카테고리 없음
external reflex mother toe
LemonDKel
2022. 7. 30. 03:56
Overview
Hallux valgus is a deformation in which the hallux valgus is tilted outward.One of the most common diseases in daily foot care is that more than one in three women over the age of 65 develop hallux valgus.In Japan, a deformation with a valgus angle of 20° or more (the angle formed by the valgus basal bone and the first metatarsal bone) in simple X-ray photography is defined as valgus. 20-30° is defined as mild, 30-40° is defined as moderate, and 40° is defined as severe.However, there are quite a few patients who complain of pain and deformity and need treatment even if the deformity is less than this angle.The hallux valgus is not only a problem of the hallux valgus, but also a part of the change in the whole foot, and it is necessary to examine it considering other risk factors and the structure of the whole foot.cause
Common causes of hallux valgus include heredity, gender differences, anatomical factors of the feet and lower limbs, and external factors such as footwear and lifestyle.Sex differences are said to be strongly correlated with women, and anatomical factors point out that long bunions, flat legs, relaxation of joints, deformity of knee arthropathy, etc.In footwear, one of the factors behind the hallux valgus is that the tapered heel shoe presses the hallux valgus outward when the joint is loose.And it can be inferred that the combination of these factors leads to the development of hallux valgus.symptom
Typical symptoms of hallux valgus are joint pain in the hallux valgus and pain in the bunion.However, in addition to the pain in the valgus, there is a possibility that various symptoms may occur related to deformation.If the deformation becomes severe, callus, pain, and deformation can be combined by contacting two or three toes, crossing, and increasing plantar pressure, such things as numbness in the inside of the bunion due to compression of the bunion nerve and claw trouble caused by kicking out with twisted bunion.As the hallux valgus increases, the sole pressure distribution also changes, and it affects the two or three sides of the hallux valgus.On the other hand, even if the deformation is quite strong, there are many patients who don′t have any pain at all when consulting for a doctor.Even if you don′t have pain, such as dislike of ugly shapes, worries about restrictions on footwear, and anxiety about the progression of deformity, your worries vary depending on your living environment.examination and diagnosis
First, we will observe the condition of the bunion and the foot.It is important to observe the condition of the load (standing position) not only in the hallux valgus but also in the case of foot diseases.For the bunion, the degree of deformation, flexibility, the length of the fingers, and the presence or absence of overlap with the two bunions were confirmed.In addition to the valgus, we will observe the entire foot area such as the deformity and pain of 2-5 bunions, the presence of calluses and pain in the sole of the foot, and the arch of the foot.After observation, a detailed anatomical evaluation is performed with a simple X-ray of the load level.We will evaluate the severity of the hallux valgus angle (HVA) and the intermetatarsal angle (M12 angle) to check the compatibility (sometimes subluxation) of the hallux valgus MTP joint and whether there is a change in arthropathy.In addition to the valgus, we will check if there are any other complications such as deformation or dislocation of the two or three bunions, flat legs, and lisfranc arthropathy.The diagnosis of hallux valgus itself can be done simply with simple X-rays.However, in order to perform the treatment, it is necessary to understand not only the bunion but also the symptoms of other parts and the anatomical characteristics.treatment
The goal of treatment is not necessarily to cure deformities surgically, but to respond according to individual concerns.Preservation therapy focuses on accessory therapy, exercise therapy, and foot care.In the orthodontic therapy, the load on the whole leg and the valgus is adjusted mainly by the sole orthodontic device.Exercise therapy mainly improves muscle function that affects deformation through toe movement (Hohmann exercise) and Achilles tendon stretching.In foot care, for the pain around the fingernails and calluses that are easy to merge, we perform the treatment of the back of the fingernails and the calluses.In the case of early deformations, not only pain relief, but also improvement of the deformity itself and prevention of exacerbation can be expected with these conservative treatments.If the deformation progresses, the preservation treatment does not expect a deformation correction effect, and it becomes a symptomatic response.Therefore, if the pain or complaint is not improved by preservative therapy, we will consider surgical treatment.Surgical treatment corrects the deformation of the valgus mainly through osteotomy and soft tissue dissociation, but it is important for foot function that not only deformation but also the appropriate balance of the postoperative joint range and length with 2-5 toes.In addition, there are more than 100 surgical procedures for hallux valgus surgery, and the use of various surgical procedures by each operator means that hallux valgus surgery is not easy.precautions after prevention/treatment
The recurrence of deformation was reported to be about 10% even after surgery.As I mentioned earlier, not only the bunion, but also the anatomical characteristics of the entire foot, living conditions, footwear, and other factors should be taught to prevent deformation progression and recurrence after surgery.Also, it is important to maintain good foot function by performing exercise therapy and accessory therapy as well as before surgery.In addition to the recurrence of deformation, we will follow you carefully with regard to complications such as infection, internal hallux valgus, bone head necrosis, and joint contracture.
