A-shaped high-heeled shoes may be the main reason

The footbone on the side of the big toe is prominent, and the shoes are painful and unsightly. It is called "valgus valgus deformity" in medicine and is commonly called "bigfoot bone." Yesterday, the readers were most concerned about this issue, and it was strange that I visited more than a dozen readers who had text messages. All of them were women. Is the big bones an inherited disease?

Dr. Wu Shoufan, director of orthopaedic surgery of the People's Hospital of Zhejiang Province, said that there are indeed more females than males in the patients with large bones. The specific proportion is unknown, but only one or two males are among the nearly one hundred patients treated by the Provincial People's Hospital each year. “Some people think that the main cause of hallux valgus deformity is heritability, and that women are more likely to be hereditary than men. But I don’t think so. First of all, as far as I know, there are no relevant genetic studies in the country to prove; From my clinical experience, girls love to wear that A-shaped high-heeled shoes is the most important reason."

China Orthopedic Network said that foreign literature reported that after the advent of leather shoes in France in the 18th century, the incidence of hallux valgus increased gradually. In Japan, cases of hallux valgus have been increasing in recent 20 years, which is related to changes in the habits of Japanese people from wearing clogs to wearing leather shoes. Almost all the data indicate that the incidence of females is higher than that of men. Wearing tight shoes is the main reason. A small number of non-shoe-bearing people also have hallux valgus deformities. It can be seen that there are other pathogenesis factors.

How can high heels cause big bones? Dr. Wu said that wearing high heels, people's center of gravity leaned forward, the body weight is concentrated in front of the foot, and women's high-heeled shoes are mostly pointed, like an A word, so that five toes want to squeeze in the middle, The bones of the big toe bones are squeezed out to the outside. Over time, big bones are formed. "I have a patient who wears high heels and puts two toes together. I dare to say that if women are wearing sandals, cloth shoes or bare feet, no one will get big bones."

Feeling big bones, life is really troublesome. Yesterday, the biggest complaints from several patients who returned for the visit were that the shoes were difficult to buy, some people were afraid of ugly, and summer did not dare to wear sandals. "My wife wears 4 pairs of shoes a year. She has worn out her feet and has worn out her feet. There are no shoes she can wear at the mall. They are all tailor-made." Mr. Ba said.

In addition to being unsightly, it is difficult to buy shoes. Once the "big bones" are in pain, they must be treated surgically. "If it's mild, just cut off or cut off the protruding bones; if it is severe, you have to open the thumb joints and reassemble the bones, which will take at least 1 month to recover. Generally no treatment is needed." Dr. Wu said.

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