{"id":247324,"date":"2024-09-23T14:09:31","date_gmt":"2024-09-23T14:09:31","guid":{"rendered":"https:\/\/drmielcarek.live-website.com\/?page_id=247324"},"modified":"2024-11-28T14:05:22","modified_gmt":"2024-11-28T14:05:22","slug":"hallux-valgus","status":"publish","type":"page","link":"http:\/\/www.docteur-mielcarek.com\/pl\/hallux-valgus","title":{"rendered":"Hallux Valgus"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbHeader\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb90deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#000000 0%|rgba(0,0,0,0.5) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/mael-balland-mB9eues4BKo-unsplash-scaled-e1725902090643.webp\u00a0\u00bb collapsed=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb2_3,1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb||0px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbe6504a1b-67eb-4b3d-b023-bcab277610b6&Prime; header_font=\u00a0\u00bb&#8211;et_global_body_font||||||||\u00a0\u00bb header_4_font=\u00a0\u00bb&#8211;et_global_body_font|800||on|||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_4_font_size=\u00a0\u00bb14px\u00a0\u00bb header_4_letter_spacing=\u00a0\u00bb0.15em\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.5em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_4_text_color%22%93}\u00a0\u00bb]<\/p>\n<h4>Interwencje<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"c16985e1-e0d6-4022-964d-e2bfc04fa633\u2033 text_font=\"Inter|700||||||| \" text_text_color=\"#FFFF \" text_font_size=\"2.25rem \" text_line_height=\"120% \" header_font=\"-et_global_heading_font||on|||||| \" header_text_align=\"left \" header_text_color=\"#FFFF \" header_font_size=\"70px \" header_2_font=\"-et_global_heading_font||on|||||| \" header_2_text_color=\"#FFFF \" header_2_font_size=\"70px \" header_2_line_height=\"120% \" text_orientation=\"center \" custom_margin=\"||0px||false|false \" animation_style=\"slide \" animation_delay=\"250ms \" text_font_size_tablet=\"1.75rem \" text_font_size_phone=\"1.25rem \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"50px \" header_font_size_phone=\"40px \" header_font_size_last_edited=\"on|phone \" header_2_font_size_tablet=\"1.75rem \" header_2_font_size_phone=\"1.88rem \" header_2_font_size_last_edited=\"on|desktop \" global_colors_info=\"{}\"]<\/p>\n<h1>Hallux Valgus<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" background_color=\"#FFFFFF \" custom_padding=\"40px|40px|40px|40px|true|true \" custom_padding_tablet=\"30px|30px|30px|30px|true|true \" custom_padding_phone=\"20px|20px|20px|20px|true|true\" custom_padding_last_edited=\"on|tablet\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"-et_global_body_font|||||||| \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n<p class=\" translation-block\"><span>Najcz\u0119stsz\u0105 deformacj\u0105 jest <\/span><strong>HALUKS<\/strong><span> (powszechnie nazywany \u201ebunionem\u201d). Dotyczy pierwszego promienia stopy, gdzie paliczki odchylaj\u0105 si\u0119 na zewn\u0105trz, a pierwsza ko\u015b\u0107 \u015br\u00f3dstopia odchyla si\u0119 do wewn\u0105trz.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_button button_text=\"Um\u00f3w si\u0119 na spotkanie\" button_alignment=\"left \" button_alignment_tablet=\"left \" button_alignment_phone=\"left \" button_alignment_last_edited=\"on|tablet \" _builder_version=\"4.27.4\u2033 _module_preset=\"31b4f027-aaa0-4f2f-ae02-959764e19e4f \" custom_button=\"on \" button_text_size=\"14px \" button_text_color=\"#FFFFFF \" button_bg_color=\"#000000\u2033 button_border_color=\"#000000\u2033 button_border_radius= \"0px \" button_font=\"-et_global_body_font|700||on||||| \" custom_padding=\"16px|24px|16px|24px|true|true \" hover_enabled=\"0\u2033 global_colors_info=\"{} \" button_url=\"@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI0ODQ0OTI4In19@ \" _dynamic_attributes=\"button_url \" sticky_enabled=\"0\u2033][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\"1\u2033 admin_label=\"Product \" _builder_version=\"4.17.4\u2033 _module_preset=\"default \" background_color=\"#FFFFFF \" collapsed=\"on \" global_colors_info=\"{} \"][et_pb_row column_structure=\"1_3,1_3,1_3\u2033 _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \"][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" global_colors_info=\"{} \"][dipi_image_hotspot img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/human-body-png-ty0abbpy0ndvd97l.png \" _builder_version=\"4.27.4\u2033 _module_preset=\"default \" max_width=\"500px \" module_alignment=\"center \" hover_enabled=\"0\u2033 locked=\"off \" global_colors_info=\"{} \" sticky_enabled=\"0\u2033][dipi_image_hotspot_child title=\"hallux rigidus \" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111|fa|900\u2033 hotspot_icon_color=\"#FFFFFF\" hotspot_icon_padding=\"10px|10px|10px|false|false\" hotspot_circle_icon=\"on\" hotspot_circle_color= \"#0a0a0a\" use_hotspot_icon_font_size=\"on\" hotspot_icon_size=\"10px\" hotspot_ripple_effect=\"on\" hotspot_ripple_effect_style=\"style-2\u2033 hotspot_ripple_effect_color=\"rgba(21,2,42,0.56)\" hotspot_ripple_effect_size=\"60px\" hotspot_ripple_effect_speed=\"4\u2033 hotspot_position_vertical=\"92.8%\" hotspot_position_horizontal=\"85.5%\" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/DRHOSSENBACCUS-pied-HalluxRigidus-247\u00d7300-1.jpg\" tooltip_image_width=\"60px\" tooltip_title=\"Hallux Rigidus\" tooltip_desc=\"\"<\/p>\n<p><span>Hallux rigidus to nazwa nadana pierwotnemu zapaleniu ko\u015bci i staw\u00f3w pierwszego stawu \u015br\u00f3dstopno-paliczkowego, a tak\u017ce mi\u0119dzy g\u0142ow\u0105 1\u1d49\u02b3 \u015br\u00f3dstopia a jego sezamoidami.<\/span><\/p>\n<p>\u00a0\" show_tooltip_button=\"on \" tooltip_button_text=\"View More \" tooltip_button_link=\"https:\/\/www.docteur-mielcarek.com\/hallux-rigidus \" tooltip_width=\"240px \" tooltip_content_align=\"center \" use_tooltip_arrow=\"on \" arrow_color=\"#FFFF \" tooltip_padding=\"20px|20px|10px|20px|false|false \" _builder_version=\"4.27.4\u2033 _module_preset=\"default \" tooltip_title_font=\"Lora|600||||||| \" tooltip_title_font_size=\"20px \" tooltip_desc_font=\"Poppins|300||||||| \" tooltip_desc_font_size=\"14px \" tooltip_desc_line_height=\"1.4em \" custom_tooltip_button=\"on \" tooltip_button_text_size=\"16px \" tooltip_button_text_color=\"#0a0000\u2033 tooltip_button_bg_color=\"RGBA(255,255,255,0) \" tooltip_button_border_width=\"0px \" tooltip_button_font=\"Poppins|700||||||| \" hover_enabled=\"0\u2033 box_shadow_style_tooltip_box=\"preset3\u2033 box_shadow_color_tooltip_box=\"rgba(0,149,198,0.06) \" global_colors_info=\"{} \" sticky_enabled=\"0\u2033][\/dipi_image_hotspot_child][dipi_image_hotspot_child title=\"Hallux Valgus \" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111||fa||900\u2033 hotspot_icon_color=\"#FFFFFF \" hotspot_icon_padding= \" hotspot_circle_icon=\"on \" hotspot_circle_color=\"#0a0a0a \" use_hotspot_icon_font_size=\"on \" hotspot_icon_size=\"10px \" hotspot_ripple_effect=\"on \" hotspot_ripple_effect_style=\"style-2\u2033 hotspot_ripple_effect_color=\"#E02B20\u2033 hotspot_ripple_effect_size=\"152px \" hotspot_ripple_effect_speed=\"4.6\u2033 hotspot_position_vertical=\"69.1% \" hotspot_position_horizontal=\"0% \" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/valgus.jpg \" tooltip_image_width=\"60px \" tooltip_title=\"Hallux Valgus \" tooltip_desc=\"<\/p>\n<p class=\" translation-block\"><span>Najcz\u0119stsz\u0105 deformacj\u0105 jest <\/span><strong>HALUKS<\/strong><span> (powszechnie nazywany \u201ebunionem\u201d). Dotyczy pierwszej ko\u015bci \u015br\u00f3dstopia, gdzie paliczki odchylaj\u0105 si\u0119 na zewn\u0105trz, a pierwsza ko\u015b\u0107 \u015br\u00f3dstopia (d\u0142uga ko\u015b\u0107 na wewn\u0119trznej kraw\u0119dzi stopy) odchyla si\u0119 do wewn\u0105trz.<\/span><\/p>\n<p>\u00a0\" show_tooltip_button=\"on \" tooltip_button_text=\"View More \" tooltip_button_link=\"https:\/\/www.docteur-mielcarek.com\/hallux-valgus \" tooltip_position=\"right \" tooltip_width=\"240px \" tooltip_content_align=\"center \" use_tooltip_arrow=\"on \" arrow_color=\"#FFFFFF \" tooltip_padding=\"20px|20px|10px|20px|false|false \" _builder_version=\"4.27.4\u2033 _module_preset=\"default \" tooltip_title_font=\"Lora|600||||||| \" tooltip_title_font_size=\"20px \" tooltip_desc_font=\"Poppins|300||||||| \" tooltip_desc_font_size=\"14px \" tooltip_desc_line_height=\"1.4em \" custom_tooltip_button=\"on \" tooltip_button_text_size=\"16px \" tooltip_button_text_color=\"#0a0000\u2033 tooltip_button_bg_color=\"RGBA(255,255,255,0) \" tooltip_button_border_width=\"0px \" tooltip_button_font=\"Poppins|700||||||| \" hover_enabled=\"0\u2033 box_shadow_style_tooltip_box=\"preset3\u2033 box_shadow_color_tooltip_box=\"rgba(0,149,198,0.06) \" global_colors_info=\"{} \" sticky_enabled=\"0\u2033][\/dipi_image_hotspot_child][dipi_image_hotspot_child title=\"Hip \" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111||fa||900\u2033 hotspot_icon_color=\"#FFFFFF \" hotspot_icon_padding= \"10px|10px|10px|10px|false|false \" hotspot_circle_icon=\"on \" hotspot_circle_color=\"#0a0a0a \" use_hotspot_icon_font_size=\"on \" hotspot_icon_size=\"10px \" hotspot_ripple_effect=\"on \" hotspot_ripple_effect_style=\"style-2\u2033 hotspot_ripple_effect_color=\"rgba(21,2,42,0.56)\" hotspot_ripple_effect_size=\"60px\" hotspot_ripple_effect_speed=\"4\u2033 hotspot_position_vertical=\"43.2%\" hotspot_position_horizontal=\"36.3%\" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/anatomie-hanche-innervation.jpg\" tooltip_image_width=\"60px\" tooltip_title=\"Hip\" tooltip_desc=\"\"<\/p>\n<p><span>Zu\u017cyciu stawu biodrowego cz\u0119sto towarzyszy zmniejszenie zakresu stawu (sztywno\u015b\u0107), a przede wszystkim b\u00f3l.