Shoes for hallux valgus

When choosing shoes, it is advisable to leave an inch of space in the insole to keep the foot comfortable, especially if you have to wear an extra sock.

Rehabilitation after kneecap removal

Consider post-foot bone removal recovery and rehabilitation measures, exercises, and recommendations.

Nowadays more and more people are struggling with a condition like valgus deformity. It should be noted that this condition is chronic and can drag on for many years.

For this reason, at the first signs of the disease, it is necessary to consult a doctor to determine the method of treatment. After diagnosis, the doctor can recommend appropriate treatment and a rehabilitation program.

The bunion can be treated with physiotherapy, a special splint and physical therapy. In severe cases, surgery is also indicated.

Danger! Many people believe that the problem can be solved with traditional medicine. However, this can only happen at an early stage. The longer the patient goes untreated, the more serious the condition becomes.

In this case, hallux valgus surgery is essential. The operation itself is not complicated, but rehabilitation after removing the bones in the legs takes a lot of time.

During this period, the doctor's instructions must be followed closely. Depending on the individual characteristics of the patient and the way the operation was performed, rehabilitation measures are prescribed.

It is worth noting that this syndrome, although individual, has common features:

• After the operation, the soft tissues are swollen and the leg needs complete rest to allow it to return to normal;
• Special ointments are always prescribed to support the recovery of injured tissues;
• within 1 month Any physical activity on the foot is contraindicated;
• During this time, wearing normal footwear is strictly prohibited; only orthopedic shoes should be used.

Exercises after bone removal

It is advisable to start exercising after 3 weeks, but be sure to seek advice from a specialist.

The exercises should be carried out systematically; if they occur only sporadically, they will not have the desired effect. The aim of physiotherapy is to prevent adhesions and speed up the rehabilitation process. Regular exercise also improves blood circulation and tightens the muscles.

starting at week 3Exercise is not only the best way to get your body energized, but also to maintain a moderate pace.

Exercise for week 3

1. Grasp your thumb at the base of your penis and slowly pull it towards you until you feel discomfort (you should feel some resistance, then you have performed the exercise correctly);
2. Hold this position for 10 seconds, then gently release. Number of sets: 3 times;
3. Grasp your big toe by the base of your foot and pull down, away from you;
4. Hold this position for 10 seconds and do 3 repetitions.

For the first week you can do this exercise once or twice a day, but after that 2 weeksFrom the second week 3-4 times a day.

Exercises from the 5th week

On weeks 5 and 6, do the same exercises but increase the number of sets: 6 times a day. In addition, the intensity of the execution is increased. In addition to the usual gymnastics exercises, you can add the following exercises:

1. Take a seated position and straighten your lower limbs;
2. alternately stretch one foot and the other back and forth for about 3 minutes;
3. Spread out a small material, preferably a towel or small sheet, on the floor;
4. Then place the foot from which the bone was removed on top and try to pick up the material while pulling it towards you.

Hallux valgus: how to choose shoes for valgus – IMPORTANT!

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Frequently Asked Questions

The surgery itself is no different. For all surgeries I perform I use the most modern medical equipment, the best imported implants, high-quality consumables, the necessary medicines and I use regional anesthesia (a variant of local anesthesia - two injections in the foot). The free operation has only two differences: 1. Only one foot can be operated on in one operation. If you want to have both feet operated at the same time, they must be operated on different days. The other foot can only be operated after 2 weeks. 2. If you have a quota, you have no aftercare. Follow-up care is always included in the price of the surgeries I pay for. This way I can monitor how you are feeling, how your bone is healing and how your joint is returning to its normal position. This way I can prevent possible postoperative complications. This always leads to excellent results and satisfied patients. Postoperative management can be purchased separately.

In fact, swelling can last anywhere from 3 to 6 months. Four factors affect the extent of swelling and the duration of swelling. These are: 1. The surgeon's experience and the traumatic nature of the intervention - when the doctor has performed thousands of operations, already knows what to do and has everything under control, the operation time is shorter, therefore the rehabilitation becomes easier and the result will be better
2) The equipment and instruments used by the surgeon during the operation - using good quality instruments reduces trauma and shortens the operation time.
3. the condition of the patient's venous system
4. Following the doctor's instructions for the post-operative period and recovery Very rarely, severe swelling may be due to another cause. Of course, swelling isn't something we all expect; they are simply a necessary side effect. Therefore, it is only natural to want to reduce them as quickly as possible in order to fully enjoy healthy and beautiful legs. So how can you reduce them? Just follow your doctor's recommendations, wear compression stockings, do lymphatic drainage and exercise. The effects will be visible in a short time.

