Шишка на ноге возле большого пальца чаще всего проявляется у женщин, чем у мужчин. По статистике, с каждым годом патология молодеет и нередко проявляется не только в преклонном возрасте, но и у девушек. Называется болезнь вальгусной деформацией стопы и является серьезным ортопедическим дефектом, который значительно снижает качество жизни человека. Связана патология с деформацией сустава, приводящей к росту косточки большого пальца, на фоне которого она отклоняется от своего привычного положения.
Шишка на ноге не только уродует стопу, но и доставляет дискомфорт, который выражается ухудшением самочувствия на фоне болезненных ощущений при ее воспалении. В итоге при таком дефекте сложно найти подходящую обувь. Игнорирование заболевания на начальной стадии усугубляет проблему.
Шишка на стопе возле большого пальца является головкой плюсневой кости стопы. Нормой считается, когда все пальцы расположены параллельно друг к другу и тесно соединены между собой сухожилиями. Но вследствие патологических изменений связок большой палец начинает отклоняться в сторону и в итоге располагается под углом к плюсневой кости. Чем выше степень деформации, тем больше выпирает шишка на стопе. В зависимости от степени развития дефекта может возникать боль, которая является следствием воспалительного процесса синовиальной сумки. Она располагается непосредственно между фалангами и плюсневой костью и наполнена жидкостью для уменьшения силы трения над суставом.
Причины развития заболевания могут быть различны. Специалисты выделяют несколько основных факторов, способствующие появлению ортопедического дефекта:
- малоподвижность;
- работа стоя;
- наследственная предрасположенность;
- лишний вес;
- приобретенные травмы;
- плоскостопие;
- сопутствующие заболевания суставов;
- выбор неправильной обуви;
- остеопороз;
- нарушения работы эндокринной системы;
- возрастные изменения;
- недостаток кальция в организме;
- сахарный диабет.
Причиной заболевания может быть повышение уровня мочевины в крови, вследствие чего возникает сбой пуринового обмена в организме. Это происходит из-за беспорядочного приема мочегонных средств, несбалансированного питания, непривычных тяжелых нагрузок.
В зоне риска находятся люди, подверженные хронической усталости и регулярному переутомлению.
40% женщин и 20% мужчин склонны к этой патологии. Такая разница обусловлена тем, что первые зачастую неудобную обувь на каблуке, дающую усиленную нагрузку на стопу.
В большинстве случаев начальные симптомы заболевания проявляются к 30 годам. Характерным является то, что патология не возникает мгновенно, а может развиваться на протяжении длительного периода времени. Поэтому стоит обращать внимание на любые незначительные симптомы, которые могут проявляться в виде следующих признаков:
- 1. Вечером ощущается сильная усталость в ногах.
- 2. Трудно выбрать подходящую обувь, так как в области большого пальца во время примерки ощущается дискомфорт.
- 3. При длительной носке даже удобных изделий появляется чувство жжения, ломоты и боли в ногах.
- 4. Со временем возле мизинца может образоваться новая шишка.
- 5. На стопе регулярно появляются мозоли без видимой на то причины.
- 6. Постепенно большой палец и другие меняют свое направление.
- 7. Выпирающая шишка растет и доставляет дискомфорт не только при нагрузке, но и в период покоя.
Отсутствие своевременного лечения приведет к дальнейшему прогрессированию патологии и усугублению болезненных симптомов.
