Bunions are often looked at as just a cosmetic concern however this is not true. They can cause pain and discomfort and lead to more foot problems in the future. Today I will discuss bunions, what they are, their cause, symptoms and what we can do to treat them.
What is a bunion?
A bunion is a bony protrusion of the 1st metatarsal. It occurs as the 1st metatarsal shifts out of place and the big toe begins to drift towards the second. This begins as a small misalignment of the joint and grows larger and more malaligned as time and mileage increase.
Causes of bunions:
There are many causes of bunions and from long term research we know the following are the most common.
-Genetics plays a large role in the development of a bunion. You inherit your foot structure and this can predispose you to a bunion.
-Another source cited is footwear. Anything that puts more forefoot pressure like a high heeled shoe can accelerate bunion formation.
-Systemic causes can be attributed to bunions. Conditions like Rheumatoid arthritis or other arthropathies that attack joints.
Symptoms:
These are what usually bring patients into the office. These are things like having a hard time fitting shoes, rubbing the big toe on the 2nd toe. Another common symptom is pain or swelling and redness of the big toe joint.
Treatment:
I usually break the treatment up to conservative and surgical. The conservative measures include, no bare feet and wearing a wider shoe. Save your money no splints or stretching devices of the big toe work. Remember this is a bony malalignment and you can not move bones from the outside of your foot. Surgery is the only long term fix. The surgical correction depends on the size, age and overall foot structure.
If you have a bunion and would like a consultation I can help. Please call 425-391-8666 or make an appointment online, and ask for an appointment with Dr Nelson.
Sincerely,
Double Board Certified Physician & Surgeon
Issaquah’s Top Podiatrist & Foot/Ankle Surgeon
