Шишка на стопе возникает по разным причинам и представляет собой образования разной плотности. Для установления вида патологии требуется проведение обследования. Какие бывают новообразования на ступнях и как их лечат?
Виды шишек на стопе
Существуют разные типы бугорков на ступнях, отличающие друг от друга плотностью, присутствием внутреннего содержания, сопутствующими симптомами.
Мозоли
Это наиболее распространенный тип шишек на стопах. Возникает вследствие трения одежды о кожный покров ноги, особенно если обувь неудобная и наблюдается повышенная потливость.
Мозоли имеют 3 стадии развития:
- Первая. Появляется красный участок кожи.
- Вторая. Образуется пузырь с жидкостью внутри.
- Третья. Волдырь лопается, остается сухая корочка.
Чаще всего такие новообразования возникают на пальцах, подошве, своде стопы. Сопровождается мозоль болевыми ощущениями, выделением прозрачной жидкости или крови.
Выделяют три основных типа рассматриваемых наростов:
- Сухой. Обладает стержнем, который проникает в глубокие слои кожи. При надавливании вызывает болезненность.
- Мокрый. Характеризуется наличием содержимого внутри. При вскрытии в место поражения проникает инфекция, что приводит к развитию гнойного процесса, сопровождается повышенной температурой и выраженной болью.
- Кровоточащий. Возникает вследствие повреждения кровеносных сосудов, поэтому выделяет кровь.
Любая разновидность мозоли при надавливании беспокоит болевым синдромом, поэтому человеку трудно носить обувь и носки.
Натоптыши
На стопах ноги возникают и такие шишки, как натоптыши. Они представляют собой уплотнения, которые состоят из ороговевшей кожи. Образования не имеют внутри жидкости, не выделяют кровь, но труднее поддаются лечению по сравнению с мозолями.
Появляются натоптыши из-за ношения неподходящей обуви, плоскостопия, лишнего веса. Нередко такой нарост сопровождается чувством жжения. Если своевременно не заняться лечением, шишка продолжит увеличиваться, что в будущем приведет к трещинкам и кровоточивости.
Вальгус
Вальгусная деформация представляет собой образование шишки на стопе сбоку. Чаще всего она поражает большой палец ноги. Помимо новообразования возникает искривление сустава. Формируется вальгус вследствие травм, плоскостопия, ношения неудобной обуви, долгого пребывания в положении стоя.
Болезни суставов и тканей
Шишка на ступне сбоку с внешней стороны образуется при болезни Келера. В этом случае нарост формируется на ладьевидной кости из-за дистрофического процесса в костной ткани. Недуг нередко вызывает некроз, сопровождается болью, отеком.
Болевые ощущения становятся сильнее при надавливании. Вследствие этого пациенту трудно передвигаться, появляется хромота. При отсутствии лечения болезненность тревожит человека и в состоянии покоя.
Если на ступне образовалась мягкая шишка, есть вероятность развития гигромы. Она имеет доброкачественное течение, формируется в серозной суставной сумке. Внутри образования находится скопление слизи или фибрина. Возникает опухоль тыльной части стопы. Если на нее надавить, появляется болевой синдром.
Шишки у детей
У малышей шишка на внешней стороне стопы образуется довольно часто. Причиной этому становятся травмы, получаемые при активных играх, ношение неправильно подобранной обуви. Чаще всего у ребенка возникают мозоли. В отдельный вид выделяют опухоль, возникающую вследствие родовой травмы.
Причины формирования и локализация шишек
Шишка на стопе сверху на подъеме, сбоку или сзади появляются вследствие развития различных заболеваний. Они возникают под воздействием внешних факторов. К ним относятся:
- Индивидуальные особенности строения ступни. Врожденные дефекты отрицательно сказываются на состоянии здоровья ног. Также они способны вызывать появление новообразований на конечностях.
- Ношение неудобной обуви. У женщин шишки на ногах возникают из-за любви к высоким каблукам: они создают огромную нагрузку на позвоночник и конечности, что приводит к деформации большого пальца. Также негативно отражается на здоровье ног узкая обувь, стесняющая стопы и натирающая кожу.
