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Bunion On Small Toe

 
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Dr Foot
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PostPosted: Sun Apr 03, 2005 3:54 pm    Post subject: Bunion On Small Toe Reply with quote

The small toe on my right foot has started to hurt and the bone at the base of the toe is pushed out. Is this the same as a bunion on the large toe?
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Dr Foot
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Joined: 01 Apr 2005
Posts: 678

PostPosted: Sun Apr 03, 2005 3:55 pm    Post subject: Reply with quote

Sounds like a tailors bunion.

A tailors bunion is very similar to a bunion of the big toe joint. The tailorís bunion was so named because tailorís would sit with there legs crossed allowing the prominent bone on the outside of the foot to rub against the floor, causing irritation and inflammation (swelling). The problem lies within the bone structure of your foot. As the bones in your foot shift this causes a prominence on the outside of the foot to cause pressure and friction against your shoes. The incidence of bunions is much higher in women than in men. There are genetic factors and certain predisposing abnormalities of foot function. Bunions are commonly thought to be due to shoe fashion, as wearing narrow toed shoes and high heels may accelerate the formation of the bunion due to the extra pressure put on the bones.

Podiatric Care may include using anti-inflammatory oral medications or an injection of medication and local anesthetic to reduce this swelling or if a bursitis is present. When you go to your doctor, x-rays are usually required to evaluate the structure of your foot and determine if a tailor's bunion is truly the problem. The podiatrist may see you to take care of any corns or callouses that develop due to the bunion. They may advise you on different shoewear or prescribe a custom made orthotic to try and control the foot structure especially if you have excessive pronation. Your podiatric physician may also recommend a surgical procedure to actually fix the structural problem of your foot.

Surgery to correct your tailorís bunion may be the best option for you and can be preventative. The surgical term used for this correction is a tailor's bunionectomy. Your podiatrist will give you advise on this. As your bunion worsens over time, there is increased damage being done to joints of the foot. With a longstanding deformity of the joint surface the cartilage may be worn down producing degenerative arthritis that is not reversible. There are many ways to perform a tailorís bunionectomy depending on what stage your bunion is at. This can range from simply removing the excessive bone or the entire 5th metatarsal head on the outside of the foot to something more complicated as a surgical cut made in the bone for correction of the angles of the bones in your foot. The surgeon may place fixation in your foot as it heals which may include a screw, pin, or wires. The joint may need complete removal if it is destroyed.

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