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How to cure the big toe joint

23 Sep 18

What causes inflammation of the big toe joint and what are the health risks?

Inflammation in the joints of the big toes is also called gout. This disease is more common in mature and elderly people, but it also occurs in young people.

The disease can occur unnoticed, and its symptoms are often attributed to overwork or complications from other diseases. In its advanced form, such a disorder can have significant detrimental consequences for the body and lead to disability .

Inflammation of the joints of the toes is a very common disease among people over fifty years of age. The disease causes very significant inconvenience.

Pain and swelling at the site of inflammation hinder the patient’s movements and prevent him from moving normally.

Causes of inflammatory processes

The most common harms, experts identify a number of main causes of inflammation in the joint:

  • Hypothermia . Hypothermia, especially complicated by prolonged exposure to cold water, can cause the onset of an inflammatory process in the joint.
  • Toe injury . Inflammation in the joint can develop as a consequence of a previous injury, the treatment of which was not completed.
  • Uncomfortable shoes. This cause is especially common in women. Constantly wearing narrow, high-heeled shoes leads to incorrect or insufficient blood supply to some parts of the foot, which can lead to swelling and, over time, inflammation of the joint.
  • Infections. Some infections can have complications in the form of inflammatory processes in the joints. For example, influenza or a severe form of ARVI. Also with the development of gonorrhea, syphilis or tuberculosis.
  • Heredity. Often patients have one of their close relatives who suffered from a similar illness.
  • Violation of metabolic processes. Uric acid can settle in the joints, which causes inflammation in the connective tissue.
  • Joint diseases. Among them: rheumatoid arthritis, bunion, gout, arthritis of the big toe and others.
  • Symptoms that accompany inflammation

    Among the main symptoms of inflammation of the joint of the big toe, doctors identify the following:

  • Pain . When walking, discomfort is felt first, and then pain. As the disease progresses, the patient cannot step on the affected foot.
  • Decreased mobility . It is more difficult for the patient to move his toes. His movements are constrained.
  • Swelling . Already in its first stages, the disease is accompanied by swelling in the area of ​​the thumb. In this case, usually comfortable shoes begin to chafe, which further aggravates the symptoms.
  • Temperature . There is an increase in soft tissue temperature around the joint, which is easily noted when compared with the temperature of a healthy leg.
  • Stiffness . Usually this symptom appears in the morning. The patient finds it difficult to move his toes, as if they were numb.
  • Diagnostic techniques

    The basis for diagnosing this type of disease is a doctor’s examination of the affected joint. Based on the presence of severe symptoms of the disease in the patient, the doctor makes a diagnosis. Often, the doctor uses an X-ray machine to clarify the diagnosis.

    Basically, this allows us to clarify the characteristics of cartilage damage and the degree of joint deformation.

    The inflammatory process can cause bunion of the big toe. Everything you need to remember about the disease can be found in our article.

    Is it worth reacting if your finger snaps and what danger does stenosing ligamentitis pose? You can find out here.

    Complex of medical procedures

    Let's consider the main methods of treatment in case of inflammation of the big toes.

    Drug treatment

    If the patient sees a doctor in the early stages of the disease, drug treatment can often be avoided.

    Everything can be managed with a compress or a course of physiotherapy . However, if the disease progresses, a course of drug treatment is prescribed to prevent possible complications.

    Along with electrophoresis, the doctor usually prescribes:

  • anti-inflammatory drugs;
  • dietary supplements (collagen and others);
  • targeted drugs (for example, methotrexate);
  • non-steroidal drugs (diclofenac, piroxicam, ketoprofen and others);
  • steroid group drugs (injections or tablets).
  • These drugs are designed to relieve inflammation, relieve pain and restore damaged tissue.

    Surgery

    If, due to inflammation of the big toe, the joint is seriously deformed and can no longer perform its functions, surgical treatment is possible.

    Drug treatment in such situations can only play the role of concomitant therapy.

    Surgical operations on joints are no longer new in domestic medicine. There are a large number of operations depending on the nature and complexity of the joint deformity. A common method is to remove part of the metatarsal bone.

    In other cases, deformed areas of the bone are cut out and fixed in the correct position using metal fasteners. The disadvantage of such operations is that they need to be repeated to remove the retainers.

    Also, in some cases, when joint deformation cannot be compensated surgically, prosthetics .

    The main disadvantages of surgical treatment are the long rehabilitation period and the possibility of relapse. In general, this probability reaches thirty percent of cases.

    Traditional medicine recipes work best for inflammation of the joints of the big toes. Among the most popular are:

    1. Cabbage leaf. This treatment is used as an anti-inflammatory agent. A cabbage leaf is wrapped around the sore joint and secured with a bandage.
    2. Decoctions. It is recommended to drink decoctions of calendula, St. John's wort, nettle, etc. These drugs have a calming, anti-inflammatory effect.
    3. Onion. The grated onion is wrapped in a bandage and applied to the damaged joint for forty to fifty minutes. The procedure is repeated several times a day. Relieves swelling and swelling.
    4. Chalk. Grind the chalk and mix it with a small amount of kefir. Apply this mixture to the joint and cover with film. The procedure should be carried out overnight. Helps strengthen joint tissue.
    5. Baths. Pour a tablespoon of any vegetable oil into warm water (the temperature should not exceed forty degrees) with the addition of a few drops of sandalwood or eucalyptus oils.
    6. Fir oil. It is recommended to rub the damaged joint with fir oil. This therapy helps relieve redness and swelling around the injured joint.
    7. How to prevent the disease from developing

      Proper nutrition is very important to effectively treat inflammation of the toe joints.

