Ощущение болезненности в мизинце возникает нечасто, в большинстве случаев поражаются большие пальцы или подошвы стоп. Дискомфорт в последнем пальце многие игнорируют, что, к сожалению, приводит к поздней диагностике и продолжительному лечению.
Согласно статистике, в половине случаев боль объясняется всего лишь внешними поражениями: вросшим ногтем, грибковым заболеванием или обыкновенной мозолью. Однако на оставшиеся 50% приходятся более серьезные патологии, которые затрагивают суставы, околосуставные ткани. Нельзя исключать и некоторые системные болезни, оказывающие негативное влияние на состояние стоп.
Если болит мизинец на ноге, то причиной может быть любое из нижеперечисленных состояний:
- артрит, артроз;
- бурсит;
- тендинит;
- остеомиелит;
- неврома Мортона;
- сахарный диабет;
- атеросклероз;
- деформации стоп;
- болезни кровообращения (эндартериит);
- травмы.
Артрит и артроз
Несмотря на разницу в характере патологического процесса, эти два заболевания имеют сходные симптомы. Суффиксы в названии болезней отражают суть происходящих в суставе изменений. «Ит» – воспаление, «оз» – деструктивный процесс в органе.
Воспаление в суставе при артрите возможно при постоянной травматизации, открытых или закрытых травмах суставов. Развитию артрита может предшествовать регулярное физическое перенапряжение или переохлаждение. Реактивный артрит появляется вследствие попадания инфекции в организм, на фоне ревматизма суставы поражает ревматический артрит.
Нарушение обмена веществ, при котором в органах и тканях накапливаются соли мочевой кислоты, приводит к возникновению подагрического артрита. При поражении пальцев ног артритом наблюдаются боли в суставах, присутствуют и признаки воспаления – отечность и покраснение.
Для ранних стадий артрита характерно появление боли после физической нагрузки или длительного состояния покоя (ночной сон). Именно утренняя скованность в сочленении является характерным спутником воспалительного заболевания суставов.
Основными признаками артроза является боль и снижение подвижности в суставе. Сначала пациента беспокоит только небольшой дискомфорт при сгибании, сопровождаемый хрустом. В дальнейшем болевой синдром появляется даже при незначительной физической нагрузке. К вечеру интенсивность симптомов достигает своего пика, но после ночного отдыха человек чувствует себя гораздо лучше.
Из-за перерывов между приступами болезненности люди, страдающие артрозом, могут долго не догадываться о своей болезни. Опасность состоит в том, что со временем боль усиливается, становится трудно ходить, но главное – на поздних стадиях невозможно вылечиться с помощью традиционных методов. Когда болезнь зашла слишком далеко, пациенту предлагается протезирование суставов.
Неврома Мортона
Межплюсневая невринома, или неврома Мортона, представляет собой патологическое утолщение подошвенного нерва, вызывающее болезненность в области основания трех последних пальцев. Причина заболевания остается невыясненной до конца. Многие специалисты сходятся во мнении, что нерв подвергается излишнему давлению вследствие ношения неудобной и тесной обуви, особенно на высоком каблуке.
В результате перегрузки переднего отдела стоп возникает воспаление нерва, который увеличивается в размерах и болит. Характерным признаком невромы Мортона является одностороннее поражение, хотя не исключено повреждение нерва на обеих ногах сразу.
Хроническое раздражение нерва чаще всего испытывают женщины, которые предпочитают модельную обувь на шпильке. Помимо боли, возникают и другие неприятные ощущения при невриноме – онемение, жжение, покалывание. Нарастание симптомов наблюдается сразу при надевании туфель.
«Что делать?», – спрашивают пациенты на приеме у врача. В первую очередь рекомендуется сменить обувь на более комфортную. В этом случае есть все шансы на избавление от патологии. Очень эффективны ортопедические стельки, которые помогут восстановить поперечный свод стопы. Это резко уменьшит вероятность ущемления нерва в межплюсневом пространстве.
