Q: What is a bunion?
A: A bunion is a deformity of the big toe joint where the big toe meets the foot and points in the direction towards the second toe. Because of a mechanical imbalance, it pushes the metatarsal bone behind the big toe in an outward fashion. That bump on the inside of the foot typically becomes red, swollen and makes it difficult wear shoes and walk comfortably.
Q: What are the primary causes of bunions?
A: The primary cause of bunions is heredity. A secondary cause of bunions is the type of shoes a person chooses to wear. Bunions are a progressive deformity that will slowly worsen throughout your life if not treated appropriately.
Q: What are the different types of bunion deformities?
A: The medical term for a bunion is halus abducto valgus deformity. A lot of people wrongly thing a bunion is just a growth of bone on the side of the foot. It’s actually an angular deformity of the joint, and when we’re talking about different types of bunions, there are mild, moderate and severe deformities that can occur, and the treatment options are definitely designed to meet the criteria of the bunion. When evaluating a bunion deformity, sometimes there will be arthritis in the joint, between the big toe and the first metatarsal, where the big toe meets the foot. That’s also spoken about calmly as a bunion deformity, but in reality, some bunions are an arthritic problem that occur in that joint, where the joint becomes very stiff and painful, so in addition to maybe having pain that’s on the outside of the foot over the bump, you can experience pain within the joint when the joint actually becomes arthritic.
Q: What are the top treatment options for a bunion?
A: There are conservative and surgical treatment options available for bunions. Conservative treatment includes:
Surgical options are designed to address the actual deformity, not just the symptoms associated with the bunion. The more severe the bunion deformity, the more advanced the procedures are to correct the issue.
Q: Can bunions reoccur after surgery?
A: If the correct procedure is performed up front, the chance of recurrence is extremely small, but bunions can still come back. Some procedure outcomes are more predictable than others in terms of recurrence such as the fusion of the big toe joint. That’s a very stable procedure, and the chance of a bunion returning after that type of procedure is small.
If you are considering having a bunion corrected surgically, there are 3 consideration:
Most people today like to be active and exercise, and when you find that you can’t walk or run or do the workout you want to do because the bunion hurts, then surgery is an option.
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