The bone on the leg is growing: anatomical changes, causes and symptoms of the disease. Bunion on the big toe: treatment at home

Healthy legs are the key to full life and activity. When any pain occurs, a person not only experiences significant discomfort, he also loses the ability to lead a normal lifestyle and move freely. One of the most common joint problems nowadays is pain in the big toe bone. It is noteworthy that women suffer from this problem more often, and often already at the age of 25-35 years. In this case, severe pain can be accompanied by inflammation, as well as deformation of the joint, first on the big toe, and then on others.

In normal condition, the human foot is designed to perform a shock-absorbing function. This means that it distributes the load when walking evenly across the entire leg, and also protects the spine from excessive shaking.

In their natural state, the metatarsal bones of the toes are parallel, however, as the ligaments and muscles weaken, they begin to gradually shift to the side, and pain appears. As a rule, first there is deformation and enlargement of the bone on the big toe, forming a kind of lump. This diagnosis sounds like this: hallux valgus.

As a result of deflection of the arch of the foot, flat feet develop in the transverse plane, which provokes the following changes:

  • loss of shock-absorbing qualities by the foot;
  • shift of reference points;
  • the foot is loaded incorrectly;
  • subluxation of the thumb occurs;
  • the head of the bone slips out of its proper place in the joint.

If this condition is not treated, then over time the pain in the bone will only become more intense.

Foot deformity at different stages

Visible changes in the condition of the big toe occur gradually and are distinguished by the following symptoms at different stages:

  1. The deviation of the metatarsal bone does not exceed 20°, so a person experiences pain only if he wears shoes that are too narrow.
  2. The deflection angle increases to 30°. As a result, the bone on the foot near the big toe hurts after prolonged walking and wearing uncomfortable shoes, including high heels.
  3. Displacement of the metatarsal bone of the big toe by 30-50°. In this case, the patient already feels pain in the bone quite strongly, regardless of the choice of shoes.
  4. Deviation of the bone by more than 50°. In this case, the protruding bone hurts very strongly and almost continuously.

Prerequisites for the development of pathology

The reasons for pain in the thumb bone can be very different, in particular:

  • Primary joint pathologies: arthrosis, bursitis, arthritis, osteoarthritis, osteophyte, ankylosis, Ehlers-Danlos syndrome and many others. They are characterized by inflammation and degenerative-dystrophic changes, the formation of bone growths and even hemorrhages. Such pathologies can be diagnosed in both adults and children.
  • Injuries – primary or recurrent. Constant mechanical microtraumas due to uncomfortable shoes provoke the formation of edema and poor circulation, and as a result - displacement of the toe to the side and severe pain. A fracture or crack in a bone can also have this effect.
  • Genetic predisposition. As a rule, protruding bones near the thumb are diagnosed in patients in whose family there have already been cases of the disease. The cause of pain in the bone in this case is a violation of collagen production or its mutation, which is transmitted genetically.

Orthopedic doctor Arman Zhazitovich Kontaev will tell you more about the pathology:

  • Weak ligaments and transverse flat feet, acquired as a result of wearing uncomfortable shoes or a congenital predisposition.
  • Excess weight has a very detrimental effect on the joints of the legs. They wear out faster, the bones in them become unstable and change position over time.
  • Age. Collagen production occurs in the human body only until the age of 21-25. In the future, the lack of this substance provokes the development of joint diseases, dislocations and fractures in older people.
  • Hormonal imbalance. With a decrease in estrogen production, the concentration of cholesterol in the blood increases. This, in turn, provokes blockage of blood vessels with atherosclerotic plaques, impaired blood circulation and metabolism in bone tissue.
  • Cartilage tissue in joints wears out faster as a result of a lack of microelements, in particular magnesium, vitamins and polyunsaturated fatty acids.

  • Intensive sports training can lead to deformation of the foot, reducing its shock-absorbing ability, so that over time the patient may find that he has a bone sticking out near his big toe.
  • Autoimmune diseases (rheumatoid arthritis). If the body begins to perceive its own cells as foreign, antibodies gradually destroy joint tissue, impairing their functionality.
  • Inflammatory processes in the joints as a result of infection with gonococcus, staphylococcus, tick-borne encephalitis and other pathogens.

Whatever the reason why the bone around the big toe hurts, you need to pay attention to the problem in time and seek treatment from a doctor.

Diagnostic methods

Before starting any treatment, it is worth finding out the reason why the bone is swollen. This is not always a hallux valgus deformity. In particular, acute pain can be caused, for example, by bursitis when it occurs. With gout, patients also experience prolonged aching pain because uric acid crystals accumulate in the joints due to metabolic disorders.

To determine exactly why the bunion on the big toe hurts, laboratory tests are performed on blood and urine samples. Further diagnostics are performed using instrumental methods.

Podometry is one of the methods for studying feet

The following are recognized as effective diagnostic methods:

  1. X-ray – the leg of a standing patient is photographed in several projections. If you have flat feet or joint deformities, everything can be seen in the pictures.
  2. Podometry is the calculation of the relationship between the height of the instep and the length of the foot. Flat feet are recognized when the index value is less than 29.
  3. Plantography - scanning the loaded foot allows you to get an accurate image of any existing foot defects.

Treatment of pain in a bone in the leg

The first thing to do if you have pain in the bone is to consult a therapist. He will prescribe an appropriate examination, and treatment will be prescribed by one of the highly specialized specialists:

  • traumatologist - if the cause of the disease is a fracture or bruise;
  • endocrinologist – if a hormonal imbalance is detected;
  • surgeon - to remove the growth if it is no longer useful to treat it with medications;
  • orthopedist - in all other cases.

If you seek help immediately, there is no way to relieve severe pain, you should limit the mobility of your leg, rub it with a soothing infusion of calendula or a warming ointment. In addition, pain can be relieved with analgesics (Pentalgin, Tempalgin) or painkillers based on ibuprofen (Nurofen, Naklofen).

Painkiller

Treatment of a bunion near the big toe using traditional methods is carried out in several directions at once:

  1. At the initial stages of the development of the disease, patients are recommended to use special devices, for example, insoles, pads, etc. They allow you to redistribute the load on the entire foot and reduce pain when walking. The bone pad, in particular, prevents the head of the thumb bone from further leaving the joint and increasing the angle of deformity.
  2. Massage to restore blood supply to joints.
  3. Special therapeutic exercises. Exercises are done daily to achieve positive results.
  4. Measures aimed at reducing the load on sore joints. Heavy physical labor and intense training should be avoided. Walking daily for 30-40 minutes, swimming and light exercises will be useful to prevent complete relaxation or overload of the joints.