- Лишняя масса тела. При избыточном весе создается большая нагрузка на нижние конечности.
- Длительное пребывание в положении стоя. В силу профессиональных особенностей некоторым людям приходится подолгу стоять. Ноги постоянно находятся в напряжении, что приводит к деформации суставов и костей.
Диагностика
Для определения вида шишки на стопе врач проводит внешний осмотр. Уже в процессе него удается поставить предварительный диагноз. При поражении костной ткани конечности требуется выполнение рентгенологического исследования.
Особенности лечения
Борьба с шишками на ногах проводится в зависимости от причины их возникновения. Доброкачественные опухоли, мозоли, вальгусы и прочие типы патологии лечатся по-разному. Основными методами лечения являются операция и прием фармакологических средств.
Медикаменты
Лекарственные препараты назначаются в зависимости от конкретной патологии. При выраженной боли принимают обезболивающие средства. В случае развития воспалительного процесса назначают нестероидные противовоспалительные медикаменты.
Если шишка располагается на поверхности стопы, то используют местные средства: кремы, гели, мази. В случае сильного воспаления и невозможности передвигаться применяют инъекции.
Если на ступне выросла мозоль, терапия заключается в предупреждении проникновения инфекции при вскрытии образования.
Самостоятельно прокалывать такие шишки категорически запрещено.
Когда мозоль вскроется, рекомендуется обработать место поражения любым антисептическим средством и заклеить пластырем.
Народные методы
Домашняя терапия в борьбе с новообразованиями на ступнях применяется в качестве вспомогательного способа лечения. Рецептов нетрадиционная медицина предлагает множество. Домашние лекарства справляются не со всеми видами шишек, но помогают облегчить состояние пациента.
Популярные народные средства при появлении шишки на стопах:
- Растопить и процедить нутряной жир, добавить немного сабельника, тщательно перемешать. Дать полученной массе остыть и применять для обработки пораженного участка кожи.
- Немного размять капустный лист, чтобы на поверхности выступил сок. Распарить кожу в области повреждения, смазать новообразование медом, приложить капустный лист и перебинтовать. Компресс делать перед сном и оставлять на всю ночь.
- Косметическую глину смешать с теплой водой, чтобы получилась густая кашица. Добавить большую ложку морской соли и 3 капельки скипидара. В приготовленную смесь опустить ступни на 15 минут или намазать ею пораженное место ноги и перебинтовать.
Применение ножных ванночек, компрессов, отваров при серьезных нарушениях должно быть согласовано с лечащим доктором.
Хирургический метод
Оперативное вмешательство – самый оптимальный способ устранить шишку на верхней части стопы. Применяется оно обычно в запущенных случаях или при невозможности избавиться от патологии консервативным путем. С заболеваниями костей и суставов справиться медикаментозно невозможно – в таких случаях операция обязательна.
Современная медицина предлагает новые методы оперативного вмешательства, которые позволяют удалить шишку на стопах ног без осложнений и без разрезов. Только в запущенных случаях костные ткани подвергают рассечению, после чего скрепляются с помощью специальных приспособлений.
Если шишка не является поражением костей и суставов, а представляет собой мягкую опухоль, натоптыш в запущенной стадии, то операция проводится неинвазивными методами. К ним относится криодеструкция, лазерная терапия, электрокоагуляция.
Последствия и профилактика
Любую наружную или внутреннюю шишку на ногах требуется лечить своевременно, даже если это обычная мозоль. Особое внимание нужно уделить заболеваниям суставов и костей. При игнорировании таких патологий возможна деформация ступни, проблемы с ходьбой.
Лучше вовсе не допускать развития новообразования на ногах. Для этого врачи рекомендуют следующее:
- Выбирать удобную обувь, подходящую по размеру.
- Пользоваться ортопедическими стельками, особенно в пожилом возрасте.
- Отказаться от ношения высоких каблуков.
- Правильно питаться для достаточного поступления в организм кальция, необходимого костям.
- Регулярно делать упражнения, но не перенапрягать конечности.
