Pain in the joints of the toes? This is how arthrosis of the toesarthrosis of the toes is a very common disease that can occur both in people in advanced years and in young people. You need to take care of your legs, but many people, even hearing complaints from their grandfathers and grandmothers about their aching legs, skip this information. But the pain in the joints of the toes can appear at a very young age. Unfortunately, the first signs of the developing disease( fatigue and aches in the joints) are ignored by almost all who have encountered the disease.
However, arthrosis usually develops, and pain and inflammation intensifies, which forces you to consult a doctor for help. Let's see what is the arthrosis of the big toe, and how to treat it.
Types of the disease and their causes
Arthrosis in the broad sense is a degenerative-dystrophic lesion of any joint. The most susceptible to this disease are large joints( knee and hip), as well as the joints of the toes. Most often on the foot, arthrosis appears at the joint of the big toe, but the joints of all toes can be affected.
Most doctors divide arthrosis into two types: primary and secondary. At a primary arthrosis it is not known, that has provoked development of disease. In the secondary case, the cause of the disease is precisely known, it can cause fractures, trauma and inflammatory diseases.
Osteoarthritis of the toes may be triggered:
- by dislocations, bruises or fractures;
- flat feet;
- features of anatomy of the foot( which largely depends on heredity. For example, protruding bones on a wide foot are inherited);
- uncomfortable shoes( shoes with a narrow toe, high heels, etc.);
- excessive body weight, which exerts additional load on the joints of the foot;
- various diseases that can provoke arthrosis or arthritis. For example, rheumatism, endocrine diseases, tuberculosis, etc.
- the influence of the climacteric period on the woman's body;
Symptoms of arthrosis of the big toe depend on the stage of the disease. There are 3 stages in total.
The first stage. Patients from time to time feel the stiffness of the small joints of the foot. At this time, there is a slight pain in the joints of the toes.
The second stage. If the arthrosis is not treated, it will progress and will move to the next stage. At this time, the small joints of the toes lose their mobility, and during walking a crunch is felt. The second stage also increases pain.
The third stage. If the treatment does not begin even at the second stage or is treated incorrectly( for example, self-medicate), arthrosis will progress faster, and the pain will be constant. At the third stage, the growth of bone tissue occurs, as a result of which the feet are strongly deformed. Most of the deformations occur in the area of the joint of the thumb( but may appear on the interphalangeal joints), in the people such a deformation of the thumb is often called a "bone".
This growth leads not only to health problems( it is becoming increasingly difficult to move your fingers until complete immobility, osteoarthrosis of the knee joint of the third degree can also lead to immobility, only in the knee), but also to everyday problems. For example, it becomes much more difficult for a patient to choose suitable footwear, because even soft and wide shoes, pressing on the inflamed joint of the thumb, causes painful sensations.
If arthrosis is located only in the area of the joint of the big toe, the symptoms include not only pain, but also inflammation and redness in the joint region. In some cases this can complicate the diagnosis.
Diagnosis of the diseaseBefore appointing a doctor, the doctor conducts a diagnosis, which includes a questioning of the patient( whether there is inflammation, concomitant diseases, etc.), objective examination and radiographic examination. It is important to differentiate the arthrosis of the interphalangeal joints of the toes from gout, for this it is necessary to conduct a biochemical analysis of the blood and with it to determine the amount of uric acid.
The diagnosis also uses the method of densitometry, with which it becomes possible to determine the bone mineral density and eliminate osteoporosis.
Treatment of disease
Regardless of the diagnosis( arthrosis of the thumb or small interphalangeal joints) treatment will be the same. The main principles of therapy are methodical and complex.
It is very important to treat arthrosis in a qualified doctor and not to start the disease, since there may be a secondary inflammation of the joint( arthritis).However, this swings any joint disease. It does not matter, treatment of tendonitis of the knee joint or arthrosis of the joints on the toes, the best result is achieved if you refer to the appearance of the first signs.
Since arthrosis affects the cartilaginous tissue of the joints, one should not expect a rapid cure. Restoring cartilage tissue takes a very long time, so you will have to be patient and follow the doctor's instructions clearly.
