More than half the women in America have bunions, a common deformity often blamed on wearing tight, narrow shoes. Bunions cause the base of your big toe (Metatarsophalangeal Joint) to enlarge and protrude. The Best Novi Bunion Doctors can help you!
The skin over a bunion may be red and tender. A bunion can be acquired through time or it can be congenital (you’ve gotten it from your family).
Bunion issues can cause wearing shoes to become painful. This joint flexes with every step you take. The bigger your bunion gets, the more it hurts to walk. Bursitis may set in. Your big toe may angle towards your second toe, or even move all the way under or over it. The skin on the bottom of your foot may become thicker and painful.
Pressure from your big toe may force your second toe out of alignment, sometimes causing it to overlap your third toe. If your bunion becomes too severe, it can even cause difficulty in walking. Your pain may become chronic and you may develop arthritis.
Most bunions can be treated conservatively with wider & softer shoes, pads to relieve the pressure and/or medications. If these corrective measures do not help then surgical treatment is indicated.
Bunion surgery, or bunionectomy, realigns the bone, ligaments, tendons and nerves so your big toe is brought back to its correct position and the bump on the inside of the joint removed. Many bunion surgeries are performed on a same-day basis (no hospital stays) using a local anesthesia. During your recovery it is common to have pain and swelling. This swelling and stiffness may be persistent for several months.
Hallux Valgus (Bunions) – Definition, Causes, Symptoms, and Correction (2021)
Hallux valgus, or bunions, refers to a condition of progressive bone and joint disorder in your feet. This disorder appears as a bony bump on the side of the big toe joint. Hallux valgus results from a structural problem in the bones of the toes and foot, with the most affected joint being the first metatarsophalangeal joint. Consequently, the feet will not be able to line up properly.
Generally speaking, the symptoms of hallux valgus arise during adulthood; however, teenagers and children can also experience them. If the bunions occur near the base of the little toe, we refer to them as bunionettes or “tailor’s bunion.”
Your Foot and Ankle Surgeons at Foot HealthCare Associates provide the most advanced surgical techniques to correct bunion deformity and relieve pain. We also focus on performing the procedures in the most cosmetically appealing manner possible. “We fix feet beautifully.”
Hypermobility – in some individuals, the big toe joint has more motion than it should, which predisposes them to hallux valgus.
Foot injuries – recurrent foot injuries can predispose you to joint deformation, and ultimately, hallux valgus.
Rheumatoid arthritis – this type of arthritis is notoriously known to cause joint deformation, especially in the absence of treatment.
Certain medical conditions – especially those that affect the nerves and muscles (e.g., polio).
Congenital defect of the foot – children born with structural abnormalities of their feet are more likely to develop hallux valgus.
Wearing high heels and narrow shoes – researchers disproved this factor to be a causing agent. Instead, wearing tight shoes may worsen already-existing bunions or trigger abnormal bone growth in genetically susceptible individuals.
Treatment of hallux valgus
Similar to most medical conditions, the treatment of hallux valgus falls under two categories:
The primary role of medication is to reduce the pain and swelling that is often seen with hallux valgus.
Your doctor may prescribe the following drugs:
Painkillers – examples of painkillers include the classic acetaminophen (Tylenol) and Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), such as ibuprofen.
Cortisone injections – for patients who want immediate relief and/or do not respond to over-the-counter drugs; corticosteroid injections most often reduce the swelling and improve symptoms of pain.
Other non-surgical techniques to relieve pain include wearing wider, more supportive shoes and bunion pads.
Orthotic therapy is also important, with or without surgery. Most patients, with a bunion deformity, have faulty foot mechanics contributing to their condition. Custom orthotics, placed in your shoes, reduces mechanical stress on your feet by keeping them in their most anatomically correct, comfortable position. The doctors at Foot Healthcare Associates utilize precision-made, custom orthotic devices to provide our patients with the best and complete long term solution to resolve bunion pain and help prevent recurrence or progression of bunion deformities.
Surgical correction of bunions is a proven and effective treatment to resolve bunion deformity and pain, especially when non-surgical measures fail to do so.
– Pain and inflammation at the big toe joint, resistant to other treatments.
– Toe deformity that pushes the big toe towards the second toe.
– Stiffness of the toe.
– Limitation of activity secondary to deformity and pain at the big toe joint.
– Inability to wear the types of shoes you would like to wear.
The goal of the surgery is to realign the metatarsophalangeal (MTP) joint, relieve pain, and correct other deformities of the toe. Most important, the correction of bunion deformity, allows our patients to engage in an active healthy lifestyle without being limited by foot pain.
Here are the most common corrective surgeries of hallux valgus, as well as their respective indications:
During this procedure, your doctor will use pins, screws, and plates to realign the joint and the big toe.
Arthrodesis is typically recommended for individuals who had unsuccessful bunion surgery. The goal of this procedure is to remove the swollen joint surface, using screws, wires, and plates to maintain its structural integrity.
Patients with a severe form of hallux valgus or arthritis may also benefit from arthrodesis.
As the name implies, exostectomy refers to removing the bump that forms on the big toe. Surgeons usually perform this procedure along with osteotomy.
Resection arthroplasty focuses on removing the damaged portion of the affected joint, which creates more space between the toe bones. On occasion a silicone or metal implant may be utilized.
Different types of surgical options that our experienced surgeons provide to our patients include the following bunionectomies:
Minimally invasive surgery
The minibunion procedure
Austin akin bunionectomy
Closing and opening base wedge procedure
Arthrodesis or fusion procedures
Arthroplasty with or without implant
Contact Our Foot Care Specialists Today
If you need treatment for bunions, call our Novi, Livonia or Southfield office at 248.258.0001 to schedule an appointment. Bunion treatment is covered by many health insurance plans.
The Best Novi Bunion Doctors provide foot and ankle treatment and surgery to patients in Livonia, Northville, Farmington, Farmington Hills, West Bloomfield, Redford, Westland, Garden City, Dearborn Heights, Canton, Plymouth, Wayne, Novi, Southfield, Walled Lake, Wixom, Commerce, Milford, Highland, White Lake, Waterford, South Lyon, Brighton, Howell, Whitmore Lake, Lyon Twp, Oak Park, Royal Oak, Ferndale, Hazel Park, Madison Heights, Clawson, Centerline, Lathrup Village, Detroit, Berkley, Birmingham, Bloomfield Hills, Bloomfield Twp, Troy Pontiac, Rochester Hills and all other Metro Detroit areas.
Our podiatry practice at Foot HealthCare Associates is built on three principles: trust, caring and a commitment to excellence in podiatry. We view the relationship that we have with our patients as a sacred trust. We work hard every day to deserve that trust.