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How To Spot Bunions

AmandaJury57137880 2017.06.11 17:58 조회 수 : 7

Overview
Bunions Callous
A bunion develops when the joint at the base of the big toe becomes swollen and most likely painful. The American Academy of Orthopaedic Surgeons suggests these ways to ease bunion pain. Make sure shoes fit properly and comfortably, and mold to the shape of your feet. Opt for shoes with a soft sole, wide toe box and wide instep. Avoid heels of more than 2 1/4 inches, those that are too tight, and shoes with pointy, narrow toes. To accommodate a bunion, wear shoes that are a bit big, or have your shoes professionally stretched. Place a protective cushioned pad over the bunion.

Causes
Despite the popular belief, wearing high heels and too-narrow shoes does not cause bunions. Wearing them can irritate, aggravate, or accelerate the formation of the bunion, but are not the root cause. Bunions are more commonly inherited, if your parents or grandparents had bunions, you may also get one. Bunions can also be caused by trauma or injury to the joints, ligaments, or bones of the foot.
SymptomsMany people do not experience symptoms in the early stages of bunion formation. Symptoms are often most noticeable when the bunion gets worse and with certain types of footwear. These include shoes that crowd the toes and/or high-heeled shoes. When symptoms do occur, they may include physical discomfort or pain. A burning feeling. Redness and swelling. Possible numbness. Difficulty walking.

Diagnosis
Your doctor will ask questions about your past health and carefully examine your toe and joint. Some of the questions might be: When did the bunions start? What activities or shoes make your bunions worse? Do any other joints hurt? The doctor will examine your toe and joint and check their range of motion. This is done while you are sitting and while you are standing so that the doctor can see the toe and joint at rest and while bearing weight. X-rays are often used to check for bone problems or to rule out other causes of pain and swelling. Other tests, such as blood tests or arthrocentesis (removal of fluid from a joint for testing), are sometimes done to check for other problems that can cause joint pain and swelling. These problems might include gout , rheumatoid arthritis , or joint infection.

Non Surgical Treatment
Changing your footwear to roomy and comfortable shoes that provide plenty of space for your toes. Padding and taping applied by chiropodist/podiatrist to your foot can reduce stress on the bunion and alleviate your pain. Oral medications such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin) or naproxen (Aleve) may help control the pain of a bunion. Cortisone injections. Over-the-counter arch supports can help distribute pressure evenly when you move your feet, reducing your symptoms and preventing your bunion from getting worse. Prescription foot orthotic devices to help stabilize the forefoot. Manual foot therapy to free up motion in arthritic foot joints.
Bunions Hard Skin

Surgical Treatment
There are a number of different surgical procedures used to treat bunions. The type of surgery recommended for you will depend on the severity of the deformity. Your surgeon may use pins, wires or screws to hold the bones in place while they heal. Depending on the type of surgery you have, these may be left in your foot or removed later on. Some of the surgical procedures for bunions are described below. Osteotomy is the most commonly used and proven type of bunion surgery. Although there are many different types of osteotomy, they generally involve cutting and removing part of the bone in your toe. During the procedure, your surgeon will remove the bony lump and realign the bones inside your big toe. They'll also move your toe joint back in line, which may involve removing other pieces of bone, possibly from the neighbouring toes. A procedure called distal soft tissue realignment may be combined with an osteotomy. This involves altering the tissue in your foot to help correct the deformity and improve the stability and appearance of the foot.
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