Question: Hallux Valgus (Thumb Bone Protrusion)

1.Hallux Valgus disease (bone protrusion of the big toe) is more common in women.

The full Turkish version of Hallux Valgus disease is the big toe. It means bending outwards. This disease is popularly known as "big toe protrusion" or "bunion". In this disease, the metatarsal bone of the first toe bends inward and the big toe bone bends outward, creating a corner, and the bone becomes protruding from the corner point. This disease usually starts very mildly at an early age and becomes more serious over time. When it exceeds a certain angle, it begins to cause symptoms that reduce the patient's quality of life, cause pain, and make it difficult for him to walk and wear shoes.

2.Are silicones between the fingers curative in hallux valgus disease? ?

Visible redness, swelling and inflammation are observed on the skin on the outer surface of the gradually deformed thumb bone. People feel pain, soreness and numbness when wearing shoes and walking. Silicone devices can prevent and relieve the pressure of the shoe on the skin and inflammation area for a short time, but this feeling of relief is temporary.

Silicones are not curative of the disease, they cannot correct the existing deformity (protrusion) in the bone in any way. Since they will narrow the space inside the shoe, they may cause damage to other toes and other deformities. Therefore, if the silicone apparatus in question is presented to patients by emphasizing their bone-correcting effect, it will cause harm rather than benefit to patients by delaying the treatment of Hallux Valgus disease due to the misperception that may occur.

3. What are the effects of Hallux Valgus on daily life?

The effects occur as the disease progresses. Its most important effect is that it seriously reduces the quality of life of patients. First of all, quality of life begins to decrease with pain and redness on the edge of the big toe. Later, patients have difficulty wearing shoes. Women may initially have difficulty wearing high-heeled shoes. But move forward In the early stages, patients have difficulty wearing even normal sports shoes. As a result, patients feel a decrease in their mobility. They reduce the amount of daily energy burned. They cannot move very easily, cannot walk or do sports properly. Therefore, even if they consume the normal amount of their daily diet, their weight may begin to increase as the calories they burn decrease. Patients usually express this as follows: 'Doctor, I eat normally, there is no exaggeration, but I started to gain weight, everything I eat works!'. In such cases, we should know that this pain in our feet may cause this, even though it may seem unrelated. It should not be forgotten that in a passive life, we will catch chronic diseases such as heart, blood pressure and diabetes much more easily.

4. Is Hallux Valgus a common disease in our country?

Hallux Valgus is a very common disease all over the world, as well as in Turkey. “18-65 scar is a disorder that can be seen in 25 percent of adults. This disease is 4 to 7 times more common in women than in men. It is possible to see this disease in 6-7 women compared to 1 man. This is thought to be due to genetic factors as well as women's use of high-heeled, pointed and narrow shoes. Although this has not been scientifically proven, if we are prone to this disease and wear these shoes very often, the possibility of contracting this disease increases. After the age of 65, the incidence of the disease increases to 35 percent. 35 out of every 100 people in the society over the age of 65 are diagnosed with this disease.

5. Does wrong shoe choice cause Hallux Valgus?

Wrong shoe choice alone is not a factor that causes Hallux Valgus. Our patient must have a genetic background, that is, a familial predisposition. If such patients wear narrow, high-heeled pointed-toed shoes (stilettos), it is inevitable that the disease will progress and the symptoms will become more serious.

6. How is Hallux Valgus surgery performed?

The surgery technique varies depending on the degree and type of the disease. The treatment of the disease is complete without surgery. It is not possible. Non-surgical preventive measures are taken only to reduce the patient's complaints. However, the complete treatment is achieved by completely correcting the deformity in the bone and reshaping the bone so that it does not recur.

7. Can both feet be operated on in the same session in Hallux Valgus surgery?

Both feet can be operated on in the same session.

8. What is the recovery period for Hallux Valgus surgery?

This process usually goes as follows. On the first day, they can get up and walk normally. On the third day, they will be able to do every job in daily life. They can return to their normal work lives in the 1st to 2nd week. Of course, unless this is a job where you have to work standing all the time. One important point is that there is no need to use any cast or crutches after this surgery. Patients do not need bed rest. We provide appropriate rest time according to the job they work on. The only thing we ask is that they must wear the shoes they will be given for 6 weeks after the surgery. It is no different from normal shoes, but it has a design that will ensure the comfort of patients after surgery and protect the operated area. With this shoe, they can quickly return to their normal daily lives.

9. What are the techniques applied in Hallux Valgus surgery?

More than one technique can be applied in Hallux Valgus surgery. The surgical technique is determined according to which type of Hallux Valgus the patient has and the degree of the disease. In more advanced types of the disease, different techniques are applied as the angular difference progresses. There is also a technique performed by making incisions on both the bottom and top of the foot. In this technique, the patient's post-operative recovery period may be longer than in other techniques. But if it is not done with this technique, there may be a possibility of the same disease recurring in the future. For this reason, it is necessary to design the correct treatment according to the current situation.

10. Does the treatment of Hallux Valgus disease become more difficult as it progresses?

In fact, it is a situation that is valid for all diseases. Let's not say that the treatment of Hallux Valgus becomes more difficult as it progresses, that is, as the deformity increases, but is becoming more complicated. It is still fully treatable. Patients can regain full and permanent health, but to point out some differences; The surgery may take longer and the patient's recovery time may be longer after surgery.

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