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What causes an outward deviation of the big toe, and what should be done about it?

Oct 31, 2024 Source: Cainiu Health
Dr. Chen Jian
Introduction
Impaired autoimmune system function may trigger rheumatoid arthritis, and inflammation can lead to joint inflammation and damage in the feet, subsequently causing hallux valgus. Symptoms may also include morning stiffness and general fatigue. It is recommended to follow medical advice and use medications such as aspirin extended-release tablets, acetaminophen tablets, and ibuprofen extended-release capsules for symptom relief.

Under normal circumstances, hallux valgus (bunions) may be caused by genetic factors, wearing ill-fitting shoes, flat feet, osteoporosis, or rheumatoid arthritis. If discomfort occurs, it is recommended to seek medical attention promptly. Specific analyses are as follows:

1. Genetic Factors

Genetic factors can influence foot bone structure. Individuals may be born with weaker ligaments and tendons in the feet, making them more prone to developing hallux valgus, which may also be accompanied by foot deformities or pain. It is recommended to wear properly fitting shoes and use custom orthotics or supports to help distribute pressure across the foot.

2. Wearing Ill-Fitting Shoes

Prolonged use of high heels, pointed-toe shoes, or other poorly fitting footwear can place abnormal pressure on the big toe, gradually leading to its outward deviation. This may also cause foot pain and swelling. It is advised to avoid such footwear and instead choose wider, more comfortable shoes.

3. Flat Feet

Flat feet are often caused by genetic factors. Individuals with flat feet have lower arches, which increases stress on the feet and makes them more susceptible to hallux valgus. Symptoms often include plantar pain and abnormal gait. It is recommended to undergo physical therapy and muscle-strengthening exercises under medical guidance to strengthen foot muscles and improve stability.

4. Osteoporosis

Aging may lead to osteoporosis, causing bones to become brittle and more prone to fractures, which could indirectly contribute to hallux valgus. This condition is often accompanied by symptoms such as reduced height and back pain. It is recommended to take medications such as calcium acetate capsules, calcium carbonate D3 tablets, or calcium lactate tablets under a doctor's supervision.

5. Rheumatoid Arthritis

Impaired immune system function may trigger rheumatoid arthritis. Inflammation associated with this condition can affect joints in the feet, leading to joint damage and eventually hallux valgus. Symptoms may also include morning stiffness and general fatigue. It is recommended to follow medical advice and use medications such as aspirin extended-release tablets, acetaminophen tablets, or ibuprofen extended-release capsules to relieve symptoms.

In daily life, engaging in moderate physical exercise can help enhance physical strength and boost the body's immunity.

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Hallux valgus refers to the lateral deviation and displacement of the big toe at the first metatarsophalangeal joint. After cleaning the affected limb, the patient lies supine on the treatment table. The physician places fingers on the patient's big toe, applying vertical downward pressure while gently rotating and moving the toe toward the medial side of the foot. Following massage and manipulation, rubber bands are placed over two toes, and traction is performed by pulling in opposite left-right directions.
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