To date, the treatment of this ailment often involves the use of chondroprotectors, drugs that repair cartilage joints. However, they are effective only at the initial stage of the development of the disease, when there is still something to restore. Such treatment can last up to a year.
In addition to restoring the cartilaginous tissue, it is necessary to remove inflammation and pain. To this end, apply analgesics, non-steroidal anti-inflammatory, antispasmodics and vitamins.
But you can not only treat arthrosis with medicines. Often arthrosis, localized in the interphalangeal joints of the toes, is offered to be treated with physiotherapy. Such treatment of small joints is as effective as physiotherapy for arthrosis of the knee joint.
Treatment should be accompanied by a balanced diet that limits salt intake, reduces physical exertion( not to stand for long), the change of uncomfortable shoes to comfortable orthopedic footwear. A good effect can also be achieved with the help of massage sessions and therapeutic gymnastics. If there is a secondary arthritis, then you need to treat primarily the underlying disease.
In some cases, for example, when treatment has not been performed for a long time, and arthrosis has passed to stage 3, or when conservative treatment has proved ineffective, the doctor may suggest performing an operation.
Treats on time is good and correct, but it is better to prevent the development of problems in the joints of the toes. To do this, you must follow a few simple rules.
First, choose the most comfortable and comfortable shoes. The convenience of the foot should be in the first place, because health is more precious.
Secondly, watch your weight and do not forget about an active lifestyle.
Thirdly, in time to treat any inflammation that has arisen in the body.
Treatment of deformity arthrosis of the big toe
Our legs are one of the most important parts of the body. But sometimes they can fail us. Legs are susceptible to various diseases. One of these diseases is arthrosis, and the most "popular" kind is deformed arthrosis of the big toe.
Disease of this is susceptible to any person. And more often such problem overtakes women who like to go in fashionable high-heeled shoes. Another name for this disease is osteoarthritis.
To properly combat the disease, you need to "know the enemy in person," that is, to know the symptoms of this disease.
The main symptoms: First, when a person moves, a crunch is heard, because there are bumps on the surface of the joint. Secondly, during the training there is pain that a person does not feel when in a calm state. Thirdly, you can see a slow deformation of the joint, gait disturbance and even a rise in temperature. And, finally, working capacity is disrupted, the person gets tired more quickly of physical work.
Osteoarthrosis of the thumb in the common people is called "bone".This is a kind of condensation in the area of the thumb. Symptoms are as follows: stiffness of the affected joint, its swelling, and then deformation. The main disadvantage contributing to the development of this disease is flatfoot.
But why does osteoarthritis arise, because of which people suffer so much? We need to understand this in order to prevent the disease.
For reasons refers to the wrong formation of the foot, for example, if a person constantly wears shoes on a flat sole, but should have a small heel, 4-5 centimeters. Sometimes it happens that a person has one limb in size shorter than the other. This can also cause osteoarthritis of the foot. This includes the curvature of the thumb, the formation of the "hammer shape" in the fingers, frostbite of the feet.
In the risk zone are those who engage in some sports, for example, dancing, ballet or boxing, as well as people who, on the contrary, abruptly refuse to train. In this case, the muscles weaken, and the joints become loose. But do not forget that quite often a person's predisposition to this disease is laid genetically. And more, it is necessary to give due attention to children when they take the first steps, because this period is favorable for laying the disease.
Like any disease, osteoarthritis has its own degree. Each of them has its own symptoms. At the first stage of the disease, which is called the "initial stage", a person feels a slight pain in the foot area, and during physical exertion complains of rapid fatigue. The second stage brings with it an intensification of pain, which is already becoming pronounced and makes itself felt by deforming the damaged joint. And, finally, the third stage. Characterized by a pronounced deformation of the foot. At the same time, a person can not move or has limited mobility.
The consequence of this disease is bursitis of the foot, also a dangerous disease that may not respond to treatment, and its symptoms are very similar to the symptoms of osteoarthritis.
Diagnosis of arthrosis of the thumb
In order to cure the osteoarthritis of the big toe in time, it is necessary to diagnose it correctly. For this, the following methods are used:
- Radiography. This is the main method that will help to establish how the osteoarthritis of the big toe is progressing. Radiography provides an opportunity to see the changes that have occurred in the tissues, and the narrowing of the joint cracks.
