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Bunions
Bunions, referred to
in the medical community as Hallux Valgus, are one of the most common
forefoot problems. A bunion is a prominent bump on the inside of the foot
around the big toe joint. This bump is actually a bone protruding towards
the inside of the foot. With the continued movement of the big toe
towards the smaller toes, it is common to find the big toe resting under
or over the second toe. This causes a common forefoot condition called
overlapping toes. Some of the symptoms of bunions include inflammation,
swelling, and soreness on the side surface of the big toe. The discomfort
commonly causes a patient to walk improperly.
Another type of bunion which some individuals experience is called a
Tailor’s Bunion, also known as a Bunionette. This forms on the outside of
the foot towards the joint at the little toe. It is a smaller bump that
forms due to the little toe moving inwards, towards the big toe.
CAUSE
Bunions are a common problem experienced mostly by women. The deformity
can develop from an abnormality in foot function, or arthritis, but is
more commonly caused by wearing improper fitting footwear. Tight, narrow
dress shoes with a constrictive toe box (toe area) can cause the foot to
begin to take the shape of the shoe, leading to the formation of a
bunion. Women who have bunions normally wear dress shoes that are too
small for their feet. Their toes are squeezed together in their shoes
causing the first metatarsal bone to protrude on the side of the foot.
It is important for men and women to realize that wearing dress shoes and
boots, which are tapered in the toe area, can cause the bunion to worsen
to the point where surgery is necessary.
TREATMENT & PREVENTION
In
the early stages of the formation of a bunion, soaking feet in warm water
can provide temporary relief. The best way to alleviate the pain
associated with bunions is to wear properly fitting shoes. Shoes designed
with a high, wide toe box (toe area) are recommended for people suffering
from forefoot disorders, such as bunions. Shoes with rocker soles will
unload pressure to the bunion area. Orthotics are also recommended for
this condition to provide extra comfort, support, and protection.
Other conservative treatments include using forefoot products
designed to accommodate and relieve bunions such as bunion
shields, bunion night splints, and bunion bandages.
These conservative treatments can limit the progression of
the bunion formation, relieve pain and provide a healthy environment
for the foot.
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