Bunions - Your questions answered
I field questions regarding bunions every day in clinic.
I thought it would be valuable to answer the most common questions I get.
What are bunions?
The technical name for a bunion of the 1st toe is Hallux Abducto-valgus. It is an enlargement and change in alignment of the joint at the base of the big toe. Often the big toe will drift towards the lesser toes, and some toe overlapping can occur in more severe cases.
Why do I have bunions?
There are many factors that we associate with bunion development. These include narrow or high heeled footwear, ligament laxity, and issues with foot function and foot posture.
Are they genetic?
Some studies have shown a genetic element to bunion formation, however there are other factors involved.
How bad will they get?
Bunion progression is difficult to predict, however the stability of the joint and x-rays can give us an indication. The continued use of high heeled or ill-fitting footwear can result in worsening of the condition.
When should I consider surgery?
Not all bunions require surgery. I generally only recommend surgical intervention where there is pain or deformity present, that is affecting or has the potential to affect quality of life. Examples of this include; regular pain that is limiting activity, large bony growth that is causing difficulty with shoe fit, persistent corns or callous as a result of deformity, or toe overlap/underlap issues.
However, there are many treatment options available before considering surgery, even if the above issues apply.
What can I do now?
If you have noticed any changes, think you have a bunion, or are concerned regarding bunion prevention, it is important to have a comprehensive assessment with a Podiatrist.
In the consultation we can assess foot function and posture, joint condition, footwear, and rule out associated injuries or conditions that may be contributing to your concerns.
We are able to provide treatment options to address any issues identified, and if required, can refer off for a surgical opinion.
If you wish to book an appointment at Active Health Podiatry, click here for online bookings or give us a call on 8370 2356.