- Laboratory research. Will help to examine the blood, clarify the diagnosis and identify the true causes of the disease.
- Arthroscopy. This method allows the doctor to establish the presence of the disease. This method is used to assess the internal state of the joints and identify the deforming factor.
Treatment of arthrosis of the toe
To effectively get rid of the disease of the big toe, you need to choose effective methods of treatment. For the treatment of arthrosis of the thumb, you can apply the following:
- Gymnastics. This is a fairly effective method, provided that the diagnosis is established on time. With the help of gymnastics you can stretch your big toe, strengthen your toes and feet as a whole, flex your toes. Exercises gymnastics must be properly selected, only then they can help get rid of the disease and prevent its occurrence in the future.
- Folk methods. Some people do not believe in the effectiveness of folk remedies, but they can not be neglected. No wonder because when there were no pharmacies and plenty of medicines, our great-grandparents were treated with natural medicines!
Bee venom perfectly removes inflammation and chases pain. It is recommended to rub bee venom into the sites affected by arthrosis.
Aloe, or "century", helps against many diseases. The people say: "You keep the houses of aloe - you will live a hundred years".And this statement is not without reason. With the help of tincture from the leaves of aloe can be cured osteoarthrosis of the thumb. To prepare this tincture you need to take aloe leaves, rinse them and pass through a meat grinder. In 50 g of the obtained aloe juice should be added 100 g of honey and 150 g of vodka. The resulting composition must be insisted in a dark place for a week and then applied to compresses.
What can I advise to heal osteoarthritis of the big toe in the home? First and foremost, this is a full-fledged proper nutrition: this is the main condition from which the treatment of any disease begins. It is necessary to include in the diet of calcium, vitamins E and B. All this is contained in pasta, wheat, cottage cheese, bread. You can buy these vitamins in a pharmacy, in the form of tablets. Even with arthrosis, it is recommended to use less salt, because it can be deposited in the joints. But it will have a good effect if you add it to the honey baths, which help to relieve the heaviness and pain in the legs.
For those who have flat feet or arthrosis of the feet, it is recommended to use orthopedic insoles, they prevent deformation of the foot in the future and return it to the depreciation function.
When physiotherapeutic and medical methods are ineffective, surgical intervention is necessary. During the operation, the doctor fixes the bones in the joint area with the help of plates or screws. When everything heals, the joint remains motionless.
Prevention of arthrosis of the foot
To prevent the occurrence of arthrosis, it is necessary to select the right footwear, which will have good cushioning and a flexible sole, in summer it is more often to walk on the grass barefoot, but walking barefoot on the floor and asphalt is detrimental to the feet. You also need to carefully monitor your weight, because excess weight is the enemy of joints number 1.And, finally, lead a healthy lifestyle. Let your feet always stay healthy, and you never learned what is the arthrosis of the big toe.
How to cure osteoarthrosis of the foot: advice of a doctor
Arthrosis of the foot is a joint disease in which joints of the ankle joint and joints of the metatarsal bones are affected, but first of all - interphalangeal joints of the toes: thus arthrosis of the joint of the big toe is formed.
In order to prevent this disease from progressing, and the pain with it was absent or minimal, the treatment of arthrosis of the foot joints should be approached very seriously, and it should be carried out immediately in several directions - both with and without medications.
Fast navigation for article:
Non-medicinal treatments for
Drugs that improve cartilage in the joint
Treatment with folk remedies
Non-medicinal treatmentsFirst of all, the doctor tells the patient what osteoarthrosis of the foot is and what it shouldknow in order to prevent the progression of the disease - that is, how to treat arthrosis of the foot:
- if the patient has excess weight, it is very important that he begins to lose weight. A high load on the joints of the feet slows their recovery;
- for the same reason - to reduce the burden on the joints of the legs - the patient should use any opportunity to sit where he used to stand. It is important to do this in everyday life, and especially at work;
- is very important at the same time to wear loose shoes, so that the foot when walking feels comfortable;
It is strongly recommended not to wear shoes with a heel height of more than 3-4 cm, since such shoes greatly increase the load on the big toe and its joints.
