Bunion Blunders

What are bunions? A bunion is a bone deformity that is caused by an enlargement of the of the joint at the base and side of the big toe. This is caused by the toe moving out of place. This will cause the bone to protrude outward causing pressure and pain to occur as it rubs against footwear. In some cases the protruding big toe can overlap a third toe, which is called hallux valgus, and will cause more pain and irritation. In other cases, the big toe can move toward the second toe and rotate or twist, also know as hallus abducto valgus. Another deformity caused by bunions is hammertoe. The image below shows what a bunion looks like.

Because bunions are a bone deformity they will not heal on there own. There are many different ways to treat bunions. The severity of the bunion will dictate the plan of action required for treatment. In some cases, the bunion(s) have reached a point where the pain level and the degree of misalignment of the toe can not be treated with a conservative approach (non-surgical treatment). In cases like this, bunion surgery, or bunionectomy may be the approach required to correct this bone deformity.

Surgery is typically a last resort. Most podiatrist will try to treat the bunions with a conservative course of action. Here are a few methods that are used to alleviate pressure and pain:

• The use of protective padding, often made from felt material, to eliminate the friction against shoes and help alleviate inflammation and skin problems. Pictured below is a Dr. Jill bunion sleeve that can be purchased at http://www.vailfoot.com/ our online store or by coming into our office.

• Removal of corns and calluses on the foot.



• Changing to carefully-fitted footwear designed to accommodate the bunion and not contribute toward its growth.



• Orthotic devices—both over-the-counter and custom made—to help stabilize the joint and place the foot in the correct position for walking and standing.



• Exercises to maintain joint mobility and prevent stiffness or arthritis.



• Splints for nighttime wear to help the toes and joint align properly. This is often recommended for adolescents with bunions, because their bone development may still be adaptable.

Bunions are a very slow developing bone deformity. It is important to take care of your feet at an early age and continue to do so through your adult life. This can pay off down the road. Be sure to examine your feet and pay attentiont to the shape as they continue to develop over time. Exercising your feet can help strengthen them. For example, using your toes to pickup small objects is a good way to exercise them. It is also very important to wear shoes that fit properly. Make sure there is enough room in the toe box and in the width so your toes are not cramped. Woman should avoid wearing high heels and pointed toe shoes. They do not allow for enough room and will cause the toes to be pinched or cramped.

So if you are noticing a deformity in your big toe like the one pictured above and it is causing you pain, you should contact your local podiatrist to schedule an appointment. We can be reached at 419-423-1888 or you can visit us online at www.vailfoot.com . You can also browse our online store for products that can be purchased for the treatment of bunions like these Dr. Jill gel bunion guards: