Reader Comments

Clear Nails Plus

by Alisa Princy (2020-01-27)


Non-surgical treatment is Clear Nails Plus Review limited, consisting of measures to limit the painful motion of the joint and decrease the resulting inflammation. Stiff soled shoes and specialized custom foot inserts can be used to limit the painful motion. Anti-inflammatory medications and steroid injections can reduce the inflammation, although this is not nearly as effective as it is in larger joints like the knee. However, the unique structure of the big toe joint generally necessitates surgical treatment in many cases of arthritis. Surgical treatment is divided into procedures that destroy the joint and procedures that maintain the joint (in the case of mild arthritis). When joint destruction is severe or significant, the joint destruction technique is chosen as the cartilage of the joint will have to be replaced or removed entirely in order for the pain to be resolved. The choice of whether to use an artificial implant or fuse the joint surgically is up to the health of the patient and the preference of the surgeon. Joint implants have been in use for fifty years, and are made of metal or silicone gel. Various designs can replace the ball of the joint, the socket, or both. There are advantages and disadvantages to each design, and certain conditions like diabetes with nerve disease, poor circulation, and obesity limit their use. Their lifespan is much longer than hip or knee implants, which have to be replaced after a certain number of years. The motion restored by these implants is rarely equal to the motion of the joint before the onset of arthritis, but in generally is significant enough to relieve all motion pain and limitation. When these fail, or if the surgeon is not advising their use, a joint fusion is the preferred method of relieving joint pain. This procedure fuses the bones across the joint, resulting in no motion at all. It differs from painful arthritis that is partially fused in that there are still areas of motion in those cases that produce pain. By removing all motion, the joint is no longer painful, leading to a stiff lever upon which the foot rolls off during the walking cycle. Eventually the body adapts to this, although some minor strain can occur to the joint in the middle of the big toe, or the complex of joints in the middle of the foot. If the arthritis is only mild, the surgeon may elect to preserve the joint. In this technique, the surgeon simply removes any bone spur limiting motion, and drills holes in the eroded areas of cartilage.

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