{"id":3076,"date":"2022-05-18T12:27:47","date_gmt":"2022-05-18T09:27:47","guid":{"rendered":"https:\/\/ladisten.com\/?p=3076"},"modified":"2022-06-22T17:31:09","modified_gmt":"2022-06-22T14:31:09","slug":"bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie","status":"publish","type":"post","link":"https:\/\/ladisten.com\/en\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/","title":{"rendered":"NOTT&#8217;S DISEASE OR CLICKING FINGER: HOW NOT TO &#8220;CLICK&#8221; THE DISEASE"},"content":{"rendered":"<p><i><span style=\"font-weight: 400;\">Click, click, click. Such sounds can often be heard when bending the fingers of yourself or your loved ones. Do not pay attention, this joint clicks, it&#8217;s okay, it&#8217;s been a long time ago. Many of us have heard such or similar answers in response to the question, what is it that clicks on you?<\/span><\/i><\/p>\n<p><i><span style=\"font-weight: 400;\">Do you have to be as careless and does it click on the joint? Let&#8217;s figure it out.<\/span><\/i><\/p>\n<p><i><span style=\"font-weight: 400;\">The topic of our conversation today is clicking finger or Nott&#8217;s disease.<\/span><\/i><\/p>\n<p><b>WHAT IS NOTT&#8217;S DISEASE?<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Knott&#8217;s disease is a disease of the flexor tendon of the finger, in other words, it is a disease of the hand, which is characterized by the typical &#8220;snapping&#8221; of the finger or fingers with maximum flexion into a fist, restriction of movement, pain at the base of the fingers when pressed, morning stiffness of movements in the hand.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This disease was first described by Alfred Knott back in\u00a01850, which is why it got the name &#8211; Knott&#8217;s disease.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In medical terminology, the name of the disease is also used as stenosing ligamentitis.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">And among the people, because of the characteristic sound when bending the finger, this pathology is also called the clicking finger.<\/span><\/p>\n<p><b>STATISTICS<\/b><\/p>\n<p><span style=\"font-weight: 400;\">According to statistics, this disease is most common in women over 40 years old, and on average, it occurs in 2 people out of 100. It should be noted that quite often this lesion occurs in children.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As a rule, this disease primarily affects the thumb and ring fingers.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As practice shows, the defeat is most often found on such fingers:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ring finger -44%.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thumb &#8211; 26%<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Middle finger &#8211; 20%.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Little finger &#8211; 7%.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Index finger &#8211; in 3% of cases.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Especially often, this disease also occurs in people whose professional activities are associated with squeezing objects in the palm of their hand; screwdrivers, hair dryers, manicure tools, etc. or using machines that apply pressure to the palm.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These factors provoke inflammation of the palm, and, as a result, the onset of snapping finger disease.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to external factors (unfavorable work, physical labor), an inflammatory process in the body associated with the musculoskeletal system (arthritis, arthrosis, osteoporosis, osteoarthritis) can be a precursor of stenosing ligamentitis.<\/span><\/p>\n<p><b>SIGNS OF DISEASE, SYMPTOMS<\/b><\/p>\n<p><span style=\"font-weight: 400;\">In most cases, snap finger disease is asymptomatic. The person may feel a small lump, feel pain in the palm of the hand or mild numbness, or even find a swelling and crunching or clicking sound when bending the finger.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition, additional symptoms may also occur that bring discomfort, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">sensation of an obstacle that occurs when the finger is flexed or extended;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">blockage, inability to bend or unbend a finger;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">pain that is localized at the base of the finger.<\/span><\/li>\n<\/ul>\n<p><b>CAUSES OF OCCURRENCE<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Nott&#8217;s disease very often occurs against the background of systemic diseases &#8211; diabetes mellitus, gout or rheumatoid arthritis.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The patients themselves believe that the joint itself clicks, but this isnot self-deception.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is important to note that in children from 1 year old, Nott&#8217;s disease often appears due to developmental peculiarities. The fact is that the flexor tendon of the finger has annular ligaments. They prevent lateral movement of the tendon, especially when moving.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In young children, it often happens that the tendon grows much faster than the ligament, causing it to crush it.