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Bunions are officially called hallux valgus in medical language. The word “hallux” refers to the big toe, and bunions are a foot condition where the big toe doesn’t line up straight with all the other toes. The joint where the big toe meets the bones of the foot, called the first metatarso-phalangeal joint, should form a straight line with the entire big toe and the metatarsal or long bone of the foot. In a bunion , the big toe starts moving in towards the other toes. There may be some rotation in the first metatarso-phalangeal joint when this happens as well.
Surgical procedures to treat bunions reduce the bump on the side of the foot, correct the deformities in the bony structure, and address any soft-tissue changes that may have occurred. Bunions used to be treated by shaving down the bump on the bone, but that is rarely done today. Now, 90 percent of bunion surgery involves making a cut in the bone that enables the surgeon to realign the joint and the toe into a more normal position. The surgeon usually inserts a small screw into the bone to hold it in place and speed healing.
Physical inspection is a way of diagnosing the client. Additional radiographs are necessary to determine accordingly for other underlying conditions. This localized enlargement of the inner portion of the joint can be treated with rest, proper footwear, foot supports, medications and surgery. Wearing comfortable shoes can reduce the presenting symptoms and facilitate relief. Anti-inflammatory drugs are prescribed to patients and these are acetylsalicylic acid, ibuprofen, and naproxen. Ice pack application is a helpful tool in relieving discomfort. An orthotic device was also developed to treat the condition. This bunion splint is usually worn at night to facilitate pain relief.
The most common conservative approach in treating hallus valgus may include proper footwear that able to reduce the pressure on the MTP joint ( metatarsophalangeal joint ) such as wide shoes or low heeled shoes (Shoe’s modification). Introduction of foot insert (orthoses) which may alter the abnormal rotation of the foot. Night splinting is introduced with hope to balance the supporting ligaments. Intrinsic foot muscle strength will improve with stretching exercise. Inflammation can be reduced with ice and to decrease the MTP joint (metatarsophalangeal joint) friction bunion pad is used. If you wear high-heeled and/or narrow shoes, replace them with low- or no-heeled shoes that are wide through the toes.