With Bunions, a person will have inflammation, swelling, and soreness on the side surface of the big toe. Corns most commonly are tender cone-shaped patches of dry skin on the top or side of the toes. Calluses will appear on high-pressure points of the foot as thick hardened patches of skin. Treatment & Prevention Shoes that possess tapering toe boxes should be avoided if you have a bunion, as narrow toe boxes will hasten the progression of your bunion deformity. In some cases, conservative measures, including switching to appropriate footwear, may not have the desired effect, and your podiatrist may recommend for you a surgical procedure known as a bunionectomy.
Bunions are officially called hallux valgus in medical language. The word “hallux” refers to the big toe, and bunions are a foot condition where the big toe doesn’t line up straight with all the other toes. The joint where the big toe meets the bones of the foot, called the first metatarso-phalangeal joint, should form a straight line with the entire big toe and the metatarsal or long bone of the foot. In a bunion, the big toe starts moving in towards the other toes. There may be some rotation in the first metatarso-phalangeal joint when this happens as well.
One of the bones related to this condition is the “first metatarsal bone.” This lengthy, thin bone is connected to the big toe on one end, while the other end is attached to bones of the foot that are nearer to the ankle. In this condition, the foot bone moves towards the other four metatarsals attached to the toes. If one step causes a shooting pain to go through your heel, especially when you wake up in the morning to get out of bed, you may have plantar fasciitis. Occurring also when you stand after sitting for an extended period of time, heel pain is not something to be ignored.
Some people may develop chronic gouty arthritis, but others may have no further attacks. Those with chronic arthritis develop joint deformities and loss of motion in the joints. They will have joint pain and other symptoms most of the time. Tophi are lumps below the skin around joints or in other places. They may drain chalky material. Tophi usually develop only after a patient has had the disease for many years. Your doctor will recommend that you take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naproxen, or indomethacin as soon as your symptoms begin. You will need to take prescription-strength medicines for 4 – 10 days.
The warts have the appearance of thick, scaly skin. They can occur as small, single warts or can cluster into large areas. These clustered warts are called mosaic warts. They often resemble plantar calluses. A simple way to tell the difference between a wart and a callous is to squeeze the lesion between your fingers in a pinching fashion. If this is painful, it is likely that the lesion is a wart. A callous is generally not painful with this maneuver but is tender with direct pressure by pressing directly on the lesion.
Although we tend to favor those uncomfortable, narrow shoes more than the natural-fitting variety, it’s important to maintain foot health as often as possible. Even the smallest bump on a toe could develop into painful bunions , callouses and hammertoes in a short time period, so be extra cautious when wearing narrow shoes. Otherwise, avoid wearing tight footwear at all costs. Bunion Treatment in West Palm Beach From irritating corns and calluses to painful bunions, knowing how to detect these foot conditions and eliminate the pressure is important in order to stop the progression. When conservative treatments don’t work, talk to your Brooklyn podiatrist for professional care.
A complete foot evaluation is needed when evaluating a patient for hammertoe deformities. The foot should be examined in both weight bearing (with the patient standing upright) and non-weight bearing positions to determine if the deformity is flexible. When a deformity is found to be rigid on physical exam, it most likely involves changes in the bone structure. These types of deformities may require more aggressive medical or surgical care. In addition, the pressure that newer, stiffer shoes place on the bones of our feet can aggravate the second most common foot ailment my patients complain of – bunions!
Bunions are a common problem experienced mostly by women. The deformity can develop from an abnormality in foot function, or arthritis, but is more commonly caused by wearing improper fitting footwear. Tight, narrow dress shoes with a constrictive toe box (toe area) can cause the foot to begin to take the shape of the shoe, leading to the formation of a bunion. Women who have bunions normally wear dress shoes that are too small for their feet. Their toes are squeezed together in their shoes causing the first metatarsal bone to protrude on the side of the foot.