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Accordingly, in this place the tendon becomes significantly denser. When the lump passes through the narrow ligament channel, a clicking sound is produced. Over time, constriction can cause the lump to become larger, preventing the tendon from moving and thus keeping the finger in a flexed position.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The mechanism of development of pathology in adults does not differ, but the root causes of its appearance are completely different. If an adult is diagnosed with Knott&#8217;s disease, the reasons, in addition to the above, may be as follows:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">regular loads on the fingers, performing monotonous hand movements (typing, driving a car);<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">inflammatory process localized in the hand;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">injury and damage in the area of \u200b\u200bthickening;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">hereditary predisposition;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">atherosclerosis;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">diseases of the thyroid gland;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">constant squeezing of the ligaments;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">physical labor with stress on the hands.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In most cases, Knott&#8217;s disease causes an inflammatory process provoked by constant stress. The risk group includes women, as well as people who, by occupation or hobby, constantly perform the same movements (for example, sew, knit or embroider) or have chronic diseases.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Due to problems in metabolic processes and due to weakened connecting materials, as well as other reasons, stenosing ligamentitis can also develop against the background of the following deviations such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">arthrosis;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">spondyloarthrosis,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">spondylosis;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">epicondylitis;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">humeroscapular periarthritis.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It is very important for the patient to realize that the main danger of the disease is that, if untreated, the finger can be fixed in a bent state, and it will be almost impossible to straighten it without the intervention of a doctor.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As a rule, with a very advanced stage of Nott&#8217;s disease, limitation of mobility appears.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But you should not get upset ahead of time, since this pathology is being successfully treated today, so if you have such a problem, in no case should you postpone your visit to the doctor for a long time.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the medical center &#8220;Ladisten Clinic&#8221; you can get qualified advice from experienced orthopedists who will carry out complex diagnostics and prescribe treatment for you depending on the stage of the disease. The diagnosis by an orthopedist, as a rule, occurs on the basis of interviewing the patient, palpation and obtaining a complete clinical picture using radiography.<\/span><\/p>\n<p><b>VARIETIES OF THIS PATHOLOGY<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Depending on which ligaments of the patient were affected in medical practice, the following classification is distinguished:<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> Nott&#8217;s disease. The primary signs of the onset of pathology are painful clicking of the finger when it moves back and forth. Secondary symptoms of the disease are already becoming a serious problem in which the hand, with the existing deformed joint, begins to function with difficulty.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> De Quervain&#8217;s disease. Stenosing vanginitis is a problem with the abductor muscle that swells. This leads to the effect of friction of the inflamed tendons on the bone-fibrous canals, while the pathological process provokes significant pain at the base of the movable limb of the hand.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Syndrome of the carpal canal (tunnel syndrome). In this area, the patient sometimes compresses the median nerve, which is responsible for the sensing and motor skills of the hand.<\/span><\/li>\n<\/ol>\n<p><b>STAGES OF THE DISEASE<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Knott&#8217;s disease has several stages, such as:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The initial stage, after which pain is noticeable during palpation of the palm in the area of \u200b\u200bthe base of the finger, there may also be irregular difficulties with extension and \/ or flexion of the affected finger, which is especially pronounced in the morning.