<\/span><\/p>\n<p>\u00a0\" show_tooltip_button=\"on\" tooltip_button_text=\"View More\" tooltip_button_link=\"https:\/\/www.docteur-mielcarek.com\/hanche\" tooltip_width=\"240px\" tooltip_content_align=\"center\" use_tooltip_arrow=\"on\" arrow_color=\"#FFFFFF\" tooltip_padding=\"20px|20px|10px|20px|false|false\" _builder_version=\"4.27.4\u2033 _module_preset=\"default \" tooltip_title_font=\"Lora|600||||||| \" tooltip_title_font_size=\"20px \" tooltip_desc_font=\"Poppins|300||||||| \" tooltip_desc_font_size=\"14px \" tooltip_desc_line_height=\"1.4em \" custom_tooltip_button=\"on \" tooltip_button_text_size=\"16px \" tooltip_button_text_color=\"#0a0000\u2033 tooltip_button_bg_color=\"RGBA(255,255,255,0) \" tooltip_button_border_width=\"0px \" tooltip_button_font=\"Poppins|700||||||| \" hover_enabled=\"0\u2033 box_shadow_style_tooltip_box=\"preset3\u2033 box_shadow_color_tooltip_box=\"rgba(0,149,198,0.06) \" global_colors_info=\"{} \" sticky_enabled=\"0\u2033][\/dipi_image_hotspot_child][dipi_image_hotspot_child title=\"Kolano \" use_hotspot_icon=\"on \" hotspot_icon=\"\uf111||fa||900\u2033 hotspot_icon_color=\"#FFFFFF \" hotspot_icon_padding= \" hotspot_circle_icon=\"on \" hotspot_circle_color=\"#0a0a0a \" use_hotspot_icon_font_size=\"on \" hotspot_icon_size=\"10px \" hotspot_ripple_effect=\"on \" hotspot_ripple_effect_style=\"style-2\u2033 hotspot_ripple_effect_color=\"rgba(21,2,42,0.56)\" hotspot_ripple_effect_size=\"60px\" hotspot_ripple_effect_speed=\"4\u2033 hotspot_position_vertical=\"67%\" hotspot_position_horizontal=\"59.8%\" tooltip_img_src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/anatomie-genou-tendons-extenseurs.jpg\" tooltip_image_width=\"60px\" tooltip_title=\"Knee\" tooltip_desc=\"\"<\/p>\n<p>Your content goes here. Edit or remove this text inline or in the module Content settings. You can also style every aspect of this content in the module Design settings and even apply custom CSS to this text in the module Advanced settings.<\/p>\n<p>\u00a0\u00bb show_tooltip_button=\u00a0\u00bbon\u00a0\u00bb tooltip_button_text=\u00a0\u00bbVoir Plus\u00a0\u00bb tooltip_button_link=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/genou\u00a0\u00bb tooltip_position=\u00a0\u00bbright\u00a0\u00bb tooltip_width=\u00a0\u00bb240px\u00a0\u00bb tooltip_content_align=\u00a0\u00bbcenter\u00a0\u00bb use_tooltip_arrow=\u00a0\u00bbon\u00a0\u00bb arrow_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb tooltip_padding=\u00a0\u00bb20px|20px|10px|20px|false|false\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb tooltip_title_font=\u00a0\u00bbLora|600|||||||\u00a0\u00bb tooltip_title_font_size=\u00a0\u00bb20px\u00a0\u00bb tooltip_desc_font=\u00a0\u00bbPoppins|300|||||||\u00a0\u00bb tooltip_desc_font_size=\u00a0\u00bb14px\u00a0\u00bb tooltip_desc_line_height=\u00a0\u00bb1.4em\u00a0\u00bb custom_tooltip_button=\u00a0\u00bbon\u00a0\u00bb tooltip_button_text_size=\u00a0\u00bb16px\u00a0\u00bb tooltip_button_text_color=\u00a0\u00bb#0a0000&Prime; tooltip_button_bg_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb tooltip_button_border_width=\u00a0\u00bb0px\u00a0\u00bb tooltip_button_font=\u00a0\u00bbPoppins|700|||||||\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; box_shadow_style_tooltip_box=\u00a0\u00bbpreset3&Prime; box_shadow_color_tooltip_box=\u00a0\u00bbrgba(0,149,198,0.06)\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][\/dipi_image_hotspot_child][\/dipi_image_hotspot][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbe6504a1b-67eb-4b3d-b023-bcab277610b6&Prime; header_4_font=\u00a0\u00bb&#8211;et_global_body_font|800||on|||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_4_font_size=\u00a0\u00bb14px\u00a0\u00bb header_4_letter_spacing=\u00a0\u00bb0.15em\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.5em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_4_text_color%22%93}\u00a0\u00bb]<\/p>\n<h4>Hallux Valgus<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"b327cbe4-b1d5-4b66-ad37-40c8f2f061ba \" header_2_font=\"-et_global_heading_font|700|on|||||| \" header_2_text_color=\"#0000\u2033 header_2_font_size=\"55px \" header_2_line_height=\"1.2em \" header_2_font_size_tablet=\"50px \" header_2_font_size_phone=\"40px \" header_2_font_size_last_edited=\"on|phone \" global_colors_info=\"{}\"]<\/p>\n<h2>W skr\u00f3cie<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"518880c8-46c7-4ffa-b5a6-93ffa99dcc17\u2033 text_font=\"-et_global_body_font|||||||| \" text_font_size=\"18px \" text_line_height=\"1.55em \" text_font_size_tablet=\"16px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" global_colors_info=\"{}\"]<\/p>\n<p>Jest to deformacja du\u017cego palca, cz\u0119sto nazywana \"haluksem\", kt\u00f3ra mo\u017ce powodowa\u0107 bolesne zgrubienie z boku stopy. Nieleczona deformacja mo\u017ce prowadzi\u0107 do dalszego b\u00f3lu i wp\u0142ywa\u0107 na pozosta\u0142e palce.<\/p>\n<p>[\/et_pb_text][et_pb_button button_text=\u00a0\u00bbEn Savoir Plus\u00a0\u00bb button_alignment=\u00a0\u00bbleft\u00a0\u00bb button_alignment_tablet=\u00a0\u00bbleft\u00a0\u00bb button_alignment_phone=\u00a0\u00bbleft\u00a0\u00bb button_alignment_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _module_preset=\u00a0\u00bb31b4f027-aaa0-4f2f-ae02-959764e19e4f\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_size=\u00a0\u00bb14px\u00a0\u00bb button_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb button_bg_color=\u00a0\u00bb#000000&Prime; button_border_color=\u00a0\u00bb#000000&Prime; button_border_radius=\u00a0\u00bb0px\u00a0\u00bb button_font=\u00a0\u00bb&#8211;et_global_body_font|700||on|||||\u00a0\u00bb custom_padding=\u00a0\u00bb16px|24px|16px|24px|true|true\u00a0\u00bb hover_enabled=\u00a0\u00bb0&Prime; locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb button_url=\u00a0\u00bb@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI0ODQ0OTI4In19@\u00a0\u00bb _dynamic_attributes=\u00a0\u00bbbutton_url\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][\/et_pb_button][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbCauses\u00a0\u00bb image_icon_width=\u00a0\u00bb64px\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbed23053e-2e6d-46a4-bb16-787b26949972&Prime; header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_font_size=\u00a0\u00bb16px\u00a0\u00bb header_line_height=\u00a0\u00bb1.5em\u00a0\u00bb body_font=\u00a0\u00bbLibre Franklin||||||||\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb20px|20px|20px|20px|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset3&Prime; box_shadow_vertical=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur=\u00a0\u00bb0px\u00a0\u00bb box_shadow_spread=\u00a0\u00bb0px\u00a0\u00bb box_shadow_color=\u00a0\u00bbrgba(42,41,35,0.15)\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_text_color%22%93}\u00a0\u00bb background_color__hover=\u00a0\u00bb#FEFEFE\u00a0\u00bb background__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_vertical__hover=\u00a0\u00bb25px\u00a0\u00bb box_shadow_vertical__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_blur__hover=\u00a0\u00bb70px\u00a0\u00bb box_shadow_blur__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_spread__hover=\u00a0\u00bb-20px\u00a0\u00bb box_shadow_spread__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb background_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb]<\/p>\n<p>Paluch ko\u015blawy jest cz\u0119sto zwi\u0105zany z czynnikami dziedzicznymi, nieodpowiednim obuwiem lub starzeniem si\u0119. Czasami przyczyn\u0105 mog\u0105 by\u0107 urazy lub niekt\u00f3re choroby.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbIntervention\u00a0\u00bb image_icon_width=\u00a0\u00bb64px\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbed23053e-2e6d-46a4-bb16-787b26949972&Prime; header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_font_size=\u00a0\u00bb16px\u00a0\u00bb header_line_height=\u00a0\u00bb1.5em\u00a0\u00bb body_font=\u00a0\u00bbLibre Franklin||||||||\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb20px|20px|20px|20px|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset3&Prime; box_shadow_vertical=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur=\u00a0\u00bb0px\u00a0\u00bb box_shadow_spread=\u00a0\u00bb0px\u00a0\u00bb box_shadow_color=\u00a0\u00bbrgba(42,41,35,0.15)\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_text_color%22%93}\u00a0\u00bb background_color__hover=\u00a0\u00bb#FEFEFE\u00a0\u00bb background__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_vertical__hover=\u00a0\u00bb25px\u00a0\u00bb box_shadow_vertical__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_blur__hover=\u00a0\u00bb70px\u00a0\u00bb box_shadow_blur__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_spread__hover=\u00a0\u00bb-20px\u00a0\u00bb box_shadow_spread__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb background_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb]<\/p>\n<p>Korekta wykonywana jest przez niewielkie naci\u0119cie, co pozwala na szybk\u0105 rekonwalescencj\u0119 i dyskretne blizny.