Choice of size

There are several ways to choose the size of children's shoes. With a correctly chosen shoe size, the distance between the big toe and the edge of the sock should be 1 cm.

• Place the child's foot on a clean sheet of paper;
• Mark the edges of the foot;
• Measure the distance between these borders;
• Check the value using the size chart on the sheet of the selected item.

Children's therapeutic shoes should not be bought too large. To achieve a therapeutic effect, the shoes should firmly fix the ankle, but not pinch the child's foot.

Brands of children's therapeutic shoes

Orthoboom shoes

Orthoboom therapeutic orthopedic shoes for children prevent further development of deformities in the child's feet. Equipped with a removable orthopedic insole for arch support. Recommended for children with conditions such as:

• pronounced flat ankle deformity;
• varus deformity;
• equinus deformity;
• equinovarus deformity;
• polyvarus deformity;
• CEREBRAL PALSY;
• Paresis of the lower limbs.

Sursil Orto shoes

Sursil-Orto's orthopedic children's shoes have a light, cushioning EVA sole. Shoes with such soles do not slip, are comfortable to wear and do not tire feet as much. Sursil Ortho shoes are recommended if:

• the need for correction of hallux valgus flatfoot by 1, 2, 3 degrees;
• correction of flat feet varus;
• clubfoot;
• longitudinal foot (plantar);
• hip and lower limb dysplasia;
• Sequelae of cerebral palsy.

Editorial on choosing therapeutic footwear for children with valgus and flat feet - Valery Vladimirovich Shevchenko

Head of the Ortix training center, specialist in orthopedics, general practitioner

Buy shoes for children with valgus foot deformity through the shopping cart or by calling +7 (499) 350-77-48. Free delivery of children's shoes in Moscow and Podolsk, Khimki, Korolev, Mytishchi, Lubert, Krasnogorsk, Elektrostal and other cities in Moscow region.

The spikes are removed four weeks after the procedure.

The patient is a 35-year-old woman. She turned to El Clinic with complaints of protruding bones in the first toes, pain and difficulty choosing shoes.

• In case of large foot deformities
• Trouble choosing shoes
• frequent and severe pain
• Swelling associated with flat feet
• Ineffectiveness of conservative treatment methods.

In November 2020 I had a hallux valgus correction with Tsukanov Vladimir. The operation went well and the recovery was quite quick. Special thanks to the anesthesiologist Nikolai Vasilievich Sadchikov and Stanislav Olegievich Arlukovich, who represented Vladimir Yevgenevich during the removal of the spokes – thank you for your utmost professionalism and good humor!

This was my first visit to this clinic. i have dr Enjoyed Stanislav Arlukovich very much. Recording started on time and everything was fine. The doctor is very attentive and tidy, which was very important to me. He was very friendly in his communication. He told me everything and explained everything I needed to know. Just a great doctor. I can't tell you how happy I am with this doctor.

I had a positive impression of the clinic. It was my first visit and I went straight to reception where I was greeted warmly and asked to wait five minutes. I was seen by a professional surgeon, Stanislav Archireev - qualified, attentive, kind, in a word Aibolite. I was very happy that I was served quickly and well.

one or two?

Postoperative shoes are sold by the shoe. However, they are universal: they are designed so that one shoe fits the right and left foot.

In individual cases, the attending doctor recommends the purchase of a compensating shoe. One foot becomes a postoperative relief shoe and the other a compensating shoe to improve mobility.

Postoperative shoes protect against severe pain in the rehabilitation period, help maintain physical activity from the first days of recovery and reduce the healing time of the foot.

Ortix orthopedic salons offer a wide range of post-operative shoes and expert advice from the staff to help you make the right choice.

Head of the Ortix training center, specialist in orthopedics, general practitioner

When are custom insoles needed to treat and prevent valgus deformities?

There is a risk group for valgus deformities in which deformities can occur even with relatively secure footwear. Patients in this group should see an orthopedist and get custom-made insoles before the first symptoms appear. Risk factors for valgus include:

– Diseases of the spine (scoliosis, etc.) and joints of the lower limbs;

– menopause and other symptoms of hormonal imbalance in the reproductive period;

Where to order custom orthotics in Moscow for valgus deformity?

