BUNION

The signs and symptoms and signs of a bunion are:

• A bulging bump on the outside of the base of your large toe
• Swelling, redness or discomfort round your large toe joint
• Corns or calluses — those regularly increase in which the primary and second toes overlap
• Persistent or intermittent ache
• Restricted motion of your big toe if arthritis impacts the toe

Types

See Diagnosis & Medications section

Types of Bunions Deformities

Mild Structural Bunion Deformity. Structural bunions occur when the attitude among the primary and second long bones and increases to a point in which it is more than normal. The accelerated perspective can also cause the other toe to touch the second toe. The bump can also become red and very sore, depending on your shoes choice.

Treatment:

If your bunion deformity is mild, surgery is done in which the first metatarsal bone is cut and moved. Surgical repositioning of the bone reduces the stress among the first and second metatarsal bones. Wire, screw or pin fixation is regularly used to preserve fixation.

Patients typically require a shorter break from work and they can heal quicker than after procedures for extreme bunion deformities.

Severe Structural Bunion. Note the huge area between the first and second metatarsal bones.

Treatment:

Treatment includes disposing of a piece of bone so as to reposition the primary metatarsal bone closer to the second. A pin or screw is used to preserve fixation. Follow up generally includes solid immobilization and duration of non-weight bearing stress on the foot.

Degenerative Joint Disease (Arthritis). Pain and reduced motion may additionally arise as arthritis develops. Degeneration of the joint generally takes time. If you’re noticing pain within the top of your toe joint and a decrease in the range of motion, then it is time to come back to your doctor and get examined.

Treatment: Arthroplasty with joint implantation.

A general joint implant is used. Implants come in many varieties. The implants are usually indicated in patients with degenerative joint disease. The doctor will take a look at x-rays to determine the type of the joint. Joint space and degeneration of bone are taken into account. Other important factors include person’s age, medical records as well as activity level.

Physical therapy may be very important after surgical operation. CPM machines (continuous passive motion) are very helpful in improving range of motion.

The Hallux Osteotomy. When the affected toe slants inward in the direction of the other feet, a painful callus can arise. Depending on whether or not the super toe adjoins, goes beneath or over rides the second toe, numerous issues can arise. These include hammertoe formation of the second toe and painful corns.

Treatment:

• Includes casting off a small piece of bone. Once this is done, the bone is secured with a fixation device, including tiny wires.
• Healing takes numerous weeks and you will want to put on a surgical shoe at some stage in this time.