"Hallux Valgus or Bunions"

         It is the most frequent deformity in the foot, mainly in women. It favors their appearance the existence of an excessively long fat finger, together with the use of shoes of excessive heel and very narrow for the tip.

         It also provokes it the existence of a deviation toward inside the metatarsus that is the bone that is articulated with the finger. The finger strays toward he/she went and it can end up being placed under or above the second finger, what causes deformities of the same one.

         That that more bothersome of the bunion it is the callus or the bursitis that it originates at the bony level of the salient one in the internal border of the foot. Also, the excessive deviation toward outside of the finger it produces difficulties to put on shoes and pain for the deviation of the second finger. Apart from a preventive-hygienic treatment using a footwear with enough width in the tip, there are not other methods that avoid the progression of the deformity.

        The calls existent " juaneteras " in the orthopedics don't avoid the progression and their use takes place, in many occasions, pain. When the bunion is painful and the existent bursitis on the salient one bony he/she turns red and it causes problems to put on shoes it should be operated. You owe to put on in a specialist's hands in Orthopedic Surgery and Traumatology for the surgical treatment. All the technical " miracle ", announced in the media, they are limited, in most of the cases, to remove the salient one bony and the bunion reproduces at the little time again. Know you that the specialist can operate him without general anesthesia, solving in a satisfactory way the problem and without she has big pains in the postoperative one.

 DEFORMITIES AND CALLOSITIES IN THE FINGERS

         The most frequent is the finger in " hammer ". The finger forms a salient one toward the back in the part proximal with a bothersome callosity at level of the articulation, the part distal of the finger even falls toward the plant being able to appear a callosity in the tip of the finger.

         The callosity in the back of the finger is formed for the continuous close contact of the footwear with the salient one bony that forms the head of the first phalange. The pain that takes place can be alleviated with a cleaning of the callosity and protecting the finger with a case of soft material that is marketed in the orthopedics. But when a finger in bothersome hammer you owe to be operated. Go to the specialist that, with local anesthesia, by means of a simple operation it will solve him the problem. You also can to suffer a callosity in a finger in the lateral face in contact and a color red-white surrounding, you have a partridge eye".

          This is caused because a part of the phalange of the finger presses on the skin and it gives origin to the callosity. It can be alleviated placing a pad among the fingers; but if you want to solve the problem, that indicated is to eliminate the salient of the bone. The specialist can solve it with a simple operation with local anesthesia. Callosities and deviations of the small finger If you suffer a salient one in the external border of the foot on the fifth finger, it has what is denominated tailor's bunion".

         This can go accompanied, even, of a deviation of the small finger toward inside of that it can end up being placed under the fourth finger, then the deformity is known as fifth finger I beach. This can produce pain for the close contact of the footwear and to end up being very annoying. Go to the specialist, their problem it can be operated and to be solved.

PAIN IN THE CHECK. TARSALGIAS

         The more frecuent is the one that appears in the later part of the plant under the calcaneo, it is motivated by an insert tendinitis in the face to plant of the same one. A salient one usually exists bony in this well-known bone as ram that can impede the march for the pain.

         The treatment is always conservative. An insole will be used that he/she leaves a hole in the central area so that it doesn't support the calcaneo, to take anti-inflammatory and, sometimes, to appeal to the infiltrations carried out by a specialist. Rarely he/she needs to be operated. If the pain is in the later face of the calcaneo and, also, a bursitis exists in the contact area with the border of the shoe, the reason is that the calcaneo has a salient one bony that presses the skin.

          The area should be protected with a pad, and, if the nuisance is important, it should be operated to extirpate the salient of the bone that originates the problem.

PAIN PLANTARES IN THE PREVIOUS PART. METATARSALGIAS

         The pain is located behind the fingers in the support area. If the pain is piercing, as if punctures him a nail when walking, and it is located between two in the space fingers, you can suffer a neuroma of Morton. It is called this way because the pain is produced by an engross of the nerve to plant. Most of the times the pain disappears after the treatment of infiltrations practiced by the specialist, if that persists it is necessary to operate to extirpate the neuroma.

         If the pain is located behind the base of the fingers, you suffer a metatarsalgia motivated by an irregular support of the metatarsianos that can be accompanied of annoying callosities.  El origin of its pain is due to that, or a metatarsiano descends more than the other ones, or to that the central metatarsianos is excessively long. The cleaning of the callosities alleviates the problem momentarily.

         It will consult to the specialist that will indicate him if an orthopedic insole of discharge should be placed. If this conservative treatment fails it can be necessary to operate to get a balanced support of the frontfoot. These operations can sometimes combine with correction of the bunion.

ADVICE ON THE FOOTWEAR

       Always take a footwear of their size in which makes comfortable well the foot. In the man always with heel and in the women it is not advisable an excessive heel. Don't use shoes of narrow tip in the man and, much less, in the woman.

        The sole of the shoe should not be excessively rigid to allow the movement of the foot during the march. The fingers should can to move discreetly inside the shoe. In the children, use shoes with buttress in the check.