If the doctor deems it necessary, you need to wear special orthopedic insoles and liners or special orthopedic shoes, which must be selected under the strict supervision of a specialist. Following the recommendations of a specialist can significantly reduce the symptoms of foot arthrosis.
In the treatment of this disease can be used drugs of various groups. Each of these groups solves some of their medical problem - relieves pain, reduces inflammation in the joints, stops the progression of the disease, improves the recovery processes in the joints. In brief, we will talk about the main such groups of drugs.
The goal of these medicines is to reduce or completely stop pain in osteoarthrosis of the foot. By and large, these medicines do not treat the cause of the disease, but they help to cope with its painful manifestations.
medication should only be prescribed by the doctor
First of all, these drugs are non-steroidal anti-inflammatory drugs( NSAIDs), which include paracetamol, aceclofenac, diclofenac and others. Indomethacin in this regard is particularly useful, because it is believed that it not only reduces pain, but also contributes to the regeneration of cartilage in the affected joints.
These medications usually cope well with the symptoms of pain in the joints of the feet, but, unfortunately, they have their side effects: when taking these drugs, there is a high risk of problems with the stomach mucosa - until the occurrence of ulcers and gastric bleeding, especially in the elderly.
In such drugs as nimesulide and meloxicam, these side effects are less pronounced, but their cost is higher.
Drugs from the group of pain medications should be prescribed only on the advice of a doctor. It is not recommended to use them uncontrolled and for a long time, as a sick person, ceasing to feel pain in the joints of the foot, ceases to spare them, and the disease progresses faster.
Drugs that improve cartilage in the joint
This group of drugs includes drugs that affect the very basis of the disease - the destruction of the cartilage of the joints. Still such medicines name chondroprotectors( ie the means protecting a cartilage).
They contribute to the improvement of metabolic processes in the cartilages of affected joints, improve its recovery and help delay the development and progression of osteoarthritis.
This group of drugs includes such drugs as chondroitin sulfate, hyaluronic acid, glucosamine sulfate, arthrodarin( diacerein), Arthra, Structum and others. Most often these drugs contain the same substances that synthesize cartilage cells. By introducing these medicines into the body, a person, as it were, supplies an additional "building material" to the cartilage, since the cartilage cells themselves can not cope with this problem.
There are two types of chondroprotectors. Drugs of the same group( chondroitin sulfate, etc.) are taken orally, and drugs of the second group are usually injected directly into the joint. These include drugs such as ostenil, synvisc and others.
Note: all chondroprotectors - relatively new drugs for arthrosis - refer to drugs with a delayed period of action. This means that to obtain the effect of these drugs must be taken for a long time - from 6 to 12 months or more. But chondroprotectors affect the very cause of the disease and help to stop the development of osteoarthritis of the joints of the foot, and other joints of the body, too.
Drugs from this group are effective only in the early stages of the disease development - at the latest in osteoarthrosis of the foot of the 2nd degree, and better at the first stage. Discuss with the doctor, whether there is a sense in purpose or appointment of chondroprotectors in your case.
A good effect is provided by physiotherapeutic procedures for joint arthrosis. At the indications the doctor can recommend the passage of courses of such kinds of physiotherapy as infrared laser therapy, SUF-irradiation, low-intensity UHF-therapy, high-frequency magnetotherapy, ultrasound therapy, medical baths and many others.
The methods of treating arthrosis of the toes with physiotherapy are especially effective if they are initiated in the first-second stage of osteoarthritis of the joints of the feet. However, physiotherapy sessions can be performed only when the disease occurs without inflammatory phenomena in the joints( in the form of synovitis).
In other cases, it is necessary to wait for the disappearance of such inflammation: the doctors say that physiotherapy can be carried out only on the "cold" joint, implying that there should not be inflammatory phenomena at the time of the course.
Also a good effect is provided by physical therapy and therapeutic gymnastics.
Treatment with folk remedies
There are effective folk methods for treating osteoarthrosis of the joints of the foot, tested by decades.
Here is a recipe for one of them - medical pine trays.
