足部變形是下背痛的共患或是主要發病的導因

Co-morbidity or Cause of Disease: Foot Deformity and Lower Back Pain

拇指外翻，是一種常見的足部變形，嚴重時，他不只令患者舉足為艱，最重要是導致足部的生物力學失衡，下背痛也是讓勞工失能的常見原因，也是困擾大多數人的身體不適，雖然導致的原因林林種種，但背部的生物力學失衡，正是大部分下背痛及一些無法以手術處理的頑固性下背痛的主要原因之一，而這兩種常見的問題，卻有一共同導致的原因一生物力學系統失衡，我們知道生物力學的失衡大多是由下而上，故我們矯正拇指外翻所引起的失衡原因，得以大大改善惱人的下背痛，不管所用的方法是保守治療如：鞋具、矯型足墊或利用不同的手術方式，只要符合適應症都是可行之道。

Hallux valgus is a common disorder of 1st metatarsophalangeal joint which not only the deformity but still combine with faulty biomechanics of foot. For the foot which is the fundamental part of whole trunk, so its faulty biomechanics will interfere to the whole part of our body. Low back pain is another common problems in the usually, they have a lots of cause of impression, beside the neurogenic they have majority arise from muscular and ligament system, finally form faulty biomechanics. For both of hallux valgus and low back pain they have a common problem is faulty biomechanics, and the faulty biomechanics most from the toe to the head. So once we correct the faulty biomechanics from hallux valgus, the low back pain can be improve and even cure. Whatever what we apply, conservative treatment with appropriate shoe gear, orthotics or any kind of surgical procedure if they under the indications.