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Big bone surgery

12 Sep 18

A modern method of treating bunions with laser

Hallux valgus (hallux valgus) is a common disease characterized by a change in the metatarsal bone leading to the big toe; popularly you can hear other names: a bunion or a bunion on the big toe. This disease mainly affects women because of their love for beautiful but uncomfortable high-heeled shoes. The first signs of the disease appear in youth; with age, the problem worsens: the bone grows, which leads to curvature of the foot, pain and swelling. Treatment is carried out at any stage of the disease, but the most relevant is minimally invasive laser removal of bunions.

Causes of pitting

The appearance of a hard growth near the big toe is the first sign of the disease. At this stage, it is still possible to solve the problem of foot deformation without the intervention of a surgeon and without laser removal of the bunion on the big toe. The reasons for the appearance of protruding bones are:

  • Incorrectly selected, tight shoes;
  • Frequent wearing of high-heeled shoes, which leads to improper distribution of the load on the big toe;
  • Hereditary factor;
  • Brittle bones (osteoporosis);
  • Injuries of the lower extremities.
  • Hallux valgus occurs when excessive load is placed on the big toe, causing cartilage tissue to be replaced by bone. A protruding bone on the feet does not cause any inconvenience at first, the toe gradually becomes bent and the disease becomes noticeable when pain and discomfort appear when wearing shoes: they become narrow and calluses appear, and ingrown nails are possible.

    Types of laser treatment

    Laser removal of a bunion is allowed at any stage of the disease, but it is recommended to use it only for advanced and chronic forms. The operation itself involves grinding the growth using laser radiation before comparing it with the lateral surface of the foot. During the intervention, the skin is not cut off, but a small incision is made through which all manipulations are performed. Due to the high temperature of the beam, bone tissue evaporates. Only a small, neat seam remains at the wound site. Removing hallux valgus with a laser is not only about grinding the joint; there are several methods of performing the operation:

  • Exostectomy - removal of a small area of ​​protruding bone and soft tissue around the joint;
  • Osteotomy - resection of the phalanx of the finger due to which the bone becomes shorter;
  • Resection arthroplasty is the removal of part of the articular surface or its replacement.
  • Laser removal of bunions has one very important advantage - the almost complete absence of contraindications. However, before the procedure, it is necessary to undergo an examination by a specialist so that he can select the optimal treatment method.

    If you decide to remove hallux valgus, laser treatment is the most effective way. In this case, it is important to worry about finding a good clinic and doctors.

    Pros and cons, advantages before surgery

    There are several ways to remove a protruding bunion: surgical and laser. The latter is the most modern and effective treatment method. Its advantages:

  • The laser disinfects the wound, the instrument does not interact with the mucous membrane, and the risk of infection is practically absent;
  • Minimal blood loss due to the small thickness of the incision;
  • Lack of effect on nearby healthy tissues;
  • Fast healing.
  • Comparing the surgical and laser methods of removing a bunion, we can highlight the advantages and disadvantages of each of them.

    Laser treatment of hallux valgus is performed under local anesthesia and takes no more than 1 hour. Discharge after surgery takes place the next day, in the absence of complications. The gentle regime lasts for 2 weeks; there is no need to wear a cast. The cost of surgery to remove bunions with a laser is quite high: on one leg – about 35 thousand rubles, on both – about 50 thousand. This scares off many patients, but still this method will allow you to quickly return to normal life without pain.

    The classic method of removing hallux valgus involves the use of both local and general anesthesia, depending on the complexity of the operation. The procedure lasts at least 2 hours. It is recommended to perform surgery on one foot first, then on the other due to the long rehabilitation period. It is forbidden to step on your feet for several months. To prevent deformation of the foot, it is necessary to wear a cast. After healing, you will only have to wear special orthopedic shoes, and it will take 1 to 2 years to fully restore the motor activity of the foot. The operation is carried out on the direction of the attending physician, treatment is planned and free of charge.

    Removing leg bumps with a laser is quick and requires a short rehabilitation period. You can walk the next day; in rare cases, you may need to wear orthopedic shoes. After two weeks you can return to normal daily activities. Active sports can be introduced a month after surgery, but only after consulting the attending physician.

    Laser removal of a bunion on the big toe requires mandatory observation by an orthopedist or traumatologist during the rehabilitation period (2-3 weeks after surgery) in order to avoid the return of the disease and achieve the maximum effect of treatment.

    What other positive consequences will the removal of cones on the legs bring:

  • Getting rid of swelling and heaviness in the feet;
  • Restoring foot mobility;
  • Correction of the position of the remaining fingers.
  • Laser removal of bunions is a modern and fast way to treat hallux valgus. Laser therapy helps restore beauty to the legs and relieve pain. The only limiting factor for most patients is the fairly high price, but reviews of laser removal of bunions confirm its effectiveness.