A product designed specifically for straightening bunions on the foot.

  1. Adjusting your diet. The food is supplemented with dishes rich in vitamins and microelements necessary for the regeneration of bone and cartilage tissue. In addition, losing weight will also have a positive effect on your joints. Alcohol, sweet and too fatty foods should be excluded.
  2. Pharmaceutical therapy. To relieve swelling, inflammation and pain in the bone, mainly based on indomethacin and diclofenac. At the acute stage, they are used in the form of tablets and ampoules for injection, and also complement therapy with creams, gels and ointments.
  3. , for example, Chondroxide, as well as vitamins A, C, D, and E.
  4. Traditional methods of treatment - compresses, lotions and baths.

It is worth noting that auxiliary products and procedures - patches, baths, compresses, massage and rubbing with ointments are not the main ones in the process of treating a bone at home. However, they significantly help alleviate the patient’s condition, relieve swelling and pain.

Since it is very difficult to stop the growth of a bone if the disease is already advanced, you can at least make sure that it does not cause so much inconvenience.

Physiotherapy

Light physical activity is still necessary when treating pain in a finger bone. Doctors recommend performing simple preventive exercises.

The following simple exercises will be useful:

  • walk around the room on tiptoes and barefoot;
  • using your toes, try to pick up small objects from the floor, for example, a sheet of paper;
  • bend and straighten your toes, spread them and keep them apart for a minute;

You will see exercises to treat the disease in the video below:

  • try to straighten the rug on the floor using only your toes;
  • roll the bottle under your feet for two to three minutes;
  • hold the muscles of your feet tense for 40 seconds;
  • Hold a pencil between your toes and draw figure eights with it.

Regularly performing such simple exercises helps to develop stiff joints and muscles; this is a good way to reduce swelling and improve blood circulation in the legs.

Traditional methods of treatment

Folk remedies for the treatment of bunions are represented by many recipes that are successfully used to relieve pain if a bunion grows on the big toe. Reviews about a particular product may be contradictory, because they are not equally suitable for everyone.

Popular means:

  1. Foot bath with the addition of iodine solution and sea salt. You will need 1 liter of warm water, 2 tablespoons of salt, 10 drops of iodine solution. You need to steam your feet in this composition for 15 minutes, performing the procedure daily for a month. After warming up, you can apply an iodine mesh to the bone.
  2. Propolis compress. A small amount of propolis is heated so that it rolls into a ball. The resulting plastic mass is distributed over the place where the pain is felt, and wrapped with a warm cloth on top. This compress is done at night for 2 weeks. Helps reduce inflammation.

Foot bath with iodine and sea salt

  1. Compress based on honey and cabbage. After steaming the legs in the bath, apply a thin layer of honey to the sore spot, cover it with a cabbage leaf and wrap it with a bandage. In the morning, you need to rinse your feet. The procedures are repeated for about a month.
  2. Mix 50 g of ammonia, camphor alcohol and red pepper, 30 g of bodyagi and 1 bottle of medical alcohol. Transfer to a glass container that does not allow light to pass through. The bone is lubricated with this mixture overnight and thoroughly insulated. Repeat the procedure for 2 weeks.
  3. An infusion can be prepared from iodine and dandelion flower. You will need 100 g of dried raw material, which is filled with iodine and left in a dark place for 5 days. After steaming the legs, apply the tincture to the sore joint. Treatment is continued for 2 weeks.

Prevention measures

To avoid pain in the bone as a result of hallux valgus, it is worth taking basic preventive measures:

  • You should monitor your weight to reduce the load on your legs and pain;
  • physical activity should be moderate;
  • take care of your diet - it should be balanced and include dishes rich in vitamins and microelements;

  • shoes should be comfortable and not put pressure on the foot;
  • massage helps relieve tired legs and improve blood circulation;
  • Any injuries should be treated immediately.

When we talk about a painful bone in the foot, it means hallux valgus. What is the disease, and how can you alleviate the suffering? Let's look together at the causes of the disease and find out whether it is possible to quickly treat a bunion at home.

What is hallux valgus deformity?

The problem of the appearance of a protruding bone is familiar mainly to female representatives. The reason for this is insufficient elasticity of the ligaments and weakness of bone tissue. A lump appears on the inside of the foot at the base of the big toe, which causes severe aching pain, especially when wearing shoes. The appearance of a large bunion on the feet can be aggravated by the inflammatory process of soft tissues, swelling and increased body temperature. The big toe noticeably deviates inside the foot, which causes great trouble for the person.

A progressive disease can lead to complete disease, which will noticeably affect walking. In addition to painful sensations that can ruin your life, crooked toes have an unaesthetic appearance. It becomes impossible to wear your favorite shoes, and great difficulties arise in choosing new models.

Why do bumps appear?

Treatment of a big bunion on the foot requires serious attention and consultation with an orthopedic doctor. Otherwise, the pain will worsen over time and surgery may be required.

Medicine names several probable causes of the disease:

  • joint pathology (bursitis, arthrosis, flat feet and others);
  • genetic predisposition;
  • disruption of the endocrine system;
  • osteoporosis - bone fragility;
  • overweight;
  • incorrectly selected shoes;
  • foot and leg injuries;
  • birth defects or complications from severe neuromuscular diseases;
  • improper organization of nutrition.

An X-ray in three projections will help determine the degree of deformation and the presence of concomitant diseases (arthritis, cyst, etc.).

Treatment methods

Surgical intervention is performed in complex advanced situations when conservative measures no longer provide the desired effect. Correction of deformity occurs through excision of the damaged joint, followed by fixation with screws or plates. The operation certainly solves cosmetic problems, but does not exclude the occurrence of subsequent complications. In addition, the rehabilitation period can last up to six months, making the patient’s life more difficult.

Treatment of a bunion at home is recommended to begin with leveling the deformation and reducing the protruding bunion using various orthopedic devices: instep supports, orthopedic insoles, interdigital inserts, bolsters, ties. After long walks, it is useful to take warm foot baths with a massage of the metatarsal bones.

