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June 17 2015


Why Do I Have Hallux Valgus?

Bunions A bunion (also called Hallux Valgus) is a painful swelling caused by deformity of the big toe. As this swelling is caused by a bone it can be very unforgiving in shoes, which can rub on it causing pain, particularly formal foot shoes or high heels. Arthritis, or wearing tight or ill-fitting shoes over a period of many years, may increase the risk of bunions. However, they can have other causes. Bunions are more common in women and sometimes run in families.

With prolonged wearing of constraining footwear your toes will adapt to the new position and lead to the deformity we know as a foot bunion. Footwear is not the only cause of a bunion. Injuries to the foot can also be a factor in developing a bunion. Poor foot arch control leading to flat feet or foot overpronation does make you biomechanically susceptible to foot bunions. A family history of bunions also increases your likelihood of developing bunions. Many people who have a bunion have a combination of factors that makes them susceptible to having this condition. For example, if you are a women over the age of forty with a family history of bunions, and often wear high-heeled shoes, you would be considered highly likely to develop a bunion.

The symptoms of hallux valgus usually center on the bunion. The bunion is painful. The severe hallux valgus deformity is also distressing to many and becomes a cosmetic problem. Finding appropriate shoe wear can become difficult, especially for women who want to be fashionable but have difficulty tolerating fashionable shoe wear. Finally, increasing deformity begins to displace the second toe upward and may create a situation where the second toe is constantly rubbing on the shoe.

Your doctor is very likely to be able to diagnose your bunion simply by examining your foot. Even before that, he or she will probably ask about your family and personal medical history and evaluate the types of shoes you wear. You'll be asked about your symptoms, when they started and when they occur. You may also be asked to flex your toe so that your doctor can get an idea of your range of motion. He or she may order x-rays in order to determine the extent of your deformity.

Non Surgical Treatment
Patients with a painful bunion may benefit from four to six physical therapy treatments. Your therapist can offer ideas of shoes that have a wide toe box (mentioned earlier). The added space in this part of the shoe keeps the metatarsals from getting squeezed inside the shoe. A special pad can also be placed over the bunion. Foot orthotics may be issued to support the arch and hold the big toe in better alignment. These changes to your footwear may allow you to resume normal walking immediately, but you should probably cut back on more vigorous activities for several weeks to allow the inflammation and pain to subside. Treatments directed to the painful area help control pain and swelling. Examples include ultrasound, moist heat, and soft-tissue massage. Therapy sessions sometimes include iontophoresis, which uses a mild electrical current to push anti-inflammatory medicine to the sore area. This treatment is especially helpful for patients who can't tolerate injections. Bunion pain

Surgical Treatment
Depending on the severity of the deformity, this osteotomy can be done either at the end of the metatarsal (a distal osteotomy) or if the deformity is more severe, the osteotomy is performed at the base of the first metatarsal (a proximal osteotomy). One of the more common distal metatarsal osteotomies that is performed is called the chevron osteotomy. Typically a small screw is inserted into the bone to hold the metatarsal head in place and speed up bone healing. Following a chevron osteotomy, walking is permitted in a surgical shoe the next day after surgery and the shoe is worn for approximately three to four weeks before a more comfortable walking/running type shoe is worn.
Tags: Bunions

December 30 2014


Solution for Hallux Vagus

Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain

Objective: To determine the prevalence of hallux valgus and its relationship to wearing high-heel shoes in Chinese females. In the January's issue of Orthopedics magazine there is a paper which presents the results of more widely used method of correction of hallux valgus - the so- called Scarf osteotomy. Be alert to hallux valgus deformity symptoms. Hallux valgus is de benaming voor een standsafwijking van de grote teen. A bunion is a very common forefoot problem.

De grote teen heeft 2 kootjes, de andere vier tenen hebben 3 kootjes. Als de eerste en tweede teenkootje van een teen in een onnatuurlijke hoek staan ten opzichte van elkaar, raakt het uiteinde van de teen (teentop) de grond. Een doorgezakte voorvoet, slijtage (artrose), een holvoet, een scheefstand van de grote teen (hallux valgus), hoge spierspanning van de voetspieren, een teen die te lang is ten opzichte van de anderen tenen of het dragen van te kleine schoenen. Door de vorming van stug littekenweefsel krijgt de teen uiteindelijk weer stevigheid.

Greenberg (1979) measured the following radiographic angles: calcaneal inclination angle, talar declination angle, lateral talo-calcaneal angle, dorsoplantar talo-calcaneal angle, cuboid abduction angle and talo-cuboid angle. In order for foot orthoses to reverse hallux valgus they have to create a net adduction moment on the hallux at the 1st MTPJ; a net abduction moment of the 1st met at Lisfrancs joint and de-rotate the met and hallux- end of story. If memory serves, one of the best pathomechanical theories I read on hallux valgus was by Snijders et al.- biomechanics of hallux valgus and spread foot.

HV and foot disorders was also associated with altered rearfoot forces, which given prior evidence suggesting forefoot complications are associated with rearfoot disorders, suggests that the rearfoot should be considered in etiology and treatment of HV and forefoot complications. In addition, lower CPEI and higher MAI values were associated with HV, confirming results from studies that have described foot pronation and lower arch structure in feet with HV. Prospective studies are needed to elucidate of the etiology of HV and structural disorders in relation to plantar pressure loading. The authors acknowledge the Framingham Foot Study research team and study participants for the contribution of their time, effort, and dedication. Glasoe WM, Nuckley DJ, Ludewig PM: Hallux valgus and the first metatarsal arch segment: a theoretical biomechanical perspective.

The patient may also describe aching pain in the metatarsal head secondary to shoe irritation that is relieved when the shoes are removed. Often, both forms of pain are progressive and have been present for many years. The frequency or duration of pain may recently have begun to increase, and activity may exacerbate the pain. Patients may even describe a recent notable increase in the size of the deformity or medial bump. Questions on limitation of physical Fallen Arches or daily living activities are valuable for understanding the severity of the patient's pain. It is also important to ascertain what, if anything, relieves the pain and which treatments (eg, surgery) have been attempted previously. Another possible presentation is burning pain or tingling in the dorsal aspect of the bunion, which indicates entrapment neuritis of the medial dorsal cutaneous nerve. Pain without crepitation suggests synovitis.Plantar Fasciitis,Pes Planus,Mallet Toe,High Arched Feet,Heel Spur,Heel Pain,Hammer Toe,Hallux Valgus,Foot Pain,Foot Hard Skin,Foot Conditions,Foot Callous,Flat Feet,Fallen Arches,Diabetic Foot,Contracted Toe,Claw Toe,Bunions Hard Skin,Bunions Callous,Bunion Pain,Ball Of Foot Pain,Back Pain
Tags: Bunions
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