Buy orthoses in Moscow or make them yourself

Many patients prefer to buy ready-made insoles or shoes with supinators to prevent and often even treat valgus deformities. In addition, there are sources that teach how to make insoles by hand.

We strongly advise our readers against this. Because before the production of individual insoles, our specialists carry out a series of functional tests with a special device.

This allows us to accurately determine the nature and degree of the pathology, taking into account all the individual characteristics of the patient's foot.

The use of incorrectly made insoles can aggravate existing imbalances in the anatomical structure of the foot and provoke accelerated development of the pathology. The price of custom-made insoles in Moscow is not so high that you would risk your beauty and health.

The best orthopedic insoles in Moscow: FormTotics material and technology

Today, the FormTotix orthoses are considered the best custom-made insoles in Moscow. The recognition of doctors and the grateful opinions of patients are due to the following advantages of these products:

– Wide range of blanks that allow FormTotix to be used as universal orthoses for almost any age and for any pathology;

– availability of blanks suitable for fashion shoes (these thin models combine softness with flexibility and allow the use of corrective insoles without constricting the foot);

– the creation of a customized insole literally on the patient's foot, which allows for the highest level of precision and reduces the time required for making the insole;

Risk factors for hallux valgus

Any disease is easier to prevent than treat, so we recommend valgus prevention for all patients with the following risk factors:

– Genetic predisposition (Chalus Valgus in close relatives);

– Physiological or pathological hormonal fluctuations (pregnancy, menopause, hypothyroidism, diabetes, etc.);

– Occupational risks (standing for long periods);

– Diseases of the spine and joints of the lower limbs (osteochondrosis, herniated disc, scoliosis, arthrosis, etc.).

If similar symptoms occur, it is advisable to consult a specialist for advice and treatment. The first visit to the doctor at the Clinic for Reconstructive Medicine is free of charge.

Basic principles of hallux valgus prevention

It has long been known that hallux valgus is not a congenital pathology, but develops with age under the influence of external unfavorable factors (this pathology does not occur in children and adolescents).

At the same time, the main reason for the development of valgus foot deformities - So, the main method of prevention of hallux valgus - 'therapeutic' shoes, which would be strictly in accordance with all the individual characteristics of the patient's foot. Therefore, today the golden rule in the prevention of flat feet and valgus deformities in orthopedics worldwide is the use of insoles from the world-famous brand FormTotix, which we manufacture directly on the patient's foot. These insoles are known for their high wearing comfort and are therefore also used by completely healthy people. FormTotics is widely used in sports, for example, because statistical studies have shown that these miracle insoles can significantly improve competition results.

Additionally, FormTotics custom orthotics are ordered by people who are at increased risk of injury at home (children, the elderly, etc.) as statistical studies show that these orthotics reduce the likelihood of a fall by 20 % by reducing the Properly distribute the load on the foot.

Causes of bunions on foot

A growing ball of the foot is associated with a deformation of the big toe joint. However, the exact cause of the bale deformation is not known. It is likely that several factors can contribute to the development of hallux valgus.

If other family members have a bunion, the risk of developing a valgus deformity increases. However, this is not a verdict. Some people have healthy feet even if they have a bad family history.

Another cause of the deformity can be arthritis, an inflammatory disease of the joint. The following types of arthritis are believed to be particularly prone to developing a bunion on the foot:

• Rheumatoid arthritis – pain and inflammation in the joints caused by the immune system attacking the joint capsule;
• Gout - a type of arthritis that most commonly affects the big toe;
• Psoriatic arthritis - one of the manifestations of psoriasis.

However, in some cases, arthritis develops secondary to a foot deformity, while other diseases trigger the development of hallux valgus. For example, various congenital and lifetime disorders associated with weak ligaments, flexible joints, and poor muscle tone lead to the appearance of bunions. Examples of this are cerebral palsy or Marfan syndrome.

Uncomfortable footwear can be a cause of a bunion. Shoes that are too tight or the wrong size can aggravate an existing bunion by rubbing against the tissue of the big toe. Tight, high-heeled shoes compress the foot, causing the big toe to bend. This can stretch the toe and put pressure on surrounding nerves, causing pain. Also, wearing high-heeled shoes puts a lot of stress on the front part of the foot, which puts a lot of strain on the toe joints.

If the bunion is uncomfortable and painful, you should see a doctor. Below are the pros and cons of the different treatment methods so that you can easily compare them.

Non-surgical treatment of the bunion

Whenever possible, surgery should be avoided. Non-surgical treatments help relieve the pain and discomfort caused by bunion, but do not change the shape of the foot or prevent further deformation of the joint.