      Diet and nutrition principles

      The patient should adhere to a diet rich in vegetables and fruits. Grains, cereals, lean meats, fish or poultry are also very useful.

      Do not overuse fried meat or fatty dairy products. Moreover, low-fat dairy products, such as milk or cottage cheese, are even recommended. It is recommended to exclude the consumption of offal, liver, and kidneys.

      It is useful to drink a lot of water, as well as green tea.

      To prevent joint inflammation, doctors recommend a diet rich in chondroitin, found in jellies, jellied meats and sea fish. It is also recommended to consume foods containing calcium: cottage cheese, cheese and others.

      It is advised to lead an active lifestyle , while avoiding traumatic sports. Hypothermia or joint infections should be avoided.

      Avoid dampness or prolonged exposure to wet shoes. You should not often wear uncomfortable shoes and walk barefoot more often. Heeled shoes should not be worn every day. In some cases, special orthopedic insoles for shoes are recommended.

      Inflammation in the joint of the big toe very often begins and, at first, proceeds unnoticed by the patient. That is why it is very important to identify the disease in time and begin treatment.

      The disease in its advanced form can have serious consequences, including loss of the affected joint. However, with timely diagnosis and proper treatment, the disease can often be overcome.

      Arthritis of the big toe joint

      Arthritis can attack one joint or several at once. Parallel inflammation of the joints, for example in the big toes of both feet, is common and is called polyarthritis . For a favorable course and outcome of the disease, it is highly recommended that you consult a doctor as soon as possible when you first notice symptoms.

        Pain when moving
      • Decreased mobility of toes
      • Redness and swelling of the inflamed area
      • Localized increase in temperature - the thumb “burns”
      • General increase in body temperature
      • Feeling of stiff toes after waking up
      • The nature of the symptoms of arthritis determines the course of the disease: it can be acute or chronic . The acute course of the disease is determined by the sharp and vivid manifestation of symptoms. The chronic course is characterized by gradual development with periodic relapses. Due to the fact that the pain is not severe, and from time to time it recedes, the person does not realize the seriousness of the problem and delays a visit to the hospital. It is worth remembering that a protracted process can be much more difficult to eliminate than an acute one. In addition, with a sluggish disease, the joints of the fingers can not only become deformed, but also completely collapse.

        There are many causes of joint inflammation. Inflammation can be either independent or concomitant with other diseases. Main reasons:

      • The development of certain diseases, including gonorrhea, syphilis and tuberculosis.
      • Decreased immunity. Inflammation can develop not only with HIV, but also with any other diseases or conditions of the body, when an infectious agent can enter the human body and begin to develop unhindered. Such conditions include acute respiratory viral infections, influenza, and pregnancy.
      • Metabolic disease. Characteristic of gout. Uric acid crystals are deposited in the joints of the thumbs, which leads to inflammation of the connective tissue.
      • Toe injuries
      • Excessive stress on the finger joints
      • Allergy
      • Diagnostics
      • First of all, a person complaining of pain in the thumb joint should visit a therapist and report how the joint hurts and when it became inflamed. Before starting treatment of the affected organ, the doctor determines the type of inflammation. To do this you will need:

        The most effective way to determine the nature of inflammation is radiography. Sometimes an experienced doctor can assess the situation only visually and with the help of palpation - some types of inflammation are diagnosed quite easily.

        When the therapist receives the results of all examinations, he will be able to make a diagnosis and prescribe treatment. If the remedies suggested by the doctor do not have the desired effect, the patient will be referred to a rheumatologist. And if he does not receive help in this office, he will have to visit an immunologist.

        If the patient consults a doctor in the early stages of the disease, then there is a high probability that the treatment will cost little money: it will be necessary to undergo a course of compresses and physiotherapy . Manual therapy can bring significant relief . In the case when the patient complains of crunching in the joints, electrophoresis and drugs for intra-articular administration .

        The patient should be prepared for the fact that treatment of joints, as well as most other diseases, requires an integrated approach. It is thanks to complex treatment that it is possible to reduce pain, treat and strengthen the inflamed joint.

        To eliminate inflammation in the joint, several groups of drugs are used:

      • Relieving inflammation
      • Steroid drugs and injections
      • Nonsteroidal drugs (diclofenac, piroxicam)
      • Regenerating and strengthening dietary supplements (collagen)
      • In some cases, potent drugs
      • In addition to groups of medications, the doctor will prescribe the patient to wear a fixing bandage on the leg, which will limit movement in the joints and relieve irritation that causes pain.

        Some doctors recommend that patients at the early stage of the disease use chondroprotectors (Teraflex, Structum, Artron, Chondrovit and others). Chondroprotectors are substances called glucosamine and chondroitin sulfate, they are found in natural cartilage tissue. Chondroprotectors are designed to restore the cartilage tissue of the damaged joint, and in case of exacerbation, to slow down its destruction. The drugs are available in the form of ointments, injection solutions, tablets and powders for oral administration. Chondroprotectors serve as nourishment for a diseased joint, so the use of drugs should be constant. Since cartilage tissue is restored quite slowly, treatment with chondroprotectors can last from six months to one and a half, and sometimes 2-3 years.

        When inflammation of the leg joints is in an advanced state, surgical intervention may be indicated for the patient. If a joint is seriously damaged, it hurts unbearably and can no longer perform a supporting function, which is therefore transferred to other, healthy joints, which can provoke damage to these joints and herniated intervertebral discs. Surgeries to treat arthritis have been carried out in Russia for a long time; a system of complete or partial joint replacement has been developed, so there is no need to be afraid of it. Sometimes surgical treatment becomes the only chance for a person to continue a pain-free life with healthy joints.

