The ball of the foot grows

injections
This method is useful for pain control, but researchers at Harvard Medical School emphasize that although cortisone injections relieve pain and temporarily reduce inflammation, they often have side effects [4]. It is therefore better to only use them in exceptional cases.

Toe growths (thickenings, cones), causes, diagnosis and treatment

Toe growths are areas of the foot where the metatarsal bones are displaced. In their normal, physiological position, the metatarsal bones should be parallel to each other, but when they change their angle, unsightly protuberances - nodules - form. The degree of visual severity of the deformity and the intensity of the symptoms depend on how badly the bone has deviated. There are 4 stages of deformation formation:

I – the deviation is less than 20 degrees, no complaints;

II – the deviation is approaching degrees, the legs hurt after walking for a long time;

III – the deviation is no more than 50 degrees, pain often occurs when walking, it is difficult to put on shoes;

IV – the bone deviates by more than 50 degrees, deformation of the foot and other toes occurs, the pain syndrome persists even at rest.

Athletes, women who constantly wear uncomfortable shoes, and people with standing jobs are at risk of developing this problem. To avoid constant pain and foot deformities caused by thickening, it is important to consult an orthopedist in a timely manner and receive the recommended treatment.

Causes of Toe Bunions

• Diseases. This group of causes includes gout, osteoarthritis, hygroma, Taylor's deformity and other diseases. These can be inflammatory and non-inflammatory growths.
• Standing work. This problem often affects salespeople, hairdressers, baristas, teachers and other professions that spend more than eight hours a day on their feet and put excessive strain on their feet.
• Sporting activity. Professional athletes who play football, run, cycle and engage in other sports that primarily involve the feet are at risk.
• Wearing uncomfortable shoes. Shoes with narrow toes, high heels and uncomfortable heels increase the load on the foot and distribute it unevenly. Wearing uncomfortable shoes regularly can cause deformation of the metatarsal bones, growths, and pain.
• Hormonal changes. The strength of bone structures is influenced by hormones. When the body undergoes hormonal fluctuations during pregnancy, menopause or teenage restructuring, this can cause deformation of the bone structures of the foot.

I looked at the article

What does big toe bunion surgery look like?

During surgery on the big toe bunion, it is removed at an early stage or the angle between the metatarsal bones is corrected at an advanced stage. In this way, the toe can be returned to its normal position, a transverse flat foot can be corrected, and full function of the foot can be restored.

In any case, the surgical plan may vary depending on the severity of the deformity and the accompanying changes in the other toes.

Preparing for foot surgery.

The first step is to select the clinic and doctor where the operation is scheduled. At the first consultation, the doctor will explain the surgical plan to you and tell you how to prepare for the procedure.

If the pus is not too large and there are no lesions on the other toes that require intervention, the entire hospital stay lasts only one day.

It is advisable to prepare for the postoperative rehabilitation period at home. It's worth rearranging the furniture so that you can walk around more comfortably. It's also worth stocking up on groceries so you don't have to go shopping.

Bone removal surgery can be performed under local or general anesthesia. If the operation is performed under local anesthesia, after a few injections at the ankle level, you will not be able to feel your feet and may not be able to sleep during the operation. It is also possible to have the operation performed under spinal anesthesia, during which you will not have any feeling in your lower limbs.

Before any of these types of anesthesia, you should not eat anything for six hours before the procedure.

Your surgeon will inform you about what will happen before, during and after surgery. If you don't understand something, don't hesitate to ask. Once you have asked all the questions, you will be asked to sign a consent form for the procedure.

Costs

Classic scalpel surgery is not offered at the GarantClinic. This method is considered obsolete. It is being replaced by laser removal. There are almost no contraindications for laser removal, the rehabilitation time is reduced to a minimum, as is the surgical procedure.

The cost of laser removal of valgus foot deformity is 70,000 rubles. The operation can be performed on both feet at the same time. In this case, the cost of the operation will be 120,000 rubles. The cost of the operation includes the removal of the growth using modern medical equipment, all the necessary supplies and preparations for the operation, a three-day hospital stay, and consultations and examinations by specialized specialists.

Indications and contraindications for surgery

Surgical intervention is indicated in adult patients with valgus deformity associated with pain, discomfort, and impaired joint function. Children and adolescents have a good chance of correcting the deformity with conservative treatment methods. However, in adults, the deformation of the metatarsophalangeal joint of the big toe can only be corrected through surgery.

