Radiology Reference Article

Bunions are bony protrusions specifically at the bottom of huge toes that are difficult to deal with. This condition sometimes results to the large toe going inward to the second toe, which can be known as hammer toe or medically termed as HALLUX VALGUS. Bunions and also the hammer toe are conditions that are extraordinarily painful and may need a podiatrist’s management. The treatment and management might include ever-changing the footwear, injections with steroid hormone, exercises and in some cases – surgery. Injection therapy. A corticosteroid injection can be given to provide prompt relief of irritation caused from an inflamed bursa over the bunion bump.

To correct the problem, I would use my hands to soften the muscles and fascia of your hip. Then I would slowly, gently adjust them around bone, nerve and tendon. That one change would slacken the pull on the left side and free your foot and toe slightly. There would be more work to do to rid your body of pain and bring back strength and looseness. Layer by layer, we would work together to retrain your body, and recreate the symmetry you had lost. Sep 30, 2010 By Sandra Ketcham Photo Caption High heels can cause and worsen bunions. Photo Credit high heels image by Hao Wang from Fotolia.com

Scheduled appt. With another podiatrist for tomorrow. Called my current Dr. to ask about picking up my x rays that were taken in his office, so I could get a second opinion and also to confirm in writing his instructions from today up until the next 3 weeks. (Walking on my foot without the boot, for an hour a day, increasing it by an additional hr per day, while it still has an unhealed bone in it) He apologized for yesterday’s being short with me. That was very nice of him. He said we would be able to use bone stimulator at 2mo’s post op.

Hallux valgus is a chronic, but often painless structural abnormality of the foot that involves permanent inflexibility of the bones. This type of bunion strains the foot, creates an abnormal bulge at the affected toe joint, widens base of the foot and interferes with standing and walking, according to USA Today. People who have hallux valgus are at risk of developing early arthritis due to the loss of bone and power in the foot. This type of growth usually occurs when a faulty foot structure or ill-fitting shoes causes a misalignment of the toes. References.hallux valgus definition

The soft tissue covering of the foot is extremely thin, and this hampers wound healing. Furthermore, perfusion is poorest in the foot because of its distance from the heart. Finally, of all parts of the body the foot is subjected to the greatest mechanical stresses. For these reasons wound healing problems, depending on the extent of the operation and the patient’s medical history, occur more frequently in the foot than in most other regions. The aim is uncomplicated wound healing in at least 99% of patients, in our experience an attainable goal. Particular care must therefore be taken when operating on the great toe. Excessive retraction should be avoided.

There have been many clinical trials of various treatments for hallux valgus, but very few of these were randomized, and the case numbers were generally small. Mild deformities are best treated by distal first metatarsal osteotomies, e.g. the Chevron osteotomy. Severe deformities require a soft-tissue procedure at the first metatarsophalangeal joint and a proximal first metatarsal osteotomy. In case of osteoarthritis, and in elderly patients, a resection arthroplasty is preferred; arthrodesis is performed in physically active patients. After correction of hallux valgus, patients can usually bear their full weight on the treated foot while wearing a flat surgical shoe.

I figured I’d log this journal because I am finding that it’s difficult to locate people online, who’ve had the exact same surgery I’ve had and I wanted to do my own research since someone was about to chop into 3 bones of mine. So many have had bunion-ectomies and versions of what I did, but not exactly. When it comes to comparing work, and notes, for something as impactive as foot surgery is, believe me you’ll want people’s stories and experiences. March 2011- Here’s a pic of our feet sucking up the Miami Beach sun just before our venture into the city at night!

Bilateral hallux valgus surgery can be performed safely on an outpatient basis in selected patients with acceptable levels of patient satisfaction. To our knowledge, this has not been previously reported in the literature. References Messrs Murray, Holt, Crombie, and Kumar and Mss McGrory and Kay are from the Department of Orthopedic and Trauma Surgery, Glasgow Royal Infirmary, Glasgow, United Kingdom. Both orthopedic and podiatric specialist foot surgeons, as well as non-specialists, perform operations to repair HV deformity. No study has compared the results of surgery based on who performed the procedure. Nevertheless, we suggest patients be referred to a foot surgery specialist with experience repairing HV deformity.hallux valgus treatment

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