Bunions

Bunions2018-12-23T07:05:00+00:00

Bunions

Although they may develop on the fifth (little) toe, bunions usually occur at the base of the big toe. They are often caused by incorrect foot mechanics. The foot may flatten too much, forcing the toe joint to move beyond the normal range. In some cases, joint damage caused by arthritis or an injury produces a bunion. And some people are born with a tendency to develop bunions. If you’re at risk for developing a bunion, wearing high- heeled or poorly fitting shoes makes the problem worse. Bunions can be treated surgically or non-invasive method depending on the severity of the bunion.

Types of Bunions

Positional (mild) bunions arise from the growth or new bone. STRUCTURAL (severe) bunions result when the joint at the base of the toe shifts position. Many bunions are a combination of both types.

Positional Bunions

As new bone grows, the joint enlarges. This stretches the joint’s outer covering. Force created by the stretching pushes the big toe toward the smaller ones. Eventually, the inside tendons tighten, pulling the big toe farther out of alignment.

Structural Bunions

When the angle between the bones af the first and second toes is greater than normal, the big toe slants toward the smaller ones. In severe cases, this may also cause the second and third toes to buckle.

Get An Appointment

HOW ARE BUNIONS TREATED?

First, your foot doctor will check on why you have bunions. The cause will affect what treatment you need. Your doctor might recommend a prescription or over-the-counter pain reliever, and medicine to relieve swelling and pain. You may also want to use a heating pad or warm foot bath to ease the immediate pain and discomfort. Some people find that ice packs help.

Shoes

If your bunion doesn’t hurt all the time and you catch it early, you may just need to change to well-made shoes that fit you right. Some doctors advise bunion pads, splints, or other shoe inserts, as long as they don’t put pressure elsewhere on your foot and worsen other problems.

In some cases, an orthotic specialist can prescribe shoes with specially designed insoles and uppers that take the pressure off affected joints and help the foot regain its proper shape.

Surgery

Some bunions may need surgery, but only if the symptoms are severe. You shouldn’t get surgery just because you don’t like the way the bunion makes your foot look, because the risks can outweigh the benefits. You’ll want to talk with your doctor about what you can expect, and what the recovery will be like. The surgery is called bunionectomy. You may get it done in a hospital or a surgery center.

Shifting soft tissue

To realign the affected joint, any tight tendons on the inside of the toe are leased (cut). New bone that makes up the bunion is shaved away.

Shifting Bone

The most common bunion surgery reduces the angle between the first and second toes. Bones in the big toe joint are realigned and the bunion is shaved away. Ligaments and tendons around the joint may be tightened to hold it properly in place

Removing bone

If a structural bunion is severe, a piece of bone is removed from the first metatarsal (the long bone behind the big toe joint). Once repositioned, this bone may be held in place with a pin or a screw. Any new bone that makes up a bunion is shaved away.

Bunion removal must be performed by an experienced foot doctor to avoid complications. Although they may develop on the fifth (little) toe, bunions usually occur at the base of the big toe. Bunions are often caused by incorrect foot mechanics. The foot may flatten too much, forcing the toe joint to move beyond the normal range. In some cases, joint damage caused by arthritis or an injury produces a bunion. And some people are born with a tendency to develop bunions. If you’re at risk for developing a bunion, wearing high- heeled or poorly fitting shoes makes the problem worse.

Office

26800 Crown Valley Pkwy
Ste. 320
Mission Viejo , CA , 92691USA
(949) 276-8900

LEARN MORE

Latest Blog

LEARN MORE

Latest Articles

Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque

LEARN MORE