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Posted: Tue 18:38, 27 Aug 2013 Post subject: No Need to Suffer From Bunion Pain |
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No Need to Suffer From Bunion Pain,[link widoczny dla zalogowanych]
What the heck is a "bunion"? The person who named an enlargement of the big toe joint a bunion was probably the same person who named an enlarged thyroid a "goiter"! Seriously though,[link widoczny dla zalogowanych], a bunion is much more than just a simple bump.
Bunions are known in medical terms as Hallux Abducto Valgus which in English is a crooked big toe joint with a bump on the side. This is actually a progressive misalignment of the big toe joint which starts with a slight leaning of the big toe toward the second and then gradually produces the characteristic bump and joint symptoms. In the late stages of progression, the big toe actually can overlap or underlap the second and cause reactive hammertoes (contracted) of the other toes. Even though they are extremely common,[link widoczny dla zalogowanych], most people wait until they have significant symptoms and deformity before they seek medical attention. Often they have had pain in shoes and with activity for years when they finally come into the office. This is because many peolpe think they always require surgery for pain relief.
What causes bunions? No, it's not always the shoes! (But,[link widoczny dla zalogowanych], they don't help) Bunions are caused by the faulty biomechanics of your foot structure that you inherited. Couple that with high heeled shoes or even just shoes that crowd your toes (listen up guys who wear cowboy boots!) and you are prone to the formation of bunions.
Bunion symptoms are characterized by redness, swelling,[link widoczny dla zalogowanych], grinding of the joint, burning pain, and occasional numbness.
Diagnosis of a bunion is done by x-ray findings together with physical exam. A bump is not necessarily always Hallux Abducto Valgus,[link widoczny dla zalogowanych], so a complete podiatric exam including x-rays should be done to evaluate your condition. Many people actually have arthritis of the big toe joint or even just a cyst overlying the joint and think they have bunions.
Treatment includes shoe gear modification,[link widoczny dla zalogowanych], an orthotic device to control the abnormal biomechanics,[link widoczny dla zalogowanych], padding, anti-inflammatories or injection therapy to decrease inflammation,[link widoczny dla zalogowanych], and at the later stages, surgery.
When is surgery needed for bunions? If you have pain every day, in every pair of shoes you own (including your athletic shoes) and you have treated your condition with conservative therapy without any relief; it's time to discuss bunion surgery. Surgery should never be contemplated without pain and activity limitations. There are many advances in bunion surgery and varied procedures depending on your foot type, the stage of your deformity, your activity level, your medical history, and your age. Make an appointment to discuss surgery with your podiatric foot and ankle surgeon if you have progressing symptoms.
Bunion surgery, done by a board-certified podiatric foot and ankle surgeon,[link widoczny dla zalogowanych], has a 96% satisfaction rating according to a recent survey by the American College of Foot and Ankle Surgeons. 96% of the survey respondents identified pain relief as a desired outcome of the surgery, and 86% also said they hoped to improve their walking and increase their physical activity following surgery. On a scale of 1 to 10 with 10 representing "much pain,[link widoczny dla zalogowanych]," the survey respondents averaged a score of 7 when assessing their pain before surgery,[link widoczny dla zalogowanych], and the average score dropped to 2 when they assessed their pain six months after the operation. 92% said they were able to increase their physical activities -- walking, running, golf,[link widoczny dla zalogowanych], tennis, exercise -- and 90% said they would recommend bunion surgery to others. This is great news! Many people fear the surgery more than pain every day in their shoes! Obviously,[link widoczny dla zalogowanych], this fear is unwarranted!
Fear of surgery should not keep you out of the office because 80% of patients who come in asking for bunion surgery leave with a conservative treatment plan. Get your questions answered,[link widoczny dla zalogowanych]! Call or contact your podiatric foot and ankle surgeon today.
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