    Surgery to remove the bunions of the big toes (exostoses)

    Bunions are the popular name for a hallux valgus deformity of the first toe. The growth itself is called exostosis. The disease is caused by several factors, including flat feet, wearing tight shoes, and congenital deformity. Incorrect placement of the finger leads to the destruction of cartilage tissue, it is replaced by bone, and characteristic outgrowths are formed.

    In severe cases, it is impossible to restore the joint using conservative methods. Then the only option is surgery. During this procedure, the surgeon must change the angle between the toe and the foot and restore lost functions to the joint.

    Indications for surgery

    In the development of the disease, several stages are distinguished depending on the angle of displacement of the finger. Surgery is only necessary at the very last stage. At this stage, the patient may exhibit the following symptoms:

  • The finger deviation angle exceeds 50°.
  • Pain in the leg occurs both when walking and at rest.
  • The joints are tight.
  • There are calluses on the leg in the affected area.
  • Joint inflammation may develop.
  • At previous stages, surgery may be recommended if conservative therapy is ineffective. It is also carried out at the request of the patient for cosmetic purposes. The smaller the angle of deformation, the less tissue needs to be removed. So, at the second stage of the disease, it is possible to excise only the protrusion itself - exostosis, or shortening of the muscle.

    The disease is not subject to surgical correction in the following cases:

  • Diabetes.
  • Blood clotting disorder.
  • Obesity.
  • Disturbances in the functioning of the cardiovascular system.
  • Thrombophlebitis.
  • Impaired blood supply or innervation of the foot.
  • Goals of surgery

    During bunion surgery, the surgeon should strive to achieve the following results:

  • Relief of pain symptoms. Usually you can assess your condition and the effectiveness of the operation within a day after the operation.
  • Cosmetic effect - elimination of a defect that looks unattractive and worsens the psycho-emotional state of the patient.
  • Restoring mobility of the big toe. This can be assessed after the end of the rehabilitation period.
  • Preparing for surgery

    The main examination before osteotomy is x-ray. It must be performed in several projections to obtain a complete picture of the deformation. The patient may be asked to hold an object with his finger, which makes it possible to find out the true angle of deviation. Many doctors agree that x-rays are not always enough. Modern clinics also use MRI (magnetic resonance imaging) for more accurate diagnosis.

    Patients undergo all standard tests before surgery:

  • General blood analysis.
  • General urine analysis.
  • Testing for certain infections.
  • Fluorography.
  • Electrocardiogram.
  • Before surgery, patients should take hygienic foot baths for a week. The attending physician will inform you about additional measures and medications.

    Types of operation

    Access to the bones can be done openly or percutaneously (percutaneous). The first method is a standard incision with a scalpel exposing all tissue and bones. This makes it easier for the surgeon to visually assess the clinical picture and does not have to act blindly. With percutaneous access, all manipulations are performed through small holes.

    Currently, more than 200 surgical technologies have been developed. The most universal and frequently used are the following:

  • Resection (removal) of exostosis on the lateral surface of the head of the first metatarsal bone and phalanx of the finger.
  • Osteotomy of the first metatarsal bone (Hochman operation). The operation involves removing part of the bone.
  • Muscle truncation (McBride operation). This method is used in the absence of complications such as arthrosis and minor deformation. The greatest effect can be achieved when performing surgery on young patients.
  • Osteotomy of the first metatarsal bone or first phalanx of the finger (Wreden-Mayo operation). It is practiced in the treatment of elderly people with severe joint deformation. During the intervention, part of one of the bones is removed.
  • Reconstructive surgery using the CITO technique. This type of intervention involves the use of an autoimplant (a prosthesis made from the patient’s tissue). It allows you to fix the bone in the correct position.
  • Operations involving manipulation of bones can be carried out not only using traditional surgical instruments - a special crowbar, saw, but also through the action of laser radiation.

    This type of intervention can be performed on an outpatient basis (without hospitalization) or in a hospital setting. Before surgery, the patient's foot is treated with iodine. Local anesthesia is used in the form of an intraosseous injection of novocaine.

    The surgeon makes an incision approximately 5 cm long and sequentially bends all the soft tissue down to the bone. The protrusion is an exostosis, knocked off with a chisel, and the surface is polished. The fabrics are laid in place and sewn up with silk threads. A thick cotton swab is placed between the first and second fingers and fixed with special glue. A splint is applied to the foot.

    Anesthesia is performed in the same way. The surgeon makes an incision along the first phalanx and first metatarsal bone. It removes the mucous bursa (the cavity where the joint rubs against the skin) in the area of ​​exostosis. Next, he cuts off the tendon attached to the first phalanx. Using a chisel, he knocks out a wedge-shaped piece in the metatarsal bone and removes it. This helps align the axis of the joint.

    The areas of bone remaining after removal are secured together with wire or a plate. After this, the exostosis is cut down. The truncated tendon is shortened and sewn into place. This creates tension, which also helps to fix the bone and align the axis of the joint. The tissues are sutured and plaster is applied to the foot. It must be worn for at least three weeks. This operation has a favorable prognosis, the relapse rate is lower than with the previous technique.

