Bunions
Informed patients are healthy patients. It's important to become familiar with your foot or ankle condition to ensure quick recovery and proper treatment. Out staff is dedicated to providing you with numerous forms of self-education including our blog, patient education library, and links to notable podiatric organizations like the American Podiatric Medical Association and more!
At The Plateau Foot & Ankle Clinic we believe that providing educational material gives you a solid base from which to make better informed decisions about your health. Dr. Howard Schaengold provides excellent comprehensive medical & surgical care for all foot and ankle problems.
Some of the most common conditions that we treat include:
• Bunions
• Diabetic Foot Problems
• Fungal & Ingrown Toenails
• Heel Pain
• Sports Injuries
• Neuromas
Our specialties include surgery, sports medicine, heel pain, and bunion treatment. If you have questions or concerns please contact our office. Our information is always up-to-date and our assistance is readily available.
Simply learning about your foot or ankle condition and performing preventative maneuvers does not substitute for proper consultation and examination by Dr. Schaengold. Let an experienced leader in podiatric care treat your feet. Make an appointment with our Sammamish office by calling 425.868.3338 today! You may also request an appointment online.
A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Varus). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallus Abducto Valgus. Bunions can also lead to other toe deformities, such as hammertoe.
Many people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or arthritis may set in, the skin on the bottom of the foot may become thicker, and everyday walking may become difficult—all contributing to chronic pain.
Wearing shoes that are too tight is the leading cause of bunions. Bunions are not hereditary, but they do tend to run in families, usually because of a faulty foot structure. Foot injuries, neuromuscular problems, flat feet, and pronated feet can contribute to their formation. It is estimated that bunions occur in 33 percent of the population in Western countries.
Treatment for Bunions
Because they are bone deformities, bunions do not resolve by themselves. The goal for bunion treatment is twofold: first, to relieve the pressure and pain caused by irritations, and second to stop any progressive growth of the enlargement. Commonly used methods for reducing pressure and pain caused by bunions include:
- Protective padding, often made from felt material, to eliminate the friction against shoes and help alleviate inflammation and skin problems.
- Removal of corns and calluses on the foot.
- Changing to carefully fitted footwear designed to accommodate the bunion and not contribute toward its growth.
- Orthotic devices—both over-the-counter and custom made—to help stabilize the joint and place the foot in the correct position for walking and standing.
- Exercises to maintain joint mobility and prevent stiffness or arthritis.
- Splints for nighttime wear to help the toes and joint align properly. This is often recommended for adolescents with bunions, because their bone development may still be adaptable.
Surgical Treatment
Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy, may be advised to remove the bunion and realign the toe.