Hallux Valgus (Bunion)
If you have a painful swelling on your big toe, especially on the inner side, this may be a bunion. Generally, more than half of patients with bunions are women. Although it can be seen in anyone, it is more common in those who wear narrow and high-heeled shoes. Nine out of ten patients with bunions are female, and nine out of ten women wear narrow and small shoes.
Tight shoes often cause other foot problems such as calluses and hammer toes.
Anatomy
strong>The foot consists of the front(metatarsals, phalanges), the back(heel)and the middle(tarsal bones) occurs. It consists of the forefoot, metatarsal and phalanx bones and the joints they form. Bunion is a disease that occurs in the joint between the 1st metatarsal bone of the thumb and the phalanx bones.
Clinical and Examination
The finger with bunion is usually large and tends to expand inwards and swell. The skin is red and soft. It may be painful with wearing shoes. In the presence of larger bunions, walking and climbing stairs can be very painful. The 1st finger tends to be angulated and directed above or below the 1st finger.
In this case, the skin at the top of the bunion may become thin and sensitive.
Bending 1. The pressure of the finger on the second finger may cause second finger deformities. If the bunion is very serious, walking and wearing shoes may become difficult. If this process is not treated in the early period and becomes chronic, irreversible calcification may occur in the joint.
Treatment
Many bunions can be treated without surgery if they occur early. Precaution is always best. Choosing appropriate shoes is very important. Shoes that suit your foot shape should be chosen. Soft-soled, wide and slightly high-heeled shoes should be worn. You should avoid shoes with heels more than 5 cm, narrow pointed toes and tight shoes. You can get help on this matter. If you have a bunion, you can use a protective pad to soften the area.
Despite all this, if you have pain that does not go away with walking and does not respond to medication and orthopedic orthoses, surgery may be required. surgical procedure on the toe Bones, ligaments and tendons are corrected.
There are various techniques in this regard and the decision is made according to the degree of the finger problem. During surgery, only the leg is anesthetized and the patient is usually discharged on the same day.
Bunionette
If there is a mass growing outward at the base of the 5th toe of your foot, it is called bunionette. It occurs for similar reasons to bunions. It is necessary to pay attention to similar shoes for the treatment of bunions. If there is no response, surgery is planned.
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