Thumb valgus is a common problem.
Most people will think that it is pointed shoes, especially high heels.
Indeed, high-heeled shoes are easy to cause the problem of thumb valgus.
But in fact, it is not only high heels that cause thumb valgus.
Doctors’ views on thumb valgus are often different from those of online medical resources, because there is no official consensus on the actual pathology and no clear reason for thumb valgus.
What is thumb valgus? Definition of hallux valgus Let’s first look at what is hallux valgus.
When the angle between the direction of the toe and the direction of the first metacarpal bone is greater than 15 degrees, it is called hallux valgus.
20~30 degrees is mild hallux valgus, 30~40 degrees is moderate, and more than 40 degrees is severe hallux valgus.
Characteristics of thumb valgus: The older the distribution, the more likely it is to have hallux valgus.
About 35% of people over 65 years old have hallux valgus.
80% of hallux valgus/hallux valgus patients claim to have a family history.
90% of hallux valgus/hallux valgus patients are female.
Grade of hallux valgus: hallux valgus can be divided into four grades: normal, slight, moderate and severe according to hallux valgus angle and the included angle between the first and second metatarsal bones.
The things that should be paid attention to in each grade are also different.
Normal, slight hallux valgus, normal and slight hallux valgus can be mainly “prevented”.
Except for genetic factors that are uncontrollable, other hallux valgus factors can be prevented.
For example, wearing appropriate shoes and avoiding high-heeled shoes is one of the ways to prevent hallux valgus.
Moderate hallux valgus If you are already a moderate hallux valgus, you can do some positive corrective actions, such as wearing orthotics, exercise relief, or massage the soles of your feet regularly every day, and gently press the deformed hallux for about 10 minutes.
Of course, if there are people who wear high-heeled shoes and pointed shoes, they still need to break the habit and strengthen the plantar muscles to avoid further deterioration of valgus.
If severe hallux valgus is already a serious hallux valgus patient, it must be corrected through surgery.
The main purpose of surgery is to correct deformation, improve pain and reconstruct function.
The following problems will occur after hallux valgus.
The shoes will grind to the base of the toe.
It affects the transfer of walking weight.
You will not be able to transfer your weight to the front smoothly, but use the outside of your foot to bear the weight.
Because of the problem of weight transfer, there will be the problem of pronation of the foot, and the knee will be outward.
This will affect the movement of the whole lower limb and increase the probability of some lower limb problems, such as degenerative arthritis.
How to prevent hallux valgus? Try not to wear high heels.
If you suspect that you may have hallux valgus due to flatfoot or walking style (gait) problems, you can find a doctor and physical therapist to diagnose and evaluate it.
After confirmation, you can prevent it by making insoles, training foot muscles, training gait, etc.
If you have valgus, the treatment can be divided into surgery and non-surgery.
The non-surgical treatment of hallux valgus is basically non-surgical treatment, which can not permanently change the hallux valgus at present, but it can help.
If you have hallux valgus due to flat feet, you can use insoles to assist your feet to move in a more correct way.
If you have hallux valgus due to too tight between Achilles, you can do stretching and strengthening exercises.
Change to shoes with wider head.
In the early stage, stretching the big toe is one of the recommended treatments.
It is at this stage that I believe yoga can provide the greatest help.
The following are some suggested options for your reference: 1.
Massage can relax the soft tissue between the first toe metatarsal joint and the second toe that is tight due to hallux valgus.
Find the first metatarsophalangeal joint and buckle it inward, and apply the force parallel to the direction of the big toe to relax.
You can do it on the instep and the sole of the foot.
2.
For the acute stage, there is stiffness and pain (possibly swelling).
It is recommended to do some non-weight-bearing positions, especially where the feet can be up, such as the supine leg extension position (below).
In these positions, try to gently bend and extend all toes, paying special attention to the big toe, to maintain as much range of joint motion as possible.
With the improvement of pain, you can practice standing posture, such as the chair assisted warrior 2 or the lunge posture.
If you can do without pain, your ability to safely bear weight will be evaluated.
You can try other ideas that you come up with to help you maintain painless sports ability as much as possible.
In addition, it is also a good choice to use orthotics.
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