- Не допускать переохлаждения ног.
Если появилась шишка на ноге сбоку или в иной части ступни, следует немедленно принять меры по ее устранению. При серьезных поражениях лучше обратиться к врачу, а не заниматься самолечением.
Неприятное заболевание в виде шишки на стопе сбоку способно доставить массу физических неудобств и неприятностей здоровью человека. Распространено заболевание среди женщин после сорока лет. Шишки на стопе – деформация стопы, происходящая по объективным причинам.
Деформация сустава сбоку мешает передвигаться и надевать красивую обувь. Стопа выглядит при деформировании не эстетично, запущенные случаи приводят к опасным последствиям для организма. Ранняя симптоматика и профилактические меры помогут избежать возможного искажения стопы, сэкономят силы и время, которое тратят на лечение при болезни.
Симптомы шишки на стопе
По статистике, деформацией стопы страдают преимущественно женщины – 98%, мужчины намного реже – всего 2%. Шишка стопы сбоку появляется в результате отклонения головки кости внутрь, а фаланги большого пальца ноги, наоборот, наружу. Постепенно происходит аномальное перераспределение нагрузки на стопу, фиксируется ее неправильное положение. Первые симптомы заболевания – особые сигналы организма, требующие прислушиваться, а не избегать.
- После рабочего дня стопа болит, ноет, отекает.
- В середине стопы и сбоку появляются неприятные ощущения жжения.
- На подошве стопы появляются натоптыши, крупные мозоли.
- На стопе возникла шишка, мягкая по структуре. Отекает, становится периодически красной.
- Появляется дискомфорт во время ношения любой обуви.
- Визуальные изменения стопы.
Правильно диагностировать шишку на ноге способен врач ортопед. Если появились тревожные симптомы, лучше не медлить с походом к доктору. Диагностика происходит с помощью рентгена и профессионального осмотра.
Причины шишки на стопе сбоку
Описаны главные факторы, приводящие к появлению шишки на стопе. В основном, связанные с внешними причинами:
- Частая ходьба на высоких каблуках, тесная либо некачественная обувь.
- Остеопороз.
- Патология в эндокринной системе.
- Плоскостопие.
- Лишний вес.
- Гормональный сбой.
- Травмы ног.
- Наследственность.
- Неправильное питание, отсутствие витаминов и минералов.
- Подагра.
- Малоподвижный образ жизни.
- Беременность.
Правильный уход за ногами и стопами помогает избежать искривления суставов. В описываемом заболевании внутренние причины появления деформации присутствуют, но первопричины – механические, внешние, связанные с ходьбой.
Традиционные методы лечения шишки на стопе
Деформация внешней стороны стопы в запущенных случаях приводит к операции. Иначе возникшую неприятность не разрешить. Выделяют три стадии развития болезни:
- Первая стадия – отклонение кости на пятнадцать градусов.
- Вторая стадия – отклонение кости на двадцать градусов.
- Третья стадия – отклонение кости на тридцать градусов.
В норме отклонение составляет не выше десяти градусов. Поддержать здоровье стопы или замедлить начавшуюся деформацию поможет специальная ортопедическая обувь. Кроме того, традиционное лечение шишки на стопе сбоку включает комплекс мер и методик:
- Медикаментозное лечение, направленное на снятие воспаления и болевых ощущений.
- Физиотерапевтическое лечение: массаж, ударно-волновая терапия и прочее.
- Специальные ортопедические бандажи и шины, обувь и корректоры.
Если шишка на стопе мешает нормальному передвижению, следует обратиться к радикальной методике лечения – операции. Разработана масса щадящих способов исправления поврежденного сустава операбельно. Современные операции проходят быстро и действенно. Период реабилитации сократился благодаря правильной коррекции. Если случай запущенный, сложный, врач во время операции делает надрез кости и фиксирует ее с помощью специальных винтов. Швы снимаются после операции через две недели, к полноценной жизни пациент возвращается быстро.