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbR\u00e9cup\u00e9ration\u00a0\u00bb image_icon_width=\u00a0\u00bb64px\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbed23053e-2e6d-46a4-bb16-787b26949972&Prime; header_font=\u00a0\u00bbPoppins|600||on|||||\u00a0\u00bb header_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb header_font_size=\u00a0\u00bb16px\u00a0\u00bb header_line_height=\u00a0\u00bb1.5em\u00a0\u00bb body_font=\u00a0\u00bbLibre Franklin||||||||\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb custom_padding=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb20px|20px|20px|20px|true|true\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb animation=\u00a0\u00bboff\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset3&Prime; box_shadow_vertical=\u00a0\u00bb0px\u00a0\u00bb box_shadow_blur=\u00a0\u00bb0px\u00a0\u00bb box_shadow_spread=\u00a0\u00bb0px\u00a0\u00bb box_shadow_color=\u00a0\u00bbrgba(42,41,35,0.15)\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22header_text_color%22%93}\u00a0\u00bb background_color__hover=\u00a0\u00bb#FEFEFE\u00a0\u00bb background__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_vertical__hover=\u00a0\u00bb25px\u00a0\u00bb box_shadow_vertical__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_blur__hover=\u00a0\u00bb70px\u00a0\u00bb box_shadow_blur__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb box_shadow_spread__hover=\u00a0\u00bb-20px\u00a0\u00bb box_shadow_spread__hover_enabled=\u00a0\u00bboff|desktop\u00a0\u00bb background_enable_color__hover=\u00a0\u00bbon\u00a0\u00bb]<\/p>\n<p>Po kr\u00f3tkim pobycie w szpitalu opatrunek jest utrzymywany przez oko\u0142o 3 tygodnie, aby zapewni\u0107 korekt\u0119. Chodzenie jest stopniowo wznawiane.<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; custom_padding_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb admin_label=\u00a0\u00bbTable of Contents Demo 02&Prime; _builder_version=\u00a0\u00bb4.27.0&Prime; background_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb custom_padding=\u00a0\u00bb120px||140px|||\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb80px||80px||false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb0px||60px||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-primary-color%22:%91%22background_color%22%93}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_4,3_4&Prime; use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb1&Prime; module_id=\u00a0\u00bbtoc-services\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb85%\u00a0\u00bb max_width=\u00a0\u00bb1450px\u00a0\u00bb custom_padding=\u00a0\u00bb0px||0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_4&Prime; _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][dipi_table_of_content table_title=\u00a0\u00bbHallux Valgus\u00a0\u00bb header_icon=\u00a0\u00bb&#xf1cb;||fa||400&Prime; header_icon_position=\u00a0\u00bbright\u00a0\u00bb heading_tags=\u00a0\u00bbon|off|off|off|off|off\u00a0\u00bb generate_for_whole_page=\u00a0\u00bboff\u00a0\u00bb section_selector=\u00a0\u00bb#toc-services\u00a0\u00bb collapsible_table=\u00a0\u00bbon\u00a0\u00bb collapsible_table_t=\u00a0\u00bbon\u00a0\u00bb closed_default_p=\u00a0\u00bbon\u00a0\u00bb close_on_click_p=\u00a0\u00bbon\u00a0\u00bb scroll_offset=\u00a0\u00bb200&Prime; show_list_numbers=\u00a0\u00bboff\u00a0\u00bb show_list_bullets=\u00a0\u00bbon\u00a0\u00bb item_bullet=\u00a0\u00bb&#xf06e;||fa||900&Prime; bullet_size=\u00a0\u00bb25px\u00a0\u00bb bullet_spacing=\u00a0\u00bb10px\u00a0\u00bb table_title_background=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb title_padding=\u00a0\u00bb20px|20px|20px|45px|false|false\u00a0\u00bb content_background=\u00a0\u00bbgcid-primary-color\u00a0\u00bb content_padding=\u00a0\u00bb10px|10px|10px|10px|false|false\u00a0\u00bb list_custom_margin_1=\u00a0\u00bb0px|0px|30px|0px|false|false\u00a0\u00bb list_space_between_1=\u00a0\u00bb25px\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb tabel_title_font=\u00a0\u00bb&#8211;et_global_body_font|700||on|||||\u00a0\u00bb tabel_title_font_size=\u00a0\u00bb13px\u00a0\u00bb tabel_title_letter_spacing=\u00a0\u00bb2px\u00a0\u00bb content_list_font=\u00a0\u00bb&#8211;et_global_heading_font||on||||||\u00a0\u00bb content_list_text_align=\u00a0\u00bbleft\u00a0\u00bb content_list_font_size=\u00a0\u00bb21px\u00a0\u00bb h1_font=\u00a0\u00bb|800|||||||\u00a0\u00bb h1_text_align=\u00a0\u00bbleft\u00a0\u00bb h1_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb h1_font_size=\u00a0\u00bb20px\u00a0\u00bb background_color=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb sticky_position=\u00a0\u00bbtop\u00a0\u00bb sticky_offset_top=\u00a0\u00bb59px\u00a0\u00bb sticky_limit_bottom=\u00a0\u00bbrow\u00a0\u00bb sticky_position_tablet=\u00a0\u00bbnone\u00a0\u00bb sticky_position_phone=\u00a0\u00bbnone\u00a0\u00bb sticky_position_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb custom_css_h1_item_link=\u00a0\u00bbcolor: #987987 !important;\u00a0\u00bb border_width_bottom_tabel_title=\u00a0\u00bb1px\u00a0\u00bb border_color_bottom_tabel_title=\u00a0\u00bbrgba(255,255,255,0.18)\u00a0\u00bb border_style_bottom_tabel_title=\u00a0\u00bbgroove\u00a0\u00bb border_color_all_content=\u00a0\u00bb#15022A\u00a0\u00bb border_style_all_content=\u00a0\u00bbdashed\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-secondary-color%22:%91%22table_title_background%22%93,%22gcid-primary-color%22:%91%22content_background%22%93}\u00a0\u00bb][\/dipi_table_of_content][\/et_pb_column][et_pb_column type=\u00a0\u00bb3_4&Prime; _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_blurb title=\u00a0\u00bbDe quoi s\u2019agit-il ?\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xf059;||fa||400&Prime; icon_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb image_icon_background_color=\u00a0\u00bb#15022A\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb image_icon_width=\u00a0\u00bb35px\u00a0\u00bb content_max_width=\u00a0\u00bb1100px\u00a0\u00bb icon_placement_tablet=\u00a0\u00bbleft\u00a0\u00bb icon_placement_phone=\u00a0\u00bbtop\u00a0\u00bb icon_placement_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb image_icon_width_tablet=\u00a0\u00bb35px\u00a0\u00bb image_icon_width_phone=\u00a0\u00bb24px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh1&Prime; header_font=\u00a0\u00bb|800|on||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#15022A\u00a0\u00bb header_font_size=\u00a0\u00bb40px\u00a0\u00bb body_font=\u00a0\u00bb|300|||||||\u00a0\u00bb body_font_size=\u00a0\u00bb18px\u00a0\u00bb body_line_height=\u00a0\u00bb1.8em\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb315deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90%\u00a0\u00bb image_icon_custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb custom_margin=\u00a0\u00bb||60px||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb40px|20px|40px|20px|false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_text_align_tablet=\u00a0\u00bb\u00a0\u00bb header_text_align_phone=\u00a0\u00bbleft\u00a0\u00bb header_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb30px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_line_height_tablet=\u00a0\u00bb\u00a0\u00bb header_line_height_phone=\u00a0\u00bb\u00a0\u00bb header_line_height_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_css_blurb_title_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title_phone=\u00a0\u00bbmargin-bottom: 10px;\u00a0\u00bb custom_css_blurb_image_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_image_phone=\u00a0\u00bbtext-align: left;||margin-bottom: 40px;\u00a0\u00bb custom_css_blurb_title_tablet=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb]<\/p>\n<p>La d\u00e9formation la plus fr\u00e9quente est l\u2019<strong>HALLUX VALGUS<\/strong><span>\u00a0<\/span>(commun\u00e9ment appel\u00e9 \u00abl\u2019oignon\u00bb). Elle concerne le premier rayon du pied dont les phalanges sont d\u00e9vi\u00e9es vers l\u2019ext\u00e9rieur et dont le premier m\u00e9tatarsien (os long du bord interne du pied) est d\u00e9vi\u00e9 vers l\u2019int\u00e9rieur.<\/p>\n<p>To odchylenie jest odpowiedzialne za post\u0119puj\u0105ce zwichni\u0119cie stawu \u015br\u00f3dstopno-paliczkowego. G\u0142owa pierwszego \u015br\u00f3dstopia staje si\u0119 podsk\u00f3rna, sprawiaj\u0105c wra\u017cenie \"rosn\u0105cego guza\", kt\u00f3rego obj\u0119to\u015b\u0107 jest zwi\u0119kszana przez cz\u0119ste wyst\u0119powanie zapalenia kaletki (kieszonki zapalnej podsk\u00f3rnej). Ta deformacja jest odpowiedzialna za<span style=\"font-size: 18px;\">B\u00f3l na wewn\u0119trznej kraw\u0119dzi stopy podczas chodzenia i deformacja but\u00f3w.<\/span><\/p>\n<p>Je\u015bli deformacja nie jest leczona, nierzadko wyst\u0119puj\u0105 nast\u0119puj\u0105ce objawy <strong>METATARSALGIA<span>\u00a0<\/span><\/strong>kt\u00f3re s\u0105 wynikiem tego, \u017ce g\u0142owy bocznych ko\u015bci \u015br\u00f3dstopia (ko\u015bci d\u0142ugich stopy) spoczywaj\u0105 zbyt daleko na powierzchni podeszwowej, poniewa\u017c s\u0105 zbyt d\u0142ugie w stosunku do pierwszego promienia.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-447 alignright\" src=\"https:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2015\/07\/hallux2-300x210.png\" alt=\"hallux2\" width=\"354\" height=\"248\" \/><\/p>\n<div><\/div>\n<p>Zaawansowanemu paluchowi ko\u015blawemu cz\u0119sto towarzysz\u0105 reperkusje na bocznych palcach w postaci<span>\u00a0<\/span><strong>PAZURY PALICZKOWE.<\/strong><\/p>\n<p>W przypadku braku regularnej opieki chiropatycznej mog\u0105 wyst\u0105pi\u0107 nast\u0119puj\u0105ce sytuacje<span>\u00a0<\/span><strong>DURILLONS<\/strong>(zgrubienie sk\u00f3ry) na palcach w wyniku uderzenia grzbietowego podczas zak\u0142adania but\u00f3w lub modzele podeszwowe pod g\u0142owami \u015br\u00f3dstopia w wyniku nadmiernego obci\u0105\u017cania.<\/p>\n<p>Gdy nie s\u0105 one zbyt uci\u0105\u017cliwe, deformacje mo\u017cna leczy\u0107 za pomoc\u0105 odpowiedniego obuwia i wykonanych na zam\u00f3wienie wk\u0142adek ortopedycznych. \u015arodki te nie s\u0105 jednak lecznicze, a jedynie objawowe, tj. mog\u0105 zmniejszy\u0107 b\u00f3l, ale nie eliminuj\u0105 ani nie zatrzymuj\u0105 d\u0142ugoterminowej tendencji do nasilania si\u0119.<\/p>\n<p>Gdy deformacje przyspieszaj\u0105 i staj\u0105 si\u0119 niewygodne do chodzenia lub deformuj\u0105 but, mo\u017cna je skorygowa\u0107 chirurgicznie.<\/p>\n<p>Istnieje wiele technik chirurgicznych. Wszystkie opieraj\u0105 si\u0119 zasadniczo na procedurach kostnych (<strong>OSTEOTOMIE<\/strong>), ale tak\u017ce na wi\u0119zad\u0142a i \u015bci\u0119gna (tkanki mi\u0119kkie).<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\"Przyczyny choroby \" use_icon=\"on \" font_icon=\"\uf478||fa||900\u2033 icon_color=\"#FFFF \" image_icon_background_color=\"#15022A \" icon_placement=\"left \" content_max_width=\"1100px \" icon_placement_tablet=\"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|24px|20px|24px|false|false \" custom_margin=\"||60px||false|false \" custom_padding=\"60px|40px|60px|40px|false|false \" custom_padding_tablet=\"60px|40px|60px|40px|false|false \" custom_padding_phone=\"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone \" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited=\"on|phone \" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n<p>Mo\u017ce si\u0119 na to z\u0142o\u017cy\u0107 kilka czynnik\u00f3w.<\/p>\n<p>Najcz\u0119\u015bciej dotyczy p\u0142ci \u017ce\u0144skiej. Sugeruje si\u0119 r\u00f3wnie\u017c istnienie czynnik\u00f3w genetycznych, a wi\u0119c istnieje element dziedziczny. Ta dziedziczno\u015b\u0107 nie jest obserwowana poprzez deformacj\u0119 od urodzenia, ale poprzez predyspozycje do \"morfotyp\u00f3w\" st\u00f3p, kt\u00f3re mog\u0105 by\u0107 potencjalnie zdeformowane. S\u0105 one znane jako \"egipskie\" lub \"greckie\" przodostopie, w kt\u00f3rych du\u017cy palec jest odpowiednio zbyt d\u0142ugi lub zbyt kr\u00f3tki w stosunku do s\u0105siedniego. Mo\u017ce r\u00f3wnie\u017c wyst\u0105pi\u0107 deformacja \u0142uku stopy w przypadku p\u0142askostopia, a nawet kostki i kolana w przypadku \"ko\u015blawo\u015bci\".<\/p>\n<p>Rodzaj obuwia dzia\u0142a jak katalizator i przyspiesza deformacje.  \u0179le dopasowane buty, zw\u0142aszcza te na wysokich obcasach i z w\u0105skimi palcami, przyczyniaj\u0105 si\u0119 do wcze\u015bniejszego wyst\u0105pienia choroby. Czasami uraz (skr\u0119cenie, zwichni\u0119cie, z\u0142amanie stopy) mo\u017ce ujawni\u0107 deformacj\u0119, kt\u00f3ra wcze\u015bniej by\u0142a dobrze tolerowana.<\/p>\n<p>Czasami przyczyn\u0105 mo\u017ce by\u0107 choroba neurologiczna lub reumatologiczna.<span> <\/span>odpowiedzialny.<\/p>\n<p>Wreszcie, z wiekiem wi\u0119zad\u0142a staj\u0105 si\u0119 bardziej elastyczne, a deformacje, kt\u00f3re by\u0142y tolerowane przez d\u0142ugi czas, staj\u0105 si\u0119 bardziej wyra\u017ane, czasem nagle, w ci\u0105gu kilku miesi\u0119cy. Zjawiska te cz\u0119sto towarzysz\u0105 menopauzie u kobiet, ale pojawiaj\u0105 si\u0119 r\u00f3wnie\u017c u m\u0119\u017cczyzn w starszym wieku. Pomimo tych wszystkich przyczyn, czasami nie ma oczywistej przyczyny deformacji.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\"Na czym polega operacja? \" use_icon=\"on \" font_icon=\"\uf7e6||fa||900\u2033 icon_color=\"#FFFFFF \" image_icon_background_color=\"#15022A \" icon_placement=\"left \" content_max_width=\"1100px \" icon_placement_tablet=\"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|24px|20px|24px|false|false \" custom_margin=\"||60px||false|false \" custom_padding=\"60px|40px|60px|40px|false|false \" custom_padding_tablet=\"60px|40px|60px|40px|false|false \" custom_padding_phone=\"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_main_element=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_main_element_phone=\"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\" custom_css_main_element_last_edited=\"on|phone\" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone\" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited=\"on|phone \" custom_css_main_element_tablet=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n<p>Operacja jest przeprowadzana przy u\u017cyciu <strong>minimalnie inwazyjny <\/strong>nazywane przezsk\u00f3rnymi. Oznacza to, \u017ce wszystkie zabiegi chirurgiczne s\u0105 wykonywane przez sk\u00f3r\u0119 bez \"otwierania\". Jednak bariera sk\u00f3rna jest penetrowana na szeroko\u015b\u0107 narz\u0119dzi potrzebnych do wykonywania zabieg\u00f3w na ko\u015bci lub tkance mi\u0119kkiej (wiert\u0142a, ostrza). W rezultacie wi\u0119kszo\u015b\u0107 blizn ma mniej ni\u017c 5 mm.<\/p>\n<p>Chirurg u\u017cywa aparatu rentgenowskiego, aby znale\u017a\u0107 swoje po\u0142o\u017cenie i wykona\u0107 zdj\u0119cia rentgenowskie podczas operacji. Dzi\u0119ki temu wie, na jakim poziomie wykona osteotomi\u0119 lub skoryguje deformacj\u0119.<\/p>\n<p>Chirurgia przezsk\u00f3rna ma wiele zalet. Opr\u00f3cz <strong>nie tworz\u0105 du\u017cych blizn<\/strong>pozwala na<strong>unikn\u0105\u0107 oderwania tkanki <\/strong>rozleg\u0142e. Technika ta umo\u017cliwia <strong>obej\u015b\u0107 si\u0119 bez sprz\u0119tu <\/strong>Zastosowanie urz\u0105dze\u0144 do osteosyntezy (\u015brub, szpilek, zszywek, p\u0142ytek itp.) do mocowania osteotomii oznacza, \u017ce w stopie nie pozostaje \u017cadne cia\u0142o obce. Zmniejsza to ryzyko infekcji. Wreszcie, proszek kostny wytwarzany podczas osteotomii jest wykorzystywany do <strong>przeszczep naturalny <\/strong>pomagaj\u0105c w\u0142asnemu cia\u0142u w szybszym i skuteczniejszym wytwarzaniu <strong>kalus kostny <\/strong>kt\u00f3ry skonsoliduje lub \"utwardzi\" ko\u015b\u0107 po jej skorygowaniu.<\/p>\n<p>Istniej\u0105 techniki otwarte, ale wymagaj\u0105 one u\u017cycia sprz\u0119tu do mocowania ko\u015bci. Istniej\u0105 r\u00f3wnie\u017c techniki hybrydowe, w kt\u00f3rych \u015bruby s\u0105 wprowadzane przez ma\u0142e naci\u0119cia. Te inne techniki maj\u0105 swoje zalety i wady. Ka\u017cdy chirurg stosuje technik\u0119, kt\u00f3r\u0105 zna najlepiej i kt\u00f3rej si\u0119 nauczy\u0142 lub kt\u00f3r\u0105 opracowa\u0142 zgodnie z najnowszymi odkryciami naukowymi.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\"l'Hospitalisation \" use_icon=\"on \" font_icon=\"\uf0f8||fa||900\u2033 icon_color=\"#FFFF \" image_icon_background_color=\"#15022A \" icon_placement=\"left \" content_max_width=\"1100px \" icon_placement_tablet=\"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|20px|20px|20px|false|false \" custom_margin=\"||60px||false|false \" custom_padding=\"60px|40px|60px|40px|false|false \" custom_padding_tablet=\"60px|40px|60px|40px|false|false \" custom_padding_phone=\"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_main_element=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_main_element_phone=\"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\" custom_css_main_element_last_edited=\"on|phone\" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone\" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited=\"on|phone \" custom_css_main_element_tablet=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n<p>Zazwyczaj pacjent b\u0119dzie hospitalizowany w warunkach ambulatoryjnych. Konwencjonalna hospitalizacja jest r\u00f3wnie\u017c mo\u017cliwa, je\u015bli wymaga tego sytuacja medyczna i spo\u0142eczna. Znieczulenie mo\u017ce by\u0107 rdzeniowe (np. zewn\u0105trzoponowe), og\u00f3lne lub miejscowe. Decyzja jest podejmowana wsp\u00f3lnie z pacjentem podczas przedoperacyjnej konsultacji z anestezjologiem.