What are the treatment methods of hallux valgus, what risks may be faced after operation, and what problems should be paid attention to?

The treatment of hallux valgus should be based on the degree of foot deformity and pain.

1. Non-surgical therapy

Patients with early hallux valgus and mild pain can consider non-surgical treatment;

Common methods include wearing shoes with the width of the front heel not exceeding 2.5cm, massage, often moving the thumb to the inside of the foot, exercising the muscles of the foot, hot compress, walking barefoot on the beach, etc. It has certain effect on treating and correcting hallux valgus; Gymnastics can correct hallux valgus. The method is to put rubber bands on both sides 1 toes for traction in the opposite direction, each time for 5~ 10 minutes, twice a day. Put some soft pads around the bony process to reduce the pressure and friction on the big toe. If the pain is limited to the bunion or metatarsophalangeal joint, puncture and drainage can be performed at the painful site and steroids can be injected locally.

2. Surgical therapy

It is suitable for patients in the middle and late stage, and can relieve pain and correct deformity, but patients with severe hallux valgus deformity but no obvious pain need surgical treatment; There are five common surgical methods, including: ① Soft tissue surgery: adductor pollicis is mainly cut off at the proximal phalanx and transferred to the fibula side of the 1 phalanx.

② Osteotomy: To remove part of bones, relax soft tissue contracture and relieve symptoms.

③ No.65438 +0 metatarsophalangeal joint fusion.

④ Small incision operation.

⑤ Correcting the osteotomy of 1 metatarsal varus, or performing soft tissue surgery and/or osteotomy at the same time.

Matters needing attention after hallux valgus surgery are mainly as follows:

1 Precautions after hallux valgus surgery: First of all, overweight people should pay attention to diet control, increase activity and reduce weight to reduce joint load. It is necessary to appropriately increase outdoor activities and exercise, and try to avoid long bed rest.

Oral Chinese medicine for promoting blood circulation, removing blood stasis, strengthening bone and tonifying kidney after operation can promote fracture healing. After removing the bandage, wash it with traditional Chinese medicine for promoting blood circulation, removing blood stasis and reducing swelling to accelerate the recovery of foot function.

Eat high-calcium food to ensure the normal needs of bone metabolism, and supplement calcium when necessary. We should increase the intake of multivitamins, such as vitamins A, B, B 1, B 12, C and D, etc. Protein's intake should be restricted. Too much protein in food will promote the excretion of calcium in the body.

Avoid wearing pointed high heels for a long time, and try to choose shoes with wide front on weekdays, especially when exercising or walking long distances.

5 Precautions after hallux valgus surgery It is also necessary to understand the necessity of wearing healthy shoes after surgery, but it is necessary to intermittently wear correction belts for hallux valgus to prevent the recurrence of hallux valgus. It is very important to bind and fix the dressing after operation, which requires experienced doctors to visit. Generally, the dressing is changed by incision 3-6 days after operation. If the incision is healed, it can be bandaged and fixed once every two weeks until the osteotomy is clinically healed, usually about 5-6 weeks. X-rays were taken at 2, 4, 6, 12 weeks, half a year and 1 year after operation to understand the postoperative recovery. After 1 year, plantar mechanics tests were carried out to understand the changes of plantar pressure after operation.