods are widely used by orthopedic surgeons:
- Shock wave therapy.
- Laser therapy.
- Ultrasound therapy.
- Mud therapy
During shock wave therapy, acoustic waves, acting on sore bones, relieve their inflammations. One session lasts about 15 minutes. After the first procedure, the patient feels a significant relief of pain.The length of the course is prescribed individually by the orthopedist. Contraindications of this type of therapy include pregnancy, the period of breastfeeding, infectious diseases, low blood clotting, the presence of a pacemaker in the patient�s body, and a cancer.
The use of a laser device is based on the heating of diseased joints. After the procedure, the pain is significantly reduced, inflammation and swelling are reduced. A course treatment with a laser, prescribed by a doctor, allows you to get rid of bone growths on your big toe in a fairly short time and prevents them from reappearing.
Laser therapy has a number of contraindications:
- various tumors;
- pigmentation and moles on the affected area and on the skin around it;
- diseases of the cardiovascular system;
- lung diseases;
- increased levels of thyroid hormones.
Under the influence of ultrasound, the temperature of diseased areas of the body increases, resulting in an acceleration of metabolic processes and restoration of diseased joints. Apply this method of treatment can not be in disorders of the nervous system in the acute stage, thrombophlebitis, rapid pulse and problems of the cardiovascular system.
Therapeutic mud is designed to stop inflammation, improve blood flow and lymph movement. To treat the valgus deformity of the big toe with mud therapy you need courses. Then the pain will disappear, and the bone will not act as much as before.
Massage of seeds on the big toe is a very effective measure in the treatment of their deformation. With its help, the ligaments of the foot are strengthened, the blood supply improves, inflammation stops, pain is greatly reduced. Massage sick metatarsal bone should be done regularly.
When the deformity of the metatarsal joint saline baths help well. To prepare the bath in a liter of warm water is added a tablespoon of sea salt. In this solution, the legs must be kept for about 20-25 minutes daily.
Regular exercise will also ease the pain of deformation of the first toe. They consist of alternating steps on the toes, heels, inner and outer sides of the foot. An exercise is also effective, which is to try to collect scattered pencils or pens from the floor using your toes.
Repeated or constant occurrence of severe pain should be associated with the use of anti-inflammatory drugs, which the doctor will prescribe. Anesthetic cream or ointment, rubbed into the inflamed areas, have only a short-term effect, because they are not able to penetrate through the skin into the sore joint.
Surgical treatment of bone on the big toe
Surgical intervention is an extreme measure when the curvature of the metatarsal bone has become severe and other methods of treatment do not lead to proper results. However, experts note that the operation can be shown at any stage of the disease.
Contraindications to surgery for a twisted toe are:
- varicose veins;
- pathology of the cardiovascular system;
- somatic diseases in an acute form.
Depending on the degree of development of the valgus deformity of the first toe, the surgeon prescribes:
- Resection arthroplasty.
- The procedure for the correction of the arch of the foot.
When exostectomy excised protruding metatarsal joint.Osteotomy is usually prescribed for the last stage of the disease. By this procedure is meant the removal of a part of the phalangeal or metatarsal bone, after which the bones of the thumb are fixed with the spokes in the desired position.
Arthrodesis is an operation to excise and close the joint between the metatarsal and phalangeal bones.
Resection arthroplasty - removal of part of the joint.
When correcting the arch of the foot, the joint is fully functioning by restoring the ligaments around the phalanx and metatarsal bone.
Endoprosthetics is to install an implant instead of a fully removed joint.
Surgical methods for the curvature of the metatarsal bone, as a rule, low-impact. You can start walking in 1.5-2 weeks after surgery, the recovery period is 3-4 months. After 6 months, it will be possible to talk about a full recovery when the attending physician allows the patient to wear shoes with heels and play sports.
Unfortunately, surgical methods for treating the metatarsal deformity have disadvantages. These include:
- Conduct a re-operation to remove metal-fixing bones.
- There are often cases where the bones begin to appear again.
- For some time after the operation any loads on the operated foot are prohibited.
- Perhaps slow bonding.
- There is a risk of bias and the occurrence of infectious complications in soft tissues or bones.
Prevention measures against bone formation on the big toes
You should know that there is no one hundred percent way to get rid of the bone on the leg. Even after surgery in 30% of cases, after some time, the newly formed bone has to be removed. Therefore, it is extremely important to follow simple rules so that later you don�t have to correct a bone on your leg.
The prevention of foot curvature includes:
- wearing proper shoes;
- proper nutrition;
- maintaining weight in the normal range;
- walking barefoot on an uneven surface.
Proper shoes should be comfortable, have an instep, a round toe and a heel no higher than 4 cm. A sure remedy against fatigue and deformity of the feet is the constant wearing of orthopedic insoles.
It is necessary to reduce the use of products that can provoke inflammatory processes in the joints: fried, smoked and sweet foods, spices, soups in rich broths. It should be included in the diet rich in vitamins A, E and C products.Greater effect will have a regular intake of vitamin complexes.
Inflamed bone on the big toe can make life unbearable. Therefore, it is so important not to start the disease and in the early stages turn to an experienced orthopedist who will prescribe an effective set of measures to cure the disease. And further compliance with preventive measures will help prevent the development of the disease.
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