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Bunions - (Hallux Valgus)
Bunions, referred to in the medical community as Hallux Valgus, are one of the most common forefoot problems. A bunion is a prominent bump on the inside of the foot around the big toe joint. Your big toe joint becomes enlarged, forcing the toe to crowd against your other toes. This puts pressure on your big toe joint, pushing it outward beyond the normal profile of your foot, and resulting in pain. Bunions can also occur on the joint of your little toe (bunionette). Bunions can occur for a number of reasons, but the most common cause is wearing shoes that fit too tightly. They can also develop as a result of injury, stress on your foot or another medical condition. Often, treatment involves conservative steps that
may include changing your shoes, padding your bunion
and wearing shoe inserts. Severe cases may require
surgery to relieve the pain.
When to seek medical advice Although
bunions often require no medical treatment, see your doctor if you have:
Persistent big
toe or foot pain
A visible bump
on your big toe joint
Decreased
movement of your big toe or foot
Difficulty
finding shoes that fit properly
Screening and diagnosis Before examining
your foot, your doctor will likely ask questions about the types of
shoes you wear and how frequently you wear them. He or she may also ask
if anyone in your family has had bunions or if you've had any injury to
your foot. Your doctor can
identify a bunion simply by examining your foot. During the exam, your
doctor asks you to move your big toe up and down to determine if your
range of motion is limited. Your doctor also looks for signs of redness
or swelling and asks you about pain. After the physical exam, taking an
X-ray of your big toe joint may help your doctor determine how severe
your bunion is.
Complications Bunions can
develop at any time during childhood or adulthood and are permanent
unless surgically removed. If the cushioning sac of fluid (bursa) over
the affected joint becomes inflamed (bursitis), a bunion can be very
painful and interfere with your normal activities. Left untreated,
bunions tend to get larger and more painful, making nonsurgical
treatment less effective. Related Site: Treatments: Treatments Programs:
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