<\/p>\n<p>Po zako\u0144czeniu operacji pacjent wraca do pokoju po kr\u00f3tkim monitorowaniu na sali pooperacyjnej. Zostaniesz poinformowany, jak chodzi\u0107 w bucie odci\u0105\u017caj\u0105cym i jak korzysta\u0107 z work\u00f3w do krioterapii, kt\u00f3re s\u0105 bardzo skuteczne w zmniejszaniu b\u00f3lu i obrz\u0119ku.<\/p>\n<p>Pacjent wraca do domu (w towarzystwie krewnego lub taks\u00f3wk\u0105\/ karetk\u0105, je\u015bli nie ma nikogo, kto m\u00f3g\u0142by go odebra\u0107) z opatrunkiem wykonanym na sali operacyjnej przez chirurga. Opatrunek ten to <strong>aby utrzyma\u0107 sucho\u015b\u0107, bez zmiany<\/strong>Pacjent nie powinien by\u0107 nara\u017cony na ten sam b\u00f3l do oko\u0142o 21. doby pooperacyjnej. Nale\u017cy unika\u0107 jednoetapowych operacji obustronnych, poniewa\u017c komplikuj\u0105 one zarz\u0105dzanie autonomi\u0105 i b\u00f3lem oraz zwi\u0119kszaj\u0105 ryzyko zapalenia \u017cy\u0142. Jest to jednak nadal mo\u017cliwe, pod warunkiem zachowania odst\u0119pu od 2 do 3 tygodni pomi\u0119dzy ka\u017cd\u0105 ze stron.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\"Co dzieje si\u0119 po operacji? \" use_icon=\"on\" font_icon=\"$||divi||400\u2033 icon_color=\"#FFFFFF\" image_icon_background_color=\"#15022A\" icon_placement=\"left\" content_max_width=\"1100px\" icon_placement_tablet= \"left \" icon_placement_phone=\"top \" icon_placement_last_edited=\"on|phone \" image_icon_width_tablet= \" \" image_icon_width_phone=\"24px \" image_icon_width_last_edited=\"on|phone \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" header_level=\"h1\u2033 header_font=\"|800||||||| \" header_text_color=\"#15022A \" header_font_size=\"40px \" body_font=\"|300||||||| \" body_font_size=\"18px \" body_line_height=\"1.8em \" background_color=\"#FFFF \" use_background_color_gradient=\"on \" background_color_gradient_direction=\"315deg \" background_color_gradient_stops=\"#ffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90% \" image_icon_custom_padding=\"20px|20px|20px|20px|false|false \" custom_margin=\"||73px||false|false \" custom_padding=\"60px|40px|74px|40px|false|false \" custom_padding_tablet=\"60px|40px|60px|40px|false|false \" custom_padding_phone=\"40px|20px|40px|20px|false|false \" custom_padding_last_edited= \" header_font_size_tablet=\"40px \" header_font_size_phone=\"30px \" header_font_size_last_edited=\"on|phone \" body_font_size_tablet=\"18px \" body_font_size_phone=\"15px \" body_font_size_last_edited=\"on|phone \" background_last_edited=\"on|phone \" custom_css_main_element=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title=\"margin-bottom: 30px;||margin-top: 15px \" global_colors_info=\"{} \" custom_css_main_element_phone=\"clip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\" custom_css_main_element_last_edited=\"on|phone\" custom_css_blurb_title_phone=\"margin-bottom: 10px; \" custom_css_blurb_title_last_edited=\"on|phone\" custom_css_blurb_image_phone=\"text-align: left;||margin-bottom: 40px; \" custom_css_blurb_image_last_edited=\"on|phone \" custom_css_main_element_tablet=\"clip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\" custom_css_blurb_title_tablet=\"margin-bottom: 30px;||margin-top: 15px \"]<\/p>\n<p>Poniewa\u017c nie ma materia\u0142u do mocowania osteotomii, opatrunek odgrywa kluczow\u0105 rol\u0119. Jest on wykonywany na sali operacyjnej przez chirurga. Umo\u017cliwia on unieruchomienie palc\u00f3w st\u00f3p w pozycji korekcyjnej narzuconej przez paski banda\u017ca do momentu pojawienia si\u0119 zrostu kostnego.<\/p>\n<p>Opatrunek nie musi by\u0107 usuwany przez pierwsze 3 tygodnie i zostanie usuni\u0119ty przez piel\u0119gniark\u0119 domow\u0105 oko\u0142o 21. dnia po operacji, na kilka dni przed konsultacj\u0105 kontroln\u0105, kt\u00f3ra zwykle odbywa si\u0119 po miesi\u0105cu.<\/p>\n<p>Ucisk osteotomii przez opatrunek mo\u017ce sprawia\u0107 wra\u017cenie nadmiernej korekcji lub uduszenia palc\u00f3w. Wygl\u0105d ten mo\u017ce wydawa\u0107 si\u0119 imponuj\u0105cy, zw\u0142aszcza gdy opatrunek jest zdejmowany w domu. Nie martw si\u0119, jest to normalne i dobrowolne, szczeg\u00f3lnie rozchodzenie si\u0119 du\u017cego palca, kt\u00f3re, je\u015bli pocz\u0105tkowo niewystarczaj\u0105ce, mo\u017ce prowadzi\u0107 do wczesnego nawrotu. Czynniki te nie s\u0105 powodem do niepokoju i powr\u00f3c\u0105 do normy po zdj\u0119ciu opatrunku i buta medycznego, oko\u0142o 6. tygodnia po operacji.<\/p>\n<p>Przez pierwsze 4 tygodnie wsparcie zapewnia but ze sztywn\u0105 podeszw\u0105. Do noszenia tego obuwia zwykle nie s\u0105 wymagane laski, ale zostan\u0105 one przepisane, aby w razie potrzeby mo\u017cna by\u0142o chodzi\u0107 pewnie.  But zostanie przepisany natychmiast po zaplanowaniu operacji, aby mo\u017cna by\u0142o po\u0107wiczy\u0107 jego zak\u0142adanie i noszenie w domu na tydzie\u0144 przed operacj\u0105.<\/p>\n<p>Po operacji, <strong>Zaleca si\u0119 naprzemienne chodzenie i wznoszenie <\/strong>operowanej stopy, tak cz\u0119sto jak to mo\u017cliwe (stopa na poduszce w \u0142\u00f3\u017cku, stopa na krze\u015ble w pozycji siedz\u0105cej, stopa na tylnym siedzeniu samochodu itp. Je\u015bli kolano jest zgi\u0119te przez d\u0142ugi czas lub stopa jest opuszczona, mo\u017ce wyst\u0105pi\u0107 obrz\u0119k, kt\u00f3ry mo\u017ce zwi\u0119kszy\u0107 b\u00f3l i sprawi\u0107, \u017ce opatrunek b\u0119dzie zbyt ciasny. Operowana stopa powinna by\u0107 regularnie podtrzymywana przez 5 do 10 minut co p\u00f3\u0142 godziny. Takie wsparcie nie tylko stymuluje ko\u015b\u0107 do lepszego gojenia, ale tak\u017ce zmniejsza ryzyko zapalenia \u017cy\u0142 i pozwala zachowa\u0107 niezale\u017cno\u015b\u0107, nawet podczas wchodzenia po schodach.<\/p>\n<p>Leczenie przeciwzakrzepowe jest systematycznie zalecane przez pierwsze 14 dni po operacji, aby zapobiec zapaleniu \u017cy\u0142.<\/p>\n<p>Od pi\u0105tego tygodnia mo\u017cna zazwyczaj wznowi\u0107 swobodne zak\u0142adanie but\u00f3w. Wznowienie chodzenia b\u0119dzie procesem stopniowym, poniewa\u017c nie zawsze mo\u017cliwe jest natychmiastowe za\u0142o\u017cenie but\u00f3w ze wzgl\u0119du na r\u00f3\u017cny stopie\u0144 obrz\u0119ku u poszczeg\u00f3lnych pacjent\u00f3w. Zasugerowane zostan\u0105 \u0107wiczenia samokszta\u0142ceniowe, ewentualnie w po\u0142\u0105czeniu z sesjami fizjoterapii.<\/p>\n<p>Po usuni\u0119ciu opatrunku obrz\u0119k mo\u017ce si\u0119 zwi\u0119kszy\u0107, w takim przypadku pacjentowi zostan\u0105 zaproponowane skarpety uciskowe. Aby unikn\u0105\u0107 cz\u0119\u015bciowego nawrotu deformacji po ponownym za\u0142o\u017ceniu but\u00f3w (kt\u00f3re pocz\u0105tkowo s\u0105 nieuchronnie zbyt ciasne), pacjent zostanie poproszony o noszenie rozwieracza palc\u00f3w przez kilka tygodni.<\/p>\n<p>Powr\u00f3t do pracy r\u00f3\u017cni si\u0119 w zale\u017cno\u015bci od stopnia deformacji, kt\u00f3ra ma zosta\u0107 skorygowana, oraz wykonywanego zawodu. Zazwyczaj ma to miejsce od 1 do 2 miesi\u0119cy po operacji. Dop\u00f3ki noszony jest but medyczny, nie zaleca si\u0119 prowadzenia pojazd\u00f3w ze wzgl\u0119du na sztywno\u015b\u0107 podeszwy i grubo\u015b\u0107 opatrunku. Po usuni\u0119ciu opatrunku mo\u017cna za\u0142o\u017cy\u0107 mi\u0119kki, lu\u017any but podczas siedzenia za kierownic\u0105, ale but musi by\u0107 noszony podczas chodzenia do ko\u0144ca 4. tygodnia po operacji.<\/p>\n<p>Po ust\u0105pieniu obrz\u0119ku pooperacyjnego pacjentowi zostanie przepisana para wk\u0142adek ortopedycznych, kt\u00f3re pomog\u0105 stopie odzyska\u0107 r\u00f3wnomierne podparcie podczas powrotu do naturalnego ustawienia stopy. B\u0119d\u0105 one zazwyczaj noszone przez rok po operacji.<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbImages\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xf008;||fa||900&Prime; icon_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb image_icon_background_color=\u00a0\u00bb#15022A\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb content_max_width=\u00a0\u00bb1100px\u00a0\u00bb icon_placement_tablet=\u00a0\u00bbleft\u00a0\u00bb icon_placement_phone=\u00a0\u00bbtop\u00a0\u00bb icon_placement_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb image_icon_width_tablet=\u00a0\u00bb\u00a0\u00bb image_icon_width_phone=\u00a0\u00bb24px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb disabled_on=\u00a0\u00bbon|on|on\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh1&Prime; header_font=\u00a0\u00bb|800|||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#15022A\u00a0\u00bb header_font_size=\u00a0\u00bb40px\u00a0\u00bb body_font=\u00a0\u00bb|300|||||||\u00a0\u00bb body_font_size=\u00a0\u00bb18px\u00a0\u00bb body_line_height=\u00a0\u00bb1.8em\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb315deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90%\u00a0\u00bb image_icon_custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb40px|20px|40px|20px|false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb30px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb disabled=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_css_main_element_phone=\u00a0\u00bbclip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_main_element_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title_phone=\u00a0\u00bbmargin-bottom: 10px;\u00a0\u00bb custom_css_blurb_title_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_image_phone=\u00a0\u00bbtext-align: left;||margin-bottom: 40px;\u00a0\u00bb custom_css_blurb_image_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_main_element_tablet=\u00a0\u00bbclip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_blurb_title_tablet=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb][\/et_pb_blurb][dipi_before_after_slider before_image=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/Plan-de-travail-12.png\u00a0\u00bb after_image=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/Plan-de-travail-11.png\u00a0\u00bb move_slider=\u00a0\u00bbon_hover\u00a0\u00bb slider_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb slider_handle_icon_color=\u00a0\u00bb#000000&Prime; slider_handle_color=\u00a0\u00bb#000000&Prime; disabled_on=\u00a0\u00bbon|on|on\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb custom_padding=\u00a0\u00bb0px||57px|||\u00a0\u00bb disabled=\u00a0\u00bbon\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-primary-color%22:%91%22slider_color%22%93}\u00a0\u00bb][\/dipi_before_after_slider][et_pb_accordion open_toggle_text_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb toggle_icon=\u00a0\u00bb&#x4c;||divi||400&Prime; icon_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb use_icon_font_size=\u00a0\u00bbon\u00a0\u00bb icon_font_size=\u00a0\u00bb30px\u00a0\u00bb disabled_on=\u00a0\u00bbon|on|on\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_font=\u00a0\u00bb&#8211;et_global_body_font||||||||\u00a0\u00bb disabled=\u00a0\u00bbon\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-primary-color%22:%91%22icon_color%22,%22open_toggle_text_color%22%93}\u00a0\u00bb][et_pb_accordion_item title=\u00a0\u00bbEST-CE QUE L&rsquo;INTERVENTION PEUT AVOIR LIEU SOUS ANESTH\u00c9SIE LOCALE ?\u00a0\u00bb open=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><span>TAK, w znieczuleniu LOKALNO-REGIONALNYM, ale mo\u017cna r\u00f3wnie\u017c zastosowa\u0107 znieczulenie OG\u00d3LNE. Jest to decyzja podejmowana wsp\u00f3lnie z pacjentem podczas konsultacji z anestezjologiem.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"JAK D\u0141UGO TRWA HOSPITALIZACJA?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<p><span>\u015arednio 2 DNI.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"KIEDY MOG\u0118 CHODZI\u0106 PO OPERACJI?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<p><span>TAK. Podparcie jest chronione przez sztywne obuwie na podeszwie przez 4 tygodnie. W ci\u0105gu pierwszych kilku dni po operacji wsparcie mo\u017ce by\u0107 op\u00f3\u017anione, je\u015bli znieczulenie miejscowo-regionalne jest utrzymywane za pomoc\u0105 cewnika. Pacjentowi zostanie przepisana para lasek do chodzenia na kilka pierwszych dni rekonwalescencji.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Czy mog\u0119 my\u0107 si\u0119 normalnie?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-8\" aria-labelledby=\"ui-id-7\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>TAK. Pod warunkiem korzystania z zalecanego pokrowca ochronnego.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"CZY MOG\u0118 JE\u0179DZI\u0106?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<p>NIE, tak d\u0142ugo jak b\u0119dziesz nosi\u0142 buta ze sztywn\u0105 podeszw\u0105, czyli 4 TYGODNIE (but jest za gruby i za szeroki, przez co istnieje ryzyko pomylenia lub naciskania na 2 peda\u0142y jednocze\u015bnie).<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"CZY TO MNIE BOLI?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-12\" aria-labelledby=\"ui-id-11\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>NIE. W wi\u0119kszo\u015bci przypadk\u00f3w, je\u015bli pacjent stosuje si\u0119 do zalece\u0144 chirurga (uniesienie, wzgl\u0119dny odpoczynek, chodzenie w butach ze sztywn\u0105 podeszw\u0105), wystarczy regularne przyjmowanie PARACETAMOLU.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"CZY DEFORMACJA MO\u017bE WR\u00d3CI\u0106?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-14\" aria-labelledby=\"ui-id-13\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>TAK. Podobnie jak w przypadku ka\u017cdego zabiegu chirurgicznego, w niewielkiej liczbie przypadk\u00f3w istnieje ryzyko cz\u0119\u015bciowego lub niewystarczaj\u0105cego rezultatu. W wi\u0119kszo\u015bci przypadk\u00f3w ma to miejsce w ci\u0105gu pierwszych kilku tygodni leczenia z powodu nienoszenia but\u00f3w ze sztywn\u0105 podeszw\u0105, utraty opatrunku (z powodu zapl\u0105tania si\u0119 w ubranie lub kontaktu z wod\u0105) lub niestawienia si\u0119 na r\u00f3\u017cne wizyty kontrolne sugerowane przez chirurga. Je\u015bli jednak operacja zostanie przeprowadzona prawid\u0142owo, a pacjent b\u0119dzie dok\u0142adnie przestrzega\u0142 zalece\u0144 podczas rekonwalescencji, b\u0119dzie m\u00f3g\u0142 ponownie normalnie nosi\u0107 buty, a przede wszystkim bez b\u00f3lu.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"JAK D\u0141UGO TRWA CZAS WY\u0141\u0104CZENIA?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-16\" aria-labelledby=\"ui-id-15\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>\u015arednio od 6 do 8 tygodni, w zale\u017cno\u015bci od rodzaju wykonywanej pracy. Okres ten jest dostosowany do indywidualnej sytuacji i post\u0119p\u00f3w pooperacyjnych. Jak najszybciej mo\u017cna rozwa\u017cy\u0107 wznowienie lekkiej aktywno\u015bci po zmianie pierwszego opatrunku, tj. oko\u0142o 2. tygodnia po operacji.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"CZY MO\u017bEMY OBS\u0141UGIWA\u0106 OBIE STRONY W TYM SAMYM CZASIE?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-18\" aria-labelledby=\"ui-id-17\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>NIE. W przypadku operacji obustronnej nie masz stopy, na kt\u00f3rej m\u00f3g\u0142by\u015b si\u0119 oprze\u0107. W zwi\u0105zku z tym podczas rekonwalescencji mo\u017cesz porusza\u0107 si\u0119 na w\u00f3zku inwalidzkim. Zwi\u0119kszy\u0142oby to r\u00f3wnie\u017c ryzyko zapalenia \u017cy\u0142. Je\u015bli jednak chcesz unikn\u0105\u0107 konieczno\u015bci dwukrotnego przerywania aktywno\u015bci, operacj\u0119 w odst\u0119pie 2 tygodni mo\u017cna om\u00f3wi\u0107 indywidualnie dla ka\u017cdego przypadku.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"ILE TO KOSZTUJE?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-20\" aria-labelledby=\"ui-id-19\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Poniewa\u017c Tw\u00f3j chirurg jest zarejestrowany w sektorze 2, pobiera bezp\u0142atne op\u0142aty. Cz\u0119\u015b\u0107 tych op\u0142at jest pokrywana przez francuski system ubezpiecze\u0144 spo\u0142ecznych. Pozosta\u0142a cz\u0119\u015b\u0107 jest pokrywana w ca\u0142o\u015bci lub cz\u0119\u015bciowo przez towarzystwo ubezpiecze\u0144 wzajemnych, je\u015bli takie posiadasz. Je\u015bli planowana jest operacja, na koniec konsultacji podana zostanie wycena. Cena ta obejmuje jedynie udzia\u0142 chirurga. Pacjent ma obowi\u0105zek zapyta\u0107 anestezjologa o jego honorarium oraz Clinique Sainte Odile o koszt hospitalizacji.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"CZY POTRZEBUJ\u0118 REEDUKACJI?\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-22\" aria-labelledby=\"ui-id-21\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Fizjoterapeuta odwiedzi pacjenta w pokoju po operacji. Poka\u017ce on, jak u\u017cywa\u0107 but\u00f3w ze sztywn\u0105 podeszw\u0105 i przeka\u017ce instrukcje, kt\u00f3rych nale\u017cy przestrzega\u0107 podczas rekonwalescencji.<br \/>Po zdj\u0119ciu opatrunku oko\u0142o 3. tygodnia chirurg udzieli pacjentowi wskaz\u00f3wek dotycz\u0105cych samokszta\u0142cenia. Je\u015bli pomimo samokszta\u0142cenia wyst\u0119puje du\u017cy obrz\u0119k lub sztywno\u015b\u0107 palc\u00f3w st\u00f3p, w zale\u017cno\u015bci od kontroli pooperacyjnych (zwykle s\u0105 trzy), zalecone zostan\u0105 sesje fizjoterapii w celu drena\u017cu i mobilizacji palc\u00f3w st\u00f3p.