What is a Bunion?
- Hypermobile joints– If there is hypermobility the great toe the joint will not be as stable. This is problematic as the long muscles that move the toe can cause the great toe to deviate
- Biomechanical abnormalities – Having a flat foot may exaggerate the force that causes the great toe to deviate medially
- Tight ill fitting shoes – Shoes that put pressure on the inside of the joint if worn for a prolonged period of time can result in the increased risk of a bunion
- Certain medical conditions – Rheumatoid arthritis and other connective tissue disorders can result in the formation of a bunion
Complications of a Bunion
- Difficulty finding footwear
- Pressure ulcers
Treatment of a Bunion
Conservative options have been reported across the literature with mixed results. Once the toe has started to deviate there are NO conservative options to fix the deviation that has occurred.
There are some treatment options suggested to reduce the progression of a bunion (although these have not been rigorously investigated) some proposed treatment options include:
- Wider fitting shoes with a more supportive sole
- Correcting the alignment of the foot – it has been suggested that having a flat foot may increase the progression of a bunion (minimal evidence) and therefore correcting the alignment of the foot may reduce the progression of the bunion (minimal evidence)
- Wearing bunion splints (these may help while wearing the brace but the toe will return to normal when not wearing the brace)
When do I need surgery for my Bunion?
Surgery is generally considered a last resort for a bunion. Typically surgery is reserved for people with painful bunions or when the bunion deformity is negatively impacting on your life, or is causing chronic problems such as wounds or secondary complications such as lesser toe pathology or metatarsalgia.
The risks and benefits should be thoroughly considered before having any operation for a bunion
Expert Podiatrists for the treatment of a Bunion servicing the areas of Northcote, Thornbury, Fitzroy, North Fitzroy, Carlton, North Carlton, Alphington, Fairfield, Brunswick, Coburg and Preston