Bunion Care & Treatment in North Texas
A bony bump that forms on the joint at the bottom of the big toe is known as a Bunion. It is a symptom of a progressive bone disorder. Bunion is caused as a result of a structural problem of the bone of the foot and toes joint.
Some of the bones in the front part of the foot move out of place resulting in the improper lining of the feet. The tip of the big to get stuck out and pulled towards the smaller toes.
Individuals with bunion find it difficult to wear narrow shoes. Wearing narrow and tight shoes worsen the condition and may lead to pain. The skin around the area may become reddish and tender.
The exact cause of Bunion is unknown. However, there are many factors that lead to the development of the condition. These include:
- Foot deformity at birth
- Foot injuries or stress
- Hypermobility or having a big toe bone that moves more than normal.
- Having a low arch or uneven weight-bearing in the foot which makes the joint unstable.
- Wearing tight, high-heeled, too-narrow, and ill-fitted shoes over a long time may lead to bunion.
- Medical conditions such as rheumatoid arthritis.
The major sign of bunion is a physical bump that forms at the base of your big toe and moves towards the direction of your small toes.
Other symptoms may include:
- Reddish coloration at the base of your big toe
- Numbness at your toe
- Pain and soreness
- Swelling at the joint of your big toe
- A burning sensation
- Thickened or Hardened skin at the base of your big toe
- Restricted movement at the affected toe
- Formation of corns or calluses at the affected toe
- A bulging bumps at the affected toe.
Diagnosis is done by examining the bunion and observing the affected area. Physical examinations and imaging tests such as X-rays may be done so that your doctor can ascertain the severity of the condition for the most appropriate treatment.
There are different treatment options that can be used to treat bunion depending on the severity. They include:
- Home remedies – Home remedies are the things you can do at home to treat bunion. Home remedies are used when the condition is not severe to relieve pains and pressure. Home remedies include:
- Wearing comfortable shoes – Always wear shoes that are comfortable and provide enough space for your toes. Avoid wearing tight shoes.
- Shoe inserts and paddings – Get shoe inserts and paddings. Shoe inserts, also known as orthotics helps relieve pressure on the toe. They help to evenly distribute pressure on the foot when you are walking or running. There are over-the-counter, non-medicated inserts and paddings you can get for your shoes.
- Applying ice – Applying ice packs to the affected area helps to reduce pain and swelling. Do not apply ice directly to your skin, it should be wrapped in a damp towel.
- Medications – Over-the-counter medications such as ibuprofen, acetaminophen, or naproxen sodium can be used to relieve pain.
- Injections – You can use cortisone injections if the pain and inflammation is severe.
- Surgery – Surgery is needed in severe where the condition is not responding to other conservative treatment options. If other conservative treatment options are not improving the condition, then surgical procedure might be required. Surgery is only recommended when the condition is not improving and when you are experiencing severe pains and discomforts.
You may need to need to undergo surgery if:
- You have a stiff toe and you are unable to bend or straighten it
- You are experiencing increased pain and inflammation that other conservative treatments cannot improve.
- Your toe is severely deformed.
There different surgical procedures for bunion. You may need to undergo a single procedure or combination of different procedures depending on the severity of the condition.
Surgical procedures that may be done include:
- Osteotomy – This procedure is done to realign the toe joint. It is a corrective procedure used to fix the joints and bone. It involves inserting wires and screws to keep the bones in line and remove excess bones.
- Tendons and Ligaments repair – This surgical procedure involves straightening the big toe and shortening any weak joint tissues.
- Arthrodesis – This procedure is done to remove swollen tissue from around the toe joint. The procedure is used for individuals with severe bunions, arthritis or may have had previous unsuccessful bunion surgery.
- Exostectomy – This procedure is done to remove the bump on the toe joint. It is often performed in combination with osteotomy.
- Resection arthroplasty – This procedure is done to remove the damaged part of the toe joint. It helps to provide more space between the toe bones.
It is mostly done for older adults, individuals who have undergone previous bunion surgery but there was no significant improvement and individuals with severe arthritis. It is a rarely done procedure.
Bunion can lead to different severe conditions and complications. Possible complications of bunions include:
- Bursitis – Bursitis is a condition that occurs when the small fluid-filled sac that cushions the bones near the joint on your toe is inflamed. The small fluid-filled sac is known as Bursa. The joints increase in size due to the bunion and may cause the bursa to get swollen and painful. It could damage the cartilage that covers the joint and lead to arthritis.
- Hammertoe – This is an abnormal bending in the middle joint of a toe. It usually affects the toe that is next to the big toe. A bunion can cause the middle joint of the second, third or fourth toe to bend. It occurs when the tendons and muscles are pushed out of their normal position.
- Metatarsalgia – This is a condition that occurs when the ball of your foot gets swollen and causes pain. Wearing very tight shoes can result in it.
Bunion can be prevented by carefully choosing the type of shoes you wear. Always wear well-fitting shoes with a wide toe box that is comfortable.
Do not wear shoes that squeeze or cramps your toes and feet. Your shoes should align with the shape of your feet.