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Correction of bunions on the foot

04 Aug 18

Correctors for bunions - types and functions

The problem of the appearance of bunions has become a real scourge for women of different ages. A radical method of treating arthrosis of the metatarsal joint (the scientific name of the disease) is surgical removal of the bone. But this option will not solve the problem of a deformed foot. It is best to avoid radical intervention. To achieve this, doctors recommend many preventive measures, among which the following are popular:

  • physiotherapy,
  • massages,
  • physiotherapeutic influence,
  • medications,
  • compresses,
  • laser therapy.
  • Numerous reviews from doctors confirm the effectiveness of preventive and corrective agents from the modern arsenal of orthopedics:

    To effectively resolve the issue, you first need to find out the cause of the deformation and the appearance of the bone. This will help you choose the most effective corrective agent.

    What causes a bunion on the foot?

    The problem of deformation of the foot and big toe is a serious disorder that has many causes:

  • violation of diet (salt deposition),
  • heredity,
  • excess weight,
  • joint injuries and diseases,
  • wrong shoes,
  • increased load on the legs as a result.
  • However, orthopedic doctors agreed that the root cause of bunions is improper distribution of the load on the foot as a result of wearing the wrong shoes. This contributes to the development of flat feet and subsequently leads to flattening of the foot and weakening of the ligaments. It is because of this that the big toe begins to move to the side, deforming the neighboring toes and the entire foot. This is how a bone on the leg is formed.

    Consequences of the development of the disease

    The bone itself is a cartilaginous growth that serves as support for the thumb in an even position. As the load on the feet increases and the correct position of the toes is violated, the foot becomes deformed over time, causing not only constant discomfort when wearing shoes, but also terrible pain, the appearance of calluses, corns and swelling as a result of the development of inflammation.

    If you do not engage in prevention and neglect this problem, then after a while the process will only worsen: disturbances in gait and posture will appear, improper distribution of the load on the knee and hip joints, on the spinal column. In the future, this can cause a complete loss of joint mobility.

    A bunion corrector will help solve the problem of properly distributing the load on the foot and align the position of the toes when walking. This is the first priority for eliminating the problem of an inflamed thumb joint.

    How to choose the right corrector?

    Treatment of a bunion on the foot is a rather lengthy process, which involves fixing the foot and toes in the correct position. For this purpose, therapeutic fixatives (correctors) are used. Doctors consider this method one of the most effective, and customer reviews confirm this.

    The corrector (fixator) resembles a simple orthopedic design that allows you to fix the foot and big toe in an anatomically correct position even while walking. It will not allow the toe to move to the side, gently fixing the toe by attaching the corrector to the foot from the inside and between the first and second toes. Answer the question “Which bunion corrector should I buy?” A detailed description of the types and principles of action of clamps will help.

    A bunion corrector can have different designs and be made from different materials.

    1. Silicone or combined retainers (silicone and fabric).
    2. Elastic correctors made of plastic.
    3. With or without a special additional lock between the first and second finger.
    4. Adjustable thumb correctors.

    Adjustable big toe corrector

    You can buy various types of correctors at the pharmacy, but in general the principle of their operation is similar and boils down to the fact that over time, over time, the thumb and joint fall into place naturally. After some time, pain, inflammation and the deformation itself disappear. The fixator stops the development of the disease in the later stages, being a preparatory stage for surgical intervention and speeds up the period of postoperative rehabilitation, relieving the load from the forefoot.

    In the beginning, correctors were made of hypoallergenic elastic plastic that fixed the finger in the desired position. It only stopped the deformation of the foot, and it was only allowed to be worn for a few hours.

    Subsequently, it was possible to make its design more convenient and invisible. Plastic has replaced soft and elastic silicone. This corrector has a number of advantages when compared with other models.

  • Tight fit to the foot. It is almost invisible even when wearing open shoes due to the softness and translucency of the silicone material.
  • Its material is so soft that you can hardly feel it while wearing it and does not rub your fingers. The medical silicone from which it is made is plastic and can take the shape of the leg relief without reducing its fixing properties.
  • The silicone retainer is very durable: it does not break or tear.
  • The brace reduces fatigue and stress on the foot and toe by locking them in the correct position. It prevents the development of pathological deformities of the foot, making the gait easier and freer.
  • Reduces pain and inflammation in joints.
  • It is best to order a bunion corrector from an online store to avoid numerous counterfeits. There are two types of correctors - depending on the time of wearing, they are divided into night and day.