Preventive measures

To avoid a critical situation, you should start treating bunions on your toes as early as possible. First of all, you need to stop wearing narrow, hard shoes and high heels. Regular foot exercises, relaxing massage, and walking barefoot on uneven surfaces help improve the tone of the foot muscles. In addition, vigorous physical activity prevents the development of arthritis and

Particular attention should be paid to the appearance of bones in children and adolescents. The cause of the bump may be flat feet. The presence of painful symptoms can lead to poor circulation, and subsequently to the development of early osteochondrosis. Therefore, children's shoes should be of high quality and comfortable. Preference should be given to models with a rounded toe and a stable low heel.

Preventive treatment for bunions at home also involves a healthy diet. Alcohol, coffee, chocolate, and hot spices should be excluded from the diet. Preference should be given to fruits and vegetables. You should drink plenty of liquid, preferably tea or still water.

Traditional medicine services

In addition to preventive measures and therapy prescribed by an orthopedist, traditional treatment for bunions can be recommended. In most cases, alternative medicine relieves pain and reduces foot discomfort. The effectiveness of the effect is explained by the healing properties of natural products that form the basis of folk recipes.

Let's consider the most common and time-tested methods of combating hallux valgus.

Salty help

Table salt has a pronounced antipyretic and anti-inflammatory effect, reliably disinfects and disinfects. This is the simplest and most affordable pain reliever that can be used

Treatment consists of prescribing a two-week course of salt foot baths. The water temperature should be at body level - no more than 36.6 o C. It is better to use coarse salt for the procedure, because fine salt (such as “Extra”) does not have many useful qualities due to special processing. Fifteen minutes every day is enough for the severity of the pain to decrease and the inflammation of the bone to decrease. After a week's break, salt treatment should be repeated again. In some cases, three or four courses of therapeutic baths may be needed.

If the disease is in its initial stage, then salt procedures are the fastest way to treat a bunion at home. The folk method can not only stop the development of the disease, but also reduce the bumps in a short time.

Ice salt

It gives a good effect when combined with ice. This product promotes complete resorption. Ten days of use are enough and you will forget how much the bones on your feet hurt. Treatment is carried out with a mixture of coarse salt and finely crushed ice, which must be applied to the sore spot and pressed with a towel for several minutes. In winter, clean snow can be used instead of ice.

A strong burning sensation will be felt on the skin, which is worth enduring, because a positive result will not be long in coming. As soon as the discomfort intensifies, you need to remove the ice and, without washing off the remaining mixture, cover the sore spot with gauze. The top of the leg is wrapped in a warm scarf. The compress can be left until the morning. If the burning does not stop, then the bandage should be removed and the bone should be lubricated with sea buckthorn oil.

Healing properties of iodine

It has long been known that iodine is a universal means of preventive and therapeutic properties. You can’t do without it in folk medicine when a bone on your foot bothers you. Treatment with iodine must be carried out over a long period of time and methodically, and then the result obtained will be pronounced and sustainable.

Before the procedure, be sure to wash your feet with warm water and wipe them dry. Lubricate the affected areas with camphor oil, and cover the top with oil to avoid possible burns. It is better to carry out useful procedures before bedtime. After two weeks, the growth of the bones will stop.

Another successful treatment option is using iodine. To do this, you need to buy medical bile at the pharmacy. First, you need to apply a mesh of iodine to the bone, and then lubricate the sore spot with a layer of bile and cover with a thin film. The top of the leg should be tied with gauze and insulated with a terry sock. The compress is left overnight, and in the morning the remaining bile is washed off with warm water without soap. If you do compresses every day for a month, you will no longer be bothered by the bunion on your foot.

Iodine treatment can also be combined with other beneficial substances. Interaction with salt has a good effect. Warm fifteen-minute baths are recommended every evening before bed. Ten drops of iodine and two tablespoons of salt, dissolved in one liter of water, can relieve pain and inflammation in the joint for a long time.

If you add 5 aspirin tablets to 10 drops of iodine, you get a “pharmacy cocktail”. It is useful for them to treat the bunion at home for three days. Reviews from many people who have tried the iodine remedy agree that the three-day procedure should be repeated after 10-12 days. This will consolidate the resulting effect and relieve you of painful manifestations for a long time.

On summer days, do not miss the flowering period of dandelions - they can also be a good help when a protruding bone on your foot bothers you. Treatment requires preliminary preparation of the healing composition. The yellow heads of dandelions are crushed and dried in the sun. Then add a little iodine so that it completely covers the flowers. The resulting mixture must infuse for at least four days. A mesh of the resulting composition is applied to the dry, steamed skin of the legs. The procedure must be carried out every evening for two weeks.

The benefits of chicken eggs

Treating a bunion at home with an ointment made from a chicken egg gives good results. It will take two weeks to prepare the medicine - this is how long an egg soaked in vinegar (9% concentration) should lie until the shell is completely dissolved. Then it is removed from the acid and ground with a tablespoon of unsalted pork fat and ten grams of pharmaceutical turpentine.

Ghee can be replaced with butter or Vaseline. The result is a healing ointment that needs to be applied to sore spots every evening. To enhance the effect, you can alternate the medicine with iodine networks.

Bone tar

We invite you to consider another specific treatment method. Some people claim that even advanced rheumatism can be healed with tar obtained from bones, not to mention such a simple thing as a bunion.

The treatment, reviews of which are not very clear, consists of long-term calcination of animal bones (chicken or beef) in a clay pot. The container needs to be buried halfway in the ground, and then covered with firewood and set on fire. The tar obtained as a result of prolonged heating is used in the form of compresses.

Bee helps

Bee honey is used for rubbing into the affected joints, which is preheated in a water bath. The use of compresses based on softened propolis also gives a good effect. You can replace it with alcohol tincture from the pharmacy. Soft gauze is generously moistened with liquid and applied to the sore spot overnight. Cover the compress with cellophane on top and put on a warm sock.

Potato peelings

Treating a bunion at home using potatoes is also an excellent remedy. A paste of raw grated potatoes is applied to the sore spots or steam baths are prepared for the feet. This happens as follows.

Potato peelings are poured with a small amount of water and boiled for a quarter of an hour. The resulting decoction is added to hot water, in which the sore feet are then steamed. After the procedure, it is useful to apply the boiled husk directly to the seeds. The procedure should be carried out for at least half an hour, after which the legs should be covered with a warm blanket. If you regularly steam your feet with potato broth for one and a half to two weeks, the pain will soon go away and the bones will begin to dissolve.

