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21 Mar 2014 

5 Products for Bunions




5 Products for Bunions

A bunion is a musculoskeletal condition of the foot that causes the big toe to angle toward the second toe, resulting in a large bump at the base of the big toe. The big toe shifts out of position because of a separation that occurs between the first and second metatarsal bones (long bones of the foot). As a result, the forefoot widens, making shoes uncomfortable for some bunion sufferers. Another common complaint associated with a bunion is pain or inflammation at the big toe area where the bump lies. While a bunion cannot be permanently corrected by over-the-counter products, there are some products that may be helpful in alleviating the pain and discomfort. You will find that some products for bunions are geared toward women -- for example, Bunion Support Socks are currently only available in women's sizes. This is because bunions predominantly affect women, although men and children can suffer from bunions too.





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19 Mar 2014 

PodiatryNetwork.com - Cocked Up Big Toe – Hallux Hammer Toe




PodiatryNetwork.com - Cocked Up Big Toe – Hallux Hammer Toe


Description



The big toe, called the Hallux, is made up of two small bones called phalanges. This condition presents as a cocking up of the big toe at the joint between these two small bones. In the early stages of the condition the deformity is flexible, in later stages the deformity becomes rigid. It is caused by a variety conditions. Neurological diseases that cause muscle weakness or muscle imbalance in the muscles of the lower leg can result in the formation of Hallux hammertoe. This is commonly seen in patients after they have suffered a stroke or Cerebral Vascular Accident. Damage to certain areas of the brain during a stroke will frequently result in weakness and/or paralysis on one side of the body. If the stroke is not severe the patient may recover a majority of the function of the muscles in the legs and feet. However a residual result may be a cocking up of the big toe.

Other causes of the condition include damage or laceration to the tendon on the bottom of the big toe. Surgery to correct bunion deformities, in rare cases, may result in an imbalance of the structures about the big toe joint and cause the condition.An additional cause of hallux hammertoe is the absence of two small bones, called sesamoid bones, which are normally present beneath the big toe joint. There is an uncommon condition where a person may be born without these bones. More commonly however the absence of one or both of the sesamoid bones is due to their surgical removal. In the course of correcting a bunion deformity one of the sesamoid bones may be removed. In another situation, a fracture of one or both of the sesamoid bones may result in the necessity to remove them to cure the pain associated with the injury (See the description of sesamoditis).

A high arched foot may also result in the formation of, not only a hallux hammertoe, but also hammertoes of all of the toes.

A consequence of having a hallux hammertoe is irritation on the top of the toe from shoe pressure or the development of a painful callus on the end of the big toe. People who have had a stroke or who have diabetes with peripheral neuropathy may not have pain associated with the callus on the end of the toe. These areas may ulcerate and become infected.

Diagnosis

The diagnosis of hallux hammertoe is made by clinical exam. An x-ray is useful in determining the degree of the deformity and the condition of the joint. The presence or absence of the sesamoid bones is also made using an x-ray. If a neurological condition has not been identified and there is absence of trauma or previous surgery in the area, then evaluation by a neurologist may be appropriate.

Treatment

The need for treatment is based upon the level of symptoms the patient may be experiencing. Splinting the toe in an attempt to straighten it is of little value and is certain to fail. If treatment is needed, surgical correction of the deformity has the greatest level of success.

If the deformity is flexible a simple tendon release procedure can be performed. This consists of making a small incision on the side of the toe and cutting the tendon in the bottom of the toe. If an ulceration or open sore is present on the end of the toe cutting the tendon to relax the toe may be all that is necessary to allow the ulceration to heal. This procedure can easily be performed in the doctor's office under a local anesthesia. Following the surgery a dressing is applied to splint the toe in a straightened position. The sutures and the bandage are kept in place for 7 to 10 days. The patient should keep their activities to a minimum during this period of time and keep the area dry. A post-operative type of shoe is worn to accommodate the bandage. Generally a patient can return to normal shoes within two weeks and resume complete normal activities in three weeks.