    Daytime ones allow you to reduce the load on the forefoot and are suitable for any type of shoe. It is soft and almost invisible when moving.

    Night clamps for the thumb have a more complex design and are quite rigid. They firmly fix the thumb, which allows you to effectively influence the joint.

    In addition to the fact that you need to know where to buy it more profitably, you need to remember that its effect will not be noticeable immediately. For maximum effect, both types of fixatives are recommended to be used regularly, day and night, for 3-5 months along with complex therapy. But the first positive results will become noticeable after a month of use. A particularly significant effect from its use is observed in the early stages of the disease. Before purchasing and using, you should consult with your orthopedic doctor.

    How much does a thumb corrector cost?

    Prices for similar products on the Russian market vary. You can buy concealer in an online store much cheaper than in pharmacies. It will cost you at least 1000 rubles.

    Bunion corrector – how to choose

    Hallux valgus is a common orthopedic disease when the bone of the first finger, due to one reason or another, becomes severely bent, causing a lot of inconvenience to a person - starting with the inability to pick up shoes and ending with severe pain when walking. Today, experts have developed many ways to help you forget about this pathology forever. At the initial stages of the development of hallux valgus, the doctor prescribes conservative treatment for the patient - massages, physiotherapy, gymnastics, wearing special orthopedic structures on the finger. And it is the last option that is the most effective, since a correctly selected bunion corrector can completely remove an unaesthetic “bump.”

    How to choose the right bunion corrector?

    There are a great many offers for the sale of tires, correctors and clamps. Take a look on the Internet - sellers offer a variety of types. But which one should you buy for a bunion corrector? How are they all different from each other?

    Ideally, an orthopedist should recommend a suitable orthopedic corrector to the patient. Taking into account the characteristics of the patient and the stage of development of hallux valgus deformity, the specialist selects the optimal design option suitable for a particular case.

    According to the principle of “work”, all correctors are similar - the design fixes the thumb in the position in which it should be. Fixation, as a rule, is ensured by strengthening the corrector on the inside of the foot and between the first and second toes. By constantly wearing an orthopedic splint, not only pain goes away, but also the root cause of the disease is eliminated. And since the principle of operation of the design is the same, when buying a corrector for the foot from bunions, we pay attention to other nuances.

    Selecting the type of corrector

    All orthopedic fixators offered by manufacturers today can be divided into several types. A bunion corrector can be:

  • With and without an additional lock between the first and second toes.
  • Regulated and unregulated.
  • Which fixation to choose depends on the degree of neglect of the hallux valgus deformity. For example, the presence of a special “regulator” will allow you to control the angle of the finger in the desired direction. Over time, this design gradually tightens, straightening the finger more and more and removing the “bump”. But such designs are somewhat more expensive than other corrector models. But an additional clamp between the fingers will give a more positive effect than without it, since it provides additional impact on the remaining fingers, which are often also bent with hallux valgus.

    Selecting corrector material

    Before buying a bunion corrector, you should also pay attention to the material from which it is made. Manufacturers today use a variety of raw materials to produce orthopedic correctors.

    A bunion corrector can be:

    Why is the material so important? The fact is that the period of wearing the structure largely depends on this. For example, soft silicone correctors can be worn even during the day - they will not interfere with wearing shoes. But plastic clips are often used only at night, since wearing some of their models in shoes is simply impossible.

    Many patients, when choosing orthopedic correctors, buy 2 types at once - daytime (silicone) and nighttime (plastic). It turns out that treatment of hallux valgus takes place around the clock.

    The dense bunion corrector, which receives mostly only positive reviews, has the best properties. This is confirmed by experts. This design provides stronger hold compared to silicone. Thus, the treatment is somewhat faster.

    What nuances should you pay attention to when purchasing?

    Once the type of retainer and the material from which it is made have been chosen, you can safely buy it. But there are a number of nuances, and you should pay attention to them, otherwise you may purchase a low-quality bunion corrector.

  • Documents confirming the quality of the goods.
  • Permission to sell products.
  • Nowadays there are a lot of fake orthopedic correctors. These cost a lot, but you may not get any benefit from them. Be carefull!

