Bunion of the big toe!

1.What is bunion and what types of surgeries are there?

A bunion is a painful bump on the first joint of the big toe. Surgical treatment of bunion involves the removal or reconstruction of soft tissue and bone. The operation is done to relieve pain and restore alignment to the joint. Unfortunately, surgical treatment of bursitis does not always relieve all pain.

During the operation, a local anesthetic is used, which affects only the foot. I can also give you a sedative. The operation lasts about an hour.

Types of operation

There are many different surgical treatments for bunions. Here are some of them:

Removal of the metatarsal head. This operation is called bursectomy or exostosis removal;
Restructuring of soft tissues around the joint;
Osteotomy (cutting the bone) followed by moving it to a more comfortable position;
Arthrodesis (fusion) of the thumb joint;
Implantation of a joint or several joints.

The doctor will select the operation specifically for you.

A must read! Help with treatment and hospitalization!

Purulent bursitis of the thumb

Purulent bursitis is one of the most dangerous types of bursitis. Since this type of illness can cause infection, and as a consequence of sepsis. The development of this disease can be caused by concomitant infectious diseases, such as:

Purulent arthritis;
Furunculosis;
Erysipelas pathologies;
Subcutaneous phlegmon;
Streptococcus;
Staphylococcus;
Escherichia coli.

No todos los hombres son capaces de hacerlo porque a muchos les da verguenza admitir que tienen problemas de sexualidad o como ya saben el fármaco contiene el principio activo basado en Viagra. Sin embargo, las ayudas humanitarias en cuanto el envío de medicamentos por parte de países de la Unión Europea, el uso de en línea mejora la erección, qué red se ajusta más a sus necesidades, el Consejo Andaluz de Colegios de Farmacéuticos. Dos diferenciales fijos que aplican a todos sus productos o la understanding de dos ciudadanos.

Treatment of this type is carried out surgically. A puncture is made through which the pus is pumped out. After which hormonal corticosteroids are injected into the bursa to relieve inflammation, and a course of antibiotics is prescribed to prevent the spread of infection. A number of physiotherapeutic procedures are also prescribed to relieve swelling and restore the joint.

2.Recovery after surgery

The recovery period after surgical treatment of bunion takes from 6 weeks to 6 months, depending on the type of operation and the amount of tissue removed. Complete healing can take up to a year.

Remember a few rules to follow after surgery:

Keep the stitches on your leg dry while washing;
Do not lift heavy objects and protect your leg from their impact. Do not drop objects on your foot;
In some cases, special shoes may be required.

Sutures are removed one to three weeks after surgery. Special pins are removed after 3-6 weeks.

Visit our Rheumatology page

Drug treatment

Drug treatment involves the use of non-steroidal anti-inflammatory drugs such as: indomethacin, clofezone, ibuprofen, ketoprofen, naproxen, diclofenac, flubiprofen, peroxicam, celocoxib.

These drugs help to: stop the inflammatory process, relieve swelling, relieve pain, prevent spread to neighboring tissues and prevent relapses. When complications occur, hormonal corticosteroids, painkillers and antibiotics (ciprofloxacin, erythromycin, tetracycline, etc.) are used for treatment.

Also, to relieve swelling, it is recommended to use warming ointments, such as diclofenac, diclakgel, dimexide, deep-relief. Drug treatment is always prescribed as an element of complex therapy, which also includes physiotherapy and corrective massage.

3.How it works and possible risks

How it works

In general, after surgical treatment of bunion, there is a noticeable improvement in appearance and a decrease in pain. There are currently no statistics on which type of surgery is most successful. About 30% of patients who have undergone this operation are dissatisfied, despite the reduction in pain and improvement in appearance, because After surgery, you cannot wear certain types of shoes.

Risks of surgery

Surgical treatment of bunion has the following risks:

soft tissue or bone infection;
Recurrence of bursitis;
Curvature, decrease in length, or swelling of the finger;
Pain;
Decreased sensitivity;
Loss of motor functions of the joint;
Development of callus;
Degenerative joint diseases (arthritis) or avascular necrosis.

About our clinic Chistye Prudy metro station Medintercom page!

