Bilateral Hallux Valgus SymptomsOverview
A bunion is an often painful enlargement of bone or tissue around the joint at the base of the big toe. If you have a bunion, you will notice a bump on your big toe joint. The big toe may turn in toward the second toe and the tissues surrounding the joint may be swollen and tender. Bunions can come from a variety of causes, including diabetes, rheumatoid arthritis, or foot mechanics that place too much load on the ball of your foot. If untreated, bunions can worsen, leading to other serious complications, and even potentially require surgery. Early treatment is best, so if you?re suffering from bunions it?s smart to see a podiatrist for proper treatment and care.
Bunions are more common in women than men. The problem can run in families. People born with abnormal bones in their feet are more likely to form a bunion. Wearing narrow-toed, high-heeled shoes may lead to the development of a bunion. The condition may become painful as the bump gets worse. Extra bone and a fluid-filled sac grow at the base of the big toe.
The dominant symptom of a bunion is a big bulging bump on the inside of the base of the big toe. Other symptoms include swelling, soreness and redness around the big toe joint, a tough callus at the bottom of the big toe and persistent or intermittent pain.
Looking at the problem area on the foot is the best way to discover a bunion. If it has the shape characteristic of a bunion, this is the first hint of a problem. The doctor may also look at the shape of your leg, ankle, and foot while you are standing, and check the range of motion of your toe and joints by asking you to move your toes in different directions A closer examination with weight-bearing X-rays helps your doctor examine the actual bone structure at the joint and see how severe the problem is. A doctor may ask about the types of shoes you wear, sports or activities (e.g., ballet) you participate in, and whether or not you have had a recent injury. This information will help determine your treatment.
Non Surgical Treatment
Except in severe cases, treatment for bunions is usually given to first relieve the pain and pressure, and then to stop the bunion from growing. Conservative treatment for bunions may include protective padding, typically with felt material, to prevent friction and reduce inflammation. Removing corns and calluses, which contribute to irritation. Precisely fitted footwear that?s designed to accommodate the existing bunion. Orthotic devices to stabilize the joint and correctly position the foot for walking and standing. Exercises to prevent stiffness and encourage joint mobility. Nighttime splints that help align the toes and joint properly. In some cases, conservative treatment might not be able to prevent further damage. This depends on the size of the bunion, the degree of misalignment, and the amount of pain experienced. Bunion surgery, called a bunionectomy, may be recommended in severe cases. This surgery removes the bunion and realigns the toe.
Surgery isn't recommended unless a bunion causes you frequent pain. A bunionectomy, like other types of surgery, is not without risk. Additionally, you may still have pain or you could develop a new bunion in your big toe joint after surgery. Consider trying conservative treatment before having a bunionectomy.If you have an underlying mechanical fault,surgery will only correct the aesthetical nature of your bunion for a short period.So therefore surgery is not recommended.