How to treat thumb valgus, how to treat thumb valgus?

If hallux valgus is more severe, surgery is a better method, and conservative surgery may delay and worsen the symptoms. If hallux valgus is only in the early stages, it is better to take a conservative approach, after all, even if the surgery is less traumatic, it is still harmful. The best way to conservatively use hallux valgus** is usually to use orthopedic tools such as split-toe socks, corrective foot pads such as Codman insoles, and wear loose shoes.

Congenital factors are important factors in hallux valgus. However, in many cases, hallux valgus is caused by acquired factors. In life, because of likes and needs, people wear narrow or high-heeled shoes, which is like putting a tight spell on the feet, so that the feet are always suffering from squeezing; Poor walking posture will also cause uneven force on the feet, resulting in foot deformation.

These are non-genetic factors that cause hallux valgus.

The hallux valgus is medically known as hallux valgus, and the common methods are as follows:

1. Conservatism: Conservatism** is mainly used in infancy, because the soft tissue of the hallux and the soft joint capsule are softer, the corresponding adjustment effect can be obtained through conservative patients;

2. Surgery**: For adult hallux valgus, orthopedic devices can be used, but the orthopedic effect is poor. If the severity is more severe and interferes with daily life, surgery may be considered**.

Surgery is usually required to remove the bursa, hyperplastic bone marrow, and adductor pollicis muscle. If the patient's hallux valgus deformity cannot be resolved surgically, an osteotomy is required to correct the deformity. In addition, women are not advised to wear high heels and pointed-toe shoes, as they may induce hallux valgus.

1. Conservative**, this method is mainly for massage**, which is suitable for hallux valgus with relatively mild symptoms. For example, there is a slight impact when walking, and even the little finger of the foot is just found to be valgus. At this time, you can apply a hot compress first, generally for about 15 minutes, and then massage.

Massage is mainly to relax the surrounding muscle tissue and activate the muscles and bones, through this method to reduce the symptoms of the little finger valgus of the foot, and the massage can also prevent the thumb from continuing to turn out.

2. Wear a brace for **, this method is mainly corrected according to the specific condition of hallux valgus, generally wearing orthopedic shoes or other types of orthopedic braces. This brace can be a good way to prevent hallux valgus from progressing to a worse condition, and at the same time, it can also provide a correct guide to hallux valgus, prompting it to slowly return to normal, so as to have the best effect. The process is slower when wearing a brace, but it is the most effective method for mild hallux valgus.

3. Surgery**, when the above two methods are not effective for hallux valgus**, you can choose surgery**, because the hallux valgus at this time is already more serious, and even has caused foot deformity, which requires surgery**. Surgery** is also divided into two aspects, which are minimally invasive surgery and traditional surgery, and the specific surgical method can be selected according to the individual's condition.

There are many causes of foot thumb and foot valgus, the most common considerations are the following: For example, if the patient has some underlying medical conditions, rheumatoid arthritis can cause hallux valgus deformity. Then, some patients may have congenital problems with self-development, and some genetic factors may cause thumb and foot valgus.

There are also patients who usually wear high heels and pointed scalp shoes, which can also cause hallux valgus. Then there is local trauma, which can also cause hallux and foot valgus.

Patients with valgus of the foot and thumb are recommended to use instrumental correction: the malformation of the hammer finger can be gradually corrected by finger twisting and finger pulling in the initial stage. After correction, the affected finger is straightened and fixed with a small finger splint to alleviate the progression of the disease.

Be so careful to avoid excessive movement and wear loose, comfortable shoes.

The reason why microporous big foot bone hallux valgus surgery is highly regarded is because it meets the needs of beauty seekers, many people's big foot bone hallux valgus is really not good-looking, but it does not reach the level of pain, except for wasting shoes, everything else does not affect, so compared with the ugly postoperative surgical wound, it is better to smooth it.

Hallux valgus is more common in middle-aged and elderly women, and the specific ** may be related to wearing high heels or relatively narrow shoes, of course, genetic factors cannot be ignored. How should hallux valgus**? Generally, if the symptoms are mild, the hallux valgus is not very serious, and there is no great bunion, that is, the big foot thumb that people often say, you can be conservative first.

Conservative** generally includes hot water foot soaking, local hot compress and other methods. There are also more important types of orthoses, there are many types of orthoses, the main principle is to add a pad between the big toe and the second toe, separate it, and do not let the thumb valgus. If the valgus is severe and the bunion inflammation of the thumb is severe, surgery may be required**.

X-rays of the feet are taken prior to surgery** to fully evaluate the angle of the thumb valgus, the angle between the 1st and 2nd toes, the angle between the metatarsals, and the presence or absence of rotation of the big toe. There are many surgical methods for hallux valgus, which need to be selected by both experienced doctors and patients.

There are many methods of hallux valgus, and the method needs to be determined according to the severity of hallux valgus

1. Mild: It can be carried out through the foot pad or orthopedic insole**, which can hold up the transverse arch of the anterior protrusion of the forefoot, reduce the force, avoid excessive relaxation of muscles and ligaments, and reduce the conditions of thumb valgus and toe extrusion;

2. Moderate: If the disease develops too quickly, perform tight or loosening surgery on the soft tissues to avoid excessive relaxation or tension of muscles and ligaments;

3. Severe: In severe cases, surgery is required on the foot bones.

First of all, if the patient has hallux valgus symptoms, it is necessary to look at the angle of hallux valgus and whether it will cause hallux cyst and the patient's clinical symptoms. If the patient develops hallux valgus, it does not interfere with normal walking, does not squeeze the second hallux to form the second hallux, and does not have a significant hallux cyst, which can be performed with orthotics**.

