Often wear pointed shoes, old toe to osteotomy

● long-term wear pointed high-heeled shoes can easily cause thumb valgus, resulting in pain in patients with foot, can not walk away

● In order to avoid the occurrence of hallux varus deformity, hard-soled shoes should be worn with a soft insole inside and the heel should not exceed 5 cm.

In the patriarchal world, women’s feet are devastated. In order to cater to the men's misshapen aesthetic interests, they have wrapped their feet for more than 1,000 years. This habit of making foot deformities has just been abolished, and many beauty-loving women have also taken the initiative to put on heels with ultra-high heels and ultra-narrow toe caps. High-heeled shoes with high heights can easily cause injuries to the knees, knees, hips, and spinal cords. This has gradually become known to the general public. However, the damage caused to the feet by the narrow toe cap has not received enough attention. Experts said that long-term wear high-heeled pointed high-heeled shoes can easily cause thumb valgus, resulting in pain in patients with feet, can not go a long way, even if wearing comfortable shoes does not work. If they want to walk like normal people, they have to do toe osteotomy surgery.

Text / Reporter Wu Junyi correspondent Li Bingjie

Medical Director/ Dr. Xiao Jin, Head of the Department of Foot and Ankle Surgery, Orthopedic Hospital, Guangzhou General Hospital of Guangzhou Military Command

15 degrees of thumb is deformed

The pointed high-heeled shoes can express a pair of beautiful legs of a woman, but Dr. Xiao Jin, head of the Department of Foot and Ankle Surgery, Orthopaedic Hospital of Guangzhou General Hospital of the Guangzhou Military Region believes that the narrow toe makes the toes suffer compression, and the second toe has to ride on the first toe. Above the (thumb), after twenty or thirty years, the thumb valgus is formed. When a woman is older, her ligaments and muscles gradually relax, which can aggravate the symptoms of thumb valgus. The method of checking for deformity on your own is simple: stand upright, close your feet, and see if your thumb is tilted toward the second toe. If you tilt more than 15 degrees, turn your thumb out.

Thumb valgus can simultaneously form a large deformity of the bones, that is, the bones of the base of the thumb protrude inward. The appearance is very unsightly. The patient may say: “I don’t wear shoes with bare feet!” But not so, the big bones would put shoes The top was bad. Those who used to wear 37 yards of shoes now wear 38, 39 yards. Xiao Jin said that some patients broke a pair of shoes every month.

The thumb also squeezed the other toes into a "hair-like deformity," in which the four small toes spread outwards, as though the wind had blown away. In addition, the skin under the thumb or the rest of the toes will grow under the pressure of the corn.

All of the above symptoms can cause pain, leading to the patient not being able to go far, even if wearing comfortable shoes does not work. Many elderly women believe that this is a natural manifestation of aging and that they do not seek treatment. The quality of life in later years is greatly compromised.

Mo Kui believes in "big bone shaping"

If he has been deformed into a deformed shoe, Xiaojin suggests adopting conservative and radical treatment measures depending on the severity.

People with early deformities should immediately wear appropriate shoes and insert a separate pad between the toes. At night, they should also be fitted with corrective splints. These appliances are best customized to regular hospitals, which can delay the development of deformities.

If the deformity is severe, osteotomy surgery is required. Xiao Jin introduced that the operation should cut off a small segment of the first metatarsal and phalanges. The specific cut should be determined according to the degree of deformity, and then use steel plates or screws for internal fixation. After surgery, special braces and special shoes are worn, and rehabilitation training is conducted under the guidance of a doctor. If the operation is successful, it will take half a year to walk freely, for example, to travel.

Xiao Jin also pointed out that at present, many non-standard medical institutions to play "bigfoot plastic" ads, claiming that "minimally invasive surgery", "will be able to go," so in fact only to do toe soft tissue repair, did not correct the bones Abnormalities, so the symptoms are easy to relapse; some organizations also dare to do osteotomy, but without a good fixed treatment, easily lead to non-union fractures and endless trouble.

Once the deformity of the thumb has disappeared, the pressure on the other toes is correspondingly relieved, and "hair-like abnormalities" will naturally recover, but severe cases must also be corrected by surgery. The corns on the soles of the feet can only be softened and slashed after the bones have been relieved from compression, otherwise they will be rejuvenated soon after removal.

The best time to buy shoes in the afternoon

In order to avoid the occurrence of valgus deformity and maintain the health of the foot, Xiaojin proposed the general principle of choosing shoes: hard-soled shoes should be worn, there should be a soft insole inside, and the heel should not exceed 5 cm. Such shoes are not only comfortable, but also help push the pace.

During the day, in the afternoon, the feet of the person will be thicker than at other times. At this time, it is most appropriate to choose shoes. When buying shoes should be relaxed enough, do not think of the first to buy smaller yards of shoes, and so wear a while will become loose and Xiao Jin said it is to cut foot and fit. Many parents bought large yards of shoes in advance for their children, and would not need to buy new shoes frequently. Xiao Jin said that it was smart, because too loose shoes are not stable and can easily damage children's foot ligaments.

Different sports should wear different shoes, Xiao Jin introduced, should pay attention to the following points:

To play badminton, wear one yard of shoes and wear thick socks in order to adapt to frequent emergency stop motions, and the characteristics of the latter half of the feet will become larger after playing badminton;

To play tennis, wear shoes that are firm on both sides to adapt to the frequent running of the bottom line;

To play table tennis, wear shoes with strong grip and good slip resistance;

Playing basketball should wear high-top shoes to protect the ankles, so as to adapt to the action of jumping on the basket;

To wear football, wear shoes with nails in front of the soles, and strengthen the front half;

Jogging shoes should be worn for jogging to cushion the pressure of the foot.

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