Big toe correction surgery

Bunion correction surgery is a common surgical operation. This operation is mainly used to correct bunion deformity. Bunion deformity has many causes and is closely related to genetic factors. When high heels are often worn, the bunion is often squeezed, which can easily lead to this disease. Functional exercise is required after surgery for this disease. Let us take a closer look at the relevant information about bunion correction surgery.

The big toe bone is formed by the first metatarsal bone turning inward and the big toe slanting outward, which is called the big toe bone, also known as hallux valgus and big bone crook. This disease is more common in adults. For those with genetic factors, it can occur in young people and often worsens in old age. It is more common in women than in men.

1. Definition: The joint between the big toe and the first metatarsal bone is tilted more than 15 degrees (as shown in the figure), which is a deformity symptom in which the big toe tilts outward more than the physiological angle of 15 degrees.

2. Causes: It is caused by many situations, such as heredity, frequent wearing of high-heeled pointed shoes, which causes the big toe to be excessively everted and stressed. The main cause is the dislocation of the joint at the base of the big toe, which causes the big toe to bend outward and the big toe bone to protrude outward. In addition to squeezing other toes, it is also easy to cause friction due to wearing shoes, causing swelling and inflammation on the inner or dorsal side of the big toe joint, and thick skin and bursa are easily formed on the outside of the protruding bone, causing permanent deformation of the toe and pain. In addition, patients with flat feet are more likely to develop hallux valgus.

3. Impact: Enlarged toes, bunions, and bone hyperplasia cause pain in the forefoot when wearing shoes. The pain is obvious when walking or standing for a long time. In severe cases, it affects the walking posture and causes complications. The feet are seriously mis-loaded with force, and the joints are difficult to coordinate, which leads to changes in the body's negative force line, causing knee joint inflammation, back pain, etc.

Methods/Steps

1

Physical correction method of big toe bone

Physical therapy: Hallux valgus is a common foot disease. In the early stages of the disease, it rarely attracts people's attention. However, with the increase of time and age, hallux valgus will produce pathological changes, eventually causing pain and affecting the normal quality of life. Only then do people begin to notice that this is a foot disease. Usually, hallux valgus does not require surgery. Hallux valgus mainly worsens when walking, so it can be improved by wearing shoes and using insoles with arch support to disperse the force on three points of the foot. By using hallux valgus orthotics at night, hallux valgus can be controlled and corrected.

1. For mild patients, barefoot exercises can be done to strengthen the plantar muscles and delay the deterioration of hallux valgus. This is also one of the correction methods for hallux valgus.

2. Using your fingers to bend the big toe inward every day can also effectively prevent the aggravation of hallux valgus. Patients need to know some knowledge about hallux valgus correction.

3. Wearing suitable shoes can prevent the occurrence and development of hallux valgus. For mild hallux valgus, a cotton pad can be placed between the first and second toes, and a splint can be applied on the inside of the big toe at night to gradually straighten the big toe. At the same time, orthopedic shoes or flat-foot insoles can be used to correct flat feet, which is also a measure to correct hallux valgus.

4. With the help of some orthopedic devices, such as hallux valgus correctors (divided into day-use and night-use orthotics), long-term wearing of hallux valgus correctors can have a certain therapeutic effect on hallux valgus.

2

Surgery to correct big toe bone

Surgery: Do you need big toe surgery?

● Severe foot pain that limits your daily activities, including walking and shoe wearing, and pain that is difficult to improve by wearing different shoes and using orthotic devices. (Even wearing loose shoes)

● Chronic bony hyperplasia of the big toe that cannot be improved by rest or physical therapy.

● In patients with severe toe deformity, severe bursitis has already developed within the big toe bone.

●Plantal corpus callosum with calcaneal deformity.

● Patients who have long-term dependence on non-steroidal anti-inflammatory drugs, and who have poor effects in the later stages, or who have side effects such as gastric ulcers.

Bunion is a common disease in life, which is more common in women. Although "big foot bone" is scary, it is not incurable. When a bunion deformity is discovered, it is best to take early preventive measures, which can not only delay the deterioration of the bunion but also effectively prevent the occurrence of some complications. Mild cases of big toe sprain are usually treated with ordinary physical therapy, which has a certain therapeutic effect. However, there are many types of surgeries, and not one surgical method is suitable for all bunion patients. A detailed examination is required to determine the surgical method!

Introduction to the four stages of big toe bones

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1. Primary stage of big toe valgus: The big toe is about 10 degrees outward, which affects the appearance, but there is no pain. There are slight calluses on the sole of the foot, which will not directly affect walking. Wearing high heels will cause pain.

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2. Big toe contracture stage: the big toe is valgus 10-20 degrees, the joints and ligaments are inflamed, the first and second toes are obviously squeezed, the sole of the foot is obviously widened, and calluses are obvious on the sole of the foot. Walking for a long time can easily cause pain in the big toe joint and sole of the foot, mainly because it will destroy the function of the original three footholds.

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3. Severe stage of hallux valgus: big toe 20-40 degrees, overlapping toes, transverse arch collapse, corns, calluses, flat feet, heel pain, difficulty in balancing the force on both feet, seriously affecting standing and walking.

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4. Big toe deformity stage: the big toe is valgus more than 40 degrees, the toe's mission is over, the big toe is severely overlapped, the toe is not under force, the arch of the foot collapses, it is difficult to walk, the sole of the foot directly bears the pressure of the toe part, there are calluses on the sole of the foot, both feet are seriously mis-loaded, and the joints are difficult to coordinate. This causes the negative force line of the human body to change when walking, causing knee joint inflammation, back pain, etc.

How to treat big toe bone

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Precautions

There are two types of bunion correctors for day and night use. The one used at night when sleeping mainly plays a corrective effect when the bones are static. The one used during the day can change the incorrect force on the bunion when walking in shoes and relieve pain. When using a bunion corrector at night for the first time, avoid using excessive force. Use it according to your own comfort level. After using it for half a month, slowly adjust and increase the correction force. There will be slight pain when using it for the first time, which is an effect reaction. If you feel obvious pain during correction, you can do 50 toe gripping exercises before use, which will be helpful.

Health care matters after bunion correction surgery: Increase outdoor activities and exercise appropriately, and try to avoid long-term bed rest. Eat high-calcium foods to ensure normal bone metabolism. Eat more milk, eggs, soy products, vegetables and fruits, and supplement calcium if necessary. Increase the intake of multiple vitamins, such as vitamin A, B, B1, B12, C and D.