        During the treatment period, much attention will have to be paid to proper nutrition. Today it is reliably known that diet can significantly alleviate the patient’s condition with gout. Such people are recommended to eat vegetables and fruits, cereals, grains, jellied meat, dairy products, lean meat, poultry and fish. Moreover, dairy products and skim milk will bring much more benefits than whole milk products. Patients with gout are strictly not recommended to include various forms of offal (liver, kidneys, offal), legumes, alcohol and shellfish in their diet.

        Forecast of disease outcome

        Conditionally, the prognosis for arthritis is unfavorable. It is impossible to completely cure it, but you can significantly slow down the progression of the disease and improve the quality of life, up to the state that was before the disease.

        Traditional methods of treatment

        Traditional medicine probably knows everything. Here are just some of “grandmother’s” recipes that can somewhat alleviate the condition of a patient with arthritis:

      • Foot baths with essential oils of calendula, St. John's wort, eucalyptus and sandalwood. The water temperature should not be higher than 40 degrees. Add a few drops (3-5) of essential oil to a tablespoon of base oil (any vegetable oil: olive, almond, peach) and pour the mixture into warm water. It is recommended to keep your feet in the bath for no more than 30 minutes.
      • Take anti-inflammatory decoctions of thyme, St. John's wort, calendula petals, and nettle leaves internally.
      • Wrap the onion, chopped with a grater, in a thin layer of gauze, apply to the inflamed joint and hold for no more than an hour. If possible, repeat 5 times a day.
      • Place a cabbage leaf on the sore toe and wrap a downy scarf around the top of the cabbage roll.
      • Grind a sufficient amount of chalk and dilute it a little with kefir to make something like a cream. Apply to inflamed finger joints, cover with cellophane film and leave overnight.
      • In case of arthritis, excessive physical activity is contraindicated, as it can aggravate the course of the disease. It is recommended to do physical exercises without putting too much strain on your feet. Patients with arthrosis are recommended stretching exercises that increase muscle elasticity, exercise on exercise machines (without axial load on the spine), swimming and moderate walking. Running, jumping, and exercise through pain are contraindicated.

        Risk factors for developing arthritis:

      • Flat feet
      • Working on your feet
      • Heredity
      • Thumb injury
      • Diabetes
      • Thyroid dysfunction
      • Arthritis may be accompanied by the following symptoms:

      • Psoriasis
      • Feeling of “sand” in the eyes
      • Chills and excessive sweating
      • Discharge from the genitals
      • Weakness
      • About 1% of the world's population suffers from arthritis, 60% of them are over 65 years of age. In Russia, according to official statistics from the Ministry of Health of the Russian Federation as of March 2011, 280 thousand people are affected by inflammation of the joints.

        Inflammation of the big toe joint: what diseases cause it and how to treat them?

        When a joint in the leg becomes inflamed, the ability to move usually decreases, the joint swells or swells, and pain appears in it not only when walking and at rest. These are common symptoms for a wide variety of diseases.

        Why does inflammation occur in the joint of the big toe? In this article, you will learn about the possible reasons why your big toe hurts and what you need to do in this case.

        Causes of inflammation

        Inflammation of the joint on the first toe can occur with a number of diseases. These are mainly various joint diseases: arthritis (gout, rheumatoid arthritis, thumb arthritis), osteoarthritis, bursitis.

        Common symptoms for all arthritis are:

      • pain in the joint, which constantly increases over time;
      • the joint area swells;
      • the skin over the joint becomes hot and reddish.
      • The presence of these symptoms indicates that it is necessary to urgently consult a doctor, otherwise advanced inflammation will lead to irreversible changes and surgery will be required to restore the mobility of the articular joint.

        In acute cases, the pain is severe and frequent, in chronic cases it is periodic. Chronic arthritis is especially dangerous due to unexpressed symptoms, while long-term, low-grade inflammation causes not only deformation of the joint, it can even collapse.

        Of the many types of arthritis, the most common are rheumatoid arthritis, infectious arthritis, reactive arthritis and gout. Each of them occurs in its own way and is treated with different methods.

        This disease is diagnosed based on characteristic symptoms, as well as on the basis of x-rays and changes in tests. Rheumatoid arthritis is characterized by symmetrical damage to the joints on both legs.

        The joints swell, turn red, their mobility is limited, and the person experiences moderate pain. Moreover, after physical activity, stiffness and pain decrease.

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        The cause of rheumatoid arthritis is autoimmune disorders in the human body.

        With them, the immune system attacks the joint tissues, perceiving them as foreign.

        Often this inflammation develops a couple of weeks after suffering an acute respiratory infection or sore throat.

        When the very first signs appear, you urgently need to consult a rheumatologist. This disease is incurable, but it is possible to significantly reduce the signs of inflammation with the help of medications or synovectomy (surgical treatment). This will help stop the progression of arthritis in time and improve your well-being.

        Basic antirheumatic drugs (azathioprine, levamisole, cyclosporine, mesalazine, dixycycline and many others) and biological agents (embrel, kineret, humira, remicade, orencia) are prescribed.

        This disease is called meat-eaters' disease due to the fact that it occurs as a result of the deposition of a substance in the joints that is formed during the metabolism of purines. They are especially abundant in meat. Most often, middle-aged men suffer from gout.