    Operation McBride

    Local anesthesia. The surgeon makes an incision from the plantar side. The muscle is separated, which is attached at its end to the first phalanx of the finger. It is cut off and shortened. The muscle is no longer sewn to the phalanx, but to the first metatarsal bone.

    Truncation of other muscles of the joint is also possible. As a result, under the influence of tension, the joint straightens. The tissues are sutured and a plaster cast is applied for a period of 3 weeks.

    Wreden-Mayo operation

    Anesthesia is usually also local. The surgeon makes an arcuate incision. He excises tissue and, using a special instrument (the so-called bone spoon), dislocates the bone that is decided to be shortened. Resection (cutting off the problem area) is performed using a saw. The edges of the bone are polished. The tissues are sutured and a splint is applied.

    Unlike the Hochman procedure, this type of surgery involves removing more bone . That is why it dislocates and is brought out into the wound. The Wreden-Mayo operation gives good results, and relapses are rare after it. But due to the large extent of resection, disturbances in the supporting functions of the foot are possible.

    Reconstructive surgery using the CITO technique

    The operation is performed in conjunction with osteotomy. Doctors consider it most favorable to perform it under local anesthesia. The implant to prevent rejection is made from the patient's tendon. The surgeon makes an incision and excises soft tissue.

    He performs an osteotomy of the first metatarsal bone, and after removing the wedge-shaped area, an autograft is placed into the cavity. Additional fixation is performed using knitting needles, which must subsequently be removed. One of the tendons is also shortened, which will thus hold the bone in the correct position. After suturing, the foot is plastered for 1-1.5 months.

    Features of percutaneous minimally invasive osteotomy

    In Russia, this method has only been used for the last decade, but doctors have already highly appreciated its advantages compared to classical osteotomy. It has the following advantages:

    1. Smaller scar sizes, which is especially important for women.
    2. Shortened recovery period.
    3. The pain syndrome is less pronounced and easier to relieve.
    4. Reduced risk of developing vein thrombosis during surgery and in the postoperative period.

    The operation is performed under local or epidural anesthesia (painkiller is injected into the spine). The doctor makes a puncture with a scalpel with a narrow blade. Soft tissues are intersected, creating space for the operation.

    The surgeon uses a drill to create a hole in the metatarsal bone of the foot. The most effective is to operate the tool slowly (at low speeds). The hole being formed is periodically irrigated with saline solution. Its diameter is about 2 mm. A needle is inserted into it. On the other side, a knitting needle with a screw with a diameter of 1 mm is inserted. Due to their combined action, the position of the bone changes. The spokes are subsequently removed, leaving the screw for fixation.

    If necessary, the bones are shortened: both the metatarsal and the first phalanx of the finger. These manipulations are also performed with a drill.

    Sometimes the deformation is so severe that the hole has to be expanded to 10 mm. But in most cases, due to its small size, it is not even necessary to apply stitches. The only thing required is the use of an aseptic dressing for 1-2 days. Typically, an x-ray is taken immediately after the pins are removed.

    Using a laser

    In this case, the bone is excised using radiation . This allows you to reduce the trauma of the operation and speed up the recovery period. After the operation, no splint or plaster is required.

    Within a few hours after the procedure, the patient can leave the clinic, and he is allowed to lean on the operated leg. You can begin to develop your finger 21 days after surgery.

    Using a laser instead of a scalpel, drill, or crowbar helps get rid of “bunions” on the foot without unnecessary suffering during rehabilitation. This method is just beginning to be used by Russian doctors, but it will probably soon find wide application.

    Video: laser removal of bunions

    Recovery period

    The rehabilitation time depends on the percentage of tissue removed. If the operation affects only the bones of the metatarsus, immobilization (fixation of the joint) is necessary for 4 weeks (the exception is the laser technique), if the operation involves larger areas - up to 10 weeks. During this period, minimal load on the leg is important. You will have to use crutches, it is advisable to spend most of the time lying down.

    After this period, patients should follow the following recommendations for several months (the period is determined by the doctor):

  • Wearing special shoes with a wide toe box to reduce the load on the first toe (Baruk shoes).
  • Anti-inflammatory, antibacterial and analgesic therapy. The drug Nise has proven itself well. It is available in the form of tablets (used until wounds heal) and gel (used at the final stage of the recovery period).
  • Gymnastics of the toes. It is developed individually by the attending physician. Important! You can start exercises only after postoperative swelling has subsided (usually the 20th day after surgery). Exercises are necessary because they prevent such a common complication as contracture of the first metatarsophalangeal joint (limitation of the ability to flex-extend due to scar formation).
  • Patients may experience the following unpleasant consequences of osteotomy:

  • Impaired skin sensitivity of the operated part of the foot. Usually this turns out to be a temporary phenomenon; the functions of the nerve endings of the skin are completely restored after 8-10 months. This is due to partial damage to some branches of the cutaneous nerve. When they are completely crossed, sensitivity is not restored or remains greatly reduced.
  • Long-term wound healing. This occurs due to the creation of an area of ​​damage around the incision or hole, which leads to the development of micronecrosis and inflammation. Clear contents may be discharged from the wound. The complication is successfully treated with anti-inflammatory drugs.
  • Sharp stabbing pains with certain types of movement. This sensation occurs as a result of the screw being misaligned or misplaced in the bone. In this case, it is removed.
  • Bone necrosis. This complication can occur with any type of surgery, especially if there is too much damage to the vessels that supply the bone.
  • Relapse of the disease. Most often it occurs during minimally invasive operations.
  • Contracture of the first metatarsophalangeal joint is a reduction in its mobility. You can get rid of this complication through individually designed gymnastics, using special exercise machines.
  • The cost of the operation, receiving services under compulsory medical insurance

    The operation can be performed free of charge according to a quota. A referral for surgical intervention is given by an orthopedist-traumatologist. In this case, you may have to wait for your turn for several months. The type of surgical intervention depends on the equipment of the hospital and the availability of the necessary specialists.

    The average cost of surgical intervention starts from 10,000 – 15,000 rubles in the regions and 20,000 rubles in Moscow. The price includes the cost of anesthesia, necessary dressings and consultation with an orthopedist. The use of a laser makes the operation more expensive by 5,000 - 10,000 rubles.

    If hospitalization is necessary, the price also increases significantly. Carrying out an operation in the capital with a hospital stay for 4 days will cost about 100,000 rubles.

    Important! When receiving paid services, working citizens can claim a refund of 13% of the amount spent.

    Many patients are satisfied with the operation. The ability to move painlessly, as well as the beauty of the legs, delight patients. Negative consequences include a long recovery period, loss of ability to work for a month or more, swelling, and discomfort.

    In rare cases, surgery can lead to a worsening of the condition - the growth of a “bump” on the leg at an accelerated pace, pain when walking, and even disability. Patients find it difficult to tolerate an unfavorable outcome, especially if the main goal was to achieve a cosmetic effect.

    Removing a bunion is not an easy operation. You should decide to carry it out only after identifying the cause of the disease and taking measures to eliminate it. The key to the success of the operation is the professionalism of the doctor, his ability to make the right choice regarding the technique, and to competently develop a rehabilitation program.

    Removal of hallux valgus with laser method

    Laser surgery to remove a bunion is an innovative method of treating hallux valgus. This problem often occurs in women in adulthood. The disease causes a lot of inconvenience. The leg constantly hurts, the foot is deformed, and it is difficult for patients to choose shoes. To get rid of the disease, you need to consult an orthopedic doctor. He will select a treatment method depending on the patient’s condition and the degree of bone tissue damage.

    Laser removal of a bunion on the big toe has many advantages, because after the operation the woman recovers quickly, forgetting about the annoying problem forever.

    When is laser surgery for bone removal indicated?

    Overgrowth of bone tissue on the toes is much more common in women. Among the reasons for this phenomenon are wearing uncomfortable shoes and hormonal imbalance. Hallux valgus also appears due to a number of other factors:

  • Incorrectly chosen shoe size, wearing too narrow “pumps”;
  • Constantly wearing shoes with high, unstable heels;
  • Hereditary factors;
  • Osteoporosis, which occurs in 80% of the fairer sex;
  • Excess weight;
  • Hormonal imbalance;
  • Foot injuries, long-standing fractures, dislocations, sprains.
  • Treatment is carried out using massages, special orthopedic pads and bandages. If such therapy does not produce results, the doctor suggests laser surgery. The patient can be offered a choice of two options for a radical solution to the problem - traditional surgery and laser removal of hallux valgus. The second option is more expedient to use, because recovery after surgery does not take much time.

    Preparing for surgery

    Laser surgery on the bunion of the big toe is performed in specialized medical institutions. Such surgical intervention requires the latest technical equipment and highly qualified specialists. Laser operations are carried out mainly in private clinics. Any such procedure requires serious preliminary preparation. Ask your doctor where you can remove bunions with a laser; he will give you contacts of experienced surgeons who specialize in such interventions.

    First, a complete diagnosis of the body is carried out. Doctors should make sure that the patient does not have symptoms of other diseases, otherwise complications may occur during the operation. General blood and urine tests are required, which can be used to determine the patient’s condition and the presence of inflammatory processes. The attending physician gives permission for surgical intervention, assessing the diagnostic results.

    In addition to general tests, an x-ray of the foot is performed. In rare cases, additional magnetic resonance imaging or computed tomography is required to ensure that there is no malignancy on the bone. If there is a suspicion of cancer, the operation is postponed and additional diagnostics are carried out. Removal of the tumor in this case is possible only after courses of chemotherapy and radiation therapy in accordance with the established protocol for the treatment of oncological diseases of the musculoskeletal tissue.