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_blurb title=\u00a0\u00bbFAQ\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xe60f;||divi||400&Prime; icon_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb image_icon_background_color=\u00a0\u00bb#15022A\u00a0\u00bb icon_placement=\u00a0\u00bbleft\u00a0\u00bb content_max_width=\u00a0\u00bb1100px\u00a0\u00bb icon_placement_tablet=\u00a0\u00bbleft\u00a0\u00bb icon_placement_phone=\u00a0\u00bbtop\u00a0\u00bb icon_placement_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb image_icon_width_tablet=\u00a0\u00bb\u00a0\u00bb image_icon_width_phone=\u00a0\u00bb24px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_level=\u00a0\u00bbh1&Prime; header_font=\u00a0\u00bb|800|||||||\u00a0\u00bb header_text_color=\u00a0\u00bb#15022A\u00a0\u00bb header_font_size=\u00a0\u00bb40px\u00a0\u00bb body_font=\u00a0\u00bb|300|||||||\u00a0\u00bb body_font_size=\u00a0\u00bb18px\u00a0\u00bb body_line_height=\u00a0\u00bb1.8em\u00a0\u00bb background_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb315deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#ffffff 5%|rgba(255,255,255,0.76) 5%|rgba(255,255,255,0.46) 90%|rgba(255,255,255,0.8) 90%\u00a0\u00bb image_icon_custom_padding=\u00a0\u00bb20px|20px|20px|20px|false|false\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_tablet=\u00a0\u00bb60px|40px|60px|40px|false|false\u00a0\u00bb custom_padding_phone=\u00a0\u00bb40px|20px|40px|20px|false|false\u00a0\u00bb custom_padding_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb30px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb body_font_size_tablet=\u00a0\u00bb18px\u00a0\u00bb body_font_size_phone=\u00a0\u00bb15px\u00a0\u00bb body_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb background_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_css_main_element_phone=\u00a0\u00bbclip-path: polygon(100% 0%,100% 95%,85% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_main_element_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_title_phone=\u00a0\u00bbmargin-bottom: 10px;\u00a0\u00bb custom_css_blurb_title_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_blurb_image_phone=\u00a0\u00bbtext-align: left;||margin-bottom: 40px;\u00a0\u00bb custom_css_blurb_image_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb custom_css_main_element_tablet=\u00a0\u00bbclip-path: polygon(100% 0%,100% 90%,95% 100%,0% 100%,0% 0%);\u00a0\u00bb custom_css_blurb_title_tablet=\u00a0\u00bbmargin-bottom: 30px;||margin-top: 15px\u00a0\u00bb][\/et_pb_blurb][et_pb_accordion open_toggle_text_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb toggle_icon=\u00a0\u00bb&#x4c;||divi||400&Prime; icon_color=\u00a0\u00bbgcid-primary-color\u00a0\u00bb use_icon_font_size=\u00a0\u00bbon\u00a0\u00bb icon_font_size=\u00a0\u00bb30px\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb toggle_font=\u00a0\u00bb&#8211;et_global_body_font|||on|||||\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-primary-color%22:%91%22icon_color%22,%22open_toggle_text_color%22%93}\u00a0\u00bb][et_pb_accordion_item title=\u00a0\u00bbL\u2019infection du pied \u00a0\u00bb open=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb toggle_font=\u00a0\u00bb&#8211;et_global_body_font|||on|||||\u00a0\u00bb]<\/p>\n<p>Infekcje st\u00f3p sta\u0142y si\u0119 rzadkie wraz z pojawieniem si\u0119 technik przezsk\u00f3rnych. Ryzyko wzrasta jednak w przypadku wyst\u0119powania innych chor\u00f3b towarzysz\u0105cych, takich jak cukrzyca lub zapalenie t\u0119tnic. Dodatkowym czynnikiem ryzyka jest r\u00f3wnie\u017c palenie tytoniu.<\/p>\n<p>[et_pb_accordion_item][et_pb_accordion_item title=\"Zapalenie \u017cy\u0142\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<p>Zapaleniu \u017cy\u0142 zapobiega leczenie przeciwzakrzepowe, a w przypadku wyst\u0105pienia b\u00f3lu \u0142ydki nale\u017cy je wykry\u0107 za pomoc\u0105 badania USG Doppler, kt\u00f3re mo\u017ce zaleci\u0107 lekarz rodzinny lub chirurg.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Wt\u00f3rne przemieszczenie osteotomii.\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<p>Bior\u0105c pod uwag\u0119 brak mocowania sprz\u0119towego, brak noszenia buta medycznego, wczesne usuni\u0119cie (przed up\u0142ywem 20 dni) lub nadmierne chodzenie mo\u017ce prowadzi\u0107 do tego powik\u0142ania. W przypadku znacznego przemieszczenia mo\u017ce to zagrozi\u0107 ostatecznemu wynikowi.<\/p>\n<p>[et_pb_accordion_item][et_pb_accordion_item title=\"Algodystrofia\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-8\" aria-labelledby=\"ui-id-7\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Jest to stan, kt\u00f3ry mo\u017ce dotkn\u0105\u0107 ka\u017cdy staw po urazie. Objawia si\u0119 nietypowym obrz\u0119kiem, sztywno\u015bci\u0105 i b\u00f3lem. Algodystrofia mo\u017ce wyd\u0142u\u017cy\u0107 okres rekonwalescencji o 6 miesi\u0119cy do 2 lat. Wyst\u0119powanie algodystrofii jest stosunkowo rzadkie i nale\u017cy jej zapobiega\u0107 poprzez skrupulatne przestrzeganie leczenia przeciwb\u00f3lowego w po\u0142\u0105czeniu z odpoczynkiem operowanej stopy zgodnie z zaleceniami chirurga. Algodystrofia jest cz\u0119sto zwi\u0105zana ze stresem. Nale\u017cy unika\u0107 operacji ko\u0144czyn, je\u015bli do\u015bwiadczasz stresu w \u017cyciu prywatnym lub zawodowym.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Sztywne palce\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<p>Je\u015bli deformacje by\u0142y bardzo znacz\u0105ce lub d\u0142ugotrwa\u0142e, elastyczno\u015b\u0107 palc\u00f3w nie mo\u017ce zosta\u0107 przywr\u00f3cona przez operacj\u0119. Niekt\u00f3re szpony palc\u00f3w wymagaj\u0105 wyd\u0142u\u017cenia \u015bci\u0119gien lub, przeciwnie, skr\u00f3cenia ko\u015bci w paliczku, co skutkuje ograniczeniem ruchomo\u015bci. Nierzadko zdarza si\u0119, \u017ce podeszwa stopy pozostaje obrz\u0119kni\u0119ta, a niekt\u00f3re palce nie dotykaj\u0105 pod\u0142o\u017ca po ponownym obci\u0105\u017ceniu stopy. Chirurg zasugeruje odpowiedni\u0105 reedukacj\u0119, je\u015bli wyst\u0105pi jakikolwiek dyskomfort.<\/p>\n<p>[et_pb_accordion_item][et_pb_accordion_item title=\"Paresthesias\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-12\" aria-labelledby=\"ui-id-11\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>S\u0105 to odczucia wy\u0142adowa\u0144 elektrycznych w palcach st\u00f3p lub, przeciwnie, zmniejszenie czucia sk\u00f3rnego. Zjawiska te wyst\u0119puj\u0105 we wszystkich operacjach na ko\u0144czynach, poniewa\u017c palce s\u0105 unerwione przez cienkie nerwy ko\u0144cowe, kt\u00f3re nie zawsze toleruj\u0105 powr\u00f3t do osi palc\u00f3w, kt\u00f3re pocz\u0105tkowo s\u0105 bardzo zdeformowane. W wi\u0119kszo\u015bci przypadk\u00f3w ponowne unerwienie ma miejsce ponad 1 rok po operacji i zjawiska te zanikaj\u0105, ale mo\u017ce utrzymywa\u0107 si\u0119 sta\u0142y dyskomfort.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Oedema\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-14\" aria-labelledby=\"ui-id-13\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Stopa pozostaje opuchni\u0119ta przez kilka miesi\u0119cy po operacji i b\u0119dzie mia\u0142a tendencj\u0119 do puchni\u0119cia szczeg\u00f3lnie pod koniec dnia w ci\u0105gu pierwszego roku po operacji. Obrz\u0119k jest szczeg\u00f3lnie istotny, je\u015bli wyst\u0119puj\u0105 zaburzenia powrotu \u017cylnego (\u017cylaki). Chirurg mo\u017ce zaleci\u0107 masa\u017ce drenuj\u0105ce. Noszenie po\u0144czoch uciskowych jest zalecane przez kilka miesi\u0119cy po przywr\u00f3ceniu obci\u0105\u017cania stopy. Instrukcje dotycz\u0105ce uniesienia stopy pozostaj\u0105 aktualne nawet po wznowieniu chodzenia.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Nawr\u00f3t deformacji\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-16\" aria-labelledby=\"ui-id-15\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Przyczyn\u0105 mo\u017ce by\u0107 stara lub bardzo znacz\u0105ca deformacja, kt\u00f3ra mo\u017ce wymaga\u0107 wt\u00f3rnej operacji korekcyjnej w przypadku utrzymuj\u0105cego si\u0119 dyskomfortu. Wt\u00f3rne przemieszczenie osteotomii z powodu nieprzestrzegania instrukcji pooperacyjnych mo\u017ce by\u0107 przyczyn\u0105 nawrotu.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Wygl\u0105d innych deformacji \" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-18\" aria-labelledby=\"ui-id-17\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Korekta palucha ko\u015blawego mo\u017ce prowadzi\u0107 do dekompensacji innych deformacji, szczeg\u00f3lnie w obr\u0119bie ma\u0142ych palc\u00f3w. Je\u015bli jest to uci\u0105\u017cliwe, a noszenie wk\u0142adek ortopedycznych nie wystarcza, chirurg mo\u017ce zasugerowa\u0107 dodatkow\u0105 operacj\u0119, kt\u00f3ra cz\u0119sto jest l\u017cejsza i mniej restrykcyjna.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Osteoarthritis\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-20\" aria-labelledby=\"ui-id-19\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Jest to hallux rigidus. Mo\u017ce on by\u0107 ju\u017c obecny co najmniej w momencie operacji i mo\u017ce nasila\u0107 si\u0119 na p\u00f3\u017aniejszym etapie lub mo\u017ce pojawi\u0107 si\u0119 w nast\u0119pstwie operacji. Istniej\u0105 konkretne metody leczenia chirurgicznego tego schorzenia, kt\u00f3re chirurg om\u00f3wi z pacjentem.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Nadmierna korekta\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-22\" aria-labelledby=\"ui-id-21\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Nazywa si\u0119 to paluchem ko\u015blawym. Mo\u017ce to wyst\u0105pi\u0107, gdy ucisk osteotomii przez opatrunek by\u0142 zbyt d\u0142ugi lub zbyt du\u017cy. Przyczyn\u0105 mo\u017ce by\u0107 r\u00f3wnie\u017c wt\u00f3rne przemieszczenie osteotomii. W przypadku wyst\u0105pienia dyskomfortu, chirurg mo\u017ce podj\u0105\u0107 decyzj\u0119 o przeprowadzeniu operacji rewizyjnej. Tego powik\u0142ania mo\u017cna unikn\u0105\u0107, przestrzegaj\u0105c termin\u00f3w wizyt pooperacyjnych.