        Symptoms include sudden and very sharp, tearing, burning or throbbing pain in the joint. The pain is especially intense at night and subsides in the morning. The joint becomes purplish-red and swollen. Attacks last for 3-4 days up to six times a year and are provoked by excessive consumption of fatty foods and meat, and alcohol intake.

        Often advanced gout is accompanied by the deposition of urate in the kidneys, which leads to pyelonephritis and urolithiasis.

        Find out about a remedy that is not available in pharmacies , but thanks to which many Russians have already been cured of pain in the joints and spine!

        For treatment, first of all, you need a diet with limited meat and medications that normalize purine metabolism. To relieve pain, ibuprofen, voltaren, nimulide, movalis are used, as well as a medicine from another group - colchicine, a special short-acting drug.

        Attention! Specific medications should only be prescribed by a doctor. Self-medication is unacceptable and dangerous.

        With such inflammation, constant pain occurs during movement. After a night's rest, a feeling of stiffness occurs, the joint swells, the skin becomes hot and red. This can cause your body temperature to rise significantly.

        This type of arthritis occurs due to infection. It could get directly into the finger joint or through the bloodstream from other organs. Therefore, in addition to local symptoms, general signs of illness in the body also appear:

        Treatment of arthritis caused by infection

        Treatment of infectious arthritis depends on the causes that caused it. With this inflammation, it is important to detect and treat the underlying infection.

        Therefore, antibiotics are prescribed either broad-spectrum or according to test results: penicillins (oxacillin, ampicillin).

        This disease is characterized by a dull pain that usually bothers you during the day. It intensifies after prolonged standing and during physical activity. After rest and in the morning it noticeably decreases. Crunching and clicking may periodically appear in the joints. The finger deviates to the side, loses mobility and becomes deformed. Often, a deformed joint is additionally injured by uncomfortable shoes.

        To clarify the diagnosis, the doctor prescribes x-rays and a blood test to check the uric acid level.

        If the disease begins to be treated on time, then you can get by with orthopedic shoes, massages, mud therapy, swimming, and physiotherapy. Injections of local anesthetic help reduce pain. Corticosteroids are used to reduce inflammation.

        Why else can a condition arise where the big toe hurts? Another likely cause is bursitis. This is inflammation of the metatarsophalangeal joint of the big toe, which occurs as a result of injuries and microtraumas (uncomfortable shoes), as well as the spread of inflammation from surrounding tissues.

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        Stop putting up with this joint pain! Write down a verified prescription from an experienced doctor.

        At first, it is characterized by the appearance on the outside of the thumb of a painless tumor-like formation - a “bone” or “bump”. The joint bends, moving outward from the other fingers.

        Only after a few months does pain appear along the plantar surface of the foot and in the area of ​​the inflamed joint. Painful corns form on the soles.

        The cause of bursitis is impaired pronation and increased mobility of the metatarsal bone. And the metatarsophalangeal joint of the big toe experiences excessive pressure at the moment when the foot pushes off the ground. The thumb tendons are constantly stretched and this causes the thumb to bend outward.

        It is easier to treat a joint at those stages when it is bent as little as possible. Therefore, it is necessary to consult a doctor as quickly as possible, without expecting pain. To correct a slight deformation of the big toe, orthopedic shoes are actively used, changing the direction of action of mechanical forces.

        If pain in the finger already occurs, then anti-inflammatory drugs and interstitial injections are used to relieve them. In a severe stage, surgery is necessary.

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        Why is the big toe joint swollen?

        A swelling of the thumb joint occurs for many reasons. Selected diseases are more dangerous, others can be easily treated. The main thing is not to let the disease progress. A lesion that can be resolved in a short period of time, in an advanced state, leads to a chronic disease or a disease that can be cured only with the help of surgical intervention.

        If you have the slightest doubt, it is recommended to seek medical help so that a professional can conduct an examination, establish the correct diagnosis, and prescribe the most painless solution. Initially, you can self-diagnose the symptoms.

        More common in women. Most people have the false idea that the disease occurs due to excess salts or consumption of junk food. Let's dispel the misconception. The disease occurs due to a bruised thumb, too-tight shoes, a dislocation. For example, after a person stumbles or steps on an object (for example, a stone). Arthrosis often develops in middle-aged or older women who, due to certain anatomical features, have too wide legs or flat feet. Prerequisites arise when wearing the wrong shoes, too narrow. Under such circumstances, the manifestation of rapid arthrosis is quite likely.

        As the foot deviates, the bone begins to protrude. Due to regularly rubbing shoes, the area is constantly injured and, over time, takes on an incorrect shape. Later, in addition to the bone, the foot as a whole undergoes deformation and becomes much wider. The joint is more difficult to function. Delay can lead to irreversible consequences; the joint will be impossible to return to its original state. An additional complication is likely to develop - bursitis; the disease is easily recognized by redness and swelling of the finger. It hurts constantly, even with a light touch on the finger. Deformation of the thumb significantly affects the rest; the consequences are extremely difficult to eliminate using therapeutic methods.

        With arthritis of the thumb, pain occurs exclusively upon contact with a foreign object; in a calm, motionless state, the discomfort goes away within 1 - 2 hours.

