Even though bunions can be hereditary, most often bunions are related to wearing shoes that are too tight, too narrow and too high causing pressure on the natural anatomy of the forefoot. The joint at the base of the toe flexes with every step and continued pressure on this area causes the joint to continue to enlarge causing increasing pressure, pain, swelling and redness. Warm Epsom salt soaks, bunion pads, bunion night shields, bunion bandages, and even orthotics can provide temporary relief of pain but it is making the decision to wear properly fitting shoes which is the best treatment decision of all.
The angle created between the lines that longitudinally bisect the proximal phalanx and the first metatarsal is known as the hallux valgus angle. Less than 15 degrees is considered normal. Angles of 20 degrees and greater are considered abnormal. An angle >45-50 degrees is considered severe. Hallux valgus is a disruption of the normal alignment of the metatarsophalangeal joint. The hallux abducts while the first metatarsocuneiform segments adduct. The severity of the hallux deformity is measured by (A) hallux valgus angle and (B) intermetatarsal 1-2 angle 4 Long term follow up has shown equally positive outcomes after Chevron osteotomy for both patients both younger and older than 50. Differential Diagnosis
A bunion may cause someone little or even no problem at all, and in such a case there will be no need for treatment to be given. However, it is likely that a bunion will get worse over time, so it is always a good idea to seek medical advice when a bunion starts to develop. While these measures may alleviate the pain, the only way to actually correct a bunion is with surgery. There are different types of procedure available, with the most common method being an osteotomy. This involves a surgeon cutting and removing the bony prominence before realigning the bones.
When you have a bunion, the bump appears swollen, red and painful on the inside of the foot around and in the big toe joint. The bump which you see is essentially the bone protruding towards the inside of the foot. With a bunion, the base of the toe will eventually become bigger and will stick out even more and it might continue to drift toward the rest of the toes and in several cases, the big toe could essentially come to rest under or over the second toe. With no proper treatment, the second toe can put pressure on the third toe changing its proper alignment.
The issue is these sort of shoes possess a lower front end and also a raised back end. This jams your toes into a tight narrow location and squeezes the toes together in an unnatural position. Because the toes get use to their cramped tiny space they’ll adapt themselves to fit in to the restrained area which will ultimately result in the deformity. Genetics can play a significant role at the same time in regards to this health issue. Some individuals possess a predisposition and might wind up with bunions irrespective of what shoes they put on.
A bunionette or Tailor’s Bunion can develop on the joint of the little toe along the outside of the foot. Again the cause of the bunion is the same, most often poor fitting shoes resulting in increased pressure on the forefoot, but in this case the little toe drifts inward towards the big toe. The very best treatment for a bunion is prevention. If that is not possible, then the next best treatment for a bunion is to wear shoes that have a wide toe box allowing ample room for the toes to move around and to avoid getting pressed together causing them to overlap.