    Types of laser surgeries to remove bunions

    Laser treatment of hallux valgus is possible in several ways:

    In the first case, during an exostectomy operation, the growth on the bone is gradually excised with a laser. This happens in several stages. A special device removes the thinnest layers of bone tissue, which allows you to maintain mobility of the joints of the foot and quickly recover, returning to a normal lifestyle. This operation is prescribed if the patient does not have any complications or related problems.

    If the growth has affected the joint on the thumb, then sometimes it is necessary to completely remove it and replace it with a prosthesis. This surgery is called resection arthroplasty. First, a standard valgus laser operation is performed, then the joint is removed and a prosthesis is installed in its place. Artificial bone can be metal, fiberglass, or biomaterial. The final choice is made by the attending physician based on the patient’s current health status, possible complications, and characteristics of the course of the disease.

    Benefits of laser surgery

    Laser removal of bunions on the legs is a progressive, relatively new treatment method that has already won the trust of ordinary patients. It has many significant advantages:

  • A minimally invasive intervention in which only a small incision is made, onto which several cosmetic sutures are subsequently applied;
  • Quick recovery after surgery, return to a normal lifestyle;
  • Absence of absolute contraindications to surgery;
  • Minor blood loss during the operation;
  • There is no need for general anesthesia - the operation is performed under local anesthesia.
  • This type of surgery has only one drawback - the high cost of the operation. The procedures are carried out in private medical centers; advanced equipment is used here, which periodically needs updating and modernization, so operations cannot be free. If we compare all the benefits of laser surgery and calculate what costs will be incurred during the recovery period after traditional surgery, it will become clear that these costs are quite reasonable.

    You will forget about the problem forever, it will not return. There will be no memory of the surgery except a small scar on the foot, which may also disappear completely. Do not push the problem to the point where only complete removal of the joint can help, contact specialists at an early stage of the disease, and constantly monitor positive and negative trends in treatment.

    Surgery to remove a bunion on the big toe

    Many people believe that the appearance of a protruding bunion on the big toe is just an aesthetic problem that does not pose a threat to the health of the feet and the body as a whole. However, it is worth knowing that this is a disease of the foot and in medicine it is called hallux valgus. The foot loses its visual appeal and becomes ugly due to the deviation of the big toe, which has changed its shape. Hallux valgus can cause various pathologies in the structure of the foot, which can lead to difficulty walking and constant pain in the joints, ligaments, and tendons. Surgery to remove the bunion on the big toe can correct the situation. This procedure is necessary to eliminate foot deformities.

    Thanks to surgical intervention, your feet can be restored to their former beauty and the ability to move painlessly and wear the shoes you like. There are a number of surgical methods that have different indications and costs.

  • osteotomy – partial removal and subsequent reconstruction of the bones of the big toe, insertion of a pin;
  • exostectomy is the most common operation. It is carried out under local anesthesia for about 1 hour. It is used to remove a small part of the metatarsal bone (bump) on the big toe;
  • resection arthroplasty – incomplete removal of the joint located on the side of the metatarsal bone;
  • endoprosthetics. Thanks to this operation, an implant is installed at the site of the affected joint;
  • arthrodesis is when the big toe is fixed in the correct position;
  • correction of the foot using surgery on its transverse arch.
  • The choice of the required procedure is determined by the doctor in accordance with specific indications and contraindications. The doctor performs a visual examination and an x-ray, based on which he makes conclusions. Very often, surgery is the only way out of this situation.

    Before the operation, the feet are studied in detail for inflammatory processes in the joints and tissues of the foot, after which it is decided whether to perform the operation or postpone it for a certain period until the foci of inflammation are eliminated. However, there is a contraindication, the presence of which gives rise to a categorical ban on the operation - poor blood clotting. But surgery is not a guarantee of complete relief from the disease. There is a low probability of a relapse and to prevent this recurrence, you must follow all the doctor’s recommendations.

    Rehabilitation after removal of a bunion on the big toe

    The day after the operation passes in complete rest, only on the second day the patient is allowed to move his toes. Walking is allowed approximately 7-10 days after surgery, but even during this time you should not step on the operated part of the foot. If you strictly follow all the recommendations, the healing process of bones and soft tissues will go much faster. Weight-bearing on the foot is performed only a month after the operation. But serious exercise in the form of sports can begin six months after treatment.

    The rehabilitation process for hallux valgus deformity is very important. For everything to go smoothly, you need to follow the simple advice of experts:

  • comfortable shoes. During this period, your legs should be comfortable. No narrow or uncomfortable high-heeled shoes. It is necessary to wear only high-quality soft shoes with a hard and high back, a small heel of up to 2 cm is acceptable;
  • orthopedic insoles. They can improve blood circulation, reduce stress on joints and relieve tired legs. Such insoles or semi-insoles can be made to order;
  • crutches. To facilitate movement and ensure reliable support, you can use crutches. They will also help reduce the load on the operated part of the foot, which is especially important in the first weeks after surgery.
  • When it is impossible to avoid removing bunions, what intervention methods should be preferred?

    Removal of bunions is carried out using a laser, classic “open” surgery and minimally invasive intervention. All methods have their advantages. However, before choosing any of them, you should definitely consult an orthopedist.

