Bale

Here is a prominence of the medial portion of the metatarsal head with a tendency to inflammation. The reasons are mostly changes in position of I. metatarsals or the big toe, z. B. a lateral angulation (bunion). Frequently it comes to secondary osteoarthritis or spur formation. The symptoms include pain, redness, bursitis medial to the joint and a slight synovitis. The diagnosis is made clinically in general. Therapeutic enough space for the big toe should be the one in the footwear, protective pads and orthoses are added. In addition, when bursitis and synovitis is present, also may help a Kortikosteridinjektion.

(See also overview of diseases of the feet and ankles.)

Here is a prominence of the medial portion of the metatarsal head with a tendency to inflammation. The reasons are mostly changes in position of I. metatarsals or the big toe, z. B. a lateral angulation (bunion). Frequently it comes to secondary osteoarthritis or spur formation. The symptoms include pain, redness, bursitis medial to the joint and a slight synovitis. The diagnosis is made clinically in general. Therapeutic enough space for the big toe should be the one in the footwear, protective pads and orthoses are added. In addition, when bursitis and synovitis is present, also may help a Kortikosteridinjektion. (See also overview of diseases of the feet and ankles.) Enabling factors for the development are excessive pronation of the foot by wearing narrow and pointed shoes and sometimes trauma. The misalignment of the joint surfaces causes arthritis with cartilage erosion and formation of exostosis, this leads to constraint (Hallux limitus) or cancellation (hallux rigidus) of the mobility in the joint. In the late stage synovitis with joint swelling occurs. In response to the pressure exerted by too tight shoes pressure, an accessory bursae may form medial to the prominence of the metatarsal head, in turn, pain, swell and may ignite (Inflamed big toe.). Inflamed big toe. An inflamed big toe is often caused by a bunion. By the pressure due to tight fitting shoes a bursa can develop. Symptoms and complaints The first symptom of a bale is usually the pain in the bony prominence when wearing certain shoes. The joint capsule may be sensitive to pressure at any stage of the disease. To the later symptoms include painful, over-heated, fluctuating and moving medial localized swelling (accessory bursitis) and swelling and mild inflammation in the entire joint (active arthritis) that is circumscribed. In hallux rigidus limitus or the passive mobility is restricted, there is a pressure pain at the dorso-lateral side of the joint and an abnormal dorsiflexion of the distal phalanx. Diagnosis Clinical examination The clinical findings are specific in general. An acute to the whole joint-reaching pain, warmth, swelling and redness have a gout or infectious arthritis (think this one Synovialanalyse the distinction is sometimes necessary. When you attack multiple joints is from gout or other rheumatic system disease to think. If an activated osteoarthritis is believed should continue radiographs. Suspicious findings include joint space narrowing, and bony spurs run out of the metatarsal heads, or sometimes from the base of the proximal phalanx. periarticular erosions (Martel-mark) in the imaging studies indicate gout. therapy Wide toe in the shoe, ball cushions, orthotics or a combination treatment of complications Slight discomfort may already by J h mend wearing shoes made of stretchable material or with sufficiently large toe compartments. If that is not enough, the big toe pads can protect (available in most stores) the painful area. It can also be derived by the prescribing of orthoses of the pressure from the affected joint and thus reduced. If conservative treatment fails, is to think of a surgical procedure to correct deformities of the joint surfaces and restore joint mobility. If the patient is not willing to wear big, wide shoes for receiving the bales because they are unattractive, surgery may be considered. However, the patient should be told that after surgery orthoses must be worn to reduce the risk of recurrence. In bursitis, the joint aspiration and injection of a corticosteroid are indexed. In an activated osteoarthritis (secondary synovitis), the symptoms caused by NSAIDs or an injection can be reduced with a combination of corticosteroid and topical anesthetic. In hallux rigidus limitus and the therapy is aimed at obtaining a joint mobility by means of passive stretching exercises, sometimes the injection of a local anesthetic for reducing muscle spasms here is additionally necessary, and sometimes a surgical elimination of contractures. Important points Excessive pronation in the ankle (pronation), wearing tight and pointed shoes and sometimes increase the risk of trauma prominence of the medial portion of the first Metatarsalgelenks (big toe). Symptoms include pain, swelling and synovial or cystic a restriction of passive joint mobility. To Bestägigung diagnosed with the clinical findings are used. The initial treatment comprises shoes with a wide or expandable toe, ball cushion, orthoses or a combination.

Health Life Media Team

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