    Before purchasing, it also doesn’t hurt to carefully study the reviews of the product you are purchasing. And in order not to overpay, it is better to monitor all offers for the sale of orthopedic correctors. It’s great if you buy a retainer on the recommendation of friends.

    Removing a “bone” on the leg

    Hallux valgus correction is an operation aimed at eliminating the deformity of the 1st toe and restoring the previous configuration of the joint.

    Effect of the operation

    The correction allows you to restore the aesthetic appearance of the foot and eliminate pain. The thumb acquires the correct position, and natural gait is restored. The cosmetic effect is long-term.

    Existing methods for eliminating a bunion in the foot mostly involve distal osteotomy of the first metatarsal bone, which threatens relapse if the first toe is significantly deformed.

    Correction of hallux valgus deformity is carried out by our specialists using a unique technique developed at the Frau Klinik. The use of special implantable fixators allows you to get rid of any degree of deformation (from I to III), and there is practically no risk of recurrence of deformation.

    Surgical procedures are performed by a doctor under the visual control of an X-ray machine. This allows you to minimize the invasiveness of the intervention and, as a result, shorten the rehabilitation period.

    Video: elimination of hallux valgus and hammertoes

  • Minimal trauma: the length of the incisions is only 5-7 mm, the fixations are carried out through pinpoint punctures of the skin under X-ray control;
  • Ensuring stable and functional osteosynthesis of artificial fractures at all levels of the deformed bone radius;
  • The ability to put pressure on the foot from the first day after surgery.
  • In order to maintain the social activity of a patient with deformity of both feet during the recovery period after surgery, the intervention is performed on the left and right legs alternately.

    Sutures in the area of ​​mini-incisions and skin puncture sites are removed after 12-14 days. After this, the patient is allowed water procedures, wearing regular shoes with a gradual increase in physical activity. The actual fixators are removed through punctures after 2-3 months, when the artificial fractures are completely healed.

    Contraindications and complications

    Some pathologies, such as atherosclerosis obliterans and diabetic foot, complicate the successful outcome of the operation, so correction for these diseases is not advisable.

    Complications (postoperative pain, numbness of the fingers, decreased range of motion of the thumb, etc.) are rare; the operation is well tolerated due to minimal trauma. Following all the doctor’s recommendations allows you to speed up the rehabilitation period and avoid unwanted consequences.

    The principle of correction of hallux valgus

    Photos: before and after spoke installation

    Performs operations of varying degrees of complexity, including receiving patients with the possibility of performing surgical intervention within a few hours after the patient’s admission to the traumatology department of the Frau Klinik.

  • minimally invasive techniques for osteosynthesis of fractures,
  • closed reduction of fractures of varying degrees of complexity
  • treatment of dislocations, fresh and old ruptures,
  • tendon plasty,
  • removal of soft tissue tumors, foreign bodies,
  • elimination of scar deformities,
  • elimination of hallux valgus and hammertoes deformities of the toes and feet,
  • arthroscopy of the knee joints with meniscectomy,
  • plastic surgery of ligaments,
  • arthroscopic joint stabilization,
  • tendon and bone grafting,
  • treatment of long-term non-union fractures,
  • tendon-muscular transpositions,
  • endoprosthetics of joints (hip, fingers, wrist bones, knee, etc.).
  • Reception and consultation

    Patients are received at Frau Klinik at the address: Moscow, Podsosensky Lane, 20A.

    You can ask questions and make an appointment by calling: +7(495) 120-06-10

    Important! For consultation, a radiograph of the feet in 2 projections with a load is required.

    The doctor will inform you about the exact cost of the correction after examination and consultation.

    Hallux valgus deformity of the big toe - “bones”, “bumps” on the feet

    Hallux valgus is a well-known orthopedic problem that most often occurs in women over 30 years of age. “Bones on the feet” is a deviation of the big toe at a pathological angle in relation to the foot, which at the same time becomes transversely flattened. Hallux valgus causes pain in the legs, the patient suffers from calluses, corns, and the “bone” formed at the base of the big toe interferes with the selection and wearing of shoes.

    The cause of the problem is transverse or combined flatfoot, which is often complicated by hallux valgus and other pathological changes that disrupt the functioning of the ligamentous-tendon apparatus of the foot, as well as its muscles. If the root cause is not eliminated, the deformity will worsen, and the foot will eventually lose its shock-absorbing and supporting functions. In this case, the ankle, hip, knee joints, as well as the lumbosacral and cervical spine will be affected. Unfortunately, hallux valgus deformity does not develop back. If you wear loose shoes, special correctors and comfortable half-insoles, the deformation process will stop, but will not regress forever. In this case, an operation is recommended that eliminates flat feet, otherwise the disease will progress, the bones in the feet will hurt, and in its advanced form many complications will arise.

