Keren Byrdsong

I am the miracle, Mummy said so.

Do Bunions Ever Need Surgical Treatment?

on June 12, 2015

Overview
Bunions Callous
Your big toe is the hardest working toe. Every time your foot pushes off the ground, this toe supports most of your body’s weight. Because the big toe is so critical to movement, any problem with it can make walking or even standing painful. A bunion (excess or misaligned bone in the joint) is one of the most common big-toe problems. In addition to causing pain, a bunion changes the shape of your foot, making it harder to find shoes that fit. But you don’t have to hobble for the rest of your life. Bunions can be treated. With your doctor’s help, your feet can feel and look better.

Causes
Women traditionally have a higher rate of bunions, which is to be expected, since it is they who have traditionally worn shoes with high heels, a narrow toe box, or whatever fashion dictates from year to year. However, men can suffer from bunions as well, as can anyone for whom the right (or wrong) conditions exist, poor foot mechanics, improper footwear, occupational hazards, health and genetic predisposition. Finally, bunions have long been a condition associated with the elderly, and although they often appear in conjunction with inflammatory joint diseases such as arthritis (which is often associated with age), they can strike at any point in life, including adolescence.
SymptomsThe signs and symptoms of a bunion include a bulging bump on the outside of the base of your big toe, swelling, redness or soreness around your big toe joint, Thickening of the skin at the base of your big toe, Corns or calluses, these often develop where the first and second toes overlap, persistent or intermittent pain, restricted movement of your big toe. Although bunions often require no medical treatment, see your doctor or a doctor who specializes in treating foot disorders (podiatrist or orthopedic foot specialist) if you have persistent big toe or foot pain, a visible bump on your big toe joint, decreased movement of your big toe or foot, difficulty finding shoes that fit properly because of a bunion.

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
One of the best things you can do is to go for wider, deeper shoes. Trevor Prior says there should be a centimeter between the end of your longest toe and end of shoe. You should also choose shoes with an adjustable strap or lace. Podiatrists often recommend exercises to strengthen muscles and tendons around the big toe. Here?s one you can try yourself. Put your feet side by side, and try to move your big toes towards each other. Do this three or four times a day, while you?re in the bath or in bed.
Bunions

Surgical Treatment
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.

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