Заболевание имеет несколько этапов развития, которые характеризуются специфичными признаками:
Стадия заболевания | Описание |
Первая | Угол отклонения большого пальца не превышает 20 градусов, появляется маленький мягкий на ощупь бугорок. При ходьбе отсутствуют явный дискомфорт и боль |
Вторая | Угол отклонения находится в диапазоне от 20 до 30 градусов. Начинают появляться проблемы с выбором подходящей обуви. В конце дня ощущаются дискомфорт и боль в области деформации. Шишка становится более твердой. На стопах могут регулярно появляться натоптыши. После длительной ходьбы наблюдаются нестерпимые болезненные ощущения |
Третья | Угол отклонения большого пальца составляет от 30 до 50 градусов. Болезненные симптомы явно выражены при любой незначительной нагрузке. Движения человека приобретают скованность. Проблематично становится надевать обувь |
Четвертая | Отклонение превышает 50 градусов. Болезненные ощущения являются нестерпимыми, причем не только при ходьбе, но и в период покоя. Наблюдается уплотнение костной ткани, шишка становится твердой и постоянно воспаляется. Человек не может длительно стоять на ногах. На этом этапе лечение возможно только с помощью хирургической операции |
Чтобы определить диагноз и назначить курс терапии, необходимо обратиться к врачу. Ортопед проводит визуальный осмотр и определяет степень развития заболевания. Чтобы выявить причину ортопедического дефекта, необходимо несколько обследований. Они включают в себя:
- оценку походки пациента;
- положение сустава стопы;
- анализ с целью выявления воспалительного процесса;
- замер амплитуды движения большого пальца;
- обследование на предмет сопутствующих патологий и дефектов в организме.
При возникновении сомнений во время установки диагноза врач может назначить дополнительные обследования: рентген, компьютерную плантографию и подометрию.
Лечение наиболее эффективно на начальной стадии заболевания. Если шишка на стопе возле большого пальца еще мягкая и не доставляет особого дискомфорта человеку, то достаточно перейти на удобную обувь, что исключает трение и нагрузку на проблемное место. Эта мера поможет остановить дальнейшее увеличение угла отклонения большого пальца.
Зачастую пациенты считают, что можно избавиться от дефекта с помощью различных мазей и гелей. Однако все средства наружного применения проникают только в верхний слой кожи и не воздействуют на хрящевые или костные ткани.
Для снятия болевых ощущений лечащий врач может назначить препараты противовоспалительного свойства: Диклофенак, Ибупрофен, Нимесулид. Они не устранят патологию, но помогут уменьшить его симптомы.
Первые три степени развития заболевания подлежат лечению с помощью вспомогательных методик терапии. Они могут проводиться и в домашних условиях.
Основные методы вспомогательной терапии:
Наименование способа | Суть |
С помощью фиксаторов | Помогают зафиксировать большой палец стопы в необходимом положении и способствуют тренировке мышц и суставов. В случае сильного отклонения этот способ лечения не используется, так как исправить положение кости он не сможет |
С помощью шин и стяжки | Этот метод терапии используется на третьей стадии патологии. С помощью специальных устройств проводится корректировка и фиксация правильного положения большого пальца и плюсневой кости. Со временем ортопедический дефект проходит |
С помощью гимнастики и массажа | Исходя из степени патологии, лечащий врач назначает проведение массажа, в том числе и аппаратного. Этот способ помогает улучшить кровоток, предотвратить застой крови в конечностях и позволяет расслабить мышцы и связки стопы, что способствует устранению дефекта |
Лечение заболевания на четвертой стадии развития проводится с помощью хирургического вмешательства. На сегодняшний день существует несколько видов операций, каждая из которых проводится стационарно под наблюдением врача в течение 2 недель. Реабилитационный период составляет от 4–6 недель — в зависимости от сложности заболевания.
Распространенные виды операций:
- Шевронная остеотомия. Проводится путем небольшого разреза стопы с дальнейшей фиксацией головки плюсневой кости в правильном направлении при помощи специальных шурупов и проволоки.
- Плюсневая остеотомия. Изначально операция осуществляется на первой пястной кости, а в итоге проводится формирование сухожилий в правильном направлении, что способствует нормализации свода стопы в целом.
- Остеотомия по методике Шарфа. Кости стопы фиксируются с помощью специальных винтов и корректируется направление сухожилий.
Инновационным методом лечения шишки возле большого пальца является лазерная терапия. С помощью луча проводится шлифовка выпирающий косточки. Длительность операции составляет 1 час, осуществляется она под местным наркозом. Уже через 2–3 дня пациента выписывают с дальнейшими рекомендациями.
Никакой метод лечения не гарантирует отсутствие рецидивов патологии. Если человек продолжит вести неправильный образ жизни и не примет профилактических мер по предупреждению повторов, то проблема проявится еще в большей степени.