    Hallux valgus can rightfully be called one of the most common orthopedic problems of the forefoot. They are often referred to as “bumps” or “bones” on the feet. A huge number of people are misled, considering them to be a manifestation of gout or the deposition of salts on the legs, but such an ailment has nothing to do with these phenomena.

    The appearance of a “bunion”, which so disfigures the big toe, is often a consequence of transverse flatfoot. Over the years, a person’s feet become flattened, as the longitudinal and transverse arches of the foot drop. However, not everyone develops a disfiguring bone in their thumb. The fact is that the cause of the development of bunions in the legs is often associated with dysplastic syndrome. This is an individual anatomical feature, which is characterized by increased elasticity of all joints, and the joints of the foot are no exception.

    Due to this hyperelasticity of the joints, there is an imbalance of the capsular-ligamentous apparatus in the area of ​​the first metatarsophalangeal joint of the foot, as a result of which the first metatarsal bone deviates outward and the big toe tilts inward. In other words, such a pathology is an angular deformation of the bones of the foot, and not a growing “bone growth,” as many believe.

    Other contributing factors to the abnormality are:

  • certain ailments (rheumatoid arthritis);
  • wearing tight and uncomfortable shoes;
  • received foot injuries.
  • In the vast majority of people, this pathology is bilateral. As a rule, those suffering from hallux valgus are initially only concerned about pain in the “bones” and redness of the skin in this part of the foot. Then pain occurs when wearing shoes, and then, in particularly advanced cases, this pathology can be complicated by such concomitant ailments as:

    In the early stages of the disease, they mainly resort to conservative treatment methods, which include massages, physiotherapy and exercise therapy. In addition, such patients often need orthopedic shoes or corrective orthoses and insoles, which help normalize the situation. In addition, to remove a bunion without surgery, Dr. Benditsky’s technique is often used. The method is based on a gradual correction of the position of the foot, as well as an integrated approach to treatment, which involves finding and restoring the correct centers of gravity not only for the feet, but for the entire musculoskeletal system. Thanks to this technique, it is possible to eliminate the pathology in a period of 2 to 7 months.

    However, many doctors are quite skeptical about the fact that it is possible to remove a bunion, especially with stages 2 and 3 of deformity, without surgery. Moreover, many of them are of the opinion that most methods of conservative therapy only help eliminate pain and redness, but do not help in any way in correcting an existing deformity.

    Surgical removal of “bones” was carried out in ancient times (starting from the era of Hippocrates). And in the entire history of world orthopedics, one can count about 300 different surgical techniques that help remove hallux valgus. Naturally, not every operation to remove a bone is used at the moment, since most of them have been found to be ineffective, and some of them are even traumatic.

    Today, high-tech, low-traumatic and effective methods for eliminating such foot deformities have been developed and are successfully used. In addition, when removing “bones”, specialists use innovative titanium clamps, micro-drills and micro-blades, which contribute to stable fixation and early activity of a person after the removal of bones (walking is allowed immediately after surgery, avoidance of plaster and crutches).

    As already mentioned, there are several types of “underwire” operations. Unfortunately, there is no universal method of surgery that would suit any person, since everyone has different feet and types of hallux valgus. Therefore, surgery is performed on the big toe bone, taking into account the functional and anatomical specifics. Focusing on a personal approach when choosing a surgical method, as well as meticulous planning, is the basis for successful surgical treatment of hallux valgus.

    If we consider the most common methods of surgical correction of forefoot deformity, now they often use:

  • surgery using an “open” technique;
  • laser removal of bunions;
  • using minimally invasive surgery.
  • Operation using the “open” method

    As a rule, it is inevitable in advanced cases, in the last stages of hallux valgus. Osteotomy (that is, excision of bone) in such a situation is simply inevitable. However, such an operation has long ceased to use steel wires, the removal of which subsequently required another surgical intervention. Now the correct fixation of bones is carried out using titanium clamps, which remain in them.

    Such operations are not performed on both legs at the same time, so the rehabilitation period is very long. Thus, sutures during such an operation are usually removed 2 weeks after it, but the postoperative period is delayed for a period of one to two months. Often, after such an intervention, complete immobilization of the operated limb is required, and the patient must resort to the use of crutches. After 1-2 months, it will be necessary to use conservative therapy methods in order to return the limbs to their previous mobility.

    Minimally invasive surgery

    This method is based on the elimination of hallux valgus without skin incisions, through mini-punctures (mini-accesses). If we try to describe this technique in a few words, its essence is that bones are sawed through small punctures (1-3 mm in diameter) using a special tool. The result of this action: cuts of the bone lead to a change in its axis, as a result of which the deformation is eliminated. No means are used to secure bone fragments.

    All such operations require the presence of special skills of the surgeon, certain instruments, and the intervention is carried out under x-ray control.

