SYMPTOMS
A bunion is a "bump" of bone that most often forms on the inside of the foot at the base of the big toe. A bunion can also occur at the little or fifth toe. Bunions may develop in children as the bone grows (positional bunion) but can progress further as in an adult where the bones actually move to an abnormal position (structural bunion). Without treatment, a bunion deformity may become more severe due to abnormal mechanics, such as the flattening of your arch. Bunions are usually inherited, but tend to worsen with time. Bunions may be associated with skin redness, infection, joint pain and arthritis. Your body may compensate for the bunion deformity and create leg, knee, hip or lower back pain. An untreated bunion may cause the big toe to drift toward the other toes. In time, this can create other toe problems and pain in the ball of the foot.
EVALUATION
We will discuss your symptoms and activity as it relates to your condition. We will then examine, palpate and perform range of motion exercises to determine the extent of the deformity. We will probably perform gait analysis or observe your feet and legs throughout the walking cycle.
Treatment
Conservative treatment includes padding, proper shoe gear, and custom functional foot orthoses. If conservative measures fail, then surgical correction is necessary.
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