На начальном этапе развития заболевания возможно применение средств народной медицины, которые помогут остановить дальнейший рост косточки и снять боль, если она воспалилась и опухла.
Этот метод терапии дает ощутимые результаты, если патология не является ярко выраженной.
Помогают снять опухоль и устранить болевые симптомы в проблемном месте. Существует несколько распространенных рецептов приготовления лечебных ванн:
- 1. Сушеные листья березы, мелиссы, тополя и чабреца в равном количестве нужно измельчить. Необходимо залить 350 г полученной смеси трав водой (3 л) и проварить в течение 5 минут. Следует остудить средство до теплого состояния. Проводить процедуру нужно 25 минут.
- 2. В тазу с теплой водой необходимо растворить 10 капель йода и 100 г соли. Принимать ножную ванну следует в течение 20 минут. По окончании процедуры нужно вытереть стопы насухо, а на шишку нанести йодовую сетку. Затем следует завернуть ноги в фольгу и надеть носки.
- 3. В теплую воду необходимо натереть 50 г хозяйственного мыла. Нужно держать ноги в тазу 25 минут, массируя шишку.
Эффективно лечение шишки на стопе с помощью различных компрессов.
Самые действенные рецепты терапии в домашних условиях:
- 1. Устранить выпирающую косточку можно с помощью желчи, которая продается в любой аптеке. Для этого необходимо смочить марлю в средстве и приложить компресс к проблемному месту. Сверху нужно обернуть его бумагой и зафиксировать с помощью шерстяного носка, что усилит действие препарата. Длительность лечения составляет 2 месяца при ежедневном применении.
- 2. Свежие лавровые листья (12 штук) необходимо залить нашатырным спиртом (100 мл). Смесь следует поместить в керамическую непрозрачную емкость, накрыть крышкой и настоять в прохладном месте 7 дней. По истечении времени нужно использовать средство дважды в день, делая компрессы на ночь. Терапию необходимо проводить 2 месяца (ежедневно).
- 3. Для лечения можно использовать средства из меда и соли в равных пропорциях. Следует размешивать ингредиенты, пока масса не станет белой. Средство нужно наносить на шишку стопы, накрывая сверху пищевой пленкой и фиксируя шерстяным носком. Лечение необходимо продолжать 1,5 месяца, применяя компресс дважды в день.
Народные средства с добавлением йода помогают не только убрать боль, снять опухоль, но и уменьшают размер нароста. К наиболее популярным рецептам относятся следующие:
- 1. Необходимо смешать йод, уксусную эссенцию и глицерин по 30 мл с водой (60 мл). Перед втиранием полученного средства в нарост следует пропарить ноги в солевом растворе (1 ст. л. на 1 л воды ) в течение 20 минут. Терапию нужно продолжать ежедневно и в течение 3 месяцев.
- 2. Следует растворить в 50 мл йода 6 таблеток анальгина. Необходимо наносить смесь на шишку не менее 5 раз в день, после чего надевать шерстяной носок. Проводить лечение нужно до устранения болевых симптомов.
- 3. Остановить рост шишки поможет следующее средство: необходимо растворить 10 таблеток аспирина в 10 мл йода и добавить 10 мл настойки золотого уса. Полученную смесь нужно наносить на воспаленную область ежедневно (в течение 3 месяцев).
Лечение шишки на стопе не понадобится, если соблюдать правила профилактики. Избежать роста косточки помогут следующие принципы:
- сбалансированное питание;
- контроль над лишним весом;
- отказ от тесной обуви и с высокими каблуками;
- оздоровительная гимнастика;
- отказ от вредных привычек;
- сбалансированные нагрузки и отдых;
- регулярное посещение ортопеда.
Необходимо вовремя обращать внимание на любые изменения стопы и прибегать к помощи профессионалов, что поможет предотвратить дальнейшее развитие патологии.
Появиться шишка на большом пальце ноги может под воздействием нескольких негативных факторов. В медицине подобное искривление пальцев известно под названием вальгусная деформация на стопе. Вследствие патологии у человека возникает боль и дискомфорт в суставе нижних конечностей. Если вовремя не убрать шишку, то появляется искривление позвоночника вследствие неправильного распределения нагрузки.