Fish days

A very good ancient method of treatment was discovered by ancient fishermen. To relieve inflammation and heal from deformities, it is useful to apply pieces of fresh fish to sore joints. You can use any species caught in a river or lake. You should not take frozen fish, because it has practically no healing properties.

A compress of fresh fish pulp is applied to the sore spot, bandaged tightly to the sore joints, and left overnight. In the morning, the foot is washed with water to remove the unpleasant odor.

Treatment should be repeated every night for a week, after which take a break for two to three days. Repeating the therapeutic course consolidates the effect obtained for a long time. Unfortunately, the proposed healing method may not be available to all people today. In this case, we recommend that you pay attention to other methods of traditional medicine.

Rice diet

In addition to various compresses and healing ointments, you should not forget about nutritional features. It is very useful to follow a diet that helps cleanse connective tissue. The most common and accessible remedy is rice. It is used to cook crumbly porridge without oil or salt. Dark rice varieties are pre-soaked overnight in cold water. In the morning, it is thoroughly washed and boiled in plenty of water. Once a week you need to have a fasting day and eat only rice porridge, washed down with rosehip decoction. The diuretic effect of the fasting menu will help remove uric acid salts from the body and prevent the appearance of joint deposits.

Another version of the rice diet suggests eating two tablespoons of boiled rice every day on an empty stomach. The rest of the day, you can eat as usual, only increasing your consumption of clean water. Rice cleansing should be carried out for at least one month and repeated periodically throughout the year.

And finally

The traditional treatment program for stones can include the use of herbal decoctions and herbal tinctures. The following plants and fruits will be good helpers: sage, chamomile, calendula, birch buds, ginger root, elderberries, lingonberries and many others.

Always remember that the beauty and health of your feet are in your hands. In order not to suffer from pain in the future and not wonder how to cure bunions, try today to take all measures to prevent the development of hallux valgus.

Bumps, bunions - this is what people call hallux valgus. The main symptom of this disease is the appearance of a tubercle on the leg. The lump gradually increases in size, grows and causes pain. This makes it very difficult to find comfortable shoes. In advanced cases, the bone causes difficulty walking.

If a bunion grows on your big toe, then you definitely need to pay attention to this problem. A visit to the doctor is necessary. The sooner you can visit a specialist, the faster you will be able to get rid of the problem. At the initial stages, treatment of the disease is simple, as orthopedic drugs are used. But in advanced cases, only surgery can help.

What are bumps on your feet? Not all people suffering from hallux valgus know the answer to this question. To find it, let's remember anatomy.

The big toe of the human foot is formed by the phalanges and metatarsal bone. When the disease occurs, changes occur in the leg. In sick people, the phalanges of the big toe take a position at an angle to the metatarsal bone. This is why the protrusion on the leg becomes clearly visible. It is a protrusion of the head of the metatarsal bone.

With pathological displacement, a person experiences pain. The appearance of this symptom is due to the fact that the synovial bursa becomes inflamed (it is located between the phalanges of the fingers and the head of the metatarsal bone and is a sac filled with a special liquid, which reduces friction over the surface of the joint). The reasons for an enlarged bunion on the big toe vary. Let's talk about them.

Why does a bone grow on my foot?

An enlarged bump is a sign that the foot is becoming more and more deformed, and the big toe is deviating more and more from its normal position. The bone may seem enlarged, because a swelling forms in this area with valgus deformity. The reasons for the enlargement of the lump include:

  • ill-chosen shoes: long-term wearing of narrow shoes with high heels becomes a prerequisite for the development of the disease;
  • hereditary factors: very often the bunion on the foot begins to grow in those people whose close relatives suffer from hallux valgus and complain of the growth of the bunion on the foot;
  • flat feet, with this disease the weight on the foot is distributed unevenly, and as a result of this, the big toe moves and protrudes outward;
  • injuries, for example, as a result of a heavy object falling on the foot, the foot may be damaged, which will provoke the growth of a bone in the big toe area.

Other reasons for the appearance of a protruding bunion include foot diseases, congenital bone abnormalities, excess weight, and severe stress on the feet.

Due to the changes occurring in the foot, the structure of the bone tissue of the head of the metatarsal bone begins to slightly thicken. Then the articular surface is flattened. The head is covered with additional layers of bone tissue. Due to this, the size of the lump on the affected leg increases.

Treatment with folk remedies

If the bumps on your legs increase, then you can try proven traditional medicine. However, it is worth remembering that in the later stages the deformation cannot be eliminated using grandma’s recipes. You will need qualified medical assistance.

It is possible to stop the growth of bones at the initial stage through the use of red clay compresses, salt baths, and decoctions of various medicinal plants. Before treating a bulging bone on your foot, you should familiarize yourself with the following rules that must be followed when using folk remedies:

  • wear special insoles, use special orthopedic correctors that fix the metatarsal bone in the correct position;
  • do therapeutic exercises daily (exercises can relieve pain, strengthen muscles and ligaments);
  • change your diet and lose excess weight - by reducing the load on the legs, deformation processes are suspended and bone growth stops;
  • do therapeutic massage (its goal is to return normal foot biomechanics).

The results from using folk remedies will be good if they are used in combination with other procedures prescribed by the attending physician. Before using this or that recipe, you should consult a specialist. He will tell you which means are truly effective and which do not bring the desired result.

Which specialist should I contact?

If a protruding lump appears in the area of ​​the big toe, you should immediately go to the doctor. You should first visit a therapist. He is a general practitioner. The therapist will examine the big toe bone, make a preliminary diagnosis and refer you to a specialist of the appropriate profile - an orthopedist, surgeon or traumatologist.

A professional will conduct the necessary diagnostic tests (visual examination, x-ray). In some cases, it turns out that bunions are a concomitant ailment of diseases such as arthritis or gout. It is important to make a correct diagnosis and distinguish hallux valgus from other diseases. Only then can you choose the most suitable method for treating bunions and eliminating their growth.

Non-surgical methods for bunion correction

If hallux valgus is detected at the initial stage, the specialist will choose non-surgical correction methods. Thanks to them, you can both remove the protruding bone and stop its further growth.

Non-surgical correction methods include the following.

  1. Use of orthopedic shoes. Professionals advise wearing special wide models made of soft materials and equipped with special pads.
  2. Use of special tires. These orthopedic devices hold the human foot in an anatomically correct position and fix the big toe.
  3. Physiotherapy: ultrasound, electrophoresis, mud therapy, therapeutic baths, magnetic therapy.