Если не помогает консервативное лечение (физиотерапия, кортикостероидные блокады), то прибегают к хирургическому вмешательству. После иссечения пораженного нерва или релиза связки (рассечения поперечной связки плюсны) функция стопы не нарушается.
Врастание ногтя
Вросший ноготь на мизинце – весьма болезненное явление, которое гораздо проще предупредить, чем лечить. Однако далеко не всегда ноготь врастает из-за неправильной гигиены или радикального обрезания.
Причин онихокриптоза, как принято называть эту патологию в медицине, может быть несколько:
- врожденные или приобретенные деформации стоп;
- лишний вес и отекание ног;
- травмирование пальца или части стопы;
- грибковое поражение ногтя;
- тесная и жесткая обувь.
Симптомы онихокриптоза нельзя не заметить: появляется уплотнение с одной или нескольких сторон ногтя, проблемное место краснеет и реагирует на прикосновения резкой болью. На этой стадии необходимо принимать меры, поскольку в дальнейшем возможно нагноение под ногтем, сильное распухание пальца и, как следствие, усиление болевого синдрома. Если это произошло, не стоит заниматься самолечением и применять народные средства, а как можно скорее обратиться за квалифицированной медицинской помощью. В противном случае возможны серьезные осложнения вплоть до удаления пальца.
Сахарный диабет
Проблемы со стопами при сахарном диабете возникают не сразу, а спустя несколько лет после начала заболевания. На ранних стадиях развития «диабетической стопы» наблюдаются такие признаки, как жжение, покалывание, онемение и боль в пальцах. Кроме этого, следует обратить внимание на такие проявления:
- ссадины и ранки на ногах заживают очень медленно;
- ногти меняют цвет, темнеют;
- кожа пяток трескается, между пальцами возникает раздражение;
- часто появляются мозоли, натоптыши;
- стопа деформируется – искривляются пальцы, большой палец отклоняется вовнутрь.
При имеющемся диагнозе «диабет» и наличии вышеописанных признаков нужно обязательно проконсультироваться с врачом и выполнять его рекомендации.
Остеомиелит
Если боль в мизинце вызвана гнойным воспалением, поразившим костную ткань, диагностируют остеомиелит. Болезнь развивается не только в самой кости, но и в костном мозге, близлежащих мягких тканях. Возбудителем остеомиелита являются стафилококки, преимущественно золотистые, стрептококки, синегнойная палочка, а также различные бактерии – спорообразующие, клебсиеллы, легионеллы.
Заболевание может поразить любого человека независимо от пола и возраста. Инфекционные агенты проникают в организм вместе с кровотоком или из очага воспаления. Нередки случаи заражения остеомиелитом в результате проникающих травм: при пломбировании зубных каналов, эндопротезировании, а также после переломов.
Стоит отметить, что первыми появляются общие признаки – повышается температура тела, начинается лихорадка, учащается пульс. И только через 2-3 дня возникает болевой синдром в месте воспаления. При подозрении на остеомиелит больного в обязательном порядке госпитализируют и проводят лечение в условиях стационара.
Общий план терапии следующий:
- прием антибиотиков;
- проведение дезинтосикационных мероприятий – переливание плазмы крови и ее заменителей;
- прием иммуномодуляторов и витаминных комплексов;
- лечение в гипербарических барокамерах.
Прогноз при остеомиелите почти всегда благоприятный, исключение составляют хронические формы заболевания.
Эндартериит
При поражении периферических сосудов нижних конечностей, когда сужается сосудистый просвет, и замедляется кровоток, возникает так называемый мигрирующий флебит. Первыми признаками заболевания являются дискомфортные ощущения в ступнях и пальцах ног – жар или зябкость, жжение, онемение и потеря чувствительности по типу «мертвого пальца».
