Try easing the pain by massaging your foot in a vertical motion. Compression of heating pads on regular intervals provides great help to your feet. Injections of corticosteroids may be useful in treating the inflamed bursa (fluid-filled sac located in a joint) sometimes seen with bunions When you start to have joint pain or the bunion condition limits your activities and all conservative options have failed, surgery may be necessary. Joint pain may indicate degeneration of the joint cartilage. One of the goals in surgery is to realign the joint to prevent further loss of joint cartilage. Bunion surgery allows for realignment of the joint.
A bunion is an abnormal prominence located on the side of the foot, just behind the big toe. Hallux Abducto Valgus refers to a deformity associated with a bunion in which the big toe (Hallux) is angled excessively toward the 2nd toe. The Hallux Abductus Angle may be used to quantify the amount of Hallux Abducto Valgus deformity (see diagrams ). Hallux Abducto Valgus and Bunions are usually associated with flat feet ( hyper-pronating feet/ pes planus). Excessive pronation (flattening of the foot) leads to instability of the first metatarsal bone which drifts up and out towards the side of the foot.
If conservative treatment is not successful, surgical removal of the bunion may be necessary to correct the deformity. This procedure is called a bunionectomy, and there are many variations on the operation, which is usually performed by a surgeon who specializes in treating bone conditions (orthopedics) orby one who specializes in treating the foot (podiatry). Surgeons consider the angle of the bone misalignment, the condition of the bursa, and the strength of the bones when they choose which procedure to use. Most bunionectomies involve the removal of a section of bone and the insertion of pins to rejoin the bone.
First of all the foot is divided into three areas. The front part containing your toes and the ball of your foot is called the forefoot. Your arch is in the middle of your foot and is called the midfoot. The back part of your foot has the heel, but of course that’s too easy for doctor talk so we refer to the back of the foot as the rearfoot. Each area has a unique set of problems that can cause foot pain. Since this is like learning a foreign language I will cover the front of the foot in this article and then the middle and heel next time.
If you see a bump – an outgrowth – on the side of your foot just below the joint of the big toe, you most likely have a bunion forming. It’s probably pretty small if you just discovered it, but eventually this bump may enlarge, forcing the big toe towards the smaller toes. If so, you’ll begin to experience pain in your foot and the skin over the bump will become swollen or irritated from the pressure of your shoes. You may even see noticeable marks on the side of your shoes as the bunion wears through.