    This method has several advantages:

    • there are no cuts as such;
    • mini access points heal quite quickly;
    • There are no soft tissue injuries associated with conventional operations.
    • However, this technique has certain limitations: it is effective only at the initial stage of deformation. At stages 2-3 of hallux valgus, and it is at this stage that people often seek help, it is ineffective. Therefore, in this case, they resort to “open” type operations.

      Laser surgery

      Laser removal of bunions is a fairly new method of combating pathology. An increasing number of clinics prefer this type of surgery to correct hallux valgus. The increasing popularity of this method is directly related to certain advantages of laser surgery over conventional correction methods.

      Laser removal of a leg bone, unlike traditional surgical methods, is carried out under local anesthesia. Such an intervention is carried out strictly in a hospital setting, and the operation lasts no more than an hour.

      The patient is discharged within 24 hours. With this type of operation, protruding “bones” are polished using a laser device. This intervention helps to achieve an excellent cosmetic effect.

      Rehabilitation after surgery is also easy, since in this case neither plaster nor other corrective materials are used. A person can walk (albeit with certain restrictions) several hours after the operation. That is why the patient can have both legs operated on at once. After 14 days, the operated person can return to his usual way of life. However, in order to prevent relapses, the patient is observed for some time by an orthopedic doctor. So the short duration of both the treatment itself and recovery after it are the main advantages of this surgical method.

      Alternative Treatments

      Often people who are faced with such a problem ask themselves first of all the question: how to remove a bunion using folk remedies? It should immediately be noted that using alternative medicine it is impossible to completely correct this kind of deformation. Bunions on the feet cannot be removed using folk remedies, but such recipes significantly help relieve pain and eliminate redness.

      For this purpose, various means are used, and the most popular can rightly be called iodine. It is used in conjunction with other excipients. For example, you can use grated soap, which is used to massage the skin in the “bones” area, and then thoroughly rinse off its remnants with water. Afterwards, a mesh is drawn on these places with iodine. In addition, “bumps” on the legs can be smeared with camphor oil and then with iodine. Before such a procedure, it is advisable to steam your feet and dry them with a towel.

      Propolis can be used with the same success: it is heated in the hands until soft, and then applied to the protruding “bones” and the propolis is fixed with a dry bandage. Ordinary potatoes are also an excellent remedy: they are used raw (then a gruel of grated tubers is applied to the “cones”) or a decoction is used. In this case, the pan is filled 2/3 with peelings and filled with water. Next, they are boiled for 15 minutes, after which the broth is poured into a bowl of warm water. Then your feet soak in this bath for about half an hour, and if you carry out this procedure several times a day, then after a couple of weeks the “bones” will stop bothering you.

      In addition, you can also use ointment. To prepare it, a fresh egg with a white shell is poured with vinegar and left alone for several weeks. As soon as the egg has dissolved, the remains of its shell are thrown away, and 1 tbsp of melted lard and 10 g of turpentine ointment are added to the egg itself. This ointment is usually applied to the “bones” every other day, alternating with the use of iodine. In addition, you can also use honey heated in a water bath as a rubbed ointment.

      During therapy using folk recipes, you can also take internal medications. For example, decoctions and tinctures of medicinal herbs known for their diuretic effect. These can be birch buds, horsetail, lingonberry and bearberry leaves. However, no matter which prescription a person prefers, it must be previously agreed with his own doctor.

      Which ointment to choose for the treatment of a bunion on the big toe

      Hallux valgus, which is characterized by the appearance of bunions on the big toes, requires complex treatment. And in the first stages it is important to use all available methods. Ointments for bunions on the big toe are considered an effective way to get rid of pathology, but only if several important rules are followed.

      Accurate adherence to prescriptions is an unconditional aspect of the success of using such drugs. However, their effectiveness also depends on the type of pathology, degree and form of the disease. To more accurately determine the relevance of treatment with a particular ointment, it is important to consult a doctor.

      Features of the action of ointments on the bone

      It doesn’t matter how to treat the bunions, what complex, expensive or cheap ointments to use . If you do not provide the body with normal nutrition, then all pharmacy and folk recipes will be ineffective. Bunions on the legs often appear due to obesity and excessive calorie intake, as well as the high content of animal protein in food; you need to be careful about limiting such food.

      If the body is heavily clogged with harmful substances and salt deposits, then only powerful drugs can get rid of the bone. It is important to cleanse the body as much as possible before using ointments. To do this, follow cleansing diets agreed with your doctor.

      Ready-made foot ointments from the pharmacy

      Pharmacy chains sell a huge number of ointments for bunions on the big toe. However, although their effectiveness is considered high, it will not be fully effective without the use of additional recipes and methods.

      You can believe in the effect of drugs that can help eliminate pain from a pathological bunion on the big toe if they contain turpentine and shark oil.

      Turpentine-based ointments for bunions

      An ointment for a bunion on the leg, which contains turpentine, helps with hallux valgus as follows:

    • The substance obtained from pine needles has analgesic properties;
    • Turpentine promotes skin irritation, which improves the penetration of nutrients;
    • The product helps stop bleeding;
    • It helps fight inflammatory processes.
    • Ointment for a bunion on the big toe is inexpensive - no more than 100 rubles for 25 g of the drug. Additionally, the composition may include other ingredients that have a positive effect on hallux valgus.