If the deformity is rigid then fusion of the joint will be necessary to correct the deformity. Under certain circumstances the foot surgeon may elect to fuse the toe when the deformity is flexible. Fusion of the toe requires removing bone at the level of the joint in the toe. The articular surfaces of the joint are removed and the two small bones are abutted up against one another and held in place by a small screw. This fuses the two pieces of bone together resulting in permanente straightening of the toe. This procedure is generally performed in an out-patient surgery center or hospital. The surgery can be performed under a local anesthesia but the patient and surgeon may prefer to use a twilight anesthesia for the patient's comfort. Following the surgery a fluff dressing is applied. The sutures will remain in place for 7 to 10 days. During this period of time the patient should significantly reduce their activities and keep their foot elevated. It takes 6 weeks or longer for the bones to fuse. During this period of time the patient should wear a stiffed-soled post-operative type of shoe. Bending of the toe will delay or inhibit the fusion of the bones. Quite often it takes three months before the patient can return to full-unrestricted activity.

Possible Complications

Possible complications include infection, excessive swelling, and delays in healing or failure of the bones to fuse. Overall the procedure has a very high success rate. On occasion, over time, the screw may begin the cause irritation on the tip of the toe and have to be removed.
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17 Mar 2014 

Claw Toe-OrthoInfo - AAOS




Claw Toe-OrthoInfo - AAOS
Copyright 2012 American Academy of Orthopaedic SurgeonsClaw ToePeople often blame the common foot deformity claw toe on wearing shoes that squeeze your toes, such as shoes that are too short or high heels. However, claw toe also is often the result of nerve damage caused by diseases like diabetes or alcoholism, which can weaken the muscles in your foot. Having claw toe means your toes "claw," digging down into the soles of your shoes and creating painful calluses. Claw toe gets worse without treatment and may become a permanent deformity over time.
SymptomsYour toes are bent upward (extension) from the joints at the ball of the foot.Your toes are bent downward (flexion) at the middle joints toward the sole of your shoe.Sometimes your toes also bend downward at the top joints, curling under the foot.Corns may develop over the top of the toe or under the ball of the foot.Top of pageEvaluation
If you have symptoms of a claw toe, see your doctor for evaluation. You may need certain tests to rule out neurological disorders that can weaken your foot muscles, creating imbalances that bend your toes. Trauma and inflammation can also cause claw toe deformity.
Top of pageTreatment
Claw toe deformities are usually flexible at first, but they harden into place over time. If you have claw toe in early stages, your doctor may recommend a splint or tape to hold your toes in correct position. Additional advice:
Wear shoes with soft, roomy toe boxes and avoid tight shoes and high-heels.Use your hands to stretch your toes and toe joints toward their normal positions.Exercise your toes by using them to pick up marbles or crumple a towel laid flat on the floor.
If you have claw toe in later stages and your toes are fixed in position:
A special pad can redistribute your weight and relieve pressure on the ball of your foot.Try special "in depth" shoes that have an extra 3/8" depth in the toe box.Ask a shoe repair shop to stretch a small pocket in the toe box to accommodate the deformity.
If these treatments do not help, you may need surgery to correct the problem.
Top of pageLast reviewed: September 2012


Co-Developed by the American Orthopaedic Foot and Ankle Society

AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. This information is provided as an educational service and is not intended to serve as medical advice. Anyone seeking specific orthopaedic advice or assistance should consult his or her orthopaedic surgeon, or locate one in your area through the AAOS "Find an Orthopaedist" program on this website.Copyright 2012 American Academy of Orthopaedic SurgeonsFoot and Ankle Exercise Conditioning Program

Download this PDFDownload this PDF(/PDFs/Rehab_Foot_and_Ankle_4.pdf)OrthoInfo
The American Academy of Orthopaedic Surgeons
6300 N. River Road
Rosemont, IL 60018
Phone: 847.823.7186
Email: orthoinfo@aaos.org


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16 Mar 2014 

What is the Treatment for Bunions?

What is the Treatment for Bunions?
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Bunion is the outgrowth of bone at the joint of big toe. It bulges extensively due to improper growth of the bone. Big toe is turned toward the other toes. Many experts largely believe that bunion occurs owing to the abnormal enlargement of bone located close to the base of big toe. However, because of the displacement of joints from the big toe, there will be higher risk for a vascular injury. Bunion looks like red calloused skin. It gets aggravated by the pressure from shoes. Bunions are commonly seen in women. People with deformed feet bone structures are more likely to develop a bunion.

ContentWhat are the Causes of Bunion?How is Bunion diagnosed?What are are the Symptoms of Bunion?What are the Non-surgical Bunion Treatment Options?What are the Different Surgeries for Bunion Removal?What is the Post Operative Care Post Bunion Surgery?






