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Обычно болезнь появляется на обеих ногах одновременно [1](https://aviamed.ru/articles/valgusnaya-deformatsiya-stopy/). \n\nЛечением занимается ортопед-травматолог [4](https://OpenClinics.ru/bolezni/valgusnaya-deformatsiya-stopy/)[5](https://comfort.sovamed.ru/zabolevaniya/valgusnaya-deformatsiya-stopy-simptomy-lechenie-diagnostika/).\n\n\n\n## Причины\nНекоторые факторы, способствующие развитию вальгусной деформации стопы: \n* **Наследственность** (слабость связочного аппарата стопы или особенности строения костей) [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802). \n* **Неправильная обувь** — постоянное ношение узкой обуви с зауженным носком и высоким каблуком создаёт избыточное давление на передний отдел стопы [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802). \n* **Поперечное плоскостопие** — ослабление связок и мышц, поддерживающих поперечный свод стопы, приводит к распластыванию переднего отдела и провоцирует отклонение пальца [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802). \n* **Заболевания** — ревматоидный артрит, подагра, псориатический артрит могут вызывать воспаление суставов стопы и способствовать деформации [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802). \n* **Травмы стопы** — повреждения связок, сухожилий или костей стопы в прошлом могут нарушить её нормальную анатомию и функцию [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802).\n\n## Симптомы\nСамый очевидный симптом — **видимая костная «шишка» у основания большого пальца** [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802). Однако заболевание редко ограничивается только косметическим дефектом [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802). По мере прогрессирования деформации появляются и другие проявления [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802): \n* **Болезненные ощущения** — ноющая, жгучая или острая боль в области «косточки», особенно после ходьбы или в тесной обуви [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802). \n* **Покраснение и припухлость** — кожа над выпирающей косточкой часто краснеет, становится горячей на ощупь и отекает из-за постоянного трения и воспаления [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802). \n* **Омозолелости (натоптыши) и мозоли** — образуются на подошве под головками плюсневых костей (из-за перегрузки) и на боковой поверхности самой «косточки» (от трения об обувь) [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802). \n* **Ограничение движений в суставе большого пальца** — становится трудно сгибать и разгибать палец, движения могут быть болезненными [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802).\n\n## Диагностика\nПри появлении «косточки» и дискомфорта в стопе необходимо обратиться к врачу — ортопеду или травматологу-ортопеду [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802). Некоторые методы диагностики: \n* **Осмотр врача** — специалист оценивает форму стопы, степень отклонения пальца, состояние кожи, объём движений в суставах, наличие плоскостопия, походку [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802). \n* **Рентгенография стоп** — основной метод диагностики, снимки делаются в двух проекциях (прямой и боковой) с нагрузкой (стоя) [7](https://Megapteka.ru/specials/kak-izbavitsya-ot-5802).\n\n## Лечение\nЛечение вальгусной деформации стопы может быть **консервативным** или **хирургическим** в зависимости от выраженности деформации, жалоб и симптомов [3](https://www.Sportmaster.ru/media/articles/valgusnaya-stopa-chto-eto-takoe/). \n\n**Консервативное лечение** может включать: \n* ношение обуви с широким носком и низким каблуком (в том числе ортопедической), чтобы снизить давление на большой палец [3](https://www.Sportmaster.ru/media/articles/valgusnaya-stopa-chto-eto-takoe/); \n* применение ортопедических стелек, чтобы скорректировать положение стоп и уменьшить нагрузку на них [3](https://www.Sportmaster.ru/media/articles/valgusnaya-stopa-chto-eto-takoe/); \n* использование корректора, чтобы поддержать правильное положение пальцев и повысить комфорт при ходьбе [3](https://www.Sportmaster.ru/media/articles/valgusnaya-stopa-chto-eto-takoe/); \n* физические упражнения и массаж, чтобы укрепить мышцы ног и улучшить состояние стоп [3](https://www.Sportmaster.ru/media/articles/valgusnaya-stopa-chto-eto-takoe/); \n* противовоспалительные препараты и анальгетики, чтобы снять симптомы [3](https://www.Sportmaster.ru/media/articles/valgusnaya-stopa-chto-eto-takoe/). \n\n**В тяжёлых случаях** может потребоваться операция — остеотомия [3](https://www.Sportmaster.ru/media/articles/valgusnaya-stopa-chto-eto-takoe/). 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