      Properties of shark oil

      It is difficult to obtain components for making homemade recipes for ointments for the thumb bone, but you can buy ready-made preparations. It’s difficult to talk about completely getting rid of a lump near the big toe with the help of an ointment, but it’s clear that the treatment is faster and easier.

      Unique shark oil has anti-inflammatory properties and contains a number of useful elements that show excellent results in the treatment of pathologies:

    • Squalene is a natural antibiotic that has no side effects, kills bacteria and relieves inflammation;
    • Alkyglycerol is a substance that affects the process of hematopoiesis and stimulates local immunity;
    • Vitamins and fatty acids are needed for the healing process and restoration of the body.
    • Traditional recipes for treating cones

      Various recipes will help you get rid of painful sensations and stop the development of hallux valgus, without requiring a complex application process. The ingredients for them are not always available, but they are worth spending a little time searching for:

    • Vinegar, egg and oil. You can anoint the bone on your foot by preparing a unique liquid ointment. It will relieve pain and gradually help to dissolve the unpleasant growth. An unbroken chicken egg is placed in a 50 g stack. It should be located at the bottom. It is filled with vinegar essence to the top and left for 10-12 days. The egg should completely dissolve. Then take out the shell of the egg, mix the contents and add 1 tbsp. l. melted pork lard, the same amount of Vaseline and butter. It should be applied every other day, alternating with a simple iodine network. Additionally, the drug helps get rid of itching and fungus.
    • Salt and honey. To treat a bunion on the big toe, use a recipe consisting of equal proportions of “Extra” salt and honey. Grind all components until smooth and apply to pieces of polyethylene. Apply to the cones, put on natural socks and leave overnight. Repeat for a month every evening. After a short break, you can repeat the treatment.
    • Iodine and aspirin. If you don’t know what to anoint a bunion with from the simple means at hand, use simple ingredients: add 5 crushed aspirin tablets to a pharmacy bottle with 5% iodine. Steam your feet and lubricate the resulting mixture every day. Gradually, the growths stop hurting and resolve.
    • Dandelion and iodine. Grind dandelion flowers - 100 g. Pour in iodine tincture until it covers the flowers. Leave for 4 days. Apply after steaming with iodine net. The minimum course of treatment is 2 weeks.
    • Bean bath. If you pour boiling water over the bean stems along with the roots and after 5-10 minutes put your feet in there for half an hour, then in a month or two you can get rid of the bones on your big toes. Only after use, the decoction is not poured out, but placed in a sunny place and used for several more procedures.
    • Bone tar. Not the simplest, but very effective ointment recipe that can be used to treat bunions on the feet. They are made from chicken bones, as they are the simplest and softest. They are placed in a clay pot, dug into the ground. They cover it with wood and set it on fire. It is necessary to heat the chopped bones so that they turn into tar. Lubricate the bones with the resulting substance every day.
    • Garlic and carrots. Another simple recipe for ointment for bunions, or rather a compress. Mix garlic and carrots in equal parts and apply for 30-40 minutes every morning or evening.
    • Propolis against bunions. Softened propolis will help get rid of growths if you apply it to the affected bones every day.
    • A decoction of 50 g of turpentine, 50 laurel leaves and 5 liters of water, combined with 0.5 kg of salt and 100 g of vinegar. The mixture is boiled and steamed in a hot foot solution for 30 minutes. One serving can be used for a whole week.
    • Compress of 1 tsp. honey, mustard and salt. Apply to fatty cream and cover with polyethylene. They keep it there all night.
    • Ammonia and hot pepper. Near ? bottles of alcohol and 30 g of ammonia are mixed with 12 g of bodyaga, 30 g of camphor and 30 g of hot red pepper. The bones are lubricated, bandaged and wrapped. Use before bedtime.
    • Medical bile from bones. Use 260 g of the component, pouring 0.5 liters of ethyl alcohol into the bile and adding 15 g of henna. Leave for about 3 days. Lubricate the bones on the toes every day. Gradually, salt deposits dissolve.
    • Soap and soda. Dilute 1 tsp in 50 ml of kerosene. soda and ? a piece of standard laundry soap, first rub it on a grater. Add 60 ml of sunflower oil and mix. Rub it in every day.
    • Carnation. Clove essential oils, like the spice itself, are useful for daily lubrication of the bunions on the big toes. Cloves will relieve swelling and quickly relieve pain from hallux valgus. Completely absorbed into the skin, it dissolves salt deposits. To prepare, take 100 g of olive oil and 10 g of ground cloves. They insist for 10 days. Rub into the skin in the area of ​​the bones after steaming.
    • You should not overuse prescriptions; 1-2 compresses a day are enough, and when using such potent substances as bile or turpentine, you should consult your doctor about the possibility of simultaneous use of different recipes.

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