Hallux valgus, lead to the first metatarsal Varus, widened front part of the foot. Full load changes, foot fatigue. Since the first metatarsus Varus, head of the first metatarsal is often stimulated by the friction, compression, formation of osteophytes, false Bursa formed on the surface. Thickening of the skin, forming the Corpus Callosum. Have often been subject to persistent friction appears bursitis, ulcers, infections of the skin. At this time, heavy pain, affect walking. Growing hallux valgus deformity, first metatarsophalangeal joint subluxation occurs and osteoarthritis. At this time, the destruction of articular cartilage, bone hyperplasia, narrowing of the joint space, articular functional limitations. This is the main characteristic of senile hallux valgus.
Toe offset outwards, squeeze the second toe, the second toe elevation, lies above the toes, formation of hammertoes. Thickening of the skin due to the friction of shoes over the second toe, or ulcer formation. Medial toe roots, thickened skin, tenderness. Bursitis occurs when local swelling, redness, and tenderness. Because of change of foot loading point, foot pressure, thickening of the skin, pain. Advanced osteoarthritis of the first metatarsophalangeal joint, limited mobility, increasing pain, walking is affected.
X ray shows, toe outwardly oblique, first to second metatarsal spacing. Medial first metatarsal head formation of osteophytes. Later, first metatarsophalangeal joint space narrowing, periarticular osseous hyperplasia.
Most patients are in the formation of youth, elderly patients on preventive measures was to prevent malformation increase, delay the emergence of osteoarthritis. Hallux valgus patients to loose when the shoes, insoles cushion thickness to reduce friction and irritation of the feet. Always use warm water foot massage toe can improve blood circulation. Regular as well as toe enhance joint cartilage nutrition and foot muscle strength, can prevent cartilage damage, delay the emergence of osteoarthritis.
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