{"id":13370,"date":"2023-10-18T10:59:11","date_gmt":"2023-10-18T10:59:11","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=13370"},"modified":"2023-10-18T10:59:14","modified_gmt":"2023-10-18T10:59:14","slug":"llr-policy-for-bunions-hallux-valgus","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-bunions-hallux-valgus\/","title":{"rendered":"Polityka LLR dotycz\u0105ca haluks\u00f3w (palucha ko\u015blawego)"},"content":{"rendered":"

<\/p>\n\n\n\n

Kategoria<\/strong><\/p>\n\n\n\n

Kryteria progowe<\/p>\n\n\n\n

Paluch ko\u015blawy, powszechnie nazywany haluksami, mo\u017ce powodowa\u0107 b\u00f3l o r\u00f3\u017cnym nasileniu z ograniczeniem funkcji i mobilno\u015bci w wyniku nacisku but\u00f3w na przy\u015brodkow\u0105 wypuk\u0142o\u015b\u0107 g\u0142owy ko\u015bci \u015br\u00f3dstopia. Leczenie zachowawcze, takie jak ortezy, nie zawsze pomaga w wyleczeniu objaw\u00f3w i poprawie d\u0142ugoterminowego wyniku. Interwencja chirurgiczna mo\u017ce przynie\u015b\u0107 znaczn\u0105 popraw\u0119 objaw\u00f3w i parametr\u00f3w klinicznych, ale nie zawsze jest pozbawiona ryzyka.<\/p>\n\n\n\n

W pierwszej kolejno\u015bci nale\u017cy zastosowa\u0107 konserwatywne techniki zarz\u0105dzania. Techniki te obejmuj\u0105:<\/p>\n\n\n\n

\u2022 Unikanie but\u00f3w na wysokich obcasach i noszenie szerokich, dopasowanych but\u00f3w sk\u00f3rzanych, kt\u00f3re si\u0119 rozci\u0105gaj\u0105<\/p>\n\n\n\n

\u2022 Zabiegi niechirurgiczne, takie jak podk\u0142adki na haluksy, szyny, wk\u0142adki lub os\u0142ony.<\/p>\n\n\n\n

\u2022 Prosta analgezja.<\/p>\n\n\n\n

ICB b\u0119d\u0105 NIE RUTYNOWY FUNDUSZ<\/strong> chirurgia bezobjawowych haluks\u00f3w w celach kosmetycznych<\/p>\n\n\n\n

Chirurgiczne leczenie haluks\u00f3w to opieka dzienna w szpitalu Leicester General Hospital i szpitalu lokalnym w Leicestershire<\/p>\n\n\n\n

Uprawnienia<\/strong><\/p>\n\n\n\n

<\/p>\n\n\n\n

Organizacje CCG LLR b\u0119d\u0105 finansowa\u0107 t\u0119 procedur\u0119 tylko wtedy, gdy spe\u0142nione zostan\u0105 nast\u0119puj\u0105ce kryteria<\/strong>
\u00a0<\/em><\/strong>
\u00b7 Konserwatywne zarz\u0105dzanie zawiod\u0142o
\u00a0
-\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/a>Pacjentka kwalifikuje si\u0119 do operacji z BMI <45
\u00a0
\u00b7 Pacjent wyra\u017ca zgod\u0119 na operacj\u0119, kt\u00f3ra mo\u017ce uniemo\u017cliwi\u0107 mu prac\u0119 lub prowadzenie pojazdu na 8 tygodni
\u00a0
I<\/strong>
\u00a0
\u00b7 Pacjent cierpi na silny b\u00f3l lub deformacj\u0119 powoduj\u0105c\u0105 znaczne upo\u015bledzenie czynno\u015bciowe, w tym:
\u00a0
o Objawy uniemo\u017cliwiaj\u0105ce pacjentowi wykonywanie obowi\u0105zk\u00f3w zawodowych lub edukacyjnych
\u00a0
LUB<\/strong>
\u00a0<\/strong>
o Objawy uniemo\u017cliwiaj\u0105ce pacjentowi wykonywanie czynno\u015bci domowych lub opieku\u0144czych
\u00a0
\u00a0
Pacjenci z BMI > 45 wymagaj\u0105 porady w sprawie sposob\u00f3w redukcji masy cia\u0142a, a nast\u0119pnie skierowania.

<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
Data przegl\u0105du ARP 16: 2026 r<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"

Category Threshold Criteria Hallux valgus, commonly kown as bunions, can cause varying degree of pain with limitation of function and mobility as an effect of pressure from shoes over the […]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57],"tags":[69,83],"class_list":["post-13370","post","type-post","status-publish","format-standard","hentry","category-policies","tag-orthopaedics","tag-threshold"],"yoast_head":"\nLLR Policy for Bunions (Hallux Valgus) - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-bunions-hallux-valgus\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"LLR Policy for Bunions (Hallux Valgus) - 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