Treatment for a growing bunion at the base of the big toe can be done with anti-inflammatory drugs. They should be used only as prescribed by your doctor. Medicines relieve swelling and relieve pain. The inflammatory process gradually goes away thanks to the use of creams, ointments, tablets and injections.

Surgical treatment of the disease

Many people who have a bunion decide not to visit the clinic. For a long time they endure discomfort and pain and do not try to fight them, but in vain. Currently, there are a number of effective surgical methods for treating the disease.

The goal of any surgery performed for hallux valgus is to correct the position of the bones, restore foot function, eliminate existing symptoms and improve quality of life. During surgery, doctors perform the following actions:

  • remove excess bone;
  • fix the big toe in the correct position;
  • carry out reconstruction and stabilization of the joint.

The most popular surgical method for treating a bulging bunion is an osteotomy. During the operation, doctors make a Z-shaped cut in the bone that supports the big toe. This treatment method allows you to return the head of the bone to its anatomically correct position.

Thus, only a doctor can tell you how to remove a bump on your leg after making an accurate diagnosis and determining the stage of the disease. Self-medication is undesirable, as the disease progresses quickly. Even the use of folk remedies should be coordinated with your doctor.

A disease with a history

Bumps in the thumb area are an unpleasant problem that humanity has been familiar with for a long time. The first mention of this disease dates back to the 3rd century BC. e. The symptoms of the disease were first described by Hippocrates. The famous ancient Greek doctor found that the bone on the big toe mainly begins to grow in women during menopause. Men have previously encountered this problem after reaching puberty. It has been noted that the growth of cones at the base of the thumbs is influenced by heredity.

Currently, there are quite a few different methods of dealing with cones. However, any modern doctor will tell you that the help of specialists may not be needed at all if you adhere to certain preventive measures:

A bone that appears and gradually grows near the big toe most likely indicates that the patient has transverse flatfoot. This pathology is the most common deformation of the musculoskeletal system and accounts for about 10% of all orthopedic diseases. The disease is characterized by a progressive course (the bone on the foot near the big toe continues to grow). Transverse flatfoot is recorded mainly in women (55.2% versus 38.1% in men). The formation of a bone or lump (the so-called hallux valgus) is an early symptom of an existing disease and indicates damage to the 1st metatarsophalangeal joint.

    Show all

    Why does it occur

    There are many theories explaining the origin of the development of transverse flatfoot in humans. Today, doctors believe that this disease develops under the influence of many factors (polyetiological theory). According to the latter, the following factors exist:

    • predisposing - anatomical, constitutional (congenital weakness of the ligamentous and tendon apparatus of the foot, worsening with age) and supporting features of the foot;
    • producing - static and dynamic overloads (long standing on the feet and gait patterns lead to weakening of the muscular system, which ultimately leads to changes in the muscles and ligaments of the foot), the use of irrational shoes.

    Therefore, the causes of the development of transverse flatfoot can be divided into external and internal.

    This disease is extremely rare as a congenital form.

    The internal reasons are the following:

    1. 1. hereditary constitutional predisposition;
    2. congenital dysplasia of the osteoarticular apparatus of the foot, the most likely signs of which are the following:
      • significant lengthening or shortening of the 1st metatarsal bone;
      • excessive bevel of the gap of the first metatarsocuneiform joint;
      • presence of additional sesamoid bones.
    3. 3. primary weakness of the ligamentous-muscular apparatus of the foot.

    External causes that contribute to the development of this disease include overload associated with an increase in a person’s body weight, with playing sports, profession or housekeeping, with wearing irrational shoes (with a pointed toe and high heels), etc. The negative impact of the latter is so It is great that some scientists even consider it as the main cause of the formation of deformation.

    Also, regular wearing of such shoes leads to a sharp increase in the load on the heads of the metatarsal bones and has a beneficial effect on the appearance and progression of deformity.

    The metatarsal bones are held in the correct position by the fascia and plantar aponeurosis. Therefore, first of all, this disease should be considered from the standpoint of manifestation of insufficiency of the ligamentous apparatus against the background of weakness of the muscles of the foot and lower leg.

    On one of her programs, even Elena Malysheva admitted that she suffers from this disease.

    How the disease develops

    To better understand how the disease develops, it is worth considering what bones the foot consists of.

    Bones of the foot. View from above

    It should be remembered that transverse flatfoot is a progressive disease. Therefore, if the patient does not follow the doctor’s recommendations, the bone on the big toe will continue to grow with other ensuing consequences.

    Bones of the foot. Bottom view

    Normally, the sesamoid bones are enclosed in the tendons of both heads of the flexor pollicis brevis, and the tendon of the flexor pollicis longus is firmly fixed between them (the so-called “hammock”).

    “Hammock” of the first metatarsal bone: 1 - tendon of the adductor pollicis muscle; 2 - flexor pollicis longus tendon; 3 - tendon of the abductor pollicis muscle; 4 - tendons of both heads of the short flexor pollicis

    In the process of development of this pathology, the main element is the spreading of the forefoot (i.e., divergence in horizontal plane metatarsal bones). Most often it occurs due to inward deviation of the 1st metatarsal, sometimes in combination with outward deviation of the 5th metatarsal.

    Progression of inward deviation of the 1st metatarsal bone leads to subluxation and dislocation of the sesamoid bones. The latter shift to the area of ​​the 1st intermetatarsal space. This leads to an outward displacement of the tendons that are in conjunction with the sesamoid bones. As a result, the head of the 1st metatarsal bone separates from its “hammock”.

    As a result, the extensors and flexors of the thumb acquire an additional, unusual function of abductors (that is, abduction), leading to internal deviation of the thumb (halus valgus), which leads to the appearance of a lump or bone near it.

    As a result of the interaction of the load forces on the first metatarsal bone and the ground reaction, a moment of force arises that promotes internal rotation of the 1st metatarsal bone and big toe. As a result of this, as well as subluxation and dislocation in the metatarsal-sesamoid joint, a significant decrease in the supporting function of the head of the 1st metatarsal bone is formed. This leads to a sharp increase in the load on the heads of the 2nd and 3rd metatarsal bones with the development of painful calluses (so-called corns) on the sole of the foot.

    Corns

    The head of the 1st metatarsal bone, protruding inward, is subject to constant pressure from the shoe. As a result, osteochondral exostosis (bone growth from gradually ossifying cartilaginous tissue) appears along its inner edge and gradually increases in size, and above it is an often inflamed joint capsule (chronic form of bursitis).