      • If the disease is at an early stage, a short rest for the legs will suffice. Try to choose comfortable shoes with wide toes.
      • It is possible to use a special pad; it is recommended to place it near the thumb. The devices do not allow fingers to touch and allow you to be in comfort. Pads are sold in pharmacies.
      • It is permissible to treat with ointments based on bischofite, laser, methods of treatment with magnets or mud have been developed. Compresses with medical bile are very helpful.
      • It is possible to cure the joint by injecting hyaluronic acid into it using manual therapy.
      • If the disease has progressed for too long and time has been lost, only surgical intervention will help.
      • Gout is a disease that occurs due to a metabolic disorder, the joint is filled with acid salts contained in the urine. Gout is considered a rare disease, although the first mentions appeared many centuries ago. Nowadays it is rare; out of every 1000 people, 3 suffer from the disease, mostly men over forty years of age. Previously, only males suffered from gout; now, due to an active lifestyle, the disease occurs periodically in women. Women in menopause are a risk factor. Gout can be caused by selected medications that contain substances that contribute to the development of the disease.

        In men, the disease is noticeably more painful; the concentration of uric acid is influenced by sex hormones.

        More often the disease is recognized as hereditary and genetically determined. However, if the older generation led a lifelong correct lifestyle, gout will probably never wake up. If the heirs eat junk food or prefer alcohol, the disease will certainly manifest itself.

        Men who are overweight, addicted to alcohol, excessively consuming fatty, smoked, salty foods, legumes, sweets, liver and kidneys, or wine made from grapes are at risk.

        Due to excessive consumption of such foods, the sodium urate salt content in the blood significantly exceeds the norm. When the content of the substance in the body becomes excessive, the disorder manifests itself in the form of crystals settling on the joint.

        Deposits can remain inside for a long time, not bother a person at all, but due to key circumstances (for example, excessive physical activity) provoke a disease.

        With gout, the joint of the big toe becomes inflamed, becoming scarlet in color, the skin over it becomes unnaturally purple, the joint feels hot to the touch, and swelling appears. Usually the attack is short-lived, sharply inflamed, and quickly stops after 3-4 days. Moreover, the pain is incredibly strong.

        A new attack is repeated in the interval from one to eight months, the pain is not very long-term. If the disease is not treated, the intervals between attacks become shorter and the pain intensifies. In particularly advanced cases, there are no breaks between the disease, turning into a chronic disease.

        Gout of the thumb causes kidney damage, leading to urolithiasis and inflammation of the kidneys.

        More often, a doctor diagnoses gout using blood tests and x-rays. But an illiterate physician can sometimes make an erroneous diagnosis, for example, gangrene or arthrosis of the finger. If during observation the patient sees symptoms of gout, it is better to consult another doctor. Incorrect treatment can do more harm than good.

        Gout is treated easily and quickly:

      • Gout of the big toe is treated with a proper diet prepared by a nutritionist. First of all, you will need to eliminate foods that cause gout attacks. Eat healthy, dietary food - boiled meat and fish, vegetable soups, vegetables, flour products, fermented milk dishes.

      If you follow the doctor’s recommendations and the prescribed rules, you will soon be able to forget about the pain. Measures are needed only for the period of recovery; later it is permissible to return to your usual way of life and your favorite food.

      The disease occurs at any age, and young children and the elderly are susceptible to damage. It occurs due to feet being in too tight shoes, due to heredity, fungus. Ingrown toenails are caused by sloppy and uneven trimming of nails; when a nail is cut too short, the disease will appear on the big toe.

      The edge of the nail grows into the skin, the body reacts with lightning speed to a foreign object. If treatment is not started in time, the consequences can be disastrous (cellulitis, gangrene, amputation of a finger or toe, the disease is especially dangerous for people suffering from diabetes). It can be recognized if the area is swollen, swollen, red, and there is a constant aching pain in the thumb.

      The pain is especially noticeable when walking in tight shoes, which increases the contact of the nail with the tissue of the finger, which can later cause suppuration and ulcers. The pain is unbearable; if the patient touches the blanket while sleeping, the sharp discomfort forces him to wake up.

      Treatment of ingrown toenails

      It is better to consult a doctor to prescribe the right treatment; self-medication can sometimes cause harm to yourself. If you decide to get rid of the disease yourself or the patient does not want to go to the hospital, you can try to get rid of it yourself:

    8. For pain relief, it is permissible to apply a compress. You need to apply cow oil to the damaged area for 3 days and use it as a compress. You cannot do a hot compress or hot baths, as this will quickly lead to phlegmon.
    9. Mild painkillers can be used.
    10. Take care of your feet. Avoid uncomfortable, narrow stiletto heels.
    11. Let your feet breathe more often.
    12. Wash your foot and sore toe with soap twice a day.
    13. Twist a small swab of cotton wool or gauze, slightly lift the nail, insert it between the skin of the finger and the nail, each time after washing, try to push the gauze a little further, change the tampon daily. The procedure is incredibly painful, but is considered an important part of treatment that must be followed.
    14. If the pain does not subside at all, and the finger is more swollen, you need to seek medical help and do not hesitate. If results are visible, treatment will take one to two weeks.

      Acute pain in the joints of the big toe

      Any painful sensation is a cause for concern, and pain in the joints of the big toe also serves as a harbinger of a serious illness.

      For the most part, this is a sign of arthritis, arthrosis or circulatory failure.

      Finger pain can seriously impair quality of life

      Temporary lameness, taboos on dancing, jumping, running and fast walking are the consequences of impaired functionality of the first toe.

      Physiological factors for pain in the big toe area

      Evolving, the big toes became not as mobile as the fingers, “situated” parallel to the rest and began to “help” the foot play the role of support. Thanks to these changes, the load when walking began to be distributed evenly.

      In fact, pain in the big toes does not always mean illness.