Главные причины
Чрезмерная масса тела
Нарушение называется вальгусной деформацией и возникает у взрослых и детей. Проявиться шишка у основания большого пальца ноги может из-за воздействия различных негативных факторов. Нередко причина патологического нароста заключается в усиленной нагрузке на суставы, которая связана с лишним весом. При увеличенном давлении суставы больших пальцев растут неправильно, что приводит к деформационным процессам в мускулатуре и костях.
Шишка около косточки проявляется часто у полных людей, которые постоянно находятся на ногах в связи с работой.
Неправильно подобранная обувь
Если опух палец на ноге и появился костный нарост, то, возможно, это связано с неудобной либо некачественной обувью. По этой причине нарушение часто отмечается у представительниц слабого пола, которые злоупотребляют высокими каблуками или танкеткой. В таком случае вероятность образования шишки в разы увеличивается. Патология является следствием неправильного распределения нагрузки на ноги, вследствие чего фиксируется уплотнение в области мизинца или большого пальца.
Гормональный дисбаланс
Образование шишек на ногах происходит по причине нарушенного гормонального фона. После проведения медикаментозного лечения и стабилизации уровня гормонов шишечка может пройти сама по себе. Такая проблема чаще отмечается у женщин в следующие периоды:
Нарушенный свод ступни
При поперечном плоскостопии риск возникновения шишки на ногах увеличивается. Патологический процесс связан с возрастными изменениями, вследствие которых нагрузка на суставы увеличивается. Если появилась шишка, то это может говорить о нарушенном анатомическом строении первой плюсневой кости, которая со временем отодвигается ближе к центру оси.
Нехватка кальция
Шишка на косточке большого пальца формируется у людей при выраженном дефиците кальция. К недостатку микроэлемента приводит неправильное либо несбалансированное питание, нарушенное усвоение кальция. Также повлиять на дефицит способны некоторые медикаменты, которые пациент принимает долгое время. Пожилые люди часто сталкиваются с проблемой вследствие повышенных показателей АД. При лечении гипертензии употребляются мочегонные медикаменты, вымывающие кальций из организма.
Заболевания, провоцирующие нарушение
Нередко источником нароста на большом пальце ноги становятся патологические состояния. К таковым относят:
- артрит разного типа;
- дегенеративно-дистрофическое заболевание суставов с повреждением хрящевых тканей;
- инфекционные болезни;
- нарушенный обмен веществ, вызывающий воспаление суставов и хрящей;
- сахарный диабет;
- дисфункция щитовидной железы.
Вернуться к оглавлению
Как распознать шишку возле большого пальца на ноге?
Из-за появления шишек на пальцах ног пациент жалуется на дискомфортные ощущения, нарушающие привычный ритм жизни. Нередко фиксируется отек и чувство жжения в нижних конечностях. Отклонение быстро прогрессирует, вызывая болевые ощущения. При образовании шишки отмечается такая клиническая картина:
- Отклонение большого пальца в сторону, ближе к телу. По мере прогрессирования отклонения, он находит на рядом расположенные пальцы.
- Перекручивание и изуродование ступни.
- Явная шишка в месте поврежденного подвижного сочленения, при которой возможен подвывих.
- Отложение солей кальция в пораженной области, вследствие чего пациента беспокоят сильные боли.
- Припухлость, покраснение и отек пальцев на ноге. Неприятные ощущения беспокоят независимо от физических нагрузок и длительной ходьбы.
- Невозможность подобрать обувь.
На поздних стадиях шишки становятся большими, а симптоматика проявляется еще ярче. В таких случаях устраняют патологию оперативным путем.
Диагностические процедуры
Если болит шишка возле большого пальца, то требуется обращаться к доктору и выяснять причины ее появления. Такое нарушение не проходит самостоятельно и требует квалифицированной врачебной помощи. При сформировавшейся шишке обращаются к терапевту, ортопеду, хирургу, травматологу. Специалист осмотрит поврежденную зону и назначит делать следующие диагностические манипуляции:
- Рентген ступни. Основной метод диагностики, выполняемых в трех проекциях.