К традиционным методам лечения относится применение специальных мазей на основе лечебных трав, бодяги, жгучего перца, яиц, меда, прополиса. Лечение шишки на ноге носит продолжительный характер с обязательным соблюдением рекомендация врача. Комплексное лечение включает применение народных методов.
Народные методы лечения шишки на стопе сбоку
Шишки стопы сбоку — случай, когда народная медицина оказывается полезной и эффективной. Если причина искривления сустава не внешняя, а внутренняя, к примеру, отложение солей или гормональный дисбаланс, полезно делать натуральные компрессы или ножные ванночки самостоятельно в условиях дома:
- Соединить несколько столовых ложки глины, желательно голубой (приобрести в аптеке) и столовую ложку отвара из крапивы (отвар горячий), подержать полученную кашицу на водяной бане. В получившемся лечебном растворе намочить чистую марлю, обмотать больную стопу на 20 мин. Потом снять марлю, вымыть ногу. Делать лечебные компрессы с голубой глиной нужно до положительного результата два-три раза в неделю.
- Измельчите 100 г дубовой коры, заварите в 3-х л. воды и томите на водяной бане в течение 20 мин. После отвар нужно процедить, дать остыть. Залейте отваром из коры дуба подготовленную голубую глину (примерно половина стакана глины). Смесь хорошо перемешайте. Затем лечебную кашицу положить в тазик, погрузить в нее стопы. Держать до момента, пока глина не станет холодной. После процедуры тщательно вымыть ноги, высушить полотенцем. Делать ванночки 2 раза в неделю примерно месяц. Сочетание глины и отвара дуба выводит из организма лишние соли.
- При заболевании помогут листья лопуха, крапивы, одуванчика, молодой капусты, мать-и-мачехи. Собрать здоровые листья, вымыть, обернуть больную стопу. Сверху листья зафиксировать пищевой пленкой и теплым платком. Курс лечения листьями растений выполнять через день до положительного результата.
- Сухие цветы сирени устраняют воспалительные процессы и уменьшают боль. Залить холодной водой, дать настояться десять дней в закрытой баночке. Раствором сирени следует протирать шишки, делать компрессы.
Профилактические меры
Деформация стопы приводит к патологической нагрузке на ноги, становится причиной искривления позвоночника и суставов. Лучшим лечением всегда считалась профилактика. А лучшей профилактикой деформации считается ношение правильной и удобной обуви! Для женщин сложно отказаться от высоких каблуков и модной обуви, которая нередко приносит неудобства, но лучше подумать о здоровье вовремя.
- Носите качественную обувь, комфортную и по сезону. Правильное распределение нагрузки на ноги во время ходьбы снижает риски развития осложнений. Врачи рекомендуют для ношения обувь, каблук которой не превышает четырех сантиметров. Если каблук высокий, носить туфли лучше не более двух часов в день.
- Летом старайтесь ходить босиком, когда находитесь дома: по камням, песку, траве. Это массирует ступни ног, улучшает кровообращение.
- Если занимаетесь спортом или бегом, выбирайте спортивную обувь на толстой подошве для эффекта амортизации.
- Двигайтесь больше. Гиподинамия или частое положение стоя без движения – риск появления шишек на стопе.
- Зарядка утром, гимнастика, самомассаж ступней.
- Посещение врача, самонаблюдение.
- Выполняйте специальные упражнения для ног.
- Используйте ортопедическую обувь: стельки, подкладки, распределители для пальцев и прочее.
- Правильный рацион питания.
Если наблюдать за собой, ответственно подходить к здоровью и быть внимательным – можно с легкостью избежать любых неприятностей с ногами.
С медицинской точки зрения, образование шишек на ногах называется «вальгусной деформацией». Чаще всего они образовываются с внешней стороны сбоку, у основания большого пальца. Но у этого правила могут быть исключения. Если шишка на стопе располагается сбоку с внешней стороны, то она способна причинять значительный дискомфорт. Больному будет трудно подобрать себе обувь и долго находится на ногах.