Surgical removal of the heel bone is a difficult and traumatic procedure with a long rehabilitation period. For this reason, there are many contraindications to this procedure:

• Atherosclerotic vascular lesions of the lower limbs;
• Diabetic foot syndrome (numbness of the feet, thickening of the skin and nails, feeling of running goosebumps, reduced skin sensitivity)
• purulent infections;
• severe cardiovascular diseases;
• abnormalities of blood-forming organs;
• abnormalities of the musculoskeletal system;
• cancer (neoplasm);

Before planning a surgical intervention and choosing the method, the doctor must make sure that there are none of the above contraindications.

symptoms

• Pain in the big toe area near the little finger;
• Swelling of the foot in the big toe area;
• Widening of the transverse arch of the foot;
• redness due to inflammation of the foot;
• bone growth in the area of the 5.1 toe;
• Callus formation.

The symptomatic manifestations of Taylor's foot deformity are shown in the images below.

A word of warning.

An abnormally shaped strain can lead to inflammation, swelling and pain. If the problem is not corrected, osteoarthritis of the joint is possible.

Causes of pathology

Bones on the little finger can arise due to various causes and related factors.

Post-traumatic factor

This type arises from poorly healed fractures of the fifth metatarsal bone. This leads to a curvature that can be corrected through surgery and immobilization with an orthopedic bandage.

Structural

Congenital anomalies are caused by poor ligament growth and weak tendons that are unable to support the bones, resulting in deformity of the foot. This is aggravated by poorly fitting footwear, which leads to thickening of the toe phalanges, swelling and pain syndrome.

Functional

The causes lie in abnormal gait organization, which causes increased pressure on the foot. Functional thickening occurs as a result of:

Surgical treatment methods.

There are different types of surgical treatment for hallux valgus. The choice of specific treatment method depends on the degree of deformity and the patient's condition. A distinction is made between minimally invasive and open surgical procedures. Depending on the severity of the thumb deviation, the following surgical treatment methods are distinguished:

There are approximately 200 different types of surgery to correct valgus deformities. All of these operations are aimed at correcting the curvature of the metatarsal bones. The goal of every operation is to remove the bunion and relieve the patient of their pain. The podiatrist decides how to restore the correct shape of the foot.

K Minimally invasive treatments These treatments are percutaneous procedures. Bone tissue is removed. Recovery from this type of valgus surgery is rapid. Percutaneous removal of the leg knot is indicated in cases where the curvature is not severe.

manipulations Soft tissue During soft tissue manipulation, the muscles and ligaments of the foot are severed. They are performed when the deformity is minor and when surgery on the osteoarticular organs is contraindicated. One form of soft tissue manipulation is the McBride operation.

osteotomy – is a surgical procedure in which the metatarsal bone is artificially broken and fixed in the correct position. Depending on the severity of the valgus curvature, a specific technique is chosen to perform this operation.

arthrodesis – It serves to bring the joint into the correct position. It is performed for grade 3-4 deformity. To remove the bone, a Lapidus arthrodesis is performed, that is, the joint is held in the correct position using special clamps. Chalus valgus can be removed with Keller surgery. The affected tissue on the joint surfaces is resected and the metatarsal bone is immobilized. It is rarely performed because the mobility of the big toe is impaired after this procedure.

Complications after surgical treatment

In rare cases, complications may occur during surgical treatment. These can occur during surgery or during the recovery period. Possible complications are:

• nerve damage in the foot;
• Thrombosis of the arteries and veins in the foot;
• infection of foot tissue;
• Aseptic necrosis of the metatarsal head;
• Nausea in the big toe.

For a successful postoperative period, it is important to follow all the doctor's instructions. The function of the joint is gradually restored, so the load should be kept to a minimum. After the bone has grown together, physical therapy is indicated. The cost of surgery for a valgus deformity of the big toe depends on the type of procedure. They range from 20 to 55 thousand rubles.

Causes of bone formation in the foot

The valgus defect develops slowly. There are more disadvantages than advantages: the disease is difficult to detect in the initial stages. At first, your usual shoes become uncomfortable, then your feet start to hurt. The main symptom of hallux valgus - an outward deviation of the big toe with the formation of a bony outgrowth at the base - also only appears gradually. Where is the cause?

The largest proportion of patients with hallux valgus are women over 30 years old. Still don't know why? True, it all depends on your footwear. If you wear shoes with high heels and/or narrow toes every day, the likelihood of you developing bunions is high.

In addition, the causes of this condition can be:

• congenital weakness of connective tissue;
• Being overweight – increases the strain on the feet;
• inherited predisposition;
• Sedentary lifestyle due to sedentary work and weakened leg muscles;
• flat feet;
• Injuries to the ankles;
• Ballet and dance lessons, as you often stand on your toes.

What should I do if I have a growing bunion?

