Hallux valgus

Hallux valgus, or with other words: the inflammatory process pockets of the joint, one of the most common diseases of the musculoskeletal system.

The internal cavity of the joint with a special case, the produced liquid, which is a pain-free and easy movement. Due to various infections and changes in the cavity of the first metatarsophalangeal joint Department inflamed, which leads to a violation of his direct functions and restriction of movement activity.

In medical practice, is of the opinion that the Hallux valgus develops in those persons that consume large quantities of salt, but in the recent studies, this hypothesis is not confirmed. existed However, there are situations when sustavnaya ignited the bag due to the salt deposits, it is not so rare. For example, this phenomenon often in the gout, when the feet in salt and deposited compounds of the uric acid. Also, inflammation may develop and in violation of the immunity or, more precisely, in the case of rheumatism, rheumatoid Arthritis, psoriasis. However, the main reason of the disease – the flat feet. This can occur when the wearing of inappropriate shoes, flat feet, pathology of the muscles and ligaments of the sole of the foot, occurs most often the disease in women.

Code according to ICD-10

M71.5 Other disease not classified in other headings

The cause of the disease of the big toe

The cause of the disease "Hallux valgus" are many and varied, but the most important factor of the inciting inflammatory process an excessive accumulation of fluid in the bag of the joint. This liquid is the normal space of the joint is in each cavity, namely due to its properties, any movement in the joint is smooth. In addition, pressure on the bone is also reduced, whereby the movements in the joint pain-free. If, for any reason, the fluid in the bag of the joint begins, in large quantities accumulate, then this leads to the development of the inflammatory process. In the case of chronic inflammation, and trauma in the pocket of the joint seal is formed. With time, because of these seal bones moved, because this is on the site of the articular cartilage articulation in a lump.

The reasons that increase the risk of inflammation of the Bursa can be classified as follows:

  • Flat feet.
  • In the case of the large mobility of the joints, mainly occurs in its weaknesses.
  • In diseases of the musculoskeletal system, e.g. Arthritis.
  • In the case of chronic trauma or a long time past injury to the big toe.
  • In the case of congenital deformation of the feet.
  • In the case of infections of the joint cavity.
  • In the case of disturbed metabolism.
  • In the case of an Allergy.
  • Due to the intoxication.
  • In the case of a inflammation of the surrounding tissue.

To avoid illness, great timely prevention toe worth considering this disease – pay attention to life style, diet, wear comfortable shoes, especially if you are in the service on the legs.

The symptoms of the disease big toe

bursit

The symptoms of the disease of the big toe, not to be confused generally difficult with other diseases of the musculoskeletal system. The first signs of an inflammation of the pockets of the joint is:

  • Malposition of the big toe sole of the foot, education in the area of the joint seals.
  • The emergence of pain in the region of the joint of the big toe, go amplified.
  • Discomfort and pain when wearing shoes.
  • The formation of calluses on the joint.
  • Violation of the sensitivity in the area of the big toe.

To ignore the first signs of the disease difficult, especially because of this inflammation of the bursae, you can determine in the initial phase. Enter the diagnosis in an early stage of the specialist, as well as inflammation of the joint capsule can be similar to Arthritis, gout, cerebral palsy, multiple sclerosis, among others in the early Phase of the formation of pain seals can stop the development of the disease, and reset the joint, and with timely treatment to a specialist, comprehensive and professional therapy, you can achieve a full recovery. Otherwise, the inflammatory process leads to the development of osteoarthritis, and, accordingly, the deformation of the feet.

Purulent Hallux valgus

This is an acute inflammatory disease, the whole cavity of the joint capsule. Sustavnaya the bag or synovial fluid pocket, a cavity, the joint head is; within the cavity a small number of special liquid, which promotes normal motion without pain in the joint, because it is the friction between the bones, muscle tissue and ligaments is reduced.

The synovial fluid can be pathogens for a number of reasons – in case of contact with the of disease by means of blood and lymph, as well as the wound channel joint capsule (in case of cracks, рассечении, shot wounding, surgery, etc.). But especially dangerous is the presence of the flock gap suppurative inflammation in the vicinity of the articular cartilage of the joint, namely:

  • purulent Arthritis;
  • Furunculosis;
  • Erysipelas;
  • subcutaneous Cellulitis, etc.

The most common causative agent of the inflammation of the Bursa streptococci and staphylococci, less frequently, cases of infection with Escherichia coli, and others.

Purulent Hallux valgus is dangerous, because during the inflammatory process in the joint cavity to melt the walls of the cavity of the joint and purulent exudate occurs in the tissue to penetrate, leading to such complications as abscess feet. An acute surgical disease, immediate surgery and adjuvant antibiotic therapy. In the event of timely treatment to the doctor and compliance with the medical regulations, for a rapid recovery of the functions of the joint.

Where does it hurt?

Pain in the joints of the toes

Diagnosis of big toe

Diagnosis of big toe, according to the survey of the patients in the later stages it comes enough data inspection and Palpation, with the naked eye can valgus, the presence of Hallux. But also, it is important to determine an x-ray of the affected joint, to the extent of the deformation and the condition of the adjacent bone of the foot.

Methods such as CT and ultrasound, prescribe as an additional method of diagnosis, if there is a suspicion of the presence of related disorders of the musculoskeletal System. In addition, mandatory clinical and biochemical analysis of blood are prescribed. With their help, you can get accurate information about the condition of the blood cells which is very sensitive to inflammation and other changes in the body, as well as information about the condition of the organs and systems of the human body.