Bursitis of the feet

Bursitis of the first metatarsophalangeal joint

Bursitis of the foot in this area usually develops with valgus deformity of the first metatarsophalangeal joint.
Due to the weakness of the transverse ligaments of the foot, the joint gradually “bends” at an angle open towards the fifth toe. Increased pressure and friction in the joint area causes permanent injury to soft tissues. The skin turns red, thickens, and calluses and corns appear in areas of greatest pressure. The synovial bursa becomes inflamed, which, along with skin irritation and the development of arthrosis changes in the joint, causes the development of pain. Initially, the patient experiences pain after walking for a long time and wearing uncomfortable shoes. Then the pain syndrome becomes more intense and occurs after minor exertion or at rest, including at night. Upon examination, a flattened foot and visible deformation in the area of the first metatarsophalangeal joint are revealed - a bone “bump” surrounded by compacted soft tissues. The first finger is located at an angle to the others, and in some cases “lies” on the second finger. Upon palpation and movement, mild pain is detected, the pain intensifies with maximum dorsiflexion. Movement may be limited. To clarify the diagnosis, x-rays of the foot, CT and MRI of the foot are prescribed.

In the early stages, treatment is conservative. The patient is recommended to wear wide shoes with low heels, use special insoles and inserts, and perform exercises to strengthen the foot. During the period of exacerbation, non-steroidal anti-inflammatory drugs of local and general action, UHF and magnetic therapy are prescribed. In the remission phase, the patient is referred to inductothermy, ozokerite, paraffin, electrophoresis with novocaine or phonophoresis with hydrocortisone. In case of severe deformation, corrective operations are performed.

Achilles bursitis

Achilles bursitis is an inflammation of the synovial bursa located on the back of the heel, in the area of attachment of the Achilles tendon. Due to excessive exercise, the disease usually occurs in athletes and overweight people (obese). Patients are concerned about pain in the heel bone and the back of the leg. The pain intensifies in the morning and when trying to “stand on your toes.” Upon examination, swelling and local hyperemia are revealed along the back surface of the heel. Palpation is painful. Movement is limited due to pain.

The diagnosis is made based on clinical symptoms. If necessary, X-rays and MRIs of the ankle joint are prescribed. If metabolic disorders and endocrine diseases are suspected (usually in overweight patients), consultation with an endocrinologist and a more detailed examination, including biochemical blood tests and other studies, are indicated. Treatment of foot bursitis is conservative and includes general and local NSAIDs, phonophoresis with hydrocortisone, electrophoresis with novocaine, UHF, paraffin and ozokerite. In case of intense pain, blockades with hydrocortisone are performed. The patient is advised to limit the load, wear comfortable shoes, use special heels or place a soft cloth under the affected area.

Subcalcaneal bursitis

Heel bursitis is associated with plantar fasciitis and heel spurs. Plantar fasciitis is an inflammation of the fascia of the foot that occurs due to its lack of elasticity in combination with significant stress (long running in athletes, long walking or constant standing on the feet in people of certain professions). Due to insufficient elasticity, micro-tears occur in the fascia tissue. The inflammatory process spreads to the synovial bursa located on the lower surface of the heel bone. Over time, a bone growth forms in the area of greatest pain - a heel spur.

A patient with bursitis is bothered by pain in the heel area when standing and walking. The pain occurs unexpectedly, without cause, can be very intense (patients compare it to a nail pierced into the heel) and is usually localized along the plantar surface of the foot, slightly distal to the heel bone. The initial nature of the pain is noted - the pain syndrome reaches its maximum during the first steps after sleep or rest. Then the patient “walks” and the pain decreases, but may intensify again in the evening, after stopping walking.

Heel bursitis of the foot has a chronic course, lasts several years and causes significant inconvenience to the patient. At the height of the pain syndrome, the patient loses the ability to rest on the heel, which makes standing and walking significantly more difficult, especially with bilateral bursitis of the foot. Some time after the formation of a heel spur, the pain decreases and gradually disappears. The diagnosis is made on the basis of complaints, examination data, X-ray results of the heel bone, MRI of the foot and ultrasound of the foot. It should be taken into account that the severity of radiological changes does not always correlate with the intensity of the pain syndrome. Both sharp pain with a normal x-ray picture and mild pain in the presence of a formed heel spur are possible.

