A
bunion is a bump on the inside edges of big toe that points
towards the second toe. Since the joint carries the body's
weight while walking, it may cause extreme pain if left
untreated. A bunion may be caused by the way foot is shaped as
it puts too much pressure on the big toe joint. Bunions tend to
run in families since foot shape is inherited. The foot rolling
inward is normal but may cause damage or injury by too much
inward roll. Flat feet and wearing shoes that are too tight are
causes of bunions. The constant pressure over a period of time
may displace the big toe out of its alignment causing it to
bend towards other toes. It is also believed that the condition
is more common in women.
A
bunion may be characterized by
-
Red,
calloused skin along the big toe's inside edge.
-
A
bony bump at the toe.
-
Joint
pain aggravated by pressure from shoes.
-
Big
toe turning towards the other toes.
The
diagnosis for bunions starts with evaluation of past health and
careful examination of toe and joint. The surgeon may check the
toe and joint for their range of motion. This can be done while
the patient is sitting or standing so that the surgeon may see
the toe and joint at rest and while bearing. The surgeon may
ask questions like
-
How
long have you noticed the bunion?
-
Does
any activity make the bunions worse?
-
Does
any other joint hurt?
X-rays
may be done to check for bone problems or rule out other causes
of pain and swelling. In addition to that, blood tests or
arthrocentesis may also be done to check for other problems
that may cause joint pain and swelling.
The
first step for
bunion
treatment
is to take good care of feet and wear wide-toed shoes when
a bunion first starts to develop. It often solves the problem
preventing the need for further treatment. One may also be
helped by wearing felt or foam pads on the foot that may
protect the bunion. A device called spacers may also be used at
night to separate the first and second toes. These devices may
readily be available at drugstores.
As
bunions get worse and begin causing severe deformity or pain
bunion
removal
surgery may be performed. During the procedure, the
patient may receive anesthesia. The surgeon may then make an
incision to expose toe joint and bones. The deformed joint and
bones are repaired and kept in place using pins, screws, plates
or cast.
After
the surgery, the foot may be propped up to protect from injury
during the healing period. It may take 3-5 weeks for the foot
to recover fully. Patients immediately feel less pain after
bunion removal and be able to walk more easily.