      Often, this is the body’s response to specific types of stress. It is caused by physiological factors:

    15. Long walking/running;
    16. Wearing the “wrong” shoes - narrow pointed toes, inappropriate size/fullness, high heels/wedges;

      Watch the video to learn how to choose the right shoes.

      The reasons described above can cause pain for a long time, and in the future become a platform for various diseases.

      Traumatic factors of pain in the phalanx of the big toe

      Among the causes of pain in the joint of the big toe, injury is very common:

    17. Bruises;
    18. Dislocation and fracture of the phalanx;
    19. Stab, cut wounds;
    20. Nail injury;
    21. Ligament sprain.
    22. Only a doctor can make the correct diagnosis

      The symptoms of the injuries are similar to each other, so only a qualified doctor can make a correct diagnosis, based on an x-ray and examination data.

      Arthrosis as a source of pain at the base of the big toe

      In most women, less often men, arthrosis and subsequent deformation of the first finger can be caused by the following circumstances:

    23. The specific structure of the foot (wide foot);
    24. Trauma, often untreated;
    25. Flat feet;
    26. Overweight;
    27. Wearing narrow shoes, high heels/wedges;
    28. Continuous and everyday stress on the joints.
    29. Arthrosis can severely deform the foot

      Arthrosis often manifests itself in stages, in several stages:

    30. Stage I Pain appears in the big toe when walking (prolonged), at the end of the working day. Sometimes the pain is accompanied by a crunching sensation in the joint. The patient may observe a slight protrusion of the bunion on the foot;
    31. Stage II Pain progresses and is noticeable after everyday activities. Often during this period, people take anti-inflammatory medications (painkillers and anti-inflammatory drugs). The bunion defect worsens, becomes more noticeable, and the first toe deviates to the outside of the foot. Due to deformation, the shoe size increases. A cosmetic defect prevents previously purchased boots from being worn;
    32. Stage III Painkillers lose their effectiveness because severe pain in the big toe becomes chronic. The tilt of the first toe on the outer side of the foot is aggravated, which entails deformation of the rest. At this stage, surgical intervention is recommended.
    33. Read more about arthrosis in this article...

      Pain in the joints of the big toe due to arthritis

      Arthritis - inflammation in the joints - is accompanied by morning stiffness, a feeling that “the leg is numb.” Acute and/or chronic inflammation can develop due to:

    34. Allergic reactions;
    35. Autoimmune processes;
    36. Penetration of pathogenic microorganisms with subsequent development of infectious arthritis.
    37. Determining the cause of arthritis is an important part of its treatment.

      The most common, rheumatoid arthritis, indicates problems in the immune system and is accompanied by pain in several small joints at the same time.

      Arthritis is accompanied by pain

      The doctor decides how to treat pain in the big toes. Often, for preventive purposes, calcium and vitamin D3 supplements are prescribed to avoid the development of osteoporosis.

      Acute pain in the joint of the big toe - the “fault” of gout

      A serious disease, gout develops as a result of a disorder in uric acid metabolism. Salts of uric acid, so-called urates, accumulate in the joints and initiate health problems. These crystalline deposits cause a gout-specific flare-up of arthritis.

      Men aged 35-45 years are most susceptible to this type of pain in the big toe joint. Gout in women often affects the small joints of the hands.

      Gouty arthritis always manifests itself suddenly and sharply:

    38. Acute pain;
    39. Swelling;
    40. Increased temperature up to fever;
    41. Redness of the skin area;
    42. Swelling (lumps can be felt under the skin - uric acid crystals);
    43. General malaise.
    44. In gout, uric acid salts accumulate in the joints

      Treatment of pain in the joint of the big toe due to gouty arthritis is carried out in a hospital.

      It is also extremely important, after confirming the diagnosis, to change your diet - exclude fish/meat/mushroom broths, meat of young animals, offal, smoked meats, canned food, salted and fried fish, cheeses, sauces, spices and legumes. Taboos are also imposed on coffee, alcohol, chocolate, strong tea, raspberries, grapes, figs and cream cakes. Consumption of all of the above products leads to an increase in the formation of uric acid salts.

      It is important to understand that gout is an incurable disease. At the same time, changing your lifestyle and following a diet will help regulate the course of this disease.

      Other possible causes of pain

      If you have ruled out the reasons described above, but, nevertheless, the joints of your big toes hurt, perhaps the explanation for this can be found below:

    45. Valgus deformity. With hallux valgus, the first toe deviates to the side, and the bone protrudes noticeably from the inside. The causes of the development of the disease can be: flat feet, endocrine diseases, genetic factors (underdeveloped ligaments, bone defects), osteoporosis. The danger of this disease is the possible destruction of the articular heads of the bone and the development of flat feet;

      For more information about hallux valgus and its treatment, watch the video.

      Corns contribute to finger pain

      A characteristic external sign of the disease is that as a result of axial damage, the finger becomes like a sausage, turns red, swells and hurts.

      In the absence of necessary therapy, the joints are destroyed, the foot is deformed, and as a result, disability.

    46. Diagnosis of pain in the big toe and appropriate treatment is carried out by a qualified doctor. Often, X-rays are used to make a diagnosis to clarify the degree of joint deformation and the specifics of cartilage damage.

      To straighten the position of the first toes, it is effective to use a bandage for the big toe.

      A bandage is used to straighten the finger

      When the first toe is displaced, bandages/valgus splints help distribute the load evenly, reduce painful bursitis and gently correct the function of the joint.

      In the early stages of the disease, a course of physiotherapy or the use of compresses is sufficient.

      If the disease progresses, drug therapy is used, and if there is serious deformation and partial loss of function, surgical intervention is recommended.

      In any case, treatment will initially be aimed at eliminating the main “culprit” of pain.

      An appropriately qualified doctor will confirm or refute your fears, because pain is a harbinger of dangerous diseases in the body.

      What can you do if your big toe hurts in the joint?

      The joint of the big toe hurts. What is the cause of these pains? Often, painful sensations can be triggered by a domestic injury or wearing uncomfortable shoes.

      Arthritis is a collective name for many joint diseases. But arthritis is often isolated as a separate disease.

      Arthritis is the process of inflammation of one or more joints with possible disruption of the articular cartilage.

    47. severe, unexplained joint pain, often with movement, lasting more than 3 days;
    48. difficulty moving the joint, especially in the morning;
    49. redness, swelling, heating of the skin around the joint;
    50. elevated body temperature.
    51. If the listed symptoms occur in the joint of the big toe, you need to contact your doctor, he will examine the joint of the big toe and issue a referral to an arthrologist.

      If your big toe hurts badly in the upper or lower joint, how to treat it?

      To relieve pain, it is important to rest the joint. You can apply salt ice, which somewhat reduces pain and inflammation.

      Over-the-counter medications:

    52. Acetaminophen or capsaicin ointment for topical application.
    53. Anti-inflammatory drugs Aspirin, Ibuprofen, Naproxen.
    54. Nonsteroidal anti-inflammatory drugs (NSAIDs), which relieve pain.
    55. Corticosteroids that reduce inflammation. Injected directly into the joint or taken orally.
    56. Antirheumatic drugs Methotrexate, Sulfasalazine, Hydroxychloroquine and Leflunomide.

    For this it is prescribed:

  • Reduced motor load.
  • Exercise to reduce joint stiffness, pain and fatigue.
  • Low intensity aerobic exercise (eg walking).
  • Losing body weight (it is important to remove excess weight from the musculoskeletal system).
  • Physiotherapy.
  • Medicines for this disease must be taken in accordance with the instructions of their manufacturer or attending physician, because they have serious side effects.

    Early diagnosis of the disease prevents damage to the joints and the spread of the disease to the knee and higher.

    Sometimes arthritis leads to joint deformities. Perhaps this is a sign of a serious illness - rheumatoid arthritis. It is a chronic inflammatory autoimmune disease where the immune system mistakenly attacks its own tissues.

    The immune system attacks the lining of the joints, causing painful swelling that causes bone erosion and joint deformity.

  • inflammation destroys the cartilage and bone inside the joint capsule, and it begins to deform;
  • the tissues surrounding it weaken and stop working normally;
  • any complex movements become very painful;
  • aching muscle pain, fatigue and weakness appear.
  • During the examination, the doctor identifies symptoms of the disease and is interested in the medical history of close family members. The disease is difficult to diagnose in the early stages, because Symptoms of the disease develop gradually.

  • Checking for the presence of rheumatoid antibodies in the blood.
  • Checking the number of leukocytes and the presence of inflammation.
  • An X-ray examination is performed to determine the extent of joint destruction.

    What to do if rheumatoid arthritis appears, recommendations:

  • rest when pain symptoms occur;
  • selection of comfortable and safe shoes;
  • joint protection, reducing pain and preventing joint deformation.
  • Drug treatment used:

  • Analgesics for pain relief.
  • Corticosteroids and non-steroidal drugs (NSAIDs) to relieve inflammation.
  • Drugs that slow the progression of the disease: Hydroxychloroquine, Leflunomide, Methotrexate and Sulfasalazine.
  • Biological response modifiers: Abatacept, Adalimumab, Anakinra, Etanercept, Golimumab, Infliximab, Rituximab and Tocilizumab.
  • Biological drugs to improve the patient's well-being: Etanercept, Infliximab, Adalimumab, Rituximab, Golimumab and Tocilizumab.
  • Rheumatoid arthritis has a mild to moderate form with periods of exacerbation of symptoms and periods of remission.

    Severe disease is active most of the time or lasts a lifetime, leading to severe joint damage and possible disability.

    This form of the disease is caused by an infection in the joint. It is usually caused by Staphylococcus aureus, a viral or fungal infection.

  • intense swelling and sudden pain, often in one joint;
  • often the disease includes damage to the joints of the knees, hips, ankles and wrists;
  • fever, chills, or vomiting occurs.
  • A medical examination consists of collecting a complete medical history of the patient, examining and conducting laboratory tests.

    • treatment with antibiotics orally or intravenously;
    • timely rest;
    • joint protection.
    • The causes of the disease are genetic factors, excess weight of the patient, trauma and organic disorders.

    • sharp pain in the tissues surrounding the joint, which goes away with no movement;
    • severe, “paralyzing” pain, joint “crunching”;
    • increased size of the joint, formation of “nodules”.
    • painkillers;
    • ointments and creams, anti-inflammatory drugs;
    • corticosteroid injections.
    • Gout appears unexpectedly, often in the form of a painfully swollen thumb. Inflammation occurs as a result of excess uric acid in the body. This condition is called hyperuricemia.

    • if pain appears after a large intake of meat dishes and alcohol;
    • pain in the thumb joint appears suddenly, usually at night;
    • the pain is very severe, “tearing” and paralyzing the joint;
    • the joint quickly swells, turns red, becomes hot and very sensitive to touch.
    • The attending physician usually examines the patient, determining treatment tactics. A chemical blood test is performed.

      Efforts are aimed at quickly relieving pain, preventing gout attacks and treating complications that cause destruction of the joint capsule.

      Treatment of an acute attack:

    • long rest;
    • using ice to reduce pain and tissue swelling;
    • limiting the intake of alcoholic beverages and meat to reduce the intensity of the disease.
    • Nonsteroidal drugs (NSAIDs).
    • Oral corticosteroids.
    • Drugs for the treatment of gout Allopurinol, Febuxostat, Probenecid, Colchicine.
    • The effectiveness of therapy depends on the success of reducing uric acid levels and the likelihood of future attacks of the disease.

      The disease is associated with inflammation of the articular bursae. They perform the function of reducing the load on the joint.

    • a raised bump at the base of the big toe;
    • swelling, redness, or joint pain;
    • bend in the middle of the joint;
    • constant or intermittent pain – particularly when pressing on a joint;
    • limitation of joint mobility;
    • sometimes an increase in body temperature.
    • There is usually no special medical treatment for bursitis, other than the selection of corrective shoes.

    • Painkillers Aspirin, Paracetamol, Ibuprofen, Naproxen, Diclofenac.
    • Antibiotics Flucloxacillin, Erythromycin, Clarithromycin for septic bursitis.
    • Corticosteroids for severe disease.
    • Ice packs for pain relief.
    • Reducing excess weight.
    • Surgery involves removing excess fluid from the joint, as well as removing the affected bursa if the joint continues to hurt despite treatment.

      Osteoarthritis is caused by the joint losing its cartilage. Due to the resulting friction of the bones, the joint capsule is deformed. Osteoporosis often begins between ages 30 and 60.

    • change in finger shape;
    • inflammation, swelling around the joint;
    • bony protrusions (spurs);
    • significant difficulties and pain when moving;
    • “jamming” and sudden “release” of the joint;
    • pain during exercise, gradually increasing as the disease progresses.
    • ultrasound and electrical stimulation of adjacent tissues;
    • physical therapy to improve muscle strength and joint mobility;
    • selection of shoes, inserts and instep supports.
    • over-the-counter drugs for pain relief and inflammation;
    • applying ice packs for temporary pain relief;
    • maintaining healthy blood sugar levels;
    • weight loss.
    • In severe cases, surgical methods are aimed at removing the damaged cartilage and fixing the joint in one position using a plate and screws.

      The disease often occurs in people's 40s or 50s and affects one of the nerves that run between the long bones (tarsus) in the affected leg.

    • pain, burning, numbness and tingling between two toes;
    • throbbing pain in the middle inner part of the arch of the foot;
    • the pain is similar to “walking on stones”;
    • pain occurs when walking for a long time, but disappears when kneading the joint and resting;
    • Symptoms come and go over a period of years, sometimes with long-term chronic pain.
    • The doctor determines the symptoms of the disease and conducts a visual examination by pressing on the area between the long bones of the leg to determine the exact location of the disease.

      An ultrasound or MRI is performed to confirm the diagnosis.

    • Selection of the right shoes (lasts inside shoes, shoe inserts, soft padding, special insoles).
    • Using steroid medications or local anesthetic injections in the affected area of ​​the foot.
    • Injections of alcohol and local anesthetic into the affected nerve.
    • Freezing the diseased nerve (cryotherapy).
    • Radiofrequency ablation (treatment of nerves with thermal wave energy).
    • Surgical treatment involves making an incision between the toes and then resecting the affected nerve. An alternative method is to create space around the affected nerve (nerve decompression).

      About a third of patients feel better after choosing appropriate shoes. Surgery provides relief in half of the cases.

      The causes of this disease include a deficiency of calcium and vitamin D in the body, as well as a “sedentary” lifestyle. With age, bones become quite fragile. This can cause injury to your toes even when walking normally.

    • Osteoporosis often develops unnoticed and is difficult to recognize;
    • back pain occurs, sometimes mistaken for “heart pain”;
    • the pain is described as “shooting” in the joint.
    • To prevent possible injury, you must wear sturdy shoes to protect your foot(s) at all times.

    • Improving the quality of nutrition, replenishing microelements in the body.
    • Increasing the amount of exercise to strengthen bones.
    • Drug treatment with Alendronate, Risedronate, Ibandronate and zoledronic acid.
    • Treatment with the drug Teriparatide, which effectively stimulates bone growth.
    • An orthopedist may suggest special ankle braces to improve your balance when walking.

      Planovalgus deformity

      With planovalgus deformity of the toe, its metatarsophalangeal joint changes, and the big toe moves inward, disrupting the position of the adjacent toes.

      The deformity is associated with the load on the forefoot, which is complicated by wearing uncomfortable shoes.

    • the appearance of a “bone” at the site of organ displacement;
    • change in the position of the fingers adjacent to the patient;
    • “hammer-shaped” fingers;
    • leg fatigue and pain;
    • the “bump” turns red and swells;
    • inflamed “corns” and calluses appear;
    • muscle tension, pain when moving;
    • weakening of the foot ligaments;
    • ingrown nail.
      1. Orthopedic shoes, inserts and pads are prescribed.
      2. Intra-articular administration of Diprospan and Hydrocortisone.
      3. Wave therapy that improves blood circulation.
      4. Surgical treatment is aimed at excision of parts of the damaged organ or its replacement.

        The reason why the big toe hurts is often a toe injury caused by uncomfortable shoes. It is important to carefully choose shoes in cases of the occurrence of these diseases.

        Categories : Treatment methods

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