Пациенты отмечают, что при ходьбе и движениях ногам становится то жарко, то холодно. Клиническую картину дополняют боли в икрах, вынуждающие прихрамывать или вовсе остановиться. В состоянии покоя болевой синдром стихает, но потом возвращается снова при попытках двигаться.
Все дело в том, что в норме сосуды при физической нагрузке расширяются, но в данном случае все наоборот: происходит патологическое сужение сосудов. Именно поэтому ноги мерзнут, когда жарко, и сильно потеют при низкой температуре.
Благоприятный прогноз при эндартериите возможен только при раннем выявлении болезни. Запущенные формы могут потребовать хирургического лечения, которое заключается в ампутации части конечности.
Травмы
При внезапном и сильном мышечном сокращении суставные поверхности костей могут смещаться, и тогда диагностируется вывих. Мизинец имеет достаточно слабые мышцы и связки, поэтому травмируется чаще остальных.
Поскольку при вывихах задеваются нервные окончания, в момент получения травмы пациент ощущает резкую боль. Палец сразу же принимает неестественное положение и становится красным. Немного позже покраснение сменяется бледностью, а в области вышедших за анатомические границы суставов костей появляется отек.
Двигать пальцем при вывихе невозможно, так как это усиливает болевой синдром. Именно эта особенность отличает вывих от подвывиха, когда движения пальца практически не вызывают затруднений.
Перелом мизинца встречается почти в 5% случаев от общего числа переломов нижних конечностей, поскольку кость последнего пальца очень тонкая. Иногда при такой травме к врачу не обращаются, оставляя ее без должного внимания. Однако следует знать, что переломы могут давать инфекционные осложнения, а вследствие сдавления мелких кровеносных сосудов нарушать кровообращение.
Чтобы не допустить негативного развития событий, нужно пройти лечение под наблюдением травматолога. Это особенно важно при сложных и открытых переломах, когда требуется специальная обработка и репозиция костей.
После того как кости срастутся, начнется реабилитационный период. В это понятие входят физиопроцедуры, лечебная гимнастика, массаж. Специалисты советуют пройти полный курс лечения, чтобы функция стопы осталась такой, как была до травмы.
Современной медицине известно множество заболеваний, которые проявляются болью в мизинце стопы. Если травмы не было, кожный покров и ноготь не поврежден, то поставить точный диагноз может только врач на основе проведенного обследования.
Некоторые болезни гораздо легче поддаются лечению на начальных стадиях, чем запущенные и застарелые формы. Чтобы не пропустить серьезную патологию и избавиться от неприятных симптомов, нужно нанести визит доктору и сделать все необходимые исследования. Будьте здоровы!
Вообще любая патология, развивающаяся в нижних конечностях, вызывает сильный дискомфорт и в значительной мере ухудшает качество жизни. Чтобы побыстрее избавиться от неприятных ощущений, следует выяснить причину и приступить к ее устранению.
Почему мизинец на вашей ноге сильно болит? Давайте вносить ясность.
Из-за чего палец может болеть
Наиболее часто встречаются такие причины:
- нарушение кровоснабжения;
- артроз;
- ревматоидный артрит;
- неврома Мортона;
- вросший ноготь;
- мозоли;
- натоптыш.
Проблемы с сосудами
Мизинец (или, к примеру, безымянный палец) на ноге опух и болит после долгой ходьбы или пребывания на холоде? Вероятно, у вас имеется нарушение кровоснабжения в нижней конечности.
Такого рода расстройства встречаются чаще всего у:
- злостных курильщиков;
- диабетиков;
- мужчин после 30 лет.
Спровоцировать замедление кровотока способны:
- атеросклероз;
- облитерирующий эндартериит.
Из-за недостаточного поступления питательных веществ и кислорода начинают происходить дегенеративные изменения в мягких и твердых тканях нижних конечностей. Первым признаком является как раз боль в мизинцах. Со временем она распространится на голень.