- Компьютерная подометрия. При обследовании распознается шишка при начальном формировании.
- Компьютерная плантография. Является современной диагностической методикой, посредством которой стопа фиксируется на специальной платформе. Пациент оставляет свой отпечаток, благодаря которому доктору удается выявить деформационные процессы в области пальцев.
- Магнитно-резонансная томография. При диагностике оценивается состояние костного аппарата и мягких тканей.
Вернуться к оглавлению
Как можно вылечить?
Традиционные способы
Лечить шишку на большом пальце ноги требуется разными методами, которые доктор прописывает каждому пациенту индивидуально. Необходимо использовать специальные стельки, мягкие вкладыши в обувь. Также прописывают препараты разного воздействия, позволяющие уменьшить патологические проявления. Основу медикаментозного лечения составляют такие средства:
Наружно можно наносить на больное место Долобене.
- Локальные медикаменты. К таким относят мази, гели, кремы, купирующие воспалительный процесс в большом пальце. Основные лекарства:
- «Диклак гель»;
- «Вольтарен»;
- «Долобене».
При шишке проводится пункция, во время которой доктор устраняет внутрисуставный экссудат. Процедура требуется при чрезмерном скоплении патологической жидкости. После пунктирования в подвижное сочленение вводят стероидное гормональное средство — «Кеналог» и другие. Благодаря процедуре удается снизить воспалительную реакцию в структурах большого пальца. Также прописывается пациенту с шишкой физиотерапия, включающая такие процедуры:
- электрофорез;
- лечение парафином;
- озокеритовые аппликации.
Снизить нагрузку на подвижные сочленения и уменьшить рост шишки на большом пальце возможно посредством снижения веса и соблюдения диетического питания.
Можно ли вылечить народными средствами?
Возможно проводить лечение шишки на большом пальце ноги без операции, используя консервативные средства и природные компоненты. Рекомендуется делать ножные ванночки с применением целебных трав. Хорошим противовоспалительным действием обладают белокопытник, буквица, донник, золотой розгой, зизифус и другие травы. Можно лечить шишки такими рецептами:
- Выполнение аппликаций с применением ржаной муки, кефира и скипидара. В средство добавляют щепотку соли.
- На вылезшей шишечке рисуют сеточку из йода.
- На поврежденном участке фиксируют листья мать-и-мачехи и лопуха посредством бинтовой повязки.
Вернуться к оглавлению
Удаление шишки с помощью операции
Когда консервативное лечение шишек не приносит результатов, то назначается хирургическое вмешательство. Хирургию возможно проводить разными методами, основными из которых являются следующие манипуляции:
- шевронная либо плюсневая остеотомия;
- операция по Шарфу.
Благодаря операции удается исправить угол между плюсневыми костными структурами ступни. При разрушении подвижного сочленения требуется суставное оперативное восстановление. Такой метод терапии травматичный и требует длительного периода восстановления. При реабилитации проводят физиопроцедуры, принимают специальные медикаменты.
Профилактика
Не допустить формирование шишки на ногах у большого пальца возможно, если регулярно проводить профилактические меры. Носят удобную и комфортную обувь, женщинам не рекомендуется злоупотреблять каблуками более 4 см. Требуется нормализовать вес и в дальнейшем правильно питаться. Хорошей профилактикой является хождение босыми ногами по песку, земле, траве.
Шишки на пальцах ног — это проявление различных заболеваний и сложных деформаций стопы. Несмотря на общие черты всех этих «шишек» — на пальце или на ступне что-то начинает выпирать, причины появления «косточек» абсолютно разные, и соответственно, лечение их совершено разное.
В независимости от этиологии, все «шишки» причиняют косметический дефект, доставляют боль, мешают ношению обуви.
При некоторых «косточках» консервативные методы лечения достаточны и не требуется хирургическое лечение. При других – оперативные методы лечения являются единственным решением проблемы.
Эффективность лечения зависит от точности диагностики и выбора правильного метода лечения. Неправильная диагностика и методы лечения могут гарантировать только потерю вашего времени и денег, а иногда и здоровья.