Hallux valgus is a deformation in which the hallux valgus is tilted outward.One of the most common diseases in daily foot care is that more than one in three women over the age of 65 develop hallux valgus.In Japan, a deformation with a valgus angle of 20° or more (the angle formed by the valgus basal bone and the first metatarsal bone) in simple X-ray photography is defined as valgus. 20-30° is defined as mild, 30-40° is defined as moderate, and 40° is defined as severe.However, there are quite a few patients who complain of pain and deformity and need treatment even if the deformity is less than this angle.The hallux valgus is not only a problem of the hallux valgus, but also a part of the change in the whole foot, and it is necessary to examine it considering other risk factors and the structure of the whole foot.cause
Common causes of hallux valgus include heredity, gender differences, anatomical factors of the feet and lower limbs, and external factors such as footwear and lifestyle.Sex differences are said to be strongly correlated with women, and anatomical factors point out that long bunions, flat legs, relaxation of joints, deformity of knee arthropathy, etc.In footwear, one of the factors behind the hallux valgus is that the tapered heel shoe presses the hallux valgus outward when the joint is loose.And it can be inferred that the combination of these factors leads to the development of hallux valgus.symptom
Typical symptoms of hallux valgus are joint pain in the hallux valgus and pain in the bunion.However, in addition to the pain in the valgus, there is a possibility that various symptoms may occur related to deformation.If the deformation becomes severe, callus, pain, and deformation can be combined by contacting two or three toes, crossing, and increasing plantar pressure, such things as numbness in the inside of the bunion due to compression of the bunion nerve and claw trouble caused by kicking out with twisted bunion.As the hallux valgus increases, the sole pressure distribution also changes, and it affects the two or three sides of the hallux valgus.On the other hand, even if the deformation is quite strong, there are many patients who don′t have any pain at all when consulting for a doctor.Even if you don′t have pain, such as dislike of ugly shapes, worries about restrictions on footwear, and anxiety about the progression of deformity, your worries vary depending on your living environment.examination and diagnosis
First, we will observe the condition of the bunion and the foot.It is important to observe the condition of the load (standing position) not only in the hallux valgus but also in the case of foot diseases.For the bunion, the degree of deformation, flexibility, the length of the fingers, and the presence or absence of overlap with the two bunions were confirmed.In addition to the valgus, we will observe the entire foot area such as the deformity and pain of 2-5 bunions, the presence of calluses and pain in the sole of the foot, and the arch of the foot.After observation, a detailed anatomical evaluation is performed with a simple X-ray of the load level.We will evaluate the severity of the hallux valgus angle (HVA) and the intermetatarsal angle (M12 angle) to check the compatibility (sometimes subluxation) of the hallux valgus MTP joint and whether there is a change in arthropathy.In addition to the valgus, we will check if there are any other complications such as deformation or dislocation of the two or three bunions, flat legs, and lisfranc arthropathy.The diagnosis of hallux valgus itself can be done simply with simple X-rays.However, in order to perform the treatment, it is necessary to understand not only the bunion but also the symptoms of other parts and the anatomical characteristics.treatment
The goal of treatment is not necessarily to cure deformities surgically, but to respond according to individual concerns.Preservation therapy focuses on accessory therapy, exercise therapy, and foot care.In the orthodontic therapy, the load on the whole leg and the valgus is adjusted mainly by the sole orthodontic device.Exercise therapy mainly improves muscle function that affects deformation through toe movement (Hohmann exercise) and Achilles tendon stretching.In foot care, for the pain around the fingernails and calluses that are easy to merge, we perform the treatment of the back of the fingernails and the calluses.In the case of early deformations, not only pain relief, but also improvement of the deformity itself and prevention of exacerbation can be expected with these conservative treatments.If the deformation progresses, the preservation treatment does not expect a deformation correction effect, and it becomes a symptomatic response.Therefore, if the pain or complaint is not improved by preservative therapy, we will consider surgical treatment.Surgical treatment corrects the deformation of the valgus mainly through osteotomy and soft tissue dissociation, but it is important for foot function that not only deformation but also the appropriate balance of the postoperative joint range and length with 2-5 toes.In addition, there are more than 100 surgical procedures for hallux valgus surgery, and the use of various surgical procedures by each operator means that hallux valgus surgery is not easy.precautions after prevention/treatment
The recurrence of deformation was reported to be about 10% even after surgery.As I mentioned earlier, not only the bunion, but also the anatomical characteristics of the entire foot, living conditions, footwear, and other factors should be taught to prevent deformation progression and recurrence after surgery.Also, it is important to maintain good foot function by performing exercise therapy and accessory therapy as well as before surgery.In addition to the recurrence of deformation, we will follow you carefully with regard to complications such as infection, internal hallux valgus, bone head necrosis, and joint contracture.