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"Martwica palc\u00f3w\" _builder_version=\"4.27.0\u2033 _module_preset=\"default\" global_colors_info=\"{}\" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-22\" aria-labelledby=\"ui-id-21\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>To powik\u0142anie, na szcz\u0119\u015bcie niezwykle rzadkie, ale dramatyczne, mo\u017ce wyst\u0105pi\u0107 w ma\u0142ych palcach, gdy deformacja jest bardzo du\u017ca i stara. Ryzyko jest wi\u0119ksze u os\u00f3b powy\u017cej 70 roku \u017cycia, cierpi\u0105cych na zapalenie t\u0119tnic lub pal\u0105cych. Korekcja chirurgiczna mo\u017ce prowadzi\u0107 do niedokrwienia palca, co prowadzi do martwicy, a nawet amputacji.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=\"\u015amier\u0107\" _builder_version=\"4.27.0\u2033 _module_preset=\"default \" global_colors_info=\"{} \" open=\"off\"]<\/p>\n<div class=\"wpb_accordion_content ui-accordion-content vc_clearfix ui-helper-reset ui-widget-content ui-corner-bottom ui-accordion-content-active\" id=\"ui-id-22\" aria-labelledby=\"ui-id-21\" role=\"tabpanel\" aria-hidden=\"false\">\n<div class=\"vc_wp_text wpb_content_element\">\n<div class=\"widget widget_text\">\n<div class=\"textwidget\">\n<p>Ka\u017cda operacja chirurgiczna, nawet niewielka, mo\u017ce prowadzi\u0107 do zatorowo\u015bci p\u0142ucnej lub alergii na \u015brodki znieczulaj\u0105ce, co mo\u017ce by\u0107 \u015bmiertelne. Z tego powodu chirurg mo\u017ce nie zdecydowa\u0107 si\u0119 na operacj\u0119, nawet je\u015bli pacjent ma powa\u017cne deformacje, je\u015bli jego stan zdrowia na to nie pozwala.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"default \" text_font=\"-et_global_heading_font|||||||| \" text_color=\"#FFFF \" header_font=\"-et_global_heading_font|||||||| \" header_text_color= \"#FFFFFF \" header_5_font=\"-et_global_heading_font|||||||| \" custom_margin=\"||||false \" custom_padding=\"22px||22px||true|false \" global_colors_info=\"{} \"]<\/p>\n<p><strong><em>Niniejsza lista powik\u0142a\u0144 ma na celu informowanie, a nie straszenie. Chirurg jest profesjonalist\u0105, kt\u00f3ry proponuje operacj\u0119 w celu leczenia deformacji. Rozwa\u017cy on z pacjentem ryzyko i korzy\u015bci zwi\u0105zane z operacj\u0105, a pacjent zawsze mo\u017ce j\u0105 zaakceptowa\u0107 lub odrzuci\u0107. Monitorowanie pooperacyjne pozwala nam zidentyfikowa\u0107 wszelkie powik\u0142ania i w razie potrzeby zaoferowa\u0107 odpowiednie leczenie.<\/em><\/strong><\/p>\n<p><strong><em>Wynik estetyczny mo\u017ce czasami wydawa\u0107 si\u0119 rozczarowuj\u0105cy, ale celem tej operacji nie jest estetyka, ale funkcjonalno\u015b\u0107. G\u0142\u00f3wnym celem operacji jest sprawienie, aby stopa by\u0142a bardziej por\u0119czna i mniej bolesna, a tak\u017ce zapobieganie post\u0119powi deformacji do sytuacji ekstremalnych, kt\u00f3re po pewnym wieku nie mog\u0105 by\u0107 ju\u017c leczone zachowawczo.<\/em><\/strong><\/p>\n<p><strong><em>Chirurgia st\u00f3p jest z\u0142o\u017con\u0105 dziedzin\u0105, tym bardziej, gdy deformacje s\u0105 stare i liczne. Czasami konieczne mo\u017ce by\u0107 przeprowadzenie kilku operacji roz\u0142o\u017conych w czasie, zanim uzyskany zostanie zadowalaj\u0105cy wynik.<\/em><\/strong><\/p>\n<p>[\/et_pb_text][dipi_before_after_slider _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/dipi_before_after_slider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; admin_label=\u00a0\u00bbProduct\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb use_background_color_gradient=\u00a0\u00bbon\u00a0\u00bb background_color_gradient_direction=\u00a0\u00bb0deg\u00a0\u00bb background_color_gradient_stops=\u00a0\u00bb#000000 0%|rgba(0,0,0,0.18) 100%\u00a0\u00bb background_color_gradient_overlays_image=\u00a0\u00bbon\u00a0\u00bb background_image=\u00a0\u00bbhttps:\/\/www.docteur-mielcarek.com\/wp-content\/uploads\/2024\/09\/nasa-6-jTZysYY_U-unsplash-scaled.webp\u00a0\u00bb custom_padding=\u00a0\u00bb10vw||10vw||true|false\u00a0\u00bb collapsed=\u00a0\u00bbon\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb3_5,2_5&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb3_5&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbe6504a1b-67eb-4b3d-b023-bcab277610b6&Prime; header_font=\u00a0\u00bb&#8211;et_global_body_font||||||||\u00a0\u00bb header_4_font=\u00a0\u00bb&#8211;et_global_body_font|800||on|||||\u00a0\u00bb header_4_text_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb 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(\/figma)--&gt;\"><\/span><span>Um\u00f3w si\u0119 na spotkanie z<br \/>Dr Pawe\u0142 MIELCAREK<\/span><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_5&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_button button_url=\u00a0\u00bb@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjI0ODQ0OTI4In19@\u00a0\u00bb button_text=\u00a0\u00bbPrendre RDV \u00a0\u00bb button_alignment=\u00a0\u00bbright\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.4&Prime; _dynamic_attributes=\u00a0\u00bbbutton_url\u00a0\u00bb _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_size=\u00a0\u00bb1rem\u00a0\u00bb button_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb button_bg_color=\u00a0\u00bbgcid-secondary-color\u00a0\u00bb button_border_width=\u00a0\u00bb0px\u00a0\u00bb button_border_color=\u00a0\u00bb#ffffff\u00a0\u00bb 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button_border_color__hover_enabled=\u00a0\u00bbon|hover\u00a0\u00bb button_border_color__hover=\u00a0\u00bb#b6b187&Prime; custom_css_main_element_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb custom_css_main_element_phone=\u00a0\u00bb width:100%;||text-align:center\u00a0\u00bb custom_css_main_element_tablet=\u00a0\u00bbfloat:left;||margin-right:24px\u00a0\u00bb sticky_enabled=\u00a0\u00bb0&Prime;][\/et_pb_button][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_3,1_3,1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bb4827deed-2a92-4d97-a22f-f01067ae6873&Prime; header_font=\u00a0\u00bb||||||||\u00a0\u00bb header_4_font=\u00a0\u00bbPoppins|600|||||||\u00a0\u00bb header_4_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb header_4_font_size=\u00a0\u00bb20px\u00a0\u00bb header_4_line_height=\u00a0\u00bb1.4em\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb header_4_font_size_tablet=\u00a0\u00bb16px\u00a0\u00bb header_4_font_size_phone=\u00a0\u00bb14px\u00a0\u00bb header_4_font_size_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h4>Um\u00f3w Wizyt\u0119<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"Libre Franklin|||||||| \" text_text_color=\"#FFFF \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n<p>Mo\u017cesz um\u00f3wi\u0107 si\u0119 na spotkanie z lekarzem bezpo\u015brednio na Docolib poprzez stron\u0119 Kontakt.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"4827deed-2a92-4d97-a22f-f01067ae6873\u2033 header_font=\"|||||||| \" header_4_font=\"Poppins|600||||||| \" header_4_text_color=\"#FFFF \" header_4_font_size=\"20px \" header_4_line_height=\"1.4em \" custom_margin=\"||0px||false|false \" header_4_font_size_tablet=\"16px \" header_4_font_size_phone=\"14px \" header_4_font_size_last_edited=\"on|tablet \" global_colors_info=\"{}\"]<\/p>\n<h4>Telekonsultacje<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"Libre Franklin|||||||| \" text_text_color=\"#FFFF \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n<p>Odwied\u017a Consulib, aby um\u00f3wi\u0107 si\u0119 na telekonsultacj\u0119 z dr Paulem Mielcarkiem.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\"1_3\u2033 _builder_version=\"4.17.4\u2033 _module_preset=\"default \" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"4827deed-2a92-4d97-a22f-f01067ae6873\u2033 header_font=\"|||||||| \" header_4_font=\"Poppins|600||||||| \" header_4_text_color=\"#FFFF \" header_4_font_size=\"20px \" header_4_line_height=\"1.4em \" custom_margin=\"||0px||false|false \" header_4_font_size_tablet=\"16px \" header_4_font_size_phone=\"14px \" header_4_font_size_last_edited=\"on|tablet \" global_colors_info=\"{}\"]<\/p>\n<h4>W Gabinecie<\/h4>\n<p>[\/et_pb_text][et_pb_text _builder_version=\"4.27.0\u2033 _module_preset=\"1f09816e-184e-4ce5-a4cf-b39c52c423ca \" text_font=\"Libre Franklin|||||||| \" text_text_color=\"#FFFF \" text_font_size=\"16px \" text_line_height=\"1.6em \" text_font_size_tablet=\"15px \" text_font_size_phone=\"14px \" text_font_size_last_edited=\"on|phone \" header_font_size_tablet=\"55px \" header_font_size_last_edited=\"off|desktop \" global_colors_info=\"{}\"]<\/p>\n<p>5 Rue de la Coop\u00e9rative, HALL 1, 67000 Strasbourg, zaprasza od poniedzia\u0142ku do pi\u0105tku w godzinach od 8:00 do 12:00 i od 14:00 do 18:00 .<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","protected":false},"excerpt":{"rendered":"<p>InterwencjeHallux ValgusNajcz\u0119stsz\u0105 deformacj\u0105 jest HALLUX VALGUS (powszechnie znany jako \"haluks\"). 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