Ознакомьтесь с разными видами «шишек» и с некоторыми заболеваниями, при которых возможно их образование.
1. Шишки в области I плюснефалангового сустава, образованные остеофитами.
Hallux valgus
а. Внешний вид стопы | б. натоптыши на подошве стопы |
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Это самая частая причина появления шишки. Она сопровождается с опущением сводов ступни. Косточка при вальгусной деформации имеет следующие особенности:
- твердая, неподвижная, увеличивается в размерах медленно;
- быстрое увеличение размеров косточки связано с развитием бурсита;
- располагается у основания I пальца;
- первый палец отклонён кнаружи;
- на подошве стопы могут образоваться омозолелости (натоптыши);
- часто наблюдается деформация 2 пальца.
Артроз I плюснефалангового сустава
По периметру суставных поверхностей I плюсневой кости и основания проксимальной фаланги I пальца образуются костные разрастания.
- «косточка» образуется по большей части в области головки I плюсневой кости на тыльной стороне ступни, но остеофиты могут быть по всему периметру сустава;
- I плюснефаланговый сустав в основном деформируется изолированно.
- прежде всего ограничиваются движения в суставе, а в дальнейшем могут вовсе и отсутствовать;
- пациенты чувствуют сильную боль, которая со временем становится постоянной.
а. вид стопы сбоку | б. вид стопы сверху |
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в. рентгенограмма стопы | г. изменения сустава |
«Шишка» при артрозе плюснефалангового сустава |
2. Мягкотканые шишки в области I плюснефалангового сустава
Характерные особенности: мягкая, подвижная, болезненная, тёплая на ощупь, быстро может увеличиться в размерах.
Бурсит слизистой сумки плюснефалангового сустава
Чаще всего это заболевание появляется, когда имеются костнче наросты в области I плюснефалангового сустава. Иногда оно может развиваться самостоятельно, например, когда при ношении тесной обуви слизистая сумка хронически травмируется, трется об обувь.
- появляется припухлость на внутренней стороне ступни у основания I пальца;
- появляется внезапно, быстро увеличивается в размерах;
- имеется покраснение кожи в области шишки, она часто бывает горячей на ощупь, болезненной, мягкой;
- иногда определяется жидкость в ней;
- консервативное лечение эффективное и быстро дает хороший результат.
Бурсит в сочетании с hallux valgus и деформацией тейлора, молоткообразной деформацией II пальца |
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Артрит первого плюснефалангового сустава
При артрите «шишка» образуется за счет воспаленных мягких тканей, отека, увеличения количества синовиальной жидкости. Чаще всего причинами артритов являются подагра, инфекционные заболевания (реактивный артрит), системные заболевания (ревматоидный артрит). Характерные симптомы «шишки» при артритах:
- кожа в области основания первого пальца покрасневшая, припухлость располагается по всему периметру сустава, часто очень болезненна;
- на ощупь она мягкая, горячая, может быть очень болезненной;
- в некоторых случаях повышаться общая температура тела;
- консервативные методы лечения эффективные и быстро дают положительный результат;
- выбор метода лечения зависит от причин артрита.
Острый артрит I плюснефалангового сустава |
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3. Шишки на 2-4 пальцах стоп
Шишки на 2-4 пальцах стопы – это результат молоткообразной, когтеобразной и молоточкообразной деформации пальцев. Отличительные особенности:
- она всегда образуется головкой проксимальной или дистальной фаланги пальца и костными наростами. Иногда объем «косточки» увеличивается за счет воспаления мягких тканей;
- она всегда располагается на тыльной поверхности пальца в области проксимального либо дистального межфалангового суставов;
Молоткообразная деформация пальцев, вид стопы сверху и сбоку |
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4. Деформация тейлора (портного)
Деформация тейлора характеризируется варусным отклонением V пальца и вальгусным отклонением пятой плюсневой кости.