- повышенная сухость кожи;
- бледность пальцев;
- ломкость ногтей;
- выпадение волос;
- чувствительность к холоду.
Артроз
При данном заболевании болит косточка мизинца. Причина в основном одна – обувь с узкими носками. Постоянное ее ношение приводит к деформации суставов стопы и разрушению хрящевых тканей.
На артроз указывают:
- онемение самого пальца и кожи около него;
- боль в сочленении при надавливании;
- скованность движений;
- похрустывание, слышимое при ходьбе.
Если никаких мер не предпринимать, то в дальнейшем заболевание распространится на остальные пальцы.
Ревматоидный артрит
При этом недуге мизинцы начинают болеть обычно ночью, ближе к рассвету. Другими признаками являются:
Специфика болезни в том, что воспаление начинается на обеих ногах одновременно. Кожа в результате краснеет, а иногда и синеет. Повышается локально температура.
Названная патология по-другому еще именуется «фасциитом подошвы». При ней обычно возникает довольно сильная боль. Проблема здесь – воспаление нервных окончаний, расположенных непосредственно в основании мизинца. Дискомфорт возрастает при ходьбе, и неприятные ощущения распространяются на:
- пространство между пальцами;
- икры.
При отсутствии деформации и повреждений суставов, отеки и нытье с большой долей вероятности указывают именно на неврому.
Травмы
Пульсирующие боли в мизинце появляются, если подошва ударилась, к примеру, об угол кровати или ножку стола. Ушиб всегда сопровождается опуханием.
Другие повреждения – вывихи и переломы приводят к:
- полному или частичному обездвиживанию пальца;
- покраснению мягких тканей;
- сильнейшему болевому синдрому;
- быстро распространяющемуся отеку;
- гематомам.
Сахарный диабет
Нередко и в этом случае происходит поражение мизинца. Часто при диабете он чешется. Зуд при этом обычно передается и на окружающие ткани. Проблема образуется из-за ухудшения кровоснабжения и деструктивных процессов, развивающихся в расположенных на подошве нервах.
Усиливается дискомфорт почти всегда ночью.
Вросший ноготь
Как правило, к этому приводят:
- ношение неудобной (чрезмерно узкой) обуви;
- игнорирование правил лично гигиены;
- грибковые инфекции;
- наследственность.
Боли обычно возникают довольно интенсивные. Мизинец опухает. Вокруг ногтя появляется воспаление. Нередко ситуацию усугубляет и внедрение инфекций.
Мозоли и натоптыши
И то, и другое появляется из-за неправильного подбора обуви. В результате постоянного трения и сдавливания кожа грубеет и становится очень толстой. Со временем омертвевший эпидермис растрескивается и внутрь попадает опасная микрофлора. После этого начинается воспаление и отек.
Лечение
Как нетрудно убедиться, боль в области мизинца не появляется изолировано. Таким образом, чтобы ее устранить – необходимо позаботиться о лечении основной патологии.
Точный диагноз самостоятельно поставить невозможно – обратитесь в поликлинику. С рассматриваемой проблемой (если вы точно не знаете, какова ее природа) стоит пойти к терапевту. После осмотра доктор направит вас к узкому специалисту:
- хирургу;
- эндокринологу;
- травматологу;
- неврологу;
- ангиохирургу;
- дерматологу.
Если речь идет о проблемах с кровоснабжением или сахарном диабете, следует принимать лекарства:
- обезболивающие;
- противовоспалительные;
- кроверазжижающие.
Важно соблюдать диету. Отказываются от употребления:
Избавьтесь от вредных привычек.
При переломах необходима иммобилизация поврежденного пальца. Вывих вправляет медик. В дальнейшем придется некоторое время походить в жестком бандаже.
От вросшего ногтя избавляют:
- в легких случаях физиотерапевтическими процедурами и лазерной коррекцией;
- в тяжелых – хирургическими методами.