    Similar changes are sometimes observed in the area of ​​the head of the 5th metatarsal bone, which is explained by its significant deviation outward. At the same time, the little finger deviates inward. In foreign literature, the above-described pathology is called “tailor's bursitis.”


    With transverse flatfoot, the increased load on the heads of the middle bones of the metatarsus creates excessive constant pressure on the flexor tendons of the 2nd and 3rd fingers. This causes a reflex contraction of the corresponding muscles and leads to the development of hammertoe deformity. Another reason for the development of this defect is the displacement of the middle toes by the big toe, which deviates outward.

    Hammer fingers

    This specific deformity is characterized by flexion at the proximal interphalangeal joint and extension at the metatarsophalangeal joint. Sometimes an extension or flexion position in the distal interphalangeal joint is additionally added.

    As the disease progresses, persistent joint contractures of the hammertoes form, and painful calluses from shoe pressure develop on their dorsum. In the future, a dislocation of the finger towards the rear (“clawed” finger) may form, and the development of osteoarthritis in the deformed joints increases the pain syndrome.

    "Clawed" finger

    Thus, transverse flatfoot is a multicomponent deformity of the forefoot. The most important elements of the latter, in addition to transverse flatness, are dislocation of the sesamoid bones of the metatarsophalangeal joint and excessive internal rotation of the 1st metatarsal bone.

    In most cases, the consequence of transverse flatfoot is deviation of the big toe outward and/or little toe inward, and hammertoe deformity of the middle toes.

    Classification

    Transverse flatfoot and hallux valgus are classified differently depending on the severity of pathological changes.

    HVA - thumb deviation angle (normally up to 15 degrees). IMA - angle between the 1st and 2nd metatarsal bones (normally 8-10 degrees)

    According to the degree (sometimes referred to as stages) of forefoot deformation (determined by X-ray data), the following are distinguished:

    • first (weak) - HVA does not exceed 30 degrees, and IMA is within 9-12 degrees;
    • second (moderately expressed) - HVA reaches 40 degrees, and IMA increases to 13-16 degrees;
    • third (sharply expressed) - HVA is over 40 degrees, and IMA increases to 16 degrees or more.

    Degrees of hallux valgus: 1st (top picture), 2nd (bottom picture on the left), 3rd (bottom picture on the right)

    Transverse flatfoot in the form of deformation of the forefoot is as follows:

    • Unfixed (“soft” foot) - the transverse flatness of the foot is completely eliminated, and the big toe is easily moved to its normal position using manual correction.
    • Fixed (“rigid” foot) - an attempt to reduce the diameter of the foot and move the big toe to a normal position using manual correction does not give positive results.

    Unfixed form. On the left is the foot before correction of the deformity. On the right - foot after manual correction

    It is highly not recommended to treat this disease yourself at home, much less resort to folk remedies. You should consult an orthopedist.

    Fixed form. On the left is the foot before correction of the deformity. On the right - the foot when attempting manual correction

    Transverse flatfoot is divided depending on the location of the deformity into unilateral and bilateral.

    Clinical manifestations and diagnosis

    The diagnosis of “transverse flatfoot” and “halus valgus” is established based on the results of a clinical examination and x-ray studies. This pathology is confirmed using podometric and plantographic (measurement of parameters and graphic image of the foot) studies.

    During a clinical examination, the doctor finds out what the patient is complaining about, and also determines the type of transverse flatfoot according to the classification. The patient's main complaints are the following:

    • pain;
    • change in the location of the bones of the forefoot;
    • problems in wearing and selecting standard shoes (this forces patients to use larger shoes with loose toes, and women to almost completely abandon shoes with heels);
    • cosmetic defect (patients indicate the presence of “ugly bones on the legs”).

    Pain in transverse flatfoot is most often localized on the plantar surface of the foot under the heads of the middle metatarsal bones and the medial surface of the head of the 1st metatarsal bone. Mostly the pain is periodic and occurs when walking and standing, accompanied by increased fatigue of the legs. Pain can sometimes radiate to the knee joint or lower leg area.

    Typically, the duration and intensity of pain increases as the deformity progresses. Again, the opposite is observed when, with severe degrees of this disease, pain is not expressed.

    With transverse flatfoot, the foot deformity has certain characteristics. They are the following:

    • expansion of the forefoot;
    • outward deviation of the thumb with its internal rotation;
    • corns on the sole in the area of ​​the heads of the middle metatarsal bones;
    • osteochondral exostosis of the head of the 1st metatarsal bone with signs of chronic bursitis;
    • hammertoe deformity of the middle toes, which is accompanied by the development of corns on the dorsal surface of the deformed toes;
    • deviation inward of the little finger with the presence of exostosis and symptoms of bursitis.

    The following X-ray examinations are used for transverse flatfoot:

    • x-ray of the foot in a direct projection - allows you to determine the type of transverse flatness, as well as HVA and IMA;
    • X-ray of the foot in the axial projection - allows you to determine the degree of displacement of the sesamoid bones of the 1st metatarsophalangeal joint in the area of ​​the intermetatarsal space and evaluate the angle of rotation of the 1st metatarsal bone.

    When performing podometry, the Friedland transverse index is calculated, which will exceed the norm depending on the degree of deformation.

    The plantography method allows you to detect overload zones in the forefoot area and also calculate HVA.

    Another reason for bone growth

    There are pathological conditions that can be confused with early manifestations of transverse flatfoot (halus valgus).

    If there is an expansion of the forefoot (in the area of ​​the metatarsal heads), then this may be a consequence of osteofibrous growths in the area of ​​the head of the 1st metatarsal bone. The latter simulate the outward deviation of the thumb by 15-20 degrees.

    The spread of these growths to the surface of the joint leads to subluxation of the proximal phalanx of the first finger. This leads to a deviation, sometimes reaching 30 degrees. With this pathology, no signs of transverse flatfoot are found and no deformation of the other toes is observed. This pathological condition occurs relatively infrequently, in approximately 1.5% of cases.

    This pathology is much less common on the little finger.

    In the case of this pathology, Schede's operation is a radical intervention. This is due to the fact that the supporting function of the foot is not impaired in this disease and removal of the growths completely cures the patient of this pathology. A similar operation is performed when the head of the 5th metatarsal bone is affected.

