Bunion Surgery (Hallux Valgus)

There is no single cause of a bunion. It may develop from arthritic joint destruction, overpronation of the foot, heredity, or from ill-fitting tight shoes. It results in ugly misshapen feet with big toe angling in and either tucking under or over your second toe. It is usually painless but can be quite painful if allowed to progress. A bunion has the tendency to increase in size due to excessive weight load and from foot pressure. It causes widening of the forefoot and may in turn cause your gait to become off balance. A bunion on your small toe, though not as common is called a tailor's bunion. DAYS POST SURGERY - December 10th 2009 - I cried over these casts/dressings. There was this stupid hard part that kept rubbing against the incisions, and they were so itchy and it was terribly frustrating not to be able to use either of your feet. Plus, as the swelling came down they became looser which just exacerbated the influx of obsessions and compulsions that come with general discomfort, frustration, and pain. A bunion (hallux valgus) is a deformity characterized by lateral deviation of the great toe, often erroneously described as an enlargement of bone or tissue around the joint at the head of the big toe (metatarsophalangeal joint) (from wikipedia) Fallen arches cause little pain in the foot. Also called flat feet, or pes planus, it is condition where the arch or instep of the foot collapses and becomes flush with the ground. This happens in conjunction with injury or disease.This is a condition that people are sometimes born with. The arch usually develops sometimes in childhood. Although not usually very painful, in some cases when the arch falls the feet want to roll inward and the bones may push down on the supporting membranes causing moderate amount of pain. Metatarsophalangeal joint with or without osteoarthritis, congruent or incongruent metatarsophalangeal joint, patient with high or low degree of physical activity. Moderate bunion. For a moderate bunion, the surgeon may cut the bone and shift it to its proper position. Whether or not the bone is cut depends on the severity and location of the deformity. In addition, the surrounding tendons and ligaments may need to be repositioned. Arthritic bunion or big toe joint. If the joint is damaged beyond repair, as is commonly seen in arthritis, it may need to be reconstructed or replaced with an artificial joint. Joint replacement implants may be used in the reconstruction of the big toe joint. Reasons for the procedurehallux valgus angle Bunions are a well-known and much reviled foot deformity involving a distinguished huge toe joint. The problems regarding pain in shoes and pressure on the outstanding massive toe joint are typically understood by the general public, and several folks get wider shoes or surgery to own this potentially painful deformity corrected. Of lesser 'fame', however no less vital is that the Tailor's bunion. read more Sep 28, 2010 By Kathryn Meininger Photo Caption Toe splints hold the toe in position to treat fractures and some deformities. Photo Credit counting toes image by pixelcarpenter from Fotolia.com Bösch et al 5 first performed this technique in 1984. In a study of 114 patients with long-term follow-up, they demonstrated satisfactory correction of the intermetatarsal and metatarsophalangeal angles with no complications of hallux varus, pseudoarthrosis, or osteonecrosis of the metatarsal head. Magnan et al 7 reported on 118 patients with an average follow-up of 36 months, with good clinical results (91%) and a low recurrence rate (2.5%). The average angular correction obtained was 5° and 7.5° for the intermetatarsal and metatarsophalangeal angle, respectively. 7 Always select well fitting comfortable shoes for wearing and always make sure that your shoes are not irritating or rubbing your pedal skin. Please concerned about the slope or tilt angle of high heels. The transition of the slope should fit your feet. Should be gradual over the steepness of the slope, the curvature of the arch to be consistent with the high heels of the arch for arch wear high heels high heels can cause foot pain reduction.Wearing open-toed high heels to reduce pressure stimulation and void corns and calluses. You need to see a doctor if corns and calluses grown, cancel and correct the cause of foot pain with their help. You can choose open-toed high heels to make the release of pressure on the area of inflammation. The most common symptom of Achilles tendonitis is pain or stiffness along the Achilles tendon at the back of the heel, particularly when walking or exercising. There may be swelling or warmth in the area. Pain may also occur after a period of inactivity or when getting up in the morning and taking those first steps. There are sensible precautions that you can take which allow you to continue wearing high heels with minimal to no foot pain. Wear heels that are two inches or less. High heels disrupt gait and posture for the entire body. Shoes that are greater than two inches significantly influence lower extremity mechanics and gait.hallux valgus measurement Patient satisfaction — Patient satisfaction does not appear to correlate with surgical outcome as determined by radiographic parameters (ie, HA and IM angles) 43. Some patients have a misapprehension that the hallux should be straight after the operation. Others may be under the mistaken impression that they will be able to fit into narrower shoes postoperatively and can be dissatisfied if this expectation is not met. A bandage is placed to maintain the varus overcorrection of the hallux. The patient is encouraged to walk with full weight bearing on postoperative day one with a postoperative shoe.