The problems associated with an abnormal bone are not just cosmetic. Patients often complain that their shoes don't fit them and that their feet tire quickly when walking. In addition, valgus foot deformity is often accompanied by problems such as the formation of painful calluses and corns. The conclusion? Something has to be done.

The answer to the question 'Can you cure bunions with iodine?' is clearly negative. The same applies to other home remedies: they can only temporarily relieve the painful feeling.

The first step is to visit a podiatrist. He or she will make the necessary diagnosis and prescribe treatment, which may be conservative or surgical. Today there are enough treatment options in medicine to avoid surgery. Surgical intervention is only necessary in very advanced cases.

The treatment of the valgus defect is lengthy and difficult. It includes the selection of suitable orthoses, the prescription of physical therapy, anti-inflammatory and pain-relieving medications, and massage therapy. Also, the doctor will prescribe a series of therapeutic physical exercises. It is advisable to visit the clinic in the early stages of the disease for faster results.

Progressive hallux valgus

Over time, the entire foot changes. The foot flattens and becomes wide. The first toe deviates to the side, there is a noticeable 'thickening' in the joint, the toes look like a 'fan'. The foot takes on an ugly shape and the shoes fit worse and worse.

• Deviation of more than 10 degrees at the big toe;
• Swelling (lump) on the inside of the big toe joint;
• bone hypermobility and swelling;
• flattening of the arch of the foot;
• Pain in the ball of the big toe;
• calluses and corns;
• Limited mobility of the foot

The diagnosis is made based on the patient's complaints and questions, examination of the foot and x-rays.

Most often, patients come to the doctor with complaints of pain in the foot, especially after standing for a long time, bunions and difficulties in choosing footwear.

After reading the list of complaints, the doctor will ask questions to diagnose the problem:

• How long has the foot pain existed?
• When did the difficulties in choosing footwear arise?
• When was the 'bump' on the toe noticed?
• whether the bump is getting bigger and how hard it is;
• what activity the patient does; whether the feet are exposed to increased stress;
• whether the patient walks a lot during the day;
• whether there are concomitant diseases (gout, flat feet, diabetes, osteoarthritis, arthritis, etc.).
• Whether the patient plays sports;
• whether family members have hallux valgus;

1. Investigation

Examination of the foot reveals flattening of the foot with visible deformation of the first metatarsophalangeal joint, possibly with congestion of the protruding 'bone'. The first toe has deviated towards the second toe, which may also be dislocated. Pain may occur during palpation. When one is asked to move the toe, the movement is restricted, with the amplitude depending on the degree of deformity. Calluses and corns are located on the sole under 2-3 toes. It is imperative to examine both feet and conduct a comparative analysis.

complications

If measures are not taken in time, surgery is inevitable. The deterioration of the nutrition of the bones of the foot due to poor blood supply and innervation can also lead to deformity and functional instability of the foot, which in turn can lead to complications such as

• osteoarthritis
• synovitis (bursitis);
• flattening of the bone head;
• ingrown nails;
• scoliosis;
• Osteoporosis;
• secondary joint changes in the foot and displacement of the metatarsal bones

If you have a bunion, you should see an orthopedist. At the European Center for Orthopedics and Pain Medicine we have state-of-the-art equipment that allows us to detect the onset of the disease. Highly qualified doctors will listen to you, examine you and make the correct diagnosis. The radiation-free and completely safe DIERS spinal examination allows for the rapid and precise recording of all parameters of the body's bony structures, and the innovative DIERS Pedogait system technology shows the foot load at rest and in motion. This highly precise diagnostics ensures that the optimal treatment is chosen for every degree of hallux valgus and that the beauty and functionality of the foot is preserved for years to come.

Types of Bands for Hallux Valgus Toes

There are several basic types of orthopedic braces used to correct foot position. All of them are necessary to redistribute the load on the forefoot, reduce pressure on the metatarsal bone, prevent further deformation and protect against blisters. The valgus splint for the toe bone is available in several versions:

It can be worn all day long. This soft device is worn between the first and second toes and covers the ossicles with a side flap. These bandages are sold in pairs, are available in one size, are comfortable to wear and are almost invisible even in open shoes.

The main function of the silicone pad is to redistribute the load to the metatarsal area and protect the ball of the foot from abrasion, reducing the risk of blistering. However, such a bandage does not straighten the toe and is best used for prophylactic purposes and to relieve some symptoms. Gel braces cannot completely eliminate hallux valgus.

It is most commonly prescribed after foot surgery. It is a fairly complex structure that consists of a frame attached to the foot and a sleeve that fixes the toe. It has several joints that regulate the position of the joint and its mobility. The knee support does not restrict mobility and does not require any special care.