    Treatment

    Toe deformity and transverse flatfoot are treated mainly with surgery. At the initial manifestations of the disease, it is recommended to resort to conservative therapy. This mainly occurs in old age, in adolescents, in the presence of contraindications to surgery, as well as in the postoperative period.

    In order to return the big toe to its previous position, various types of interdigital inserts are used, daily exercise therapy exercises, and special splints for the big toe and foot are performed. To form a transverse arch, they resort to:

    • circular bandaging of the foot in the area of ​​the heads of the metatarsal bones;
    • using special orthopedic insoles or ties with a Seitz roller under the heads of the 2nd-3rd metatarsal bones.

    If the deformity is severe, orthopedic shoes are used. Below is an example of an auxiliary treatment method for this disease.

    If you have a bone near your big toe, Elena Malysheva and other qualified doctors recommend purchasing orthopedic insoles with a Seitz cushion, which additionally helps to stop the progression of the disease in combination with lifestyle changes (stop wearing unsustainable shoes).

    Special splint for the big toe with a special intertoe insert

    Foot baths, various physiotherapy procedures, corrective gymnastics in combination with massage can only temporarily get rid of pain and exacerbation of bursitis in the area of ​​the head of the 1st or 5th metatarsal bone. It is impossible to eliminate the deformity with conservative treatment.

    Surgery

    Today, the modern concept of surgical treatment states that the operation should be radical, that is, eliminate the root cause of toe deformities - transverse flatfoot. Since in most cases with this pathology there is an inward deviation of the 1st metatarsal bone, the main direction of surgical intervention is to eliminate its incorrect position.

    Depending on the shape of transverse flatfoot, different surgical approaches are used, which are presented in the table below.

    If there are contraindications to radical surgery or in elderly patients, then palliative surgical treatment can be performed (improving the patient’s quality of life, but does not eliminate transverse flatfoot). The essence of this surgical intervention is to correct finger deformities that cause the greatest suffering to a person (halus valgus, hammertoes).

How to treat the resulting growth and is it possible to remove a bunion without surgery?

The skeleton of the foot is made up of 26 bones. The fluoroscopic image of the foot resembles the image of hands with palms and fingers. In addition to the digital phalanges, the foot itself is divided into metatarsus and tarsus. The back of the foot (near the heel and ankle) is called the tarsus and consists of 7 bones.

The middle part of the foot is called the metatarsus and consists of 5 bones. The metatarsus is connected to the phalanges of the fingers, and at the base of the big toe on the side of the sole there are 2 additional bones. The movable connection of bones is called a joint. Each foot has 20 movable joints.

Improper load on the joint or insufficient nutrition of its tissues causes inflammation. In this case, the joint is deformed, various growths, “bones”, and bumps are formed.

Characteristic signs of orthopedic disease: a visible change in the joint, its deformation, bending and deviation of the big toe, the appearance of a characteristic painful lump (“bone”) on the side of the foot. In this case, the sole ceases to fully spring, and the acquired growth interferes with wearing shoes. The bone on the big toe swells, walking becomes painful.

How the foot is deformed with a bunion

The deviation of the big toe from the line of the metatarsal bone should not exceed 10%. Problems and inflammations form when the angle of deviation exceeds the normal 10%.

There are four stages of the disease:

  1. First stage– when the finger is deviated by 15-20°. In this case, a small bump is formed, on which a callus often grows. The lump is the result of the head of the bone protruding from the joint.
  2. Second stage– when the finger is deviated by 20-30°. In this case, the periarticular ligaments are stretched, and subluxation of the phalanx-metatarsal joint occurs, the bone becomes obvious, protrudes and stretches the shoe. Minor episodic pain appears, mainly during exercise or at the end of the day.
  3. Third stage– when the finger is deviated by 30-50°. To maintain the load on the deformed joint, an osteochondral growth is formed. The bone increases so much that it becomes difficult to select shoes (you have to buy shoes 2-3 sizes larger).
  4. Fourth stage– with a deviation of more than 50°. The phalanx and metatarsal bones are removed from each other. The head of the bone becomes flat, severe inflammation develops, and arthrosis forms.

Why does too much deviation cause painful inflammation and deformation of the joint and foot?

Changing the position of the phalanx of the finger disrupts the normal distribution of load within the joint. At first, the defect is not externally noticeable. You can guess about it only by rapid fatigue. My legs hurt after normal daily exercise. Afterwards, the cartilage begins to wear out, deformation forms and inflammation appears. It becomes difficult for a person to walk and wear closed shoes.

Why does the bone in my foot hurt?

The pain is due to the abnormal position of the big toe bone in the joint. Due to the strong bending of the phalanx, the pressure is distributed incorrectly and pain occurs. In addition, improper distribution of loads also causes inflammation (in medical terminology - bursitis). Therefore, when a “bump” grows, the bone on the foot near the big toe hurts, the joint itself swells and changes color (turns red or blue).

With the development of deformation and destruction of cartilage tissue, arthrosis forms. The changes spread to neighboring tissues, the arch of the foot becomes rigid, and the sole begins to hurt. Following the soreness of the entire foot, corns appear.

Why does a bone grow on the foot: causes of the disease

A number of painful factors contribute to the growth of bunions. Let's list the causes of bunions:

  • Increased or improper load on the foot - usually occurs due to flat feet (toes are arranged like a fan), excess weight, wearing high heels, or tight shoes. A common cause of bunions is long-term wearing of high-heeled shoes. Medical statistics confirm that out of 100 people with plano-valgus deformity of the finger, only 15 people are men, and 85 are women.
  • Metabolic disturbances (with endocrine diseases, for example, diabetes, or with hormonal changes - pregnancy, lactation, menopause).
  • Diseases of joints and ligaments – arthrosis, osteoporosis.
  • Ankle injuries.

Heredity is not the cause of the growth. Even if a mother or grandmother had a “bone” on her leg, its appearance is not necessary for an adult daughter. Only weakness of muscles and ligaments and a tendency to flat feet are inherited. Eating habits and choice of shoes are not inherited.

The manifestation of improper foot loading often depends on the individual's preferences. A healthy heel height, prevention of metabolic disorders (avoiding high-calorie foods and additives), prevention of foot diseases (walking barefoot or with orthotics) and proper physical activity help avoid bunions.

At what age does a bone grow on the foot?

In most people who have this problem, the growth of the lump began after forty years. This is due to the fact that the action of several destructive factors is combined. For example, menopause is associated with age-related metabolic disorders. Or for several years a woman has been watching her figure (limiting herself to diets and not getting enough minerals and vitamins), while wearing high-heeled shoes.

