Bunion Basics

Bunions are a common condition of the forefoot experienced by many people today. Victoria Beckham or “Posh Spice” apparently had a well-publicized bunion a few years ago. But what exactly is a bunion?
A bunion is an irritating swelling on the inside part of the foot where the great toe, or hallux begins. Less commonly, a “tailor’s bunion” can be found on the outside of the foot. Regardless, they tend to cause redness, tenderness, and pain as well as a misaligned toe which can lead to bony deformities and abnormal walking. Hallux Abductovalgus or HAV is the medical term for describing the outward deviation of the first toe which often results from a bunion.
Individuals with flatfeet are typically more prone to bunions as are women who wear narrow, pointed shoes or high heels. While they often begin as a mere cosmetic concern, with time, bunions can become painful because the abnormal position of the first toe tends to stretch the ligaments. People will then typically start to walk in an out-toeing fashion which adds even more pressure to the bony and soft tissue structures. Other complications down the road may include corns, calluses, or a “bursitis” which is an inflammation of the tissue in and around the affected joint.
Thankfully, there are many treatment options available. Sometimes, a bunion may be asymptomatic in which case periodic radiographic evaluations can determine whether or not it is actually progressing. Other options include ice, padding, pain medications, orthotics, steroid injections, or changes in shoes and activities.
The only real “cure” for a bunion is a surgical procedure called a bunionectomy. This option may require you to stay off the foot for 6-8 weeks, but it’s usually covered by insurance and can yield tremendous results. Still, upon completion, patients are usually placed in custom-fit orthotics because the bunion will likely recur if the original biomechanical issues are not addressed.
Your foot care provider can discuss your options and what approach is best-suited for your particular situation.


Advanced Foot Care
Robert E. Kuvent, DPM
3225 S Alma School Rd
Chandler, AZ 85248
480.917.2300
http://www.yourfeetfixer.com