    Surgery to remove bunions

  • The operation in our clinic is performed within 1-1.5 hours (depending on the degree of “advanced” disease process), under gentle spinal anesthesia. If the patient expresses a desire, he is immersed in a medicated sleep.
  • It is recommended to stay in hospital for 1 day.
  • After the operation, you must stay in Moscow for 5-7 days, preferably having an accompanying person.
  • The patient can have the sutures removed at the clinic at his place of residence, but after 6 weeks he should go to the doctor for a follow-up examination.
  • Women of childbearing age and big toe bunions – when to remove

    Very often, women who have problems with flat feet (for example, grade 2), whose bones have just begun to appear, are interested in when is the best time to have surgery. If you are of childbearing age and are planning children, then it is better to have your thumb bones removed before pregnancy.

    During pregnancy, as well as during lactation, flat feet and hallux valgus deformity sharply progress. After a timely operation, the likelihood of relapse during pregnancy is negligible, since low-traumatic techniques eliminate the cause - transverse flatfoot. If, however, you did not manage to get rid of the problem before pregnancy, then you should have surgery after you finish breastfeeding, when the level of prolactin in the blood reaches normal values.

    Will it be possible to walk in heels after surgery? After surgery, our patients can easily walk in high heels and withstand heavy physical activity, provided that all doctor’s instructions are followed during the recovery period. Just don’t forget that when wearing shoes with heels of 10 cm or more, it is recommended to use special insoles.

    Operations to remove bones on the toes according to compulsory medical insurance

    According to compulsory medical insurance policies, corrective operations based on osteotomy with different methods of fixation of fragments are carried out in public and private clinics. These methods do not solve the problem of hallux valgus 100%.

    In our clinic, surgical interventions are not performed under compulsory medical insurance, voluntary medical insurance, or quotas. Low-traumatic techniques are used to remove flat feet. You can check the cost of surgical treatment in the price list.

    Our operating techniques

    The surgical techniques used in our clinic make it possible to carry out fracture-free elimination of transverse flatfoot and hallux valgus deformity; metal structures are not used, and plaster is not applied. The duration of the recovery period depends on the complexity of the operation and, as a rule, ranges from 3 to 4 weeks. After removing the stitches, it is recommended to wear shoes with low heels up to 5 cm for 1-1.5 months. Full weight bearing on the legs can be given 7-10 days after the operation.

    Over the years of illness, the patient loses the ability to correctly use three points of support. Therefore, after surgery, outpatient monitoring is recommended: conservative therapy, dressings, training in correct foot placement, etc.

    The technique used in our clinic is the most effective way to get rid of hallux valgus.

    Our clinic uses a technique that has several modifications. The type of surgical treatment is selected by the doctor after a detailed examination of X-ray images of both feet in 3 projections. We will not dwell in detail on the description of each method, since a step-by-step description in accessible language is theoretically impossible. During the operation, the patient also has bone-fibrous growths removed, without which restoration of congruence of the articular surfaces is impossible.

    Advantages of surgery using the technique we use

  • The patient can walk without assistance after a few hours.
  • After 1-1.5 weeks you can close your sick leave.
  • The operation is performed on both feet at once.
  • The best cosmetic effect when restoring the functionality of the foot.
  • Low invasiveness of surgical intervention.
  • There are no postoperative complications.
  • Short and painless recovery period.
  • Foot plastic surgery using the body’s own tissues.
  • No need for plaster immobilization.
  • Ability to wear any shoe with any heel.
  • What are the guarantees that the “bone” will not grow back later?

    If you strictly follow all the recommendations, advice and prescriptions of the doctor in the postoperative period, practically no complications occur, and the possibility of relapse tends to zero.

    This is guaranteed by the fact that during the operation the main cause of hallux valgus is eliminated - transverse flatfoot, which cannot be eliminated by any laser techniques or operations with micro-approaches. This requires complete plastic surgery of the transverse arch of the foot.