Rare cases when a “bone” appears in a young girl are associated with diseases of the endocrine system or injury.

Important: If you have flat feet, wear shoes with orthotics. This will distribute the load correctly and prevent the formation of any growths.

A bunion on the foot is uncomfortable, unpleasant, painful. Its occurrence is easier to prevent than to treat. But if time is lost and growth has already appeared, what can be done? How to remove a bunion on your foot?

Treatment of a bunion near the big toe

Treatment of a bunion near the big toe is either passive prevention (to limit its further growth) or drastic measures (surgical filing, laser removal). The choice of treatment method is determined by the stage of the disease and the pain of the sensation.

With a relatively small deviation of the finger (up to 20°), people turn to physiotherapy, compresses, or orthopedic braces. Also, these treatment methods are indicated when surgical intervention is not possible (poor blood clotting, heart problems, varicose veins, diabetes).

Physiotherapy and foot massage

For pain relief and treatment of deformity in the initial stage of the disease, foot massage, electrophoresis, ultrasound, and therapeutic mud are prescribed. They increase blood circulation, which improves tissue nutrition and removal of toxic substances (cell waste).

Fixers for bunions on the legs

The orthopedic industry produces various protectors to correct the position of the toe and foot - interdigital inserts, splints, side clamps, night and day bandages.

Bunion braces are a type of orthopedic splint. They fix the correct position of the foot when standing and walking, and thereby correct the deformity. In such conditions, in the presence of minerals and vitamin nutrition, the joint can recover.

For a therapeutic effect, retainers (splints) are worn during the day and left overnight. They begin to put on the retainers for 2-3 hours (during the day), then the wearing time is gradually increased. Afterwards, leave them overnight.

Non-surgical treatment methods

Modern medicine also offers methods for non-surgical removal of bones. They stop the growth of bumps on the legs, and after a while they stimulate their reduction (resorption).

Want something interesting?

Methods for non-surgical bone removal:

  • Shock wave therapy– destroys calcifications and reduces cartilage growth. Promotes the formation of new capillaries, restoration of blood circulation and nutrition. And this treats inflammation, improves the condition of cartilage tissue, ligaments and muscles, making them elastic and strong.
  • Chinese magnetic patch for bunions- relieves inflammation, relieves pain and stops deformation. Combines the achievements of folk and traditional medicine. How does it work?

Magnetic patch - treatment effectiveness

During production, extracts of medicinal herbs are applied to the inner surface of the patch (there are more than 30 of them, the main ones in the composition are mustard powder, dandelion flowers, saffron, turmeric, grapevine). They are absorbed through the skin when applied. The wearing time of the medicinal composition is up to 2 days, after which it must be replaced with a new one. Technology know-how - enhanced absorption of useful components under the influence of magnetic radiation.

The manufacturer stipulates that 16 patches are needed to resolve a small bone. This remedy is also used to treat heel spurs and various joint inflammations.

When the patch cannot be applied:

  • If there are wounds on the skin.
  • For allergies.
  • During pregnancy and breastfeeding.

Removing a bunion using surgery

Removal of leg bones is indicated for severe deformation of the joint (more than 30°). Modern medicine offers various low-traumatic removal methods, after which a person can walk already on the 4th day. The know-how of these technologies lies in the use of special fasteners that fix the joint from the inside, as well as in minimally invasive methods. In addition, removal of a bunion on the big toe during surgery is accompanied by straightening of the toe, which prevents relapses of the disease.

  • Special mounts(microdrills, microblades) are made of titanium alloys and installed inside the joint after cutting off the growth. They prevent the phalanx from taking an incorrect position. This fixation returns the phalanx to its normal position.
  • Minimally invasive techniques involve small incisions on the skin surface (up to 3 mm), working with a micro-tool (microspalpel, micro-drill), which saws through bone growths. Fluoroscopic equipment is used to visually monitor the progress of the operation. Disadvantage: minimally invasive techniques are used in the early stages of the disease.

The total recovery time after surgery is 2-3 weeks. In the future, walking requires shoes made of genuine leather with low heels (up to 4 cm), as well as orthopedic insoles. Sometimes after surgery it is necessary to wear special protectors (called splints) that keep the toe and foot in the correct position.

To prevent further growths on the bones, it is necessary to adjust the diet and normalize the load on the foot (choose comfortable shoes with orthopedic insoles). If necessary, prevention is supplemented with vitamin-mineral complexes and chondroprotectors.

Surgery on the bunion of the big toe, performed using modern technology, helps solve the problem. In the past, operations to simply “cut down” the lump solved the problem for only a few years, since they did not eliminate the cause of the growth, but worked with the effect.

How to treat a bunion with folk remedies

Traditional healing methods use natural substances for ointments, tinctures, compresses and internal treatments. As a rule, they are effective in the initial stages of the disease, when the joint deformity does not exceed 20°. In this condition, you can relieve pain, relieve swelling, and slightly reduce the bone (due to the resorption of calcifications).

Is it possible to get rid of a bunion using traditional methods if the deformity has reached 30°? As a rule, no, but it is possible to relieve pain. How to do it?

Pain Relief Products

  • Baths. Iodine and salt are added to them (10 drops and 2 tbsp).
  • Cabbage leaf compress with honey. Before applying, the leaf is crushed to release the juice, after which a layer of honey is applied to it and fixed on the stone.
  • Potato. It is rubbed on a fine grater and applied to the lump as a compress.
  • Pulp of raw fish. It is cleared of bones and applied to the “bump” overnight.

Inflammation Reducers

  • Propolis. It is kneaded and applied in the form of a cake to the growth. Or make a compress from an alcohol tincture of propolis (dilute with warm water 1:1, soak gauze or bandage, apply to the bump, cover with polyethylene and fix).
  • Clay. It is also used for compresses. Soak in water until creamy and apply to the protruding bump and the area around it. After drying, they are crushed. Clay draws out toxic substances. Therefore, it cannot be kept for longer than 3 hours. It absorbs toxins and must be replaced with a new compress.

Bunion is a medical problem that can be prevented. Choose comfortable shoes, wear orthopedic insoles, and eat well. If foot deformity has already appeared, then treatment should begin as early as possible. The lower the stage of the disease, the easier it is to cope with its manifestation and limit the further growth of the protruding lump.

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