What are the Causes of Bunion?
The main reasons to develop bunions could be hereditary where the bone development is improper or as simple as wearing ill-fitting shoes that could misalign the bones and cause pain. If you wear distorted or arrow-toed, high-heeled footwear, it could cause bunion in the long run. Designer shoes with sharp toe box structure speeds up the formation of abnormal expansion of bones at the base of the toes. In addition, if shoe soles do not support heels, the toe region can be badly affected. Poor shape of foot due to degenerating bone diseases such as flat feet, arthritis, and polio can increase the risk of bunions.





How is Bunion diagnosed?
During the diagnosis, your doctor will go through your medical history. A history of bone dieseases such as arthritis or health conditions such as diabetes are checked for. The damage to the soft tissues of your feet and deformities like hammertoes and corns ar examined. You will be asked to undergo X-ray examination for further investigation . The X-ray result helps to evaluate any deformity in the jointis that could be the source of the pain. After going through all the results of physical examination, medical history and X-ray, your doctor recommends surgical or non-surgical remedies for treating bunion.



What are are the Symptoms of Bunion?
Some fo the common symptoms of Bunion include,
Persistent pain while walking, jogging and runningPain while lifting heavy objects, or you might experience pressure on the bony bump which appears along the inside edge of the big toe.Swelling around the big toe along with rednessYou might developcorns near the first and second toe



What are the Non-surgical Bunion Treatment Options?
Usually doctors do not suggest surgical treatment in the inital stages and try to treat bunion through non surgical methods. If the problem has just started proper care and using wide-toe shoes can help control and cure it without any further treatment. Using foam pads can also solve the problem and prevent it from aggravating further. Spacers is another device that is used during night to maintain space between the toes. These can be easily obtained from the local drugstore. If you have a pair of old shoes, you can make a hole in it and use it at home. This will put your foot at ease. Some of the non surgical treatments that can be easily followed on your own are:
Change your shoes: If your shoes are causing irritation and pain in your feet, then you should immediately change them. And if you are suffering from bunion, then you should buy wide toed shoes that give enough space to the affected toe. According to American Academy of Orthopedic Surgeons, regular use of soft soled and wide toe shoes helps in reducing the bunion problem. Using footwear with heels higher than 2 1/4 inches should be avoided.Padding your shoes: Doctors are of the opinion that if soft cushioning is provided to the affected foot, the symptoms of bunion can decrease immensely. You can use bunion pads that are easily available at the local pharmcay for this. You can also try tapping your affected foot. This helps in reducing the pressure on the affected toe in turn reducing the pain.Medicines: Even after trying all these remedies, if the bunion condition is still causing pain, you can try taking regular pain killing medications like ibuprofen, acetaminophen, or naproxen sodium.Ife the pain is unbearable, your doctor will givet cortisone injection for relieving pain.Orthotics: These are the devices that are used to keep the foot in a natural position thereby decreasing the pain. If used daily, it can help the patient recover from the bunion problem and also prevent the problem from worsening farther. Non-prescription devices such as shoe inserts can be used with similar effect and if you are lucky you can get them customized. The Podiatrists take the exact measurement of your feet with the help of mold and prepare shoe inserts exactly matching your feet.


What are the Different Surgeries for Bunion Removal?
There are different types of surgical procedures to eliminate bunions. Sometimes, outpatient treatments are very effective in minimization of the bunions. Patients are released immediately after the surgery. In severe cases, major surgery might be performed which includes anesthesia, medications, pain killers, and different types of medical appliances. Sometimes patients may require bone grafting or bone replacement. Several studies reveal that around 90 to 95 percent patients are satisfied after bunion removal surgery. Surgeries are major performed to correct the deformity in joints, relieve pain and realign the joints. Some of the types of surgeries used for bunion removal are:
Tendons and ligaments repair : This type of surgery is performed when there is an imbalance in the attachment of ligaments and tendons. At some places they are aligned very tightly and from another side they are very loose. Due to this the toe starts drifting from its position. Usually this surgery is conducted in combination with osteotomy wherein the loose tendons and ligaments are reduced and the tighter ones are lengthened.Arthrodesis : In this surgery the damaged joints are removed and with the help of wires, plates and screws the surfaces are held close to one another until the site of surgery heals completely. This type of surgery is only performed when all the other treatments and surgeries have failed to prove relief, especially in cases of severe arthritis.Exostectomy : This type of surgery is rarely performed as it does not rectify the cause of bunion condition. It is mostly used when the bunion toe has big bump and has not drifted from its position. In this the toe bump is removed completely to reduce pain.Resection Arthroplasty : In this surgery, the damaged joint is removed completely. Resection arthroplasty is mostly performed on patients who had earlier undergone bunion surgery and in patients suffering from severe arthritis. This type of surgery leaves a scar joint that is flexible, but do not cause any problem to the patient.Osteotomy : This process involves cutting and realigning the joint surgically.