If the ball of your foot causes pain, you can take a pain relieverYou can take an over-the-counter pain reliever such as acetaminophen or ibuprofen. Before taking any pain reliever, read the dosage instructions on the medication package insert.

Special reusable pads Gel, fleece or foam inserts for the big toe joint help to relieve the pain associated with hallux valgus and are available in pharmacies without a prescription. Some are glued to the bump, others are attached to the foot with a small ring that sits on top of the big toe. The insole prevents the foot from rubbing against the shoe and relieves the enlarged joint at the base of the big toe.

The orthopedic insole is placed in the shoe and corrects the position of the foot bones, which reduces the pressure on the ball of the foot and relieves the pain. Orthopedic insoles can be bought at the pharmacy without a prescription, but the most important thing is that the insoles fit the foot perfectly. Therefore, when choosing an insole, it is better to consult an orthopedist. In addition to off-the-shelf insoles, there is also the option of buying insoles that are made to individual dimensions and requirements. The choice between ready-made and custom-made insoles depends on the individual case and the severity of the deformity.

or use a special railwhich is placed on the back of the foot over the big toe in order to promote its straightening. The splint can be worn both day and night, although there is little evidence of its effectiveness. There are also toe spacers that can relieve the pain caused by a bony toe. However, toe separators or insoles cannot always be used because the thickening causes the foot to fit too tightly in the shoe.

When is surgery necessary for hallux valgus?

The main problem with conservative treatment of hallux valgus is that the deformity cannot be corrected without surgery. Therefore, severe anatomical defects of the toes and/or forefoot are the first indication for surgery.

The decision to have an operation is made in consultation with the patient. It should be noted that patients sometimes insist on surgery even with minimal defects (a small bump at the base of the big toe), which can be easily corrected by wearing orthopedic shoes, but cause purely aesthetic problems.

As a rule, German doctors advise surgery only if the thickening on the feet poses a serious risk of developing other diseases.

What are the contraindications to surgery for valgus foot deformities?

The human foot is on the periphery of the human body, so wounds, including surgical wounds, heal a little less well here than on the face, for example. Foot wound healing can be impaired by vascular diseases of the lower limbs, such as: e.g.:

• atherosclerosis;
• diabetic angiopathy;
• venous insufficiency;
• Polyneuritis (damage to peripheral nerves leading to poor blood flow).

Also, great caution should be taken with blood diseases that affect blood clotting and with severe chronic diseases (heart failure, kidney failure, liver failure, etc.).

What types of hallux valgus surgery are there in Germany?

There are many ways to operate on hallux valgus. The choice of operation in German spine clinics is made after a thorough examination and taking into account all the anomalies present:

How is valgus deformity surgery performed in German orthopedic clinics?

Surgical intervention for valgus deformity requires hospitalization from 2-3 to 5-10 days, depending on the surgical method chosen.

Also, the type of anesthesia (local or general) largely depends on the complexity of the procedure and is agreed with the patient at the consultation.

The procedure rarely lasts more than an hour, but the recovery period is quite long and can last anywhere from 4-6 weeks to 4-6 months.

In severe cases, hallux valgus correction is performed in two stages (with two operations 6-12 months apart).

How do I avoid recurrence after surgery for a valgus foot deformity?

A valgus deformity of the foot is a condition that tends to recur. However, the patient has a lot to do with the result of the operation. To avoid recurrence, the following simple rules must be strictly followed:

• Follow all doctor's orders during the recovery period;
• Use custom orthotics;
• Do not wear tight, high-heeled shoes;
• Control your own weight;
• Regular check-ups with your orthopedist.

How can I get hallux valgus treatment in clinics in Germany?

If you are interested in hallux valgus treatment in Germany, simply fill out the registration form on our website.

We will help you find an orthopedic surgeon who specializes in the area you want. We also take care of all the formalities and organizational matters related to your trip abroad (translation of medical documents, visa application assistance, hotel booking, etc.).

Please note that payment for our services in Germany takes place after the contract has been concluded, but we start work immediately after reading your application.

• Stages of hallux valgus.
• chalgus valgus.
• ICD 10 chalgus valgus.
• Insoles for valgus in adults.
• Deflection of the first toe.
• flatfoot μb.
• Valgus flatfoot (valgus flatfoot).
• First metatarsophalangeal joint of the foot (metatarsophalangeal joint).