Шишечки на стопах

«Шишечки» на стопах (вальгусное отклонение большого пальца стопы, Hallux valgus) – распространенное заболевание, которое проявляется в отклонении первого пальца стопы кнаружи. Это не просто косметический дефект, как считают многие, а серьезная ортопедическая проблема.

Вальгусному отклонению большого  пальца, как правило, сопутствуют

  • артроз первого плюснефалангового сустава
  • бурсит области первого плюснефалангового сустава
  • костные разрастания головок плюсневых костей
  • комбинированное или поперечное плоскостопие
  • варусное отклонение первой плюсневой кости
  • подвывих сесамовидных костей
  • натоптыши

Схема формирования «косточки» у основания большого пальца стопы

Явления артроза и бурсита области первого плюснефалангового сустава сопровождаются болями. Это приводит к трудностям выбора обуви, ограничению физической активности.

Причины вальгусного отклонения большого  пальца до конца не выяснены. Имеется связь заболевания с плоскостопием, наследственностью, эндокринными нарушениями, ношением неудобной обуви (высокий каблук, узкий нос).

Диагностика заболевания не представляет особой трудности, деформацию видно «на глаз». Однако для определения степени деформации, стадии артроза суставов стопы, выявления остеопороза, кистозных изменений костей требуется рентгенография костей стопы.

Лечение вальгусного отклонения большого  пальца стопы требует значительных усилий и комплексного подхода.

Необходимо исключить внешние неблагоприятные воздействия на стопу – неудобную обувь. Ортопедические ортезы стоп (стельки), межпальцевые вкладыши, валики, специальные носки, подушечки под стопу и т.п. эффективны, как правило, при невыраженной деформации. Различные мероприятия консервативного характера (массаж, физиопроцедуры, теплые ножные ванночки), прием НПВС призваны снять на время боль и не устраняют главной причины страданий – деформации стопы.

Некоторые «народные» средства (компрессы, йодные сеточки) не эффективны совсем. Не стоит тратить на них Ваше время.

При значительной деформации вариантом выбора в лечении становиться оперативное лечение. Суть его – в восстановлении нарушенных взаимоотношений между костями переднего отдела стопы. Современные методики предполагают быструю реабилитацию пациентов после операции и минимальное число осложнений.

Вы можете выполнить операцию по удалению «шишечек» на стопах  в Рязани,  в клинике общей хирургии Рязанского государственного медицинского университета, предварительно записавшись по телефону 9 (4912) 76-55-18

Статья предназначена для информирования пациентов о заболевании и о тактике его лечения. Пожалуйста, не занимайтесь самолечением. Для консультации обратитесь к специалистам.

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