Take a basin where you can steam your feet and pour hot water into it. Then add one finely chopped tuba of Jerusalem artichoke, a pair of pine branches, a teaspoon of turpentine, a tablespoon of honey and a little sea salt for baths. Wait for the water to cool down to an acceptable temperature, and lower your legs there for a while.
After the end of the baths, make an iodine net on the affected joints, and then attach a steamed mesh from the usual internal pork fat to them. To get the effect, do 10-12 such trays.
Osteoarthritis of the toes - causes of the disease and treatment
Arthrosis is more correctly called osteoarthritis, which indicates a degenerative change in the joint and bones that make up it. The disease is widely represented on our planet. Up to 15% of the total population suffers from various forms of arthrosis. Osteoarthritis of the toes often manifests itself with age, there is almost everyone after 65 years of age. Men, like women, are equally often sick with arthrosis of various joints, but in women the legs are affected more often. Osteoarthritis of the big toe is meant when talking about "bones" on the legs and at the same time the deformation of the finger is immediately noticeable.
Main causes and symptoms of
Often this process is associated with age. Accelerate the degenerative changes in the joints - wearing uncomfortable shoes, with a narrow nose, excessive workload, trauma, gout, diabetes, osteoporosis, flatfoot. Separately, posttraumatic arthrosis of the joints of the toes is also considered. The disease is professional for dancers.
You can immediately accurately determine precisely this pathology, when there are complaints in the presence of just the morning stiffness in the joints, when they need to be worked out, until the full volume of movements is restored. It is possible to grope, even on the edges of the joint cracks, painful thickening. At movements the growth of bone tissue in the joint is manifested by bone crunch.
If you do not start treatment on time, as a result of friction inside the inflamed joint, bursitis may occur!
Initially, joint pain manifests itself periodically and under physical stress, but then it can occur in a passive period of time. Osteoarthritis of the fingers in the photo demonstrates the defeat of the cartilaginous structures of the articular surfaces of the bones of the toes. With the progression of degenerative and degenerative processes in the joints, their apparent deformation is intensified, which can not be corrected by physical effort. The consequence of the initially isolated arthrosis of the joint of the big toe is the further deformation of the second and third fingers.
Thus, more often with the progression of the disease, there is a combined deformity of the foot. Therefore, it is necessary to know all the nuances of how to treat arthrosis of the toes. Friction and physical impact on the aching joints continues, and bursitis occurs. This inflammation of synovial bags of joints with increased exudation of exudate in the lumen. The pathological process is directed towards a full synostosis. Bone growth inside the joint irrevocably blocks it.
Treatment is best to begin with adjusting your weight!
Folds out from the baseline and symptomatic effects( pain reduction).Anti-inflammatory drugs are indiscriminate, general direction( indomethacin, diclofenac, ibuprofen and others), when a large complex of substances responsible for the development of the inflammatory process is inhibited. But such drugs often give complications to the gastric mucosa, which does not depend on the form of the drug( tablet, injection or ointment).Treatment of arthrosis of the toes often requires a prolonged intake of this group of drugs. The enzyme cyclooxygenase 2 is selectively inhibited by movalis, while COX 1 is preserved and protects the gastric mucosa.
All the time of illness, choose orthopedic shoes, insoles. Take care of body weight control, to reduce the load. The use of chondroprotectors is necessary constantly, but does not apply to emergency pain therapy. When the arthrosis of the joints of the toes becomes aggravated, the treatment involves taking a variety of pain medications, in addition there are warming ointments( for example, Dr. Tyson with pepper, comfrey).Perhaps intraarticular administration of anti-inflammatory, hormonal agents.
It is used when the pain syndrome subsides and is performed daily. Stretching of the big toe: you need to wrap them with a large rubber band around, then take them to the sides to the other toes and hold for about 5-10 seconds. The same can be done by wrapping a rubber band around all toes of the foot, as if straightening them to the sides. Lifting the pebbles with your toes, you develop joints and help to get rid of stiffness.
Operative treatment of
Artificial formation of synostosis( arthrodesis), by removal of articular surfaces, is possible. When an isolated arthrosis of the big toe arises, the treatment can be conservative or surgical. After the X-ray, the type of effect is chosen:
Treatment of arthrosis of the toes
Arthrosis of the big toe is a disease in which the processes of inflammation of the soft tissues around the cartilage and its immediate destruction occur. In the people, this ailment is sometimes mistakenly called "gout", although it has nothing to do with true gout. Mostly they suffer from women.
