Injuries - Bunions
Anatomy
A bunion is an abnormal enlargement of the joint at the
base of the big toe. Bunions can also form on the bones that attach the little toe to the foot.
These bunions are called tailor's bunion or bunionette.
Causes
It is caused by inflammation and usually results from:
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Chronic irritation |
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Wearing improperly fitting shoes |
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Leg-length discrepancies |
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A strong family history of bunions |
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Various arthritic conditions and several
genetic and neuromuscular diseases, such as Down syndrome and Marfan syndrome |
Treatment
The first step in treating a bunion is to remove as much pressure
from the area as possible. A foam-rubber pad may be worn at night while sleeping to separate the
big toe from the other toes. Various taping techniques can be useful to realign the toe and
decrease friction and rubbing that may be present.
You should wear shoes that have enough room in the toe box to
accommodate the bunion. Sandals are a good choice but high-heeled shoes and tight-fitting socks
or stockings should be avoided. Shoes should be removed periodically during the day to give feet
a break. Dressings and pads help protect the bunion from additional shoe pressure.
Deep friction massage techniques by a physical or massage
therapist can be helpful to increase circulation, reduce inflammation, and prevent soft tissue
build-up. Physical therapy also provides useful approaches, such as ultrasound, to help retard
or reverse the formation of the bunion.
Soaking the affected foot in warm water may reduce pain.
Elevating the affected foot and applying ice and compression to the bunion can be helpful,
especially after exercise.
If you would like further details on the Orthopaedic Leg Trolley
please contact us.
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