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The second stage, in which constant clicking brings severe discomfort to the patient. The blocking of the finger becomes more noticeable, and the natural overcoming of it is more difficult &#8211; often a person has to bend and unbend the finger with the other hand. Unpleasant sensations persist after snapping, probing the thickening at the base of the finger also causes pain.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The third stage is characterized by an increase in limited mobility, in which a persistent contracture is already forming. The change of position of the finger is achieved only with the help of the second hand. After the affected finger clicks, the patient feels prolonged pain that is felt throughout the palm, forearm and even shoulder.<\/span><\/li>\n<\/ol>\n<p><b>METHODS FOR TREATMENT OF NOTT&#8217;S DISEASE<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Depending on the degree of the disease, various methods of treating the clicking finger are used in medical practice.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When diagnosing a grade 1-2 of the disease, a blockade is usually performed using hormonal anti-inflammatory drugs, and physiotherapy is additionally prescribed.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the early stages, Knott&#8217;s disease can also be cured using conservative methods, such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">reduction of physical exertion on the hand;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">drug treatment with anti-inflammatory drugs;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">the use of physiotherapeutic procedures (electrophoresis, magnetic therapy).<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">With the ineffectiveness of conservative methods and the blockade, as well as at stage 3 of the disease, doctors recommend surgery &#8211; dissection of the A1 ligament at the base of the finger.<\/span><\/p>\n<p><b>SURGERY FOR NOTT&#8217;S DISEASE<\/b><\/p>\n<p><span style=\"font-weight: 400;\">With Nott&#8217;s disease, the operation can be performed in two ways:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">open method, in which a small skin incision is made with sutures and further dressings. With this method, under local anesthesia, an orthopedic surgeon dissects the annular ligament, which limits the movement of the tendon.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">minimally invasive method called needling, in which only small punctures of the skin are made with a needle, without stitches and dressings.\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/span><\/li>\n<\/ol>\n<p><b>FORECAST\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400;\">For this pathology, orthopedists give a favorable prognosis. As a prophylaxis for stenosing ligamentitis, doctors, as a rule, recommend changing the main type of activity and reducing the load on the hand in ordinary life. Also, the patient is taught the correct position of the hands, self-massage and other effective independent influences on the problematic part.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">At the Ladisten Clinic medical center, the treatment of stenosing ligamentitis is carried out at the highest level, after which you or your loved ones will forget about the problem of clicking finger forever.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We are always glad to see you!<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Your Ladisten Clinic.<\/span><\/i><\/p>","protected":false},"excerpt":{"rendered":"<p>Click, click, click. Such sounds can often be heard when bending the fingers of yourself or your loved ones. Do not pay attention, this joint clicks, it&#8217;s okay, it&#8217;s been a long time ago. Many of us have heard such or similar answers in response to the question, what is it that clicks on you? [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3],"tags":[],"class_list":["post-3076","post","type-post","status-publish","format-standard","hentry","category-blog"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten<\/title>\n<meta name=\"description\" content=\"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f \u0421\u0443\u0447\u0430\u0441\u043d\u0430 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u044f \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f \u23e9 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u043d\u0456\u0433 Genu Varum \u0442\u0430 Genu Valgum \u23e9 \u0417\u0431\u0456\u043b\u044c\u0448\u0435\u043d\u043d\u044f \u0440\u043e\u0441\u0442\u0443 \u0442\u0430 \u043f\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u044f \u043d\u0456\u0433\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ladisten.com\/en\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten\" \/>\n<meta property=\"og:description\" content=\"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f \u0421\u0443\u0447\u0430\u0441\u043d\u0430 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u044f \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f \u23e9 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u043d\u0456\u0433 Genu Varum \u0442\u0430 Genu Valgum \u23e9 \u0417\u0431\u0456\u043b\u044c\u0448\u0435\u043d\u043d\u044f \u0440\u043e\u0441\u0442\u0443 \u0442\u0430 \u043f\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u044f \u043d\u0456\u0433\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ladisten.com\/en\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/\" \/>\n<meta property=\"og:site_name\" content=\"Ladisten\" \/>\n<meta property=\"article:published_time\" content=\"2022-05-18T09:27:47+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-22T14:31:09+00:00\" \/>\n<meta name=\"author\" content=\"triumphseoservices triumphseoservices\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"triumphseoservices triumphseoservices\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/blog\\\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/blog\\\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\\\/\"},\"author\":{\"name\":\"triumphseoservices triumphseoservices\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/#\\\/schema\\\/person\\\/3b30c691110463a5b83d73f2b545d034\"},\"headline\":\"NOTT&#8217;S DISEASE OR CLICKING FINGER: HOW NOT TO &#8220;CLICK&#8221; THE DISEASE\",\"datePublished\":\"2022-05-18T09:27:47+00:00\",\"dateModified\":\"2022-06-22T14:31:09+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/blog\\\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\\\/\"},\"wordCount\":2723,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/#organization\"},\"articleSection\":[\"Articles\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/ladisten.com\\\/blog\\\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\\\/\",\"url\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\\\/\",\"name\":\"\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/#website\"},\"datePublished\":\"2022-05-18T09:27:47+00:00\",\"dateModified\":\"2022-06-22T14:31:09+00:00\",\"description\":\"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f \u0421\u0443\u0447\u0430\u0441\u043d\u0430 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u044f \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f \u23e9 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u043d\u0456\u0433 Genu Varum \u0442\u0430 Genu Valgum \u23e9 \u0417\u0431\u0456\u043b\u044c\u0448\u0435\u043d\u043d\u044f \u0440\u043e\u0441\u0442\u0443 \u0442\u0430 \u043f\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u044f \u043d\u0456\u0433\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[[\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\\\/\"]]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/blog\\\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/ladisten.com\\\/en\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"NOTT&#8217;S DISEASE OR CLICKING FINGER: HOW NOT TO &#171;CLICK&#187; THE DISEASE\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/#website\",\"url\":\"https:\\\/\\\/ladisten.com\\\/en\\\/\",\"name\":\"Ladisten\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/ladisten.com\\\/en\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/#organization\",\"name\":\"Ladisten\",\"url\":\"https:\\\/\\\/ladisten.com\\\/en\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/ladisten.com\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/11-layers.png\",\"contentUrl\":\"https:\\\/\\\/ladisten.com\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/11-layers.png\",\"width\":158,\"height\":33,\"caption\":\"Ladisten\"},\"image\":{\"@id\":\"https:\\\/\\\/ladisten.com\\\/en\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/ladisten.com\\\/#\\\/schema\\\/person\\\/3b30c691110463a5b83d73f2b545d034\",\"name\":\"triumphseoservices triumphseoservices\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/13f375219f7d52893834a52fa698465fb99d80c4ede848b3c22b1d022a3d8dc8?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/13f375219f7d52893834a52fa698465fb99d80c4ede848b3c22b1d022a3d8dc8?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/13f375219f7d52893834a52fa698465fb99d80c4ede848b3c22b1d022a3d8dc8?s=96&d=mm&r=g\",\"caption\":\"triumphseoservices triumphseoservices\"},\"sameAs\":[\"https:\\\/\\\/ladisten.com\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten","description":"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f \u0421\u0443\u0447\u0430\u0441\u043d\u0430 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u044f \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f \u23e9 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u043d\u0456\u0433 Genu Varum \u0442\u0430 Genu Valgum \u23e9 \u0417\u0431\u0456\u043b\u044c\u0448\u0435\u043d\u043d\u044f \u0440\u043e\u0441\u0442\u0443 \u0442\u0430 \u043f\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u044f \u043d\u0456\u0433","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ladisten.com\/en\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/","og_locale":"en_US","og_type":"article","og_title":"\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten","og_description":"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f \u0421\u0443\u0447\u0430\u0441\u043d\u0430 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u044f \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f \u23e9 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u043d\u0456\u0433 Genu Varum \u0442\u0430 Genu Valgum \u23e9 \u0417\u0431\u0456\u043b\u044c\u0448\u0435\u043d\u043d\u044f \u0440\u043e\u0441\u0442\u0443 \u0442\u0430 \u043f\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u044f \u043d\u0456\u0433","og_url":"https:\/\/ladisten.com\/en\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/","og_site_name":"Ladisten","article_published_time":"2022-05-18T09:27:47+00:00","article_modified_time":"2022-06-22T14:31:09+00:00","author":"triumphseoservices triumphseoservices","twitter_card":"summary_large_image","twitter_misc":{"Written by":"triumphseoservices triumphseoservices","Est. reading time":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/ladisten.com\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/#article","isPartOf":{"@id":"https:\/\/ladisten.com\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/"},"author":{"name":"triumphseoservices triumphseoservices","@id":"https:\/\/ladisten.com\/#\/schema\/person\/3b30c691110463a5b83d73f2b545d034"},"headline":"NOTT&#8217;S DISEASE OR CLICKING FINGER: HOW NOT TO &#8220;CLICK&#8221; THE DISEASE","datePublished":"2022-05-18T09:27:47+00:00","dateModified":"2022-06-22T14:31:09+00:00","mainEntityOfPage":{"@id":"https:\/\/ladisten.com\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/"},"wordCount":2723,"commentCount":0,"publisher":{"@id":"https:\/\/ladisten.com\/#organization"},"articleSection":["Articles"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/ladisten.com\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/ladisten.com\/en\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/","url":"https:\/\/ladisten.com\/en\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/","name":"\u0411\u043b\u043e\u0433 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u0441\u0443\u0447\u0430\u0441\u043d\u043e\u0457 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u0457 \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u0457 Ladisten","isPartOf":{"@id":"https:\/\/ladisten.com\/en\/#website"},"datePublished":"2022-05-18T09:27:47+00:00","dateModified":"2022-06-22T14:31:09+00:00","description":"\u0421\u0442\u0430\u0442\u0442\u0456 \u043f\u0440\u043e\u0432\u0456\u0434\u043d\u0438\u0445 \u043b\u0456\u043a\u0430\u0440\u0456\u0432 \u043a\u043b\u0456\u043d\u0456\u043a\u0438 \u2b50 Ladisten \u2695\ufe0f \u0421\u0443\u0447\u0430\u0441\u043d\u0430 \u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u0430 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0456\u044f \u0442\u0430 \u0442\u0440\u0430\u0432\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0456\u044f \u23e9 \u041a\u043e\u0440\u0435\u043a\u0446\u0456\u044f \u043d\u0456\u0433 Genu Varum \u0442\u0430 Genu Valgum \u23e9 \u0417\u0431\u0456\u043b\u044c\u0448\u0435\u043d\u043d\u044f \u0440\u043e\u0441\u0442\u0443 \u0442\u0430 \u043f\u043e\u0434\u043e\u0432\u0436\u0435\u043d\u043d\u044f \u043d\u0456\u0433","breadcrumb":{"@id":"https:\/\/ladisten.com\/en\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":[["https:\/\/ladisten.com\/en\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/"]]}]},{"@type":"BreadcrumbList","@id":"https:\/\/ladisten.com\/en\/blog\/bolezn-notta-ili-shhyolkayushhij-palets-kak-ne-proshhyolkat-zabolevanie\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/ladisten.com\/en\/"},{"@type":"ListItem","position":2,"name":"NOTT&#8217;S DISEASE OR CLICKING FINGER: HOW NOT TO &#171;CLICK&#187; THE DISEASE"}]},{"@type":"WebSite","@id":"https:\/\/ladisten.com\/en\/#website","url":"https:\/\/ladisten.com\/en\/","name":"Ladisten","description":"","publisher":{"@id":"https:\/\/ladisten.com\/en\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ladisten.com\/en\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/ladisten.com\/en\/#organization","name":"Ladisten","url":"https:\/\/ladisten.com\/en\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/ladisten.com\/en\/#\/schema\/logo\/image\/","url":"https:\/\/ladisten.com\/wp-content\/uploads\/2022\/06\/11-layers.png","contentUrl":"https:\/\/ladisten.com\/wp-content\/uploads\/2022\/06\/11-layers.png","width":158,"height":33,"caption":"Ladisten"},"image":{"@id":"https:\/\/ladisten.com\/en\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/ladisten.com\/#\/schema\/person\/3b30c691110463a5b83d73f2b545d034","name":"triumphseoservices triumphseoservices","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/13f375219f7d52893834a52fa698465fb99d80c4ede848b3c22b1d022a3d8dc8?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/13f375219f7d52893834a52fa698465fb99d80c4ede848b3c22b1d022a3d8dc8?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/13f375219f7d52893834a52fa698465fb99d80c4ede848b3c22b1d022a3d8dc8?s=96&d=mm&r=g","caption":"triumphseoservices triumphseoservices"},"sameAs":["https:\/\/ladisten.com"]}]}},"_links":{"self":[{"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/posts\/3076","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/comments?post=3076"}],"version-history":[{"count":2,"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/posts\/3076\/revisions"}],"predecessor-version":[{"id":3078,"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/posts\/3076\/revisions\/3078"}],"wp:attachment":[{"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/media?parent=3076"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/categories?post=3076"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ladisten.com\/en\/wp-json\/wp\/v2\/tags?post=3076"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}