How to recognize? Stages of the disease
To determine for yourself the disease, pay attention to the symptoms that accompany it: puffiness, redness of the skin, hot surface of the skin area, along with pains that increase by night - these are external manifestations, according to which you can theoretically understand that you have problems. However, these same symptoms can accompany a banal bruise, so for an accurate diagnosis it is necessary to undergo an X-ray examination. In addition, it will help to rule out the onset of the disease with arthrosis of the other toes, which is also more than likely if you do not consider it necessary to seek medical help.
The disease has several stages, and the more the process is started, the more difficult, longer and more expensive it will cost to treat it.
- 1st stage. At this stage, you can feel some stiffness in the area of all toes, occasional mild pain accompanied by swelling, redness of the skin;
- 2nd stage. The pain intensifies, the mobility of the affected area decreases, and a specific crunch can occur when walking. The inflammatory processes of soft tissues increase, the area of the edema becomes hot;
- 3rd stage. In the absence of treatment, arthrosis of the toes enters such a stage, in which the bone tissue begins to expand, the lateral bone is released to the side due to deformation of the foot. This is very much hampered when walking: shoes rubs, presses on the inflamed bone, causing acute pain. Finding the right shoes becomes incredibly difficult.
About the causes of the disease
To determine the cause of the disease, it is not always possible. Medicine conditionally divides it into 2 types:
- primary, in which the origin and cause of the disease is not detected;
- secondary, which develops as a result of injuries, fractures, bruises and inflammations.
In the list of reasons are the features of the anatomical structure of the foot - for example, the shape of the foot, in which the lateral bone strongly protrudes to the side, creating inconvenience, it also includes flat feet.
Increased strain on the feet when walking creates an additional risk of developing arthrosis of the big toe. At risk are those who are obese or use uncomfortable, pressing shoes with high heels or stilettos with narrow "noses".
Finally, there are diseases that often lead to the destruction of articular cartilage. This includes various endocrine diseases, tuberculosis, rheumatism, menopause in women. Contribute to the development of disease and frostbite.
How to treat it
First of all, remember that the diagnosis, determination of the method of treatment of this disease should deal exclusively with a specialist. On your own, you will never be able to accurately determine the cause, stage, and choose an adequate treatment, even if it seems to you that you know something about it. Visit the doctor, tell him about the diseases that you are concerned about, take a survey, do an x-ray. General knowledge of how to cure this ailment should only complement the doctor's prescription.
Treatment of arthrosis of the big toe begins with determining the cause of the disease. The main steps are aimed at getting rid of these reasons, which were described above. Therapy also includes the use of anesthetics and preparations to restore the structure of the articular cartilage.
Effective in this case can only be a comprehensive approach to the treatment of arthrosis of the big toe. Therefore, the doctor will appoint, in addition to medicinal preparations, therapeutic physical training, certain physiotherapeutic procedures, which must be performed regularly, daily, with a large share of responsibility. If it is not enough to approach this case responsibly, one can never be cured, because it is physiotherapy that is one of the main ways of treatment. A good effect in the treatment of arthrosis is the use of non-steroidal anti-inflammatory drugs.
There are cases when conservative treatment does not lead to positive results, despite all efforts. Then surgical intervention is justified, but this case is the most extreme when other methods no longer help.
Preventive measures: how to prevent disease?
So, based on all of the above, you can deduce a few tips on prevention, following which you can prevent the development of this insidious disease:
- consult a doctor at the earliest bells that can alert( redness and swelling, slight pain that pass at rest);
- pick up comfortable shoes that do not rub or press. Do not use high heels, shoes with narrow noses, because this shape of the shoe deforms the foot and causes illness;
- fight the excess weight: obesity contributes too much strain on the foot during walking, which inevitably leads to problems with the joints;
- Try to treat your inflammatory diseases on time, without waiting for complications.
By observing these simple rules, you can significantly reduce the risk of developing arthrosis of the big toe.