What is the Post Operative Care Post Bunion Surgery?
Once the surgery is done, the recovery depends on the post operative care. Here are some instructions that can help you in taking proper care of your wound:
Dressing : When you are discharged from the hospital, your toe will be held in proper position with the help of dressing. Doctors recommend wearing cast or postoperative surgical shoe for protecting the foot. After two weeks, the sutures will be removed, but your feet will need proper cushioning and protection for around tonight weeks so as to recover well. For this you will need to support it with regular dressing and braces. Hence it is of utmost importance that you take proper care of dressing and keep it dry so that no infection occurs. You can cover the surgical site with plastic bag while se taking bath.Bearing of weight : You will have to put less pressure on your feet till it is recovered completely and hence you should use walker , crutches or cane while walking. You can put weight on your foot slowly as it recovers. Try walking without aid for short distances first and then slowly increase the distance. With doctor's advise you can start driving after a week from surgery.Swelling and using shoe : Try to keep your foot in an elevated position whenever you are resting or sleeping. Use ice on your wound of swelling. Some amount of swelling will be present for around 6 months even after your bunion problem has recovered completely. This swelling will decrease on its own. When the dressings are removed, you should start using only athletic shoes or oxford type soft leather shoes. Avoid using fashion or high heeled shoes.Exercises : Exercises after surgery help to strengthen your foot and increase its flexibility. Surgical bandies more strength to ankle and marbles. You should start these exercises only after taking advice from your doctor and should learn them properly from a skilled physiotherapist before trying them on your own at home.Medication : Antibiotics to prevent septic and pain killing medication to reduce pain are prescribed post bunion removal surgery. External Referencessurgerybunion.com: Bunion Surgerysquidoo.com: Information on Recovery After Bunion Surgerywebmd.com: Bunion Problem and SurgeryRelated Videos: See videoRelated Images: Link Keywords: Bunion Surgery
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14 Mar 2014 

Bunions information advice - bunion and foot care information - bunion products and supplies - bunion treatment - bunion products pads shields sleeves gel pad

Bunions information advice - bunion and foot care information - bunion products and supplies - bunion treatment - bunion products pads shields sleeves gel pad

Bunions (Hallux Valgus)
Bunions are a very common and painful condition of the foot. A bunion, hallux valgus, is a lump or protrusion on the side or top of the joint of the large toe and can be inflamed, swollen and painful around the joint with pain sometimes extending down the inside of the foot. The lump may be associated with an additional growth of the bone of the joint of the big toe or an enlargement of the joint with swelling, inflammation and pain. A bursar (fluid filled sac) may also overlie the joint causing further foot pain. Bursars require treatment from a Podiatrist


Bunions are often genetic but also may be caused or aggravated by the wearing of footwear that is too tight and by heels that are too high for normal walking. Distortion of the large toe joint causing the bunion may also displace the line of the second toe causing it to claw and form a hammer toe. This clawing may then cause the top of the toe joint to rub on the shoe and form a corn or callous.


Bunion Treatment

Properly fitting footwear with adequate width and depth in the toe box. Shoes with laces or buckles are more supportive and help to prevent the bunion from worsening.
Shoes should be as flat as is comfortable. Do not wear heels that are too high.
Bunion pads, bunion shields and bunion sleeves normally incorporate a soft gel protector and treat by reducing pressure and relieving pain.
Prolyne Technogel pressure protection pads are unique and versatile self adhesive polyurethane pads that adhere to the skin and conform to the shape of the bunion protecting against pressure and friction and relieving pain.
Conventional padding materials like fleecy web, chiropody felt and tubular foam can be cut to size and used to protect the bunion.
Hallux valgus night splints help straighten the joint and may prevent further deterioration.
If marked pronation is present orthotics should be used
The use of a good foot moisturiser like CCS Cream or Flexitol Moisturising Foot Cream keeps the skin soft, soothes and prevents dryness.
Anti-inflammatory drugs such as Ibuprofen or Aspirin may help relieve inflammation and pain. Seek advice from your Pharmacist or Doctor if you are uncertain about their use.
Surgical treatment may be necessary in more serious cases. Seek the advice of your Podiatrist


Products for the Treatment of Bunion Pain
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