Bunion
Description:
A bunion (Hallux Valgus) is an enlarged or prominent bone on the side of the first, big toe joint. Most bunions are inherited and form as the joint responds to abnormal pressure on the foot from tight, restrictive or flat shoes without support.
They are associated with other foot conditions such as:
Pain ranges from dull to sharp depending upon the level of irritation and compression of the nerves that are around this area.
Treatment: Conservative Care:
| Shoes: | A larger, softer shoe can relieve the direct pressure or pressure from adjacent toes. Make sure that the shoe has enough room at the end about the width of your thumb and that the toe box (front of the shoe) is high enough to allow your toes to move freely. |
| Padding: | There is an array of over the counter pads and strapping. The pads can be placed directly over or on either side of the bunion to relieve the pressure and the strapping temporarily holds the toe in a straight position. |
| Medication: | Anti-inflammatory medication (Eg. Ibuprofen, Naprosyn) aspirin products, and Acetaminophen can help with the chronic pain, but are not much help with the acute pain. |
| Arch support: | Temporary arch supports or custom molded orthotics will prevent “jamming” of the joint and are the best solution for long term treatment with or without surgical intervention. |
Surgical Options:
The bone causing the pressure is remodeled or smoothed down and then repositioned to prevent reoccurrence. Incisions are minimal and vary (average 1.5cm to 3/4 inch) and sutures are removed at 2 weeks. The procedure is performed at an outpatient facility under sedation. Partial weight bearing is allowed after 1 to 3 weeks of non weight bearing with crutches.