However, it also has disadvantages. The swivel cannot be worn with shoes, the construction breaks easily and can rub on the ankle joint. This type of bandage is sold piecemeal and disassembled, costs quite a lot of money and there is a risk of buying a fake that will not last long.

Indications and contraindications

The big toe straightening splint is used for the prevention and treatment of forefoot deformities, after surgical removal of the bunion, as well as for flat feet and pathologies of the joints, ligaments and muscles of the lower limbs.

There are also a number of contraindications to wearing such constructions:

• Presence of bleeding sutures, difficult tissue scarring in the postoperative period;
• Skin diseases in the area where the bandage is worn;
• Inflammation and swelling of the lower limbs;
• Various joint diseases (arthritis, rheumatism, gout);
• diabetes;
• Abnormalities of blood and lymph flow.

What changes occur in the joints with valgus deformity?

The poor condition of the ankle joints results from an unevenly distributed load on the foot. In people with this problem, the center of gravity usually shifts to the forefoot, causing a joint deformity in which the big toe and then the other toes shift to the side. Podiatrists diagnose the severity of the problem by taking an x-ray and determining how many degrees the big toe is displaced to one side.

This curvature causes the sole to flatten and bubbles and pockets form on the protruding bone. All of these changes lead to pain and circulatory problems.

As a result of adapting to flat foot, the support and cushioning functions of the foot are impaired and the load is transferred to other joints, which can cause pain in the knee, hip joints, lumbar spine and even the neck.

If you suddenly have pain in your knee or hip joints, you should see an orthopedist as soon as possible. He will prescribe therapeutic orthoses to balance the load.

Causes of a bunion in the foot

The bunion occurs as a 'complication' of flat feet. Who is at risk and what promotes the development of this problem?

1. inheritance. This is the most important and common cause, emphasize experts from the High Technology Clinic. NI Pirogov SPbSU [2]. If your close relatives have joint and foot problems, you are also at risk and need to pay more attention to foot health.
2. Hormonal changes. As we age, hormonal changes occur, people lose collagen and the amount of cushioning fluid decreases. This is then referred to as secondary flatfoot, which occurs over the course of life.
3. High pressure on the feet. Certain jobs—teachers, athletes, construction workers, salespeople, and many others—require long periods of standing. Occupational activity puts excessive strain on the feet and if preventative measures are not taken (appropriate footwear, massages, etc.), the risk of developing valgus deformity increases, even in the absence of a hereditary predisposition.
4. overweight. If you are overweight, especially if it is over a short period of time, e.g. B. has increased during pregnancy, the feet are put under excessive strain. Therefore, it is always recommended that pregnant women wear comfortable shoes and limit or avoid wearing heels and flat shoes.

signs

The first symptoms are redness and burning in the area of the first joint of the big toe. Then there is a thickening on the inside of the foot. This is accompanied by deviation of the big toe towards the adjacent toes, causing additional pain and discomfort. The foot loses its normal shape. The bone hurts when pressed as this causes inflammation in the joint.

Treatment for bunions usually begins in advanced cases, when the pain and discomfort are almost unbearable. In the past, surgical treatment by sawing off the growth was necessary. Modern medicine is increasingly relying on non-invasive, gentle treatment methods. In the case of bones, shock wave therapy can be very helpful.

Targeted high-intensity sound waves break up salt deposits, loosen bone growths and fibrous areas and increase the intensity of microcirculation in the deformed big toe joint. Already after the first session, the pain subsides, and a full course of treatment completely restores normal mobility of the foot and eliminates the thickening.

Due to the widespread nature of the disease, there are many folk methods for treating valgus, which, although they can provide temporary relief, in most cases only worsen the problem and continue to lead to the doctor, making his task more difficult.

Therefore, it is better not to self-medicate, but to seek timely advice from a qualified specialist. Bones in your feet don't disappear overnight on their own or with a few compresses; the problem must be addressed comprehensively and systematically.

prevention

Preventing foot bones includes wearing orthopedic shoes, a special diet, physical therapy for the feet and spine, and massages to strengthen the arches of the feet. Massage mats should be used to prevent flat feet. Swimming is recommended to strengthen back muscles and prevent spinal abnormalities. If you do sports that put a lot of strain on your feet, choose high-quality sports shoes.

Oleg Petrovich Tatarinov

Top-class doctor, neurologist, physiotherapist, UWT specialist, leading specialist of the Zdorovye Plus network.

medical experience more than 40 years

• Stages of hallux valgus.
• flatfoot μb.
• Deflection of the first toe.
• chalgus valgus.
• ICD 10 chalgus valgus.
• First metatarsophalangeal joint of the foot (metatarsophalangeal joint).
• Symptoms of flat feet with bunions are.
• flatfoot.