Foot. About the feet and ankles, hammertoe, crooked big toe, flat feet, arthritis surgery and rigidifying surgery.
Everyone is aware of the possibility of artificial hip or knee joint in osteoarthritis. Few are aware, however, that in some cases also can be inserted prosthesis in ankle or big toe part if there is painful osteoarthritis. This has improved the possibilities for many patients who previously might have had to settle with posts in the shoes or leather caps. Specialists can now be much more help patients with a painless condition with new, advanced surgical procedures. In some cases it is still best with rigidifying operations to ensure pain relief.
Operation feet and ankles
Surgical interventions could include:
- Osteoarthritis Operations prosthesis or rigidifying surgery.
- Forefoot or metatarsal operations by aligning the crooked big toe with a bunion.
- Forefoot operations with correction of painful forefoot fallout and hammer toes.
- Straightening of painful flat feet or hollow foot.
- Different telescope operations in ankle joints.
- Stabilizing surgery of the ankle with new and effective method.
- Treatment of nerve inside pinching syndromes.
Surgery is usually done as keyhole surgery. Other possible operations on the front foot and ankle may be such as bunions at the heel, changes in the Achilles tendon, tendon nodules, pinched nerves in the forefoot and ankle. Common to all of operation of the feet, is that the operated area will often be closed for a long time after the operation, 3-6 months depending on the intervention and the patient age.
Orthopedic shoes, inserts and special footwear
There are specialty shops in footwear and accessories in case of problems with feet. For example, forefoot, flat feet and severe degree of flat feet, arthritis, inflammation of the Achilles, hammertoe, hollow foot, heel spurs, bunions, corn, lesion of the heel pad, ingrown nails, crooked toes and pinched toes. Footwear that may help alleviate, prevent and cure some of the conditions as acute or more permanent can affect our people. Goods and products that can make life easier for both disabled, elderly, athletes, pregnant women and others who will need special footwear and help for your feet. Grant: You can apply for funding for orthotics and orthopedic shoes if you have permanent and severe malformations, and if the genes of malformations can be corrected.
Loose ankles are often following ankle distortion with torn ligaments in the outer knuckle. If retraining is not provide acceptable performance, the treatment is operative. In the surgical treatment using one of the tendons behind the outside knuckle for reconstruction of the destroyed ligaments (Evans operation). Finishing the plaster or other dressing for 4 to 5 weeks followed by 2 weeks of light load. After rehabilitation with usual activities and a full sports after 10 weeks.
Misaligned big toe (hallux valgus) may be congenital, but usually begin gradually in adulthood. Up to 15 degree skew is considered normal, and treatment will only be present when the gap exceeds 20 degrees. In connection with the bias developed a bunion on the side of big toe grundled so that both bias and bunion often treated simultaneously with an operation on the foot's first metatarsal bone. Forefoot operations are modular, so by the large imbalances will further correction is often necessary, but after treatment is the same; crutches and a special shoe (toe shoes) for 4 weeks. In the healthy foot can be recommended that a shoe with heel height as a special shoe, so as to prevent the genes, typically in the back. The dressing is changed after 3 days, and dressing and threads removed after 10 days. When can you go to work again? Typically you will need 10-12 days of sick leave, depending on one's work. If you walk a lot (eg craftsman, nurse) must be prepared for even longer sick leave, depending on how you are operated on.
Hammer (digitus Malleus) has a curvature of the toe intermediate or outer sections. This often results in pressure sores on the upper side of the toe. If it can not be solved with roomy footwear, the treatment is surgical. There are different approaches depending on whether the toe is resilient (mobile) in its curvature, or it is rigid (fixed) in the curvature. A mobile hammertoe can often be corrected by surgery on the tendons and joint capsules, whereas a fixed hammertoe bone requires correction. Dressing and threads removed after 10 days. Incapacitation 3 to 4 weeks.
Stiff big toe
Stiff big toe (hallux rigidus) is a disorder that develops slowly and gradually reduces the backward bend in the big toe part. It often causes pain during the portion of the forefoot, which lies between the big toe and little toe, because due to the reduced backward flexion of big toe part is forced to evert the foot against the outside of time settlement. If using rigid footwear where there is no possibility of any backward flexion of the forefoot, the pain will not be provoked. When the big toe backward flexion when less than 30 degrees, there will at most common cause loading shoes pain in the forefoot. At that time, a surgical treatment may be required, which in most instances consists of the removal of the bony prominence, which arise on the upper side of the big toe joint. It will often be better behind the bend in the big toe for several years, and when the effect of this operation decreases, consider the insertion of artificial joint in the big toe. There are other surgical methods, but they are often accompanied by a significant reduction of the power of settling time. The surgery is performed in local anesthesia. The wires are removed after 10 days and used a special shoe (toe shoes) for about 2 weeks. The total sick leave is 4-6 weeks.
Flat feet (Pes valgus) is a very common error position in the foot caused by the body's weight causes the muscles and tendons in the arch to collapse. It distinguishes between two types of flat foot, called a movable flat foot (mobile) and a rigid flat foot (rigid). All babies have up to 3-4 years of age a kind of flat foot. The condition is normal, does not generate and disappear when the child grows. Adults with flat feet usually have few or no genes. Symptoms can be fatigue, congestion and pain in the feet and lower legs. This is because a flat foot moves by foot balance and affects the time the settlement. A flat foot can also cause problems such as plantar fasciitis and bunions.
What causes flat feet? The fact that you develop a flat foot can be caused eg obesity, pregnancy, short Achilles tendon, rupture of foot bones, muscle disease or rheumatoid arthritis. How is it diagnosed? Flaf foot detected by examination of the feet and by inspection of the shoes and less extent via radiography. Crucial is whether the state allows genes. How is flat foot? Should only be processed if the foot causes symptoms. The best way to treat flat feet is by use of shoes with good arch support under the foot. Alternatively you can use the insoles, which distributes the load across the sole of the foot or individually manufactured support posts and often shoes example MTB shoes. Foot exercises can also help to rebuild muscle strength. In nerve and muscle disease, surgery of the foot will be considered. What is the prognosis? The prognosis is good. The vast majority have very little discomfort, where correction of the footwear will suffice. Complications occur rarely, but in severe cases, you can get osteoarthritis genes when reaching in years.