Мозоли и натоптыши устраняются в косметическом кабинете аппаратной шлифовкой или специальными препаратами.
Народные средства
Подобные рецепты помогут уменьшить боль, возникшую в мизинце. Хороший результат, в частности, дает использование следующей мази:
- полстакана оливкового масла разогревают на водяной бане;
- добавляют 20 граммов прополиса;
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Средство остужают и наносят на палец на ночь. Можно также прикладывать мякоть алоэ.
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Кроме собственно терапии, целесообразно принять ряд мер, которые позволят быстрее добиться выздоровления. Рекомендации следующие:
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Серьезные заболевания нижних конечностей связаны с пятками, подошвой в целом и отдельными пальцами в частности. Нередко болезнь поражает большие пальцы ног, однако иногда ощущается боль в мизинцах. Но на это люди редко обращают внимание, они обращаются к врачу слишком поздно, когда болезнь находится на последней стадии развития. Поэтому даже при незначительных болях или проявлении новых неприятных ощущений в ступнях или пальцах, следует сразу посетить врача.
Причины возникновения боли
Люди, сталкивающиеся с этой проблемой впервые, естественно, не знают, почему болит мизинец на ноге. Далее ознакомимся с наиболее распространенными причинами болезненных ощущений в области мизинца.
- Воспаляется вросший ноготь. Обычно врастание ногтевой пластины происходит на большом пальце, как на левой ноге, так и на правой ноге. Хотя рассматриваемая проблема может порой затрагивать и мизинец. Также отметим, что вросший ноготь способен провоцировать инфекционное заболевание или появление грибка.
- Мозоль. Данное образование представляет собой ороговевшие участки эпидермиса. Главной причиной возникновения подобных новообразований может выступать именно обувь. В тесных туфлях происходит трение пальцев о внутреннюю сторону. Так что новая пара обуви вполне способна выступать причиной покраснения мизинца на ноге. Сложнее бороться с мозолями, если так называемые ножки этих новообразований начинают разрастаться в ширину.
- Травмы. Если на ноге болит мизинец, то причиной этому может быть ушиб или любая другая травма.
- Деформация. При неудобном положении стопы на протяжении нескольких месяцев, есть большая вероятность деформации мизинца. Неудобное положение подошвы может являться результатом неправильно подобранной обуви.
- Поражение мизинца грибком. На первых стадиях эта болезнь проявляется покрасневшим пальцем ноги, воспалением, зудом и жжением. Достаточно часто происходит деформация ногтя. Все перечисленные причины, вызывающие боли мизинцев, составляют половину всех случаев дискомфортных ощущений.
- Артрит. Это болезнь носит эндогенный характер, что вызывает воспалительное поражение суставов. Симптомы артрита проявляются следующими ощущениями: хруст и боли в суставах, покраснение, отечность и повышение температуры тела.
- Артроз. Данной болезни не всегда свойственно агрессивное протекание.
- Подагра. Чаще встречается у представителей сильного пола.
- Поражение костной ткани под названием остеомиелит.
- Неврома. Болезнь связана с процессом разрастания нервной ткани стопы.
- Сахарный диабет. Эта болезнь тоже является причиной поражения структур стоп и ногтей.
Вполне «обыденные» не столь существенные на первый взгляд причины – могут провоцировать болевые ощущения. При проявлении хотя бы одного из признаков серьезного заболевания – рекомендуется сразу обратиться к врачу. Большинство болезней на начальной стадии протекают вяло и незаметно. Когда симптомы проявляются более явно – болезнь зашла слишком далеко и лечить ее значительно сложнее.
Методы диагностики
Если на ноге начались проблемы с мизинцем, то по симптомам сложно распознать болезнь. Одни заболевания дают о себе знать на поздних этапах развития, другие «перекликаются». Это значит, что некоторые симптомы могут характеризовать сразу многие болезни. Далее ознакомимся с методами диагностики болевых ощущений, столь необходимыми для выяснения причин возникновения недугов.
