At the Gentle Foot Care Clinic in Brandon and Zephyrhills, Dr. Rajnish Manohar sees a lot of patient with various foot conditions. Among the more obvious podiatric conditions are bunions. Dr. Manohar goes into detail about bunions, why they are caused, and what you can do about them.
What Is a Bunion?
A bunion is a “bump” on the joint at the base of the big toe– the metatarsophalangeal (MTP) joint– that grinds when the bone or tissue at the big toe joint moves out of location. The toe is forced to bend towards the others, causing a commonly agonizing swelling of bone on the foot. Because this joint brings a great deal of the body’s weight while walking, bunions can cause severe pain if left untreated. The MTP joint itself may end up being stiff and aching, making even putting on shoes too painful to bear. A bunion– from the Latin “bunio,” indicating enhancement– can likewise occur on the outside of the foot along the little toe, where it is called a “bunionette” or “tailor’s bunion”.
Bunions form when the regular balance of forces that is exerted on the joints and tendons of the foot ends up being interrupted. This disruption can cause instability in the joint and cause the deformity. Bunions are produced by years of abnormal movement and pressure over the MTP joint. They are, for that reason, a signs and symptom of defective foot development and are usually caused by the way we walk and our genetic foot type or our shoes.
Although bunions tend to run in families, it is the foot type that is passed down– not the bunion. Parents who experience poor foot mechanics can pass their problematic foot type on to their kids, who in turn are prone to developing bunions. The abnormal performance triggered by this defective foot development can result in pressure being applied on and within the foot, frequently leading to bone and joint defects such as bunions and hammertoes.
Other causes of bunions are foot injuries, neuromuscular conditions, or congenital defects. People who deal with flat feet or low arches are also prone to developing these issues, as are arthritic patients and those with inflammatory joint illness. Occupations that put excessive tension on the feet are likewise a contributing factor; ballet dancers, for instance, commonly establish the condition.
Using shoes that are too tight or cause the toes to be pressed together is also a typical factor, especially amongst women who wear high heels or other tight-fitting shoes.
The signs and symptoms of a bunion include the following:
- Restricted or unpleasant motion of the big toe
- Development of a firm bump on the outside edge of the foot, at the base of the big toe
- Soreness, swelling, or discomfort at or near the MTP joint
- Corns or other irritations caused by the overlap of the very first and second toes
Diagnosis and Treatment of Bunions
Treatment alternatives vary with the type and severity of each bunion, although diagnosing the bunion early in its development is essential in avoiding a surgical fix. The main objective of a lot of early treatment options is to alleviate pressure on the bunion and halt the progression of the joint deformity.
Dr. Manohar could recommend these treatments for bunions:
- Orthotics: Shoe inserts might work in controlling foot function and may minimize symptoms and prevent the bunion from getting worse.
- Cushioning and Taping: Commonly the first step in a treatment plan, padding the bunion lessens pain and enables the client to continue a regular, active life. Taping helps keep the foot in a typical position, thus reducing anxiety and discomfort.
- Medication: Anti-inflammatory drugs and cortisone injections are commonly suggested to reduce the acute pain and swelling triggered by joint deformities.
- Physical Therapy: Commonly made use of to supply relief of the swelling and bunion pain. Ultrasound treatment is a popular method for treating bunions and their connected soft tissue participation.
- Surgery: This is usually recommended when all other treatments fail or the bunion is too severe. Podiatric surgery could become essential to alleviate pressure and fix the toe joint. The surgery will certainly get rid of the bony augmentation, recover the typical positioning of the toe joint, and relieve pain. For less severe bunions, Dr. Manohar may choose to refer you to a surgeon for a simple bunionectomy, where just the bony prominence is eliminated. Severe bunions may need a more involved treatment, that includes cutting the bone and straightening the joint. Recovery takes some time, and swelling and some discomfort are common for several weeks following surgical treatment. Pain, however, is quickly handled with medications prescribed by Dr. Manohar.
If you have a bunion and would like some pain relief, please contact Dr. Rajnish Manohar at his Brandon office (813) 502-5904 or in Zephyrhills (813) 782-3233. Alternately, you can submit a request by clicking the button below to schedule an appointment.
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Dr. Manohar has been in private practice as a Podiatrist in Zephyrhills since 2001, treating Foot and Ankle Pain including Diabetic Foot Pain and Neuropathy, as well as, providing routine Diabetic Foot Care.
Dr. Manohar is board certified by the American Board of medical specialties in Podiatric Medicine. He is a member of the American Academy of Podiatric Sports Medicine. Dr. Manohar resides in Temple Terrace, Florida.
Dr. Manohar specializes in treating foot and ankle pain, Plantar Fasciitis and Heel spurs, Neuromas, Peripheral Neuropathy, Ingrown toenails, Non healing wounds, corns, calluses, Warts, Cysts, Toenail fungus.
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