    If you entrust your health to Dr. Maksimov, you will receive:

  • 100% effect of treatment by a highly qualified specialist with more than 20 years of experience.
  • Guaranteed absence of complications and relapses, which are reported by more than 1300 of our patients.
  • Constant communication with the doctor after surgery - we do not leave patients to their fate.
  • For consultation on hallux valgus issues, you must provide:

    For your consultation, be sure to bring R-images in frontal, lateral and 3/4 projections.

    Tests required for the operation:

    • general blood analysis,

    • general urine analysis,

    • prothrombin, fibrinogen, INR,

    • RW, HIV, hepatitis B and C,

    You can take R-images and analyzes in any place convenient for you

    at the address: 2nd Tverskoy-Yamskoy lane, building 10 (metro station "Mayakovskaya")

    by pre-registering by phone. 8 (495) 17-806-17 for examinations for Dr. Maksimov.

    If you do not live in Moscow, then you can send me R-images by email in advance.

    Treatment of bunions, correction of foot deformities, hallux valgus

    The advantages of foot surgery in our clinic

    — The only medical institution in the south of Ukraine that owns all operating techniques

    and micro instruments (micro saws, drills, tools) for operations on the foot

    — Narrow specialization, extensive experience.

    — We operate only with original implants from leading global manufacturers

    — Disposable consumables

    — Cosmetic seams (invisible)

    — High recovery rate, minimum complications

    — Walking the day after surgery in specialized shoes.

    — We operate on two limbs at the same time

    - Almost no pain. We do not use narcotic drugs for pain relief

    — Stay in the clinic for a day

    — Postoperative support of patients until recovery

    — Regular training, internships abroad

    — There is a rehabilitation base

    Hallux valgus is a deformity at the level of the medial metatarsophalangeal joint with an outward deviation of the first toe (valgus deformity).

    Hallux valgus can occur due to long-term impairment of the biomechanics of the first metatarsophalangeal joint, which may be associated with:

    • transverse flat feet and weakness of the ligamentous apparatus;
    • certain neurological disorders;
    • congenital deformities, etc.
    • The basis of the curvature is transverse flatfoot. In most cases, deformities are observed in women, since they are characterized by weakness of connective tissues.

      An important negative point is wearing narrow shoes that restrict your movements and very high heels.

      These distinctive features of the shapes of women's shoes contribute to the current negative trend.

      The main negative factors of shoe shapes include:

      1. Narrow toe shoe. When shoes are worn narrowly, the toes lose the necessary freedom, causing them to be in a poor position. This subsequently leads to permanent ankle deformities.
      2. High heel. Wearing shoes that are more than three inches high puts significant pressure on the forefoot. As a result, the toes are pressed into the shoes and there is also a risk of flat feet.
      3. Shoes too short. If you wear shoes that are too short, your toes are constantly in an unnatural position, which causes bunions.
      4. With valgus deformity of the foot, there is a significant increase in the angle between the I and II metatarsal bones. The first metatarsal bone moves inward, and the first toe moves outward. As a result, a tubercle, the so-called “bone,” begins to form. In this case, the big toe gradually deviates outward.

        Over time, inflammation of the mucous membrane of the joint bursa occurs, since constant pressure and “conflict” with shoes, the protrusion of the “bone” becomes inflamed. Also, bone changes subsequently occur in the area of ​​the first metatarsal bone, which leads to swelling, pain, increased sensitivity and irritability of the “bone”.

        The consequences of incorrect position and angle of the big toe are:

        • premature wear of the main joint;
        • cartilage damage;
        • a significant increase in the size of the bone growth on the leg.
        • Our clinic performs reconstructive surgeries on the forefoot and ankle joint. We are actively implementing the experience of our German and American colleagues.

          The equipment includes all the necessary equipment, instruments for minimally invasive operating techniques (which allows for maximum tissue preservation).

          Thanks to the use of various modern techniques, our patients can move without crutches already in the first days after surgery. In this case, specialized shoes are used.

          To make postoperative scars less noticeable, patients undergo cosmetic stitches.

          Treatment in our clinic is carried out using the latest modern equipment!

          The entire range of surgical interventions in our clinic is carried out using disposable consumables; all operating rooms are equipped with the latest air filtration systems and microclimate.

          Modern sterilization technologies reduce the risk of infection to a minimum.

          For any questions you are interested in, you can contact us by phone or e-mail indicated on the “Contacts” page!

          Categories : Treatment methods

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