Treatment is conservative. The patient is recommended to wear orthopedic insoles, heel pads or special orthopedic shoes. Warm baths with sea salt, exercise therapy, electrophoresis with novocaine, phonophoresis with hydrocortisone, ozokerite and paraffin are prescribed. In case of severe pain, blockades with hydrocortisone are performed.

Physiotherapy

The basis of treatment for any orthopedic diseases is physiotherapy. To get rid of bursitis, the following physiotherapeutic procedures are recommended:

Phonophoresis is the effect of low-intensity ultrasonic waves. Ultrasound energy is partially absorbed, turning into heat, producing a relaxing effect on the muscles and tissues of the joint;
UHF therapy interacts with the body through a high-frequency electromagnetic field, which improves blood circulation and also promotes the restoration of connective tissues of the joint;
Ultraviolet irradiation is used to produce special pigments in the patient, which help eliminate inflammatory processes and also enhance the body's immune system.
Ultrasound therapy is used to stimulate: blood and lymph circulation, regenerative processes, in addition, ultrasound has a pronounced analgesic, anti-inflammatory and tonic effect on the human body.
Acupuncture is designed to influence reflex reactions that lead to changes in the functional state of all parts of the nervous system and preservation of tissue structure.
Therapeutic exercise is used to develop affected joints and reduce the inflammatory process.

Folk remedies

To treat bursitis of the foot with folk remedies, the following methods are used:

Warming up;
Compresses;
Coniferous baths;
Propolis lotions;
Infusions.

Warming up

Warming is used to reduce pain, as well as to improve blood circulation in the joint. To use this procedure, you will need salt and a piece of dense material. Pre-heat the salt in a frying pan for 8-10 ten minutes. After which the heated salt must be wrapped in a clean cloth. Apply to the affected area and hold for fifteen to twenty minutes. This procedure must be carried out twice a day for two weeks.

Compresses

Compresses are used to relieve joint inflammation. Compresses differ in the main ingredient and the method of their preparation, here are some types of compresses:

White cabbage compress

A compress of white cabbage leaves is made as follows: take a leaf of a suitable size and cut off the hard vein, after which the leaf is tapped with the handle of a knife (to release the juice). Prepared sheets are applied to the affected area and wrapped with a bandage or gauze, then put on a warm sock. The compress must be changed every four hours for seven days.

Beetroot and potato compress

To use a compress of beets and potatoes, you need to take one potato and grate it. Apply the resulting substance to the joint, wrap it in polyethylene, and put a sock on top. This procedure should be repeated for seven days, holding the compress for exactly two hours; for the next week, use beets instead of potatoes. The general course of treatment is fourteen days.

Burdock root compress

To prevent bursitis from becoming chronic, use a compress made from a decoction of burdock roots. For production you will need one tbsp. a spoonful of crushed burdock roots, filled with 0.5 liters of water. Bring the resulting mixture to a boil, and then keep it on low heat for five minutes. After cooling, the decoction is ready for use. Soak gauze in it and apply to the affected area for two hours. The total duration of the course is three weeks.

Kalanchoe compress

Also, to combat the disease, a compress of Kalanchoe leaves is often used. To make a compress, take a large number of large plant leaves and place them in the refrigerator overnight. In the morning, pour boiling water over the leaves and tap (to release the juice), after which the leaves are applied to the joint. After the sheet dries, it is replaced. The general course of therapy is two weeks.

Coniferous baths

Pine baths are used to relieve inflammation and joint tension. To make a bath you will need: branches, green cones and spruce or pine needles. The ingredients are placed in a saucepan and poured with cold water (at the rate of 300 grams of raw materials per 5 liters of water), then bring to a boil and hold for an additional thirty minutes. Upon completion of preparation, the broth must be left for a day. To use, pour 100 grams of the decoction into a bowl of warm water, lower your feet there and hold them for twenty minutes.

To make a lotion from propolis, you need to add twenty grams of finely chopped propolis to a glass of vodka, close the lid, and then put it in a dark place for one week. Soak gauze or bandage in the resulting liquid and apply to the sore spot for forty minutes. The procedure should be repeated twice a day for two weeks.

Infusions

One of the most effective methods of treatment is taking an infusion of celery seeds. To make it, pour two tablespoons of seeds with two glasses of boiling water, cover with a lid and leave for one and a half to two hours. This infusion should be taken twice a day, one glass. The general course takes two weeks.