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Bunions
BUNIONS
INTRODUCTION
Bunions
are one of the most common forefoot deformities. A displacement of the
bone under the 1st toe occurs. This causes the big toe to move towards
the smaller toes. This shifting of the bones causes a bony prominence
on the side of the patients foot (the bunion joint). Over a period of
time the big toe may come to rest under (occasionally over) the 2nd
toe.
A
bunion is more common in women than men due to women wearing tighter
fitting shoes. This condition can cause a variety of different soft
tissue and bony complaints which may result in severe pain.
Symptoms
include redness,
swelling and pain which may be present along the inside margin of the
foot. The patients feet may become too wide to fit into their normal
size shoe and may experience moderate to severe discomfort may occur
when the patient is wearing tight shoes. A "hammer toe"
may occur at the 2nd toe. This is when the toe contracts and presses
on the shoe. Subsequently, this may cause a corn on top of the 2nd toe.
Corns
and calluses may occur on the soles of the feet, in
between toes and on the bunion joint. Stiffness can occur at the big
toe due to secondary arthritis, this is known as Hallux
Rigidus. Other foot conditions can occur such as in growing toe nails
and in severe cases the bunion joint may have a fluid filled sack called
a BURSITIS. This can be very painful and can become
infected. Click
here to view photographs of bunions
CAUSES
OF BUNIONS
- The most important
causative factor is poor fitting footwear. This accounts for an higher
incidence among women then men.
- Family history
of bunions
- Abnormal foot
function, excessive pronation. If a chiropodist/
podiatrist uses this term he is referring to excessive rolling in
of the foot at the ankle joint while you are walking.
- Rheumatoid
or osteoarthritis.
- Genetic and
neuromuscular diseases which can result in a muscular imbalance such
as Down's syndrome.
- If one leg
is longer then the other, the longer leg is more inclined to develop
a bunion.
- If the ligaments
in the feet are very weak.
- In some cases,
bunions can occur due to trauma or injury to the feet.
BUNION
TREATMENT
- Click on the images below to cure
this condition.
- Wear wide fitting shoes, preferably with a leather upper which will
allow a stretch
- Bunion surgery may be required in some patients, however this should
only be considered when all non-surgical treatment options have been
used. Bunion surgery has improved dramatically over the last 20 years
but it still cannot guarantee a total recovery and often post operative
complications such as calluses and corns can occur depending on the
procedure used. Click
here to view the different types of procedures available.
- If your bunion becomes painful, red and swollen, try using ice
on the joint and elevate the foot on a stool.
- Apply a commercial bunion pad, making sure it is not too rigid
or medicated.
- Bunion Night Splints can reduce the size of the
bunion. This will straighten the bunion while you sleep.
- A Bunion Shield can reduce the pain over the bunion.
- Apply a moisturizer such as flexitol heel balm twice daily to hard
skin or corns and use a pumice stone to reduce the thickness of the
hard skin.
Dr Foot
Recommends
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PREVENTING
BUNIONS
Bunions are often preventable by wearing shoes that fit properly. The
part of the shoe that accommodates the toes should be wide enough for
the toes not to be forced together. This means that the tops of the
four smaller toes, when resting on the insole of a shoe, should be about
level with one another.
OTHER
TIPS
- High-heeled or tight-fitting shoes should be avoided.
- Applying padding over the bunion may help.

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