Foot Disorders & High Arches

Bunions occur in the large joint where the big toe meets the foot. As they grow larger they cause the big toe to turn inward toward the other toes. The bump on the joint grows larger over time, producing a bony growth which can become quite painful. Wearing ill fitting shoes can cause bunions to become far worse in a shorter time. This is especially true if you continually tip-toe around in high heels or shoes which are too tight and constricting. Incorrect shoes will not cause bunions though, as the foot structure, posture and the way you walk is inherited. Do you have flat feet?

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.

Update November 2010 After having read a recent study regarding the TightRope procedure I thought I would pass along some of the findings. Please keep in mind this was a very small study and it was done on people who had the procedure performed two years ago or less. (This procedure, like most medical procedures need to be examined at least five years down the road with a large patient population.) You can always try padding over the tailors bunion but I generally find that to be a waste of time. All the pad does is take up more room and cause the tailors bunion to hurt more.

As you get older you need shoes which will provide adequate support by holding your foot firmly in place. Choose a natural material such as soft leather or cotton which is breathable and will mould to your natural foot shape. Make sure you get your feet checked for size, check both feet, and that your shoes are not too tight. Lace-up shoes or Velcro fasteners will probably be more comfortable than slip-on shoes. Irons – found in meat, poultry, pulses, helps transport oxygen throughout the body, which can alleviate the symptoms of fatigue, light headedness and weaknesshallux valgus angle

The provision of adequate postoperative analgesia is also fundamental to the success of this procedure, and the effective use of nerve blocks to achieve this is a key factor in extending the indications of outpatient surgery to bilateral hallux valgus corrective surgery. The safety and efficacy of peripheral nerve blocks in foot and ankle surgery have been well established, and levobupivicaine is a safe, effective local anesthetic agent able to provide analgesia for up to 10 hours postoperatively. 17,18 As such, no patient in this study required increased analgesia above the oral agents prescribed on discharge from the outpatient surgery unit.

Many patient wait much too long to address the pain in their great toe joint. Often, by the time they seek help, their joint is destroyed and they need a much more invasive surgery to eliminate their pain. Hallux limitis is often misdiagnosed as a “bunion” or Hallux Valgus. This article will help you differentiate between the two foot problems and guide your treatment. read more This is a story about a guy who made a mistake. This is also a story about that same guy who never got over that mistake and spent the next two years regretting what he did. read more

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.

Do you exhibit the hallux valgus deformity? This deformity, which is linked to the same underlying structural weakness that results in the bunion, occurs when the big toe drifts in the direction of the baby toe. Your big toe can angle toward the baby toe to such an extent that the second toe sits on top of the big toe’s nail. The hallux valgus deformity will make it difficult to find shoes that fit and will cause you additional foot pain. When undergoing bunion surgery, the podiatrist can help straighten this toe out and put a pin in your foot that holds the big toe in the corrected position.