Bunions---Ouch-My Big Toe Hurts!

Bunions
A bunion occurs when the big toe joint develops an extra bump of bone, and the big toe shifts over toward the second toe. The big toe joint becomes deviated or shifted out of place. This is usually caused by abnormal mechanics of the foot, especially a flat foot. Other causes include the following: arthritis or other health conditions, trauma/previous injury, genetics, one leg that is shorter, and improper shoegear.
Bunions do not always hurt, and patients are often encouraged to wear better shoegear or custom molded orthotics. Proper shoegear for this condition should have increased support, soft material (to reduce friction on the bump of bone), and added space around the toes (so the toes are not compressed together). Orthotic devices are custom made inserts for the shoes that correct abnormal motion of the feet and hold the feet in the correct position when standing or walking. Orthotics may decrease the progression of the bunion and reduce the development of pain.
Bunions can become very painful and inflamed (red, swollen). When this happens, orthotic devices and better shoes can be incorporated into the treatment plan. However, additional treatments like injections and anti-inflammatory medications may be added to the regimen. Some patients do require surgical correction of the deformity. This involves cutting and realigning the bones and soft tissues to correct the position of the deviated joint and remove the bump of bone. Initial healing for bunion surgery typically takes 6-8 weeks. Your physician will discuss the specifics of your bunion surgery with you, as there are different procedures for different sizes of bunions.
If you feel that you have this condition and would like to discuss the treatment options, please contact Advanced Physical Medicine for an appointment with Dr. Bender (708-763-0580). Please visit our website at advancedphysicalmedicine.org or oakparkpodiatry.com or follow our blog for frequent foot tips: drmaryannbender.blogspot.com.