Характерные признаки «шишки» на стопе:
- располагается у основания мизинца;
- пятый палец отклонён кнутри, в некоторых случаях еще и кверху;
«Косточка» при деформации тейлора в сочетании с бурситом |
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- «шишка» резко увеличивается в размерах, становиться болезненным, когда развивается бурсит слизистой сумки пятого плюснефалангового сустава.
«Шишки» и рентгенограмма стопы при деформации тейлора |
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5. Артроз суставов предплюсны
Суставы предплюсны образуются между костями среднего отдела стопы. Средний отдел стопы постоянно переносит большие нагрузки во время ходьбы и бега, травмируется (микротравмы).
Суставные поверхности при этом повреждаются, хрящ истончается, со временем появляются остеофиты (костные наросты) – развивается артроз.
- эти «косточки» твердые, часто болезненные, могут увеличиться в размерах при воспалении мягких тканей;
- они появляются на тыльной поверхности в области подъёма стопы;
- ходьба в узкой обуви может быть очень болезненной.
а. Остеофиты при артрозе плюснеклиновидного сустава |
а. Шишка при артрозе плюснеклиновидного сустава |
---|
6. Гигрома стопы
Гигрома – это «грыжа» суставной капсулы или сухожильного влагалища. Выпячивание может образоваться на тыльной поверхности стопы от голеностопа до пальцев.
Особенности гигромы на ступне:
- Образуется на тыльной поверхности стопы. Гигромы на подошвенной поверхности стопы – это скорее исключение.
- В начале возникновения периодически появляется и исчезает, затем становится постоянной.
- Безболезненная, плотной или мягко-эластичной консистенции, часто подвижная.
- При натирании с обувью могут появляться признаки воспаления: покраснение, боль, отечность.
- При ношении узкой обуви причиняет дискомфорт, боль.
Внешний вид стопы при гигромах |
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7. Подагрический тофус
Подагра – заболевание, связанное с нарушением пуринового обмена. Тофусы при подагре – это отложения солей мочевой кислоты в тканях.
- Подагрой чаще болеют мужчины, и основной причиной обращения к ортопеду являются тофусы;
- расположение тофусов сильно колеблется: от пальцев ступни до ушных раковин.
- размер их варьируется — от нескольких миллиметров до гигантских размеров;
- тофусные опухоли плотные и безболезненные;
- при хронической травматизации обувью, они могут воспаляться, инфицироваться и нагнаиваться;
- когда тофусы вскрываются, при этом из них выделяется белая масса (кристаллы уратов);
- 15-20% больных подагрой – носители уратных камней.
Внешний вид стопы при подагрических тофусах |
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Тактика лечения:
- После консервативной терапии и стабилизации уровня урикемии показано удаление тофусов.
- Операции предпочтительно выполнять при небольших величинах тофусных опухолей, не дожидаясь роста их или гнойносвищевых осложнений.
- Операции носят местнопластический характер и индивидуальны в зависимости от величины и локализации тофуса.
Как поступить? Самолечение или помощь ортопеда?
Узнав, какими разными могут быть «шишки» на стопах, можно понять, что и лечение разное!
Для лечения в одних случаях достаточно применять физиотерапию, мази и подобрать комфортную обувь, в лечении других надо обязательно лечить основную болезнь, проявление которой — «косточка», в-третьих – необходима хирургическая коррекция деформации и удаление костного нароста.
Однако очень многие вместо того, что бы обратиться к квалифицированному ортопеду для точной диагностики заболевания (шишки)и правильного лечения, ищут лёгкие способы убрать «косточку». А предложений, по лечению «шишек» существует очень много – от чудодействующих лекарств и мазей до насекомых и мочи.
Современная медицина, конечно, не отрицает эффективность народного лечения в определенных случаях, но для их правильного применения, обязательно знать, что мы лечим. Также надо понимать, что две и более болезни могут сочетаться.
Увы, часто мы желаемое воспринимаем за действительное. Чтобы разобраться в причинах болезни и принимать эффективные методы лечения, недопустимо самолечение.
Квалифицированный ортопед поможет Вам избавиться от вашего заболевания (шишки) быстро, без потери вашего времени и без ущерба вашему здоровью.
Muchas gracias. ?Como puedo iniciar sesion?
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