Second, if the patient's hallux valgus is severe, resulting in a second hallux cyst and metatarsophalangeal joint pain when walking, a minor osteotomy is required. Minimally invasive surgery is generally not recommended for hallux valgus because of the high rate of failure after this procedure, so a small osteotomy is recommended. The more common surgical methods include tendon displacement surgery, osteotomy, orthopedic internal fixation, etc.

Finally, after surgery, you should continue to wear hallux valgus orthosis for fixation, and you should choose loose and soft shoes to gradually increase the movement capacity of the foot, but early load exercise is not recommended. It can be used for massage, moving the big toe to the inside of the foot, walking barefoot on the sand, exercising the foot muscles, applying heat and resting. And pull the first toe to both sides in the opposite direction, 4 times a day, about 5-10 minutes each time, can effectively improve the big toe hallux valgus.

To sum up, if it is a simple hallux valgus, the best effect can be achieved through the aligner. For patients whose condition cannot be relieved by non-surgery** and whose condition continues to deteriorate, surgery ** still needs to assess the severity of hallux valgus deformity, and then select the appropriate surgical plan according to the pathological characteristics.

It is very common for the thumb to be the first to appear.

Quite a few people have this condition.

If this happens, don't worry, deal with it in a timely manner, and deal with it easily.

It's not terrible. Usually pay more attention to rest, and choose more loose shoes when choosing shoes.

Wide shoes.

Try to exercise less and walk less on your feet.

The big foot bone hallux valgus surgery is a microforamen and there is no pain during the operation. It only takes about 1 hour to operate on both feet, and you can walk after surgery, but you will need to be fixed and bandaged for about 5 weeks after surgery. In principle, try to stay in bed for the first two days after surgery, do not exercise vigorously and rarely for two weeks, and try to wear loose and suitable shoes for three months.

About half of the patients have a genetic cause.

The main reason for the occurrence of hallux valgus is due to certain defects in the bones and ligaments that make up the foot.

Secondly, standing and walking for a long time can also increase ligament damage, promote the onset of the disease or accelerate the progression of the disease.

Again, pointed-toe shoes or high heels are often worn, the front of the pointed-toe shoes is triangular in shape, forcing the front of the foot to be tucked into a narrow triangular area, and the leather of the upper is not elastic, forcing the hallux toe to turn out and the little toe to turn in. High heels increase the pressure on the foot, and the ligaments in the joints are overstretched, causing the thumb to turn out.

Try to wear as few high heels, you can also wear a thumb correction sleeve, and some can also protect the little toe, which is good.

The little thumb of the foot is valgus, and its ** depends on the degree of valgus. If it is mild valgus or valgus deformity, the effect on the surrounding area is not very obvious. In this case, it is advisable to take a conservative approach first**.

Conservative ** mainly with more scalding and more hot compresses. After the hot compress, manual massage is used to loosen the surrounding contractures and tendons, reduce thumb valgus or promote the improvement of little thumb valgus. It is recommended to wear orthopedic shoes or use an orthopedic brace.

If the symptoms are more severe, surgery is recommended**.

Causes of hallux valgus.

1. Heredity. The occurrence of hallux valgus malformations is related to congenital factors, and genetic factors are present in about half of cases.

2. Always wear high-heeled and pointed-toe shoes.

When standing on high heels, the front of the foot is tucked into a narrow triangular area, the stiff upper forces the hallux to valgus and slightly externally rotated, the little toe varus slightly internalized, the middle 3 toes proximal interphalangeal joint flexed strongly, and the metatarsophalangeal and distal interphalangeal joints are over-extended, resulting in excessive valgus of the hallux.

3. Various inflammations.

Rheumatoid, in particular, is often associated with outward subluxation due to joint destruction and hallux valgus deformity.

Prevention of hallux valgus:

1. Choose the right shoes, such as the heel should not be too high, the toe should be loose, so that the toes have a certain space to move in the shoes, so that they can not feel any pressure, especially not to wear pointed and thin high heels.

2. Do barefoot exercises to strengthen the strength of the plantar muscles and delay the deterioration of hallux valgus.

3. Turning the hallux inward with your fingers every day can also effectively prevent the aggravation of hallux valgus.

4. With the help of some orthopedic instruments.

5. When the above conservative ** can not be effectively corrected, surgery should be taken**, which is the most effective method. The effect of correcting the deformity by surgical method is certain, but some patients have a particularly serious valgus deformity, and the above surgical methods alone cannot solve the problem, so it is also necessary to add a wedge-shaped osteotomy** to fundamentally correct the valgus.

I suggest you let the doctor take a look.

Hallux valgus deformity, most of which are female patients, most of them are caused by wearing high heels, and high heels should be avoided.

Go to the orthopedic doctor!

First of all, don't wear high heels or wedges, but wear flat shoes, touring shoes. Then find a piece of medical gauze and roll it in a finger-thick roll and sandwich it between the two toes. This is a slow relief, don't rush.

The hallux valgus itself is caused by the squeezing of the toes, just like dancers, occupational diseases, that is, the actor can't do it. If you want to be good, you have to change bad habits, or you can't cure them.