- Рентгенография. Это первый метод, позволяющий оценить то, в каком состоянии находятся суставы. Одного сеанса может вполне хватить для правильного определения диагноза.
- Если рентген не помог, врач проводит опрос пациента или сбор анамнеза. Это совокупность сведений, которые врач получает от пациента при его опросе.
- Визуальный осмотр пораженного участка, в данном случае, мизинца. В некоторых случаях таким образом можно сразу поставить правильный диагноз.
- Функциональные тесты. Дискомфорта или болей не причиняют, однако выступают весомым источником «сведений». Пациенту необходимо слушать врача, выполнять его указания, а затем объяснять свои ощущения. Функциональные тесты выявляют степень кровоснабжения, насколько подвижны суставы, не пропала ли чувствительность кожного покрова.
- УЗИ для суставов. Диагностика может быть назначена при подозрении на артрит и остеоартроз.
Не стоит самостоятельно ставить себе диагноз. Если начать лечить палец на ноге не от той болезни, то положительного результата не будет. Однако неправильное лечение доведет болезнь до последней стадии и тогда врачи лишь разведут руками. Так что стоит уделить особое внимание вопросу диагностики.
К какому врачу обратиться
В зависимости от поставленного диагноза и причин возникновения недуга, лечением будет заниматься один из следующих профильных специалистов:
- Травматолог. Он займется мизинцем пациента, если палец подвергся механическому воздействию, например, удару. В общем, при любой травме мизинца, лечением займется травматолог.
- Ортопед. В его обязанности входит лечение опорно-двигательного аппарата.
- Ревматолог. Этот специалист часто работает в паре с ортопедом. Оба врача помогают пациенту справиться с причиной появления ревматоидного артрита.
- Эндокринолог. Он должен сначала вылечить диабет, благодаря чему, проблема больных пальцев пройдет сама собой.
- Нефролог. Специалист по почкам занимается лечением пальцев, если причиной заболевания является почечная недостаточность. Естественно, что этот врач не лечит пальцы напрямую, но он лечит почки, после излечения которых, и мизинцы перестанут болеть.
- Флеболог. Этот специалист занимается проблемами, связанными с сосудами. Приведя все вены и капилляры в здоровое состояние, перестанут болеть и пальцы на ногах.
Если болят пятки, стопы или пальцы, а вы не знаете, что делать, тогда обратитесь хотя бы к участковому врачу, который направит к специалисту. Ведь только квалифицированный врач знает, как лечить любую болезнь.
Методы лечения
Если причиной появления болей мизинца является травма, тогда врач назначает пациенту ортопедическое лечение. На палец накладывают эластичную повязку или гипс. Это сделает палец неподвижным, благодаря чему, выздоровление наступит значительно быстрее.
В случае разрушения сустава или получения тяжелой травмы, без хирургического вмешательства обойтись невозможно. При запущенном остеомиелите, даже возможна ампутация мизинца. Однако при периодически возникающих болях в мизинцах, не следует сразу паниковать, поскольку они не всегда являются предвестниками серьезных заболеваний. Единственное, что нужно сразу сделать – это обратиться к врачу. Повышенная бдительность лишней не бывает.
- Анальгетики. Для подавления болей, врач назначает Пенталгин, Анальгин, Баралгин и другие обезболивающие лекарства.
- Противовоспалительные препараты. Чаще – это нестероидные средства, такие как Нурофен, Ибупрофен, Найз, Кеторолак. Они эффективно снимают воспаление.
- Противогрибковые препараты. Это мази и кремы для местного применения. При остеомиелите врач прописывает антибиотики или инъекции. Все зависит от стадии болезни.
Не стоит доводить заболевание до запущенной стадии. Даже при незначительных болях в пальцах ног – необходимо сразу обратиться к врачу. Каждому известно, что положительный и быстрый результат от лечения, возможен только в начале развития болезни.
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