[This site - shoes and life] Reporter: How do women who love to wear high heels prevent and treat hallux valgus?
Experts: Specific measures for preventing and treating hallux valgus—choosing good shoes, correct posture, reasonable rest, and scientific exercise. Try not to wear high heels. If you have to wear it for various reasons, be sure to choose a suitable pair of shoes. The heel should not be too high, and the ability to grip is better. Generally, it should not exceed 10 cm.
The toe should be loose, so that the toe has a certain amount of space in the inside, so that it does not feel any pressure, in particular, can not wear sharp and thin high heels. When purchasing, first determine whether the curvature of the soles of your feet matches. The front of the toe and the top of the shoe should have a gap of 2-3 cm. The heel should not be too small and the toe should be loose. Heel height 2-4 cm best.
The best choice for buying shoes is from 3pm to 4pm. At this point try on 10 minutes or walk a few steps to ensure that the shoes fit comfortably.
Wear new shoes to have a certain run-in period, it is best to wear at home for a period of time, and then go out to wear. Note occasions, don't crowd the car at ordinary times or wear it on uneven roads, and you shouldn't run away or run uphill.
Do not wear high heels of the same height at all times to prevent the feet from being squeezed at the same place. The best time to wear high heels every day is not more than 6 hours. The office prepares a pair of comfortable flat shoes and wears them alternately with high heels. Go home to hot feet, do barefoot exercises, strengthen the muscle strength of the soles, and delay the deterioration of toe valgus.
Daily use of a finger to move the big toe to the inside can also effectively prevent the toe from escaping. After each time he takes off his high heels, he uses a rubber band to grab the big toes of both feet and then stretches it to both sides, just like a hand-operated puller. Do dozens of back and forth, insisted every day, so that it can play a role in the opposite direction, to avoid excessive inward tilting of the hallux to prevent hallux valgus.
Mild hallux valgus can be inserted between the first and second toe pads, and the splints are placed on the inside of the hallux at night to gradually straighten the big toe. Or with some orthopaedic devices, such as toe valgus orthosis (day, night orthoses) long-term wear toe valgus orthosis, have a certain correction effect on hallux valgus. At the same time, use corrective shoes or flat foot insoles to correct the flat foot.
In addition, we must pay attention to self-care: appropriate increase in outdoor sports and exercise. Increase the intake of calcium and vitamins to ensure the normal needs of bone metabolism, eat more milk, eggs, soy products, vegetables and fruits, eat more foods high in calcium. Excessive protein intake promotes calcium excretion from the body. Overweight persons control diet and lose weight.
When the above conservative treatment can not be effectively corrected, surgical treatment should be taken, which is the most effective treatment. When the early toe valgus deformity is not very serious, some simple surgical methods can be used, such as soft tissue surgery (the tendon and ligament release). The purpose of surgical treatment of hallux valgus is mainly to relieve pain, and it is not advocated for correction of painless or painlessly deformed patients.
Reporter: Flatfoot disease is a relatively common foot deformity. It can occur in children, adolescents, and adults. How to prevent it?
Experts: Flat foot disease is mainly characterized by the lowering or disappearing of the arch of the foot, and the development of bones and joints and soft tissue lesions of the foot can be complicated at a certain stage, resulting in clinical symptoms such as lower limb pain, weakness, and limited walking. The inconvenience and pain.
Flatfoot disease can be divided into congenital flatfoot and acquired flatfoot. Congenital flatfoot is a collapse of the arch caused by congenital factors. In addition to congenital factors, juvenile pedicures can also be caused by standing too long, too much weight, lack of nutrition, lack of rest, gradual chronic strain and atrophy of the ligaments and muscles of the foot, resulting in rupture of the spring ligaments and decidua, resulting in medial longitudinal The bow collapsed to form a flat foot.
Therefore, non-congenital flat feet occur in young adults who are underdeveloped and have weak muscle ligaments and who work in standing positions.
