Bunion

BUNION

 

 

INTRODUCTION :-

Hallux Valgus is an abnormally positioned big toe, in which the joint at the base of the toe bulges outward from the inner side of the foot and the big toe points inward (toward the smaller toes)The cause of hallux valgus is usually ill-fitting footwear, but vulnerability to this disorder seems to run in families. Because women’s fashions often dictate shoes that fit poorly, women are more prone to developing these deformities.The hallux valgus actually creates a widening of the foot because the base of the big toe bulges outward from the foot. Deviation of the big toe also occurs, so that the big toe points toward the smaller toes. The result is a bump on the inside edge of the foot, where the metatarsal head meets the base of the big toe. Under this bump is a bursa (a fluid-filled sac). The bursa becomes irritated by friction with the shoe, resulting in swelling of the bursa underneath the bump, thus increasing the size of the bump—this is called a bunion. Continued irritation of the bunion by friction with the shoe leads to increased bone growth and further swelling of the bursa, enlarging the bunion and further widening the foot.

Treatment:-The initial goal of treatment options is to relieve pressure on the bunion and any symptoms that may be present and to halt or slow the progression of the joint deformity. There is no effective may be “get rid off” a bunion without surgery.

Conservative approaches :-

  •  Padding with a number of different materials (example:- felt) to reduce pressure  on the painful prominence of the bunion.
  • Physioline’s Specialized Physiotherapy can be used to help with the symptoms and improve the range of motion (this is particularly helpful if the pain is coming from inside the joint, rather than from shoe pressure). Manipulation of the joint can be used to help with this (manipulation will never correct the alignment of the joint).
  • Any corns and calluses that are causing symptoms should be treated.
  • Footwear advice – the correct fitting of footwear is essential for anyone who is serious about doing something about their bunions and hallux valgus advice.
  • It may be possible to have your shoes stretched over the area of the bunion to also relieve pressure.
  •  Foot orthotics may be useful in helping with the instability about the joint. They may be more helpful if there are other symptoms in the foot as well, as their use in “treating” bunions is controversial. They may play a role in slowing progression and in the prevention of bunions developing again after surgical correction
  • Exercises can be important in maintaining the mobility of the joint in those with bunions – this is especially important for the arthritic type pains that may be originating from inside the joint and for the prevention of these painful symptoms in the future.

 DETAILED TREATMENT: -Kindly contact Physioline for the detailed assessment and treatment program which is individualized according to every patient.