Overcoming Bunions

X-ray (Photo credit: Wikipedia)

A bunion is a deformity of the big toe and can occur on one foot or both. It occurs when the big toe deviates from a normal growth process toward the other toes. This then forms a bony growth at the base of the big toe. If the deformity is allowed to continue untreated it begins crowding the other toes and can become quite painful. Bunions can cause other complications, like hammertoes.

Bunions may respond to conservative treatment if they are diagnosed early. A change of shoes would normally be required to accommodate the bunion and keep pressure off the area. You could wear a  pair of sandals that is non-restrictive. However, other options may include:

• Customized or pre-fabricated orthotics
• A bunion sleeve
• Anti-inflammatory medications
• Injections of steroidal medications

Treatment options for bunions depend on your individual case. If you lead an active life-style and the pain has become unbearable, Dr. Blaakman may suggest surgery. There are various surgical options available and Dr. Blaakman would again take into consideration your exact circumstances. Dr. Blaakman would discuss these options with you.

Surgical removal of a bunion is referred to as a bunionectomy and is usually only performed if your bunions hamper your day to day activities. A bunionectomy involves removal of the bone and swollen tissue around the big toe joint. The toe then undergoes straightening and realignment before the incision is closed. The more mild the case of bunions, the lesser the tissue damage at the time of surgery. This may hasten the recovery period somewhat. The decision made to have bunion surgery should not be taken lightly. There is a six to eight week recovery period during which time a special shoe, boot or cast may have to be worn. You may also have to probably miss several weeks of work while the foot heals.

Bunion surgery is not without possible risks of pain, infection or nerve damage, and since bunions have some genetic link, they can possibly reoccur.

If you show signs near the base of the big toe joint you may be developing a bunion.  Symptoms  include:

• Redness
• Swelling
• Development of corns and callouses
• Pain

Please contact Dr. Blaakman at (877) 941-FEET (3338) for an evaluation and to discuss treatment options. As with most foot conditions, early diagnosis is a key element in treatment success.

References:

http://www.surgeryencyclopedia.com/A-Ce/Bunionectomy.html

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Diabetic Shoes

Image via WikipediaDid you know that there are shoes out there that are made specifically for diabetics?  Well there are!  A lot of people with diabetes face neuropathy, which in short, means that their feet are numb, so they can’t feel their feet at all.  This means that they can’t feel when they cut their feet or burn them.  That is why it is especially important for diabetics with neuropathy to pay extra attention to their feet.  What happens is that regular shoes can cause friction and over time, constant friction can cause a cut, which in turn if not treated, will open the cut further, become infected and an ulcer.  If the ulcer is not treated, it will become gangrene and the infection attacks the whole foot and the only treatment can be amputation of the foot.

So in order to protect their feet better, there are specialized shoes that can be made. It’s not just neuropathy that these shoes help with, but they also help with poor circulation and foot deformities.  If you have hammertoes, bunions, flatfeet or other deformities.  The shoes can be formed fitted to keep your feet and in turn the rest of your body in balance.

The shoes prevents foot problems such as foot ulcers, because it lowers the friction and pressure put on the foot.  That in turn prevents infection and amputation, which is what has to occur if an infection goes untreated for long periods of time.  The protection comes from inserts that form to your feet and the use of softer materials so that there is no rubbing that causes friction. 

If you have diabetes, you should check into diabetic shoes, especially if you have neuropathy.  Upstate Footcare can fit you in a pair!  Give us a call at 877-941-FEET (3338) and set up an appointment!  Or check out our website.

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