There are many causes of adult-induced flatfoot disease, such as posterior tibial tendon insufficiency, joint degeneration, trauma, diabetes, rheumatoid arthritis, neuropathic lesions, and tumors, among which posterior tibial dystrophy is the most common. the reason.
The onset of flatfoot disease is hidden. In the early stages, there is pain and swelling in the middle and midfoot of the midfoot. It can spread to the lower part of the lower leg. In the early stage of walking, she is fatigued and unable to function. As the disease progresses, the patient can find that his arch is collapsed. He often walks on the medial side of the foot, may have claudication, and has lesions in the bones, joints, and soft tissues of the foot. The height of the arch is lost, and the front foot is gradually outreached. Evolving gradually, showing a clear flat foot deformity, when the heel valgus and forefoot outreach is obvious, there may be impact and pain between the calcaneus and the external hemorrhoids, can not wear shoes and other normal.
In the case of acquired flatfoot disease, prevention can be prevented by taking care to avoid standing for a long time, exercising properly, paying attention to rest, combining work and rest, balancing nutrition, avoiding obesity and wearing inappropriate shoes.
Once flatfoot disease occurs, early stage patients can be prevented from developing flatfoot deformity by alleviating ligament tension supporting the arch, alleviating clinical symptoms, improving rearfoot alignment, and treating primary disease. Such as rest, anti-inflammatory drugs, plaster fixation, arch pads, orthopedic shoes, braces, weight loss and so on.
For conservative treatment ineffective surgical treatment. There are many surgical methods for the treatment of flatfoot diseases, and the specific plan needs to be different according to the assessment results and subjective wishes of patients. Different patients should develop individualized treatment plans according to the needs of patients.
Reporter: There is also a foot deformity - high bow foot, how to treat and prevent?
Experts: High arched foot is a common foot deformity. As its name suggests, it is a deformity characterized by the elevation of the arch of the foot. The common cause is a permanent plantar flexion of the forefoot caused by a neuromuscular disease, which increases the height of the arch of the foot. Occasionally, unexplained persons may be referred to as idiopathic high archers.
The high arched foot often incorporates one or more other compound deformities, including clawed toes, rotational adduction of the forefoot, plantar flexion of the midfoot, dorsal bony prominence, inversion of the hindfoot, or slight eversion. Common types include high bow toes, high claw claws, high varus feet, high pedicled feet, high arches and walking feet.
It is reported that the incidence of Gao Gongzu is between 2% and 29%, with an average of about 10%. The causes of the high bow foot are complex and can be divided into: neuromuscular, congenital, acquired and idiopathic, of which about 80% are neuromuscular diseases.
The overall structure of the foot of the high arched foot loses its desired elasticity, it cannot absorb the shock properly, and it may feel tired and uncomfortable when standing or walking. In addition, people with high arched feet have only the front foot and back foot in contact with the ground, so that the average pressure on the sole is greater than that of the normal person, so it is prone to fatigue or pain and afflicts the patient's body and mind.
However, many patients are asymptomatic. Treatment should start with non-surgical treatment. Mildly ill patients can achieve good results through standardized conservative treatment. Surgical treatment needs to determine the deformity of the foot, targeted corrections, and to retain motor function as possible. The key factors that determine the symptoms of high arched feet and the choice of treatment methods are not the etiology and age, but the anatomical structure and flexibility. Soft tissue surgery is the best choice for younger patients with unstiffed foot stiffness, flexion and softness, and osteoarthritis for patients with malformed fixed and stiff bones. The etiology, location, number, degree of stiffness of the malformation, and whether or not the tendon transposition is required to maintain orthoticity after osseous surgery are all important factors in determining the prognosis of the treatment of high archers.
Prevention of high bow foot should pay attention to diabetes and obesity. According to surveys, 57% of 2047 diabetics have neuromuscular foot and 24% have high bow. The method of preventing high arches is to stretch the thigh muscles, which can relieve the excessive tension of the thigh muscles induced by high archers. Support the wall with your right hand and pull your right foot backwards until you feel the thigh muscle tighten. Hold it for 10 seconds and repeat 10 times. (Cooperative Media: Garment Collocation)
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