Wrong choice of shoes leads to this disease

Hallux valgus is a condition where the big toe bends outward and there is swelling in the joint of the big toe. The joint between the first toe and the metatarsal bone usually degenerates from wearing the wrong shoes. With prolonged walking or standing, pain is felt due to compression and pressure on the relevant area, and deformity is observed over time.

The deformity (deformity) in hallux valgus is defined as bending the big toe outward, that is, towards the second toe. The big toe first flexes toward the little toes, then the big toe and nail also rotate outward (rotate) in the anterior plane. Arthritis or foot deformity occurs with progression of hallux valgus. While the joint is deformed, swelling called a bunion occurs on the outer surface of the joint. It causes swelling, pain, redness and tenderness in the joint area. The resulting inflammation (swelling) increases with the pressure of the shoes. Makes it difficult to wear shoes.

Hallux valgus is usually genetic.

Although the exact cause of hallux valgus is unknown, it is usually a genetic disease. Hallux valgus can develop in rheumatoid arthritis and some neuromuscular disorders. People at genetic risk should prefer pointy and non-narrow high-heeled soft shoes to avoid the disease. This disease is more common in women than in men. This is because women usually wear more pointy and narrow shoes. Wearing pointed, narrow and high-heeled shoes for extended periods of time will increase pressure in the toes, especially the first toe. This will increase the incidence of hallux valgus.

The diagnosis of hallux valgus is made by physical examination. The purpose of the radiological evaluation is to determine the degree of Hallux valgus and thus decide whether the treatment to be applied to the patient will be surgical or non-surgical methods.

Treatment of the disease should not be delayed

Hallux valgus has very distinctive symptoms. It does not affect the entire foot like a fungus or other disease, so no symptoms are seen unless there is a complaint in your big toe.

The first complaint of a hallux valgus condition is redness, swelling (inflammation) and pain caused by shoe pressure in the joint area between the index finger and the metatarsal bone. Over time, the thumb’s flexibility decreases and its movements become restricted. The big toe begins to visibly slide outward.

In the initial period of treatment, foot problems can be remedied with a simple procedure. However, in delayed cases, more severe interventions may be required. When hallux valgus treatment is ignored, the current situation continues and the thumb bends more, passes under the index finger and begins to raise the finger. As a result, another abnormality called hammertoe develops in the second finger. In such cases, the second finger should be included in the surgical procedure. In advanced cases of hallux valgus, foot dysfunction occurs with pain. Gait disturbance occurs because of the pain, walking by pressing on the outer part of the foot and putting most of the load on the heel.

The treatment method is surgery

In the non-surgical treatment of hallux valgus, the deformity cannot be completely corrected. Pain and disease progression can be partially alleviated by preventing it. Non-surgical methods are used in the treatment of people with mild or moderate hallux valgus.

– Some splints are used to pull in (keep straight) the thumb in non-surgical treatments. These are called hallux valgus splints. These splints can be applied at night or at rest.
– There are also materials that are only used during the day for hallux valgus. These are called joint rollers. In this method, a support (reel) of silicone is placed between thumb and index finger. This brace pushes the big toe slightly into the normal position.
– When people diagnosed with hallux valgus wear high-heeled or pointy-toe shoes, applying ice to the area for 15-20 minutes at night can relieve pressure and relieve pain and inflammation (edema) caused by pressure .
– By placing a pad on the swelling in the index finger joint, pressure and friction are reduced and the pain is relieved.
– Insoles should be used for flat feet (pes planus). The walking balance is better and the foot mechanism has been partially restored.
– Stretching exercises applied to the first toe slow down the deformity and more finger movements reduce pain when walking.
– Shoes must be changed, shoes with short heels and wide ends are preferred. Complaints are reduced and the course of the abnormality slows down or stops.

Shoes that are suitable for the shape of the foot, fit well, are softly shaped and have the necessary internal support are always healthy. The pressure on the first toe decreases and the foot remains in its natural state in the shoe. Women’s preferred shoes should have 4-5 cm heels and a wide front.

In cases where conservative (non-surgical) treatment is insufficient, surgical treatment is performed. In other words, if the severity of the pain increases or the deformity of the foot becomes uncomfortable and makes it difficult to wear shoes, surgical treatment is considered. There are many treatment methods for hallux valgus. The surgical technique to be used depends on the age, gender and degree of deformity of the patient.

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