По каким причинам возникает деформация
К появлению вальгусной деформации могут привести:
- бурсит – воспалительный процесс, затрагивающий суставную сумку;
- воспаление суставов – артроз;
- поперечное плоскостопие, при котором расходятся плюсневые кости;
- экзостоз – разрастание костей или хрящей;
- нарушение работы эндокринной системы;
- снижение плотности тканей и костей – остеопороз;
- генетическая предрасположенность.
Факторами риска могут стать различные травмы стопы, полиомиелит, ДЦП, врожденное или приобретенное поражение мышц и нервных волокон. У женщин этот вид деформации возникает чаще, так как они часто носят узкую или неудобную обувь, например, модели с длинными носами или на каблуке свыше 6 сантиметров.
Основные симптомы развития вальгуса
Основным симптомом является выпирающая шишка, твердая, как кость. Больной может испытывать и иные симптомы:
- покраснение деформированного места;
- мозоли;
- боль и дискомфорт в ногах;
- отек;
- кожный покров в пораженном месте становится более толстым;
- скованность в суставах;
- ощущение повышения температуры в области нароста.
Если шишка располагается на внешней части стопы, у основания большого пальца, то она является следствием выпячивания плюсневой кости. Небольшие шишечки, которые то появляются, то исчезают в области подъема стопы, а также в других частях ступни, называются «гигромами». Они могут быть разными – твердыми или перекатывающимися под кожей. При любом новообразовании на стопе необходимо обратиться к врачу, чтобы отличить деформацию от гигромы, а также для получения адекватного лечения.
Диагностика и лечение
Диагностику проводят хирурги или ортопеды. Они отправляют больного на анализы, выявляющие ревмакокки и реактивный белок. Основным методом диагностики является рентгенография, которая позволяет установить степень деформации и сопутствующие патологии (кисты, воспалительные процессы, остеопороз и другие). Дополнительным методом диагностики может стать УЗИ сустава.
Эффективного консервативного лечения для вальгусной деформации не существует – противовоспалительные, обезболивающие и противоотечные препараты дают временный эффект. Они убирают неприятные симптомы, а обратить изменения кости не могут. Ортопедические приспособления – стельки, супинаторы, валики, стяжки, обувь и носки – способны лишь замедлить деформацию, но не обратить.
Единственный способ избавиться от шишки – удалить ее во время операции. Она может быть проведена одним из методов:
- Перестановка костей по методике Ревердин-Грина или Аустина.
- Корригирующая остеотомия – при этом способе кость ломают, а затем восстанавливают ее форму.
- При экзостэктомии пораженный сустав иссякают и фиксируют в нормальном положении при помощи пластин и других приспособлений. Этот метод опасен своими осложнениями, среди которых выделяют инфицирование тканей, смещение фрагментов костей, кровотечения, остеомиелит. На реабилитацию у больного может уйти значительное время от 2 до 6 недель. Этот метод не дает гарантии, что вальгусная деформация не появится снова.
- При проксимальной остеотомии косточку из фаланги большого пальца просто удаляют.
К операции прибегают в тех случаях, когда шашка начинает сильно болеть и давить. До этого времени используют только консервативные методы.
Использование методов народной медицины
Методы народной медицины также помогают лишь снять чрезмерную усталость с ног, купировать боли и дискомфорт. С этой целью применяют:
- физиопроцедуры;
- лечебный массаж регулярными курсами;
- нанесение сеточек йодом;
- ванночки с морской солью, корой дуба или эвкалиптом;
- компрессы и примочки из настоев или отваров трав;
- мазь из яиц.
Мы не будем подробно останавливаться на этих способах, так как они малоэффективны. Гораздо лучше проводить профилактику, которая не позволит заболеванию прогрессировать. Применять эти средства можно только с разрешения врача.
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Прежде всего, необходимо правильно подбирать обувь. Она должна отвечать требованиям:
- иметь удобную колодку;
- каблук – не выше 6 сантиметров;
- при изготовлении использовались только натуральные материалы: замша, кожа и текстиль.
Зарядка и массаж ног должны делаться регулярно. В летнее время следует обязательно ходить босиком – по траве, камешкам, песку. Это позволит предотвратить не только вальгусную деформацию, но и артрит или поперечное плоскостопие.
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