In the case of diagnosis confirmation of the diagnosis must begin as soon as possible the treatment. In an early stage of the disease, the restoration of the functionality of the joint can be completely eradicate. Diagnostic at a later time complicates further treatment, but in compliance with all rules and appropriate orthopaedic treatment of the course of the disease favorably.

What should be examined?

  • Stop
  • The joints of the bones of the foot

How to investigate?

  • Sonography of the joints
  • Diagnostics of the joints

Who can I contact?

  • Rheumatologists
  • Orthopedist

Treatment of the big toe

Treatment of large both conservatively as well as surgically can toe. The treatment of this disease in the competence of the surgeon. The effectiveness of the treatment depends on the duration of the treatment to a doctor. Acute Bursitis is treated on an outpatient basis, and complicated chronic requires treatment in the hospital.

  • In the case of the occurrence of severe pain in the diseased joint, to fix the diseased joint (with the help of bandages, each locking button) to go through the matter on the painful joint bag with ice or snow swathe the foot with an elastic bandage, and the finiteness of hold increased by the foot on a pillow.
  • For prevention of complications of the acute Form of the inflammation of the inflammation of prescribe anti-inflammatory and pain reliever. In the case of the disease, the anti-appoint bacterial agent, but only after data of a bacterial joint sowing of fluid and identification of the pathogen.
  • In non-acute Phase, prescribed physical therapy, UHF.

In the chronic Form of the inflammation of the Bursa, surgery is indicated. The surgeon dissects the joint capsule, adhesions removed, and the approaches to it, then the cavity Sept washed with a anti-solution, parallel prescribe antibiotics, anti-inflammatory and pain reliever. The process of restoration of the movements in the joint can be busy for a couple of months.

Operation in disease of the big toe

Surgery in Crohn's disease is big toe in cases in which other therapy was not ways unsuccessfully, the pain in the joint to move fully, or sustained released at the end of deformation of the foot, which prevents walking. The Operation is performed in cases when the disease is chronic.

Before the surgery, the doctor, the General condition of the patient, condition of the feet, the data of the x-ray diagnostics, the venous and arterial circulation. Also possible complications should be taken into account, through the post-operative period. This development of tumors, infections, bleeding, displacement or shortening of the toe, the development of inflammation. At risk patients who are in need of a bad health, lack of or excessive nutrition, Diabetes, Smoking, or alcohol abuse.

bursit-bolshogo-palca-stopy

Prior to surgery, given either General anesthesia or local anesthesia, depending on the complexity of the condition of the patient. After the anesthesia doctor the joint capsule is dissected around the big toe of the foot. Then, a part of the Phalanx (the implementation of the osteotomy), your head is shaped in such a way that the Phalanx was in the right Position. In severe cases, for the maintenance and education of a Phalanx bone fixing pins made of surgical steel. Then the wound is sutured and it is the Association. In General, the Operation takes 30-120 minutes, depending on the complexity of the case.

Operation in disease of the big toe is the possibility of restoration of mobility in the joint and reduce pain when walking. Full recovery occurs within 8 weeks after the Operation.

Prevention of the big toe

Prevention of the big toe affects almost everyone – on the hunt for stylish shoes not all take care of your comfort. Shoes with a heel, shoes with зауженным toes, if you frequently wearing it, contributes to the Deformation of the bones of the foot. The pressure on the thumb joint is constantly maintained, resulting in the formation of callus and the change of position array. To go to later compensate prevents, seems very strong pain in the foot, in the joint.

Thus, the development of disease big toe of the foot, comfortable shoes prevent to choose, especially if you are in the service of a lot of time in the stand. In the extreme case, replacement set of shoes with a wide toe area. To massage is also useful to the feet, especially the joint of the big toe to massage. If the fact of inflammation is confirmed, you should give up immediately, tight shoes, and wear a special locking strip. The locking mechanism is located between the first and second Finger, the first Phalanx to change the Position and makes the strain on the joint capsule is much less, and reduces pain when walking.

Prevention of the big toe and its early detection in the initial phase the control of the further development of the disease, and of surgery.

kak-lechit-bursit-bolshogo-palca-stopy

The prognosis of the disease of the big toe

The prognosis of the disease of the big toe in the early diagnosis and treatment is favorable, but at a later time, if there is already deformation is formed. The danger is that this complication may develop such as Arthritis, and this leads to a restriction of the work of the joint and pain during movement. Arthritis leads to a disturbance of gait and posture, and this leads to inflammation of the overlying joints. In the case of an infection of the synovial fluid through the wound channel in the area of the articular cartilage of the articulation and the development of purulent disease, the Recovery process takes longer, since surgical intervention is required.

In severe forms of the disease of the big toe, the bony reconstruction of the bones of the foot, on the change of the Position of the bones metatarsal bones and phalanges of the first finger. But it is an Extreme method of treatment when other treatment options are ineffective.

The metatarsal bones of the feet already in the third week after the surgery, and the recovery of the movement functions is performed within 6-8 weeks. Within 8-12 weeks, the process ends with full recovery, but we must not forget about preventive measures – wear comfortable shoes with a wide toe area, use special locks and orthotics.

25.07.2018