The postoperative treatment regimens were the same for both groups. Postoperative dressings were removed between the first and third postoperative days (V1–3). The big toe was held and stabilized in the correct position using hallux valgus wool and crepe bandages for 6 weeks, and the bandages were changed twice a week. Physiotherapy with only passive MTPJ mobilization was initiated after the removal of the first dressings. Sutures were removed 2 weeks after surgery (V5). For 6 weeks, full weight-bearing mobilization was allowed when wearing an orthotic shoe with a stiff sole. High-impact sports were allowed after 12 weeks. Statistics It happened again today in my office. A woman came in asking for bunion surgery. She had put up with the pain in her big toe for years and finally had had enough. Many years ago her family physician told her to wait until she couldn't stand the pain in her foot before discussing surgery with a podiatrist. Like many physicians, they assumed any pain in the great toe accompanied by a bump was a "bunion" or Hallux Abducto Valgus Unfortunately in this case, her doctor was wrong. The patient actually has Hallux Limitis also known as osteoarthritis of the great toe joint. Not what she wanted to hear! Bunion ( Hallux Valgus ) is quite a common forefoot deformity. As a condition, it becomes more common as a person ages. It may cause discomfort and walking difficulties because of the swelling and redness around the join of the big toe. If it is coupled with osteoarthritis, toe joint pains may be felt which may be made worse by narrow shoes. It is generally avoidable and easily treated by wearing shoes which are not tight. This condition would rarely demand surgery. Bunions can be worsen if the patient is not willing to change his footwear to much looser ones. While bunions are mostly genetic, the moves that a ballet dancer does, especially the classic "en pointe' stance, may and can put the foot at risk for dancer hallux valgus The en pointe stance is when a ballet dancer balances on the end of the toes. This classical ballet technique, made possible by specially reinforced shoes, places abnormal pressure on the big toe. Apply a bunion pad around the bony growth to reduce pressure and prevent worsening of your symptoms. Ice packs and over-the-counter anti-inflammatory medications can ease pain while you are waiting for medical evaluation and treatment. Step 2 For bunion correction, people use splint during night or while walking. It helps in bunion relief by stabilizing the foot, rectifying the incorrect placing of the toe, and increasing the flexibility of the big toe. It also decreases the strain on the other toes and allows them to extend comfortably inside the shoe. The splint is made of a very lightweight material with rounded straps that helps it to mold itself according to the foot contour. The Hallux abductus angle should normally be < 20 degree. It is identified as the intersection of the lines that bisect and pass through the proximal phalanx and first metatarsal. In selecting the procedure or combination of procedures for your particular case, the foot and ankle surgeon will take into consideration the extent of your deformity based on the x-ray findings, your age, your activity level, and other factors. The length of the recovery period will vary, depending on the procedure or procedures performed. Bunions are more common in women than in men. Certain inherited foot types, such as feet that pronate (heels rolled inward) increase the likelihood of bunions. The pain from a bunion usually increases when a shoe is on the foot.