But the most common culprit is genetics. You probably inherited a foot shape and biomechanics that puts excess pressure on the big toe. We recommend seeing a podiatrist who can make an evaluation and help with nonsurgical measures. Properly fitted shoes and shoe inserts with arch support are the place to start. Shoe size and width can change with age, so make sure your shoes are the right size. Choose shoes that have a good heel counter and room for a shoe insert.
Every time you take a step, you put about one-third of your body weight on the long bones in the middle of the foot that connect to the bones in the toes. There are more than surgeries for bunions.
It's not clear which type of surgery is best. Surgery needs to be tailored to your condition. More than one procedure may be done at the same time. It's not clear how well surgery works or which surgery is best. How well the surgery works depends on how bad your bunion is, the type of surgery you have, and the surgeon's experience.
How well surgery works also depends on what you expect. After surgery, you won't be able to wear some types of shoes.
For example, you will need to avoid high heels and narrow shoes. Your toe may be stiffer and less flexible compared to your other foot. These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.
I was really surprised when I read that fewer people have painful bunions in parts of the world where they don't wear shoes. I guess I didn't realize how much my choice of shoes was affecting my foot until the pain got so bad that I asked my doctor about it.
She asked what kind of shoes I usually wear and if I had tried wearing shoes with a lower heel and more room in the toes. I was skeptical. I mean, women have been wearing heels for decades! But I told her I would try it for 1 or 2 months and see what happens. I'm not much into surgery if I can avoid it at all. The dress code at my company requires women to wear suits, preferably with skirts and heels.
Although I have switched to the lowest possible heel with the widest toe box, my bunion is still really painful. I can control the pain with anti-inflammatories, but the medicine irritates my stomach. I'm going to have surgery to see if I'll be able to cut back on the medicines and have less pain. I'm an active person. I like to run and hike. My bunion is making this difficult, but I really don't like the idea of surgery.
For the time being, I'm making changes in my shoes. I've cut my running shoes to make room for my bunion and use pads in my hiking boots. I've also made sure my work shoes are roomy and comfortable so I don't make things worse. So far, this has been working. I really enjoy my daily walks with my two dogs, but lately it has been pretty painful. My bunion rubs on the top of my walking shoe and feels like it's going to wear a hole right through it. I've thought about cutting a hole in the shoe, but that doesn't seem like a reasonable option for every pair of shoes.
It's important to me to be able to keep walking comfortably, and my doctor tells me that my type of bunion has an excellent chance of successful repair.
I'm going to have surgery. Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements. I've already tried wearing roomy shoes, pads, and cushions. These treatments haven't worked. Now that you've thought about the facts and your feelings, you may have a general idea of where you stand on this decision.
Show which way you are leaning right now. How sure do you feel right now about your decision? Use the following space to list questions, concerns, and next steps.
Here's a record of your answers. You can use it to talk with your doctor or loved ones about your decision. My pain isn't too bad, and I'm still able to do my daily activities. I haven't tried other treatments yet. I think they might work for me. Health Home Treatments, Tests and Therapies. Other factors may influence the choice of a procedure used: Mild bunion.
For this type of surgery, the surgeon may remove the enlarged portion of bone and realign the muscles, tendons, and ligaments surrounding the joint. Moderate bunion. For a moderate bunion, the surgeon may cut the bone and shift it to its proper position.
Whether or not the bone is cut depends on the severity and location of the deformity. In addition, the surrounding tendons and ligaments may need to be repositioned. Severe bunion.
For a severe bunion, surgery may involve removing the enlarged portion of the bone, cutting and realigning the bone, and correcting the position of the tendons and ligaments. Arthritic bunion or big toe joint. If the joint is damaged beyond repair, as is often seen in arthritis, it may need to be fused. This allows the bones to heal together and eliminate movement and pain. Occasionally, joint replacement implants may be used in the reconstruction of the big toe joint.
Why might I need bunion surgery? There may be other reasons for your healthcare provider to recommend bunion surgery. What are the risks of bunion surgery? Some possible complications may include: Stiffness Numbness Swelling Delayed healing Infection Other complications may include recurrence of the bunion, nerve damage, and continued pain.
How do I prepare for bunion surgery? You may be asked to fast for 8 hours before the procedure, generally after midnight. What happens during bunion surgery? Generally, bunion surgery follows this process: You will be asked to remove clothing and will be given a gown to wear. An intravenous IV line may be started in your arm or hand.
The skin over the bunion will be cleansed with an antiseptic solution. What happens after bunion surgery? Patients considering bunion surgery should understand the following about surgical treatments of bunions and also dispel some common misperceptions or myths about bunion surgery:. This is simply not true. Patients must have realistic expectations. Bunion surgery can be helpful at relieving pain, but patients should not expect to have "perfectly normal" feet after surgery.
And surgery cannot make your foot fit into a 4 inch heeled shoe comfortably. Again, simply not true. Bunion surgery is not particularly "more" painful than other surgeries. There is pain after surgery, but most patients only require narcotic pain medication for a few days after surgery then use anti-inflammatories to control their discomfort and swelling.
Foot surgery, in general, can lend itself to increased pain post-operatively because the foot is below the level of the heart and blood can rush to the area, causing a throbbing feeling. This can be well controlled with a post-operative pain management program. Again, not true. A majority of patients are satisfied with their outcome after bunion surgery.
Recurrence is possible, but not particularly likely. And, return of a bunion is not necessarily a complication, but something that can happen over time.
0コメント