Bilateral Hallux Valgus Recovery

Overview

A bunion is a growth of skin at the joint of the big toe, often a result of enlarged tissue or misaligned bone. In some cases, the bunion may be so extreme that it pushes the big toe inward toward the second toe. Skin and tissue surrounding the joint may experience sensitivity to touch, tenderness and pain.

Causes
The main cause of bunions is excessive pressure being placed on the front of the foot, and is usually the result of wearing high-heeled shoes with pointed toes. A study by the American Orthopaedic Foot and Ankle Society found that 88 percent of women in the United States wear shoes that are too small and that 55 percent of them have bunions. Overall, bunions are nine times more common in women than men. In some cases, bunions are hereditary; they also may be caused by arthritis or polio.
SymptomsJust because you have a bunion does not mean you will necessarily have pain. There are some people with very severe bunions and no pain and people with mild bunions and a lot of pain. Symptoms for a bunion may include pain on the inside of your foot at the big toe joint, swelling on the inside of your foot at the big toe joint, appearance of a “bump” on the inside edge of your foot. The big toe rolling over to one side. Redness on the inside of your foot at the big toe joint. Numbness or burning in the big toe (hallux). Decreased motion at the big toe joint. Painful bursa (fluid-filled sac) on the inside of your foot at the big toe joint. Pain while wearing shoes – especially shoes too narrow or with high heels. Joint pain during activities. Other conditions which may appear with bunions include Corns in between the big toe and second toe. Callous formation on the side or bottom of the big toe or big toe joint. Callous under the second toe joint. Pain in the second toe joint.

Diagnosis
Diagnosis begins with a careful history and physical examination by your doctor. This will usually include a discussion about shoe wear and the importance of shoes in the development and treatment of the condition. X-rays will probably be suggested. This allows your doctor to measure several important angles made by the bones of the feet to help determine the appropriate treatment.

Non Surgical Treatment
Apply special pads and dressings to protect the bunion from shoe pressure. Inject steroid and local anesthetic around the bunion to reduce inflammation. This is especially useful if there is an associated bursitis. Recommend commercially available or custom made shoes. Prescribe functional orthotics to correct faulty foot function, and help prevent worsening of the deformity. Recommend bunion surgery to correct the deformity.

Surgical Treatment
If all nonsurgical measures fail to control the symptoms, then surgery may be suggested to treat the hallux valgus condition. Well over 100 surgical procedures exist to treat hallux valgus. The basic considerations in performing any surgical procedure for hallux valgus are to remove the bunion, to realign the bones that make up the big toe, to balance the muscles around the joint so the deformity does not return.

Prevention
There are some steps that may help prevent, or at least slow, the progression of bunions. Avoid shoes with a narrow toe box. If your foot flattens excessively, make sure you wear supportive shoes, and if necessary, get custom orthotics from your podiatrist. See your podiatrist at the first signs or symptoms of a bunion deformity, as early treatment may stop or slow its progression.

Answer to Hallux Vagus

A bunion is a deformity of the joint at the base of the big toe. Hallux Valgus is the development of a bony bump which is swollen and enlarged, on the joint at the base of the big toe due to excess pressure. Foot surgery is a surgical procedure that treats the disorders of the foot and ankle. A bunion is a disorder in which the big toe points outwards towards the little toe.

Toe joint pains might be felt which might be produced worse by slim shoes, when it is coupled with degenerative joint disease. Bunions could be worsen when the individual isn’t prepared to improve his footgear to considerably freer ones. An effective treatment for Bunion (Hallux Valgus) needs the full comprehension and attentive portrayal of each and every deformity part. Doctors may obviously analyze the afflicted foot and tune in to the ailing patient’s statement of what he is feeling. Tylenol along with other anti inflammatory drugs are largely suggested for ingestion as they actually assist in quitting the pain and puffiness. In the later stages the big toe can press on the 2nd toe producing interdigital corns. The big toe may also pass underneath the 2nd toe causing the 2 nd MTP joint to dislocate. This exercise helps prevent stiffness of the toe.

Na een basisosteotomie of arthrodese-operatie is het verstandig om de voet gedurende de gipsperiode regelmatig omhoog te leggen. Als op de röntgenfoto blijkt dat uw teen goed geneest, mag u de belastbaarheid van de voet uitbreiden. De eerste tijd na de operatie voelt uw voet en het gebied rondom de wond dik en warm aan. De hervatting van uw werk wordt begeleid door uw bedrijfsarts.

Splints won’t cure bunion completely but help a lot in bunion relief. If the bunion pain is unbearable or posing problems while walking in extreme cases, then the podiatrist may advise bunion surgery. Thus, the answer to bunion splint, do they work is yes, they do work to a certain extent. The bunion splint and bunion night splint may be helpful to an individual according to their level of bunion pain. In the end, if you are suffering from bunion pain and looking for relief then you can opt for a bunion night splint as an option. You should visit a doctor or podiatrist and clear any further doubts regarding splints and their effect on your toe. De pijn is afhankelijk van de breedtemaat van de gedragen schoenen. De oorzaak hiervan ligt in de verbreding van de voorvoet. Pijn is het belangrijkste symptoom van een hallux valgus.

The frequency or duration of pain may have recently started to increase, and activity may exacerbate the pain. A patient may present with a deep or sharp pain in the hallux MTP joint on walking, and exacerbation during particular activities. There may be an aching pain in the metatarsal head due to irritation by shoes. There may be a recent increase in the size of the deformity or medial Ball Of Foot Pain bump. Ask about limitation of physical or daily living activities to understand the severity of the pain. A rarer presentation is burning pain or tingling in the dorsal aspect of the bunion, which indicates entrapment neuritis of the medial dorsal cutaneous nerve. Examine the foot whilst bearing weight, although much of the examination will have to be performed whilst not weight bearing.