Bunions – Common Causes and Treatment Options


hi my name is Pete Deal I'm one of the

orthopedic foot and ankle specialist

here at panorama orthopedics and I'm

going to talk to tell you about bunions

so bunions are caused by a number of

different things genetics is probably

the biggest part of it

however types of shoes that you wear

activities or other injuries you've had

in the past could all influence the

occurrence of a bunion or cause a bunion

that's small to develop into a larger

one we get asked often if there's

anything to do to prevent bunions from

forming and generally there's not a

really great answer for that most of the

time we try to have people to protect

their feet by wearing good shoes and

paying attention to any pressure that's

being placed on the toe if people do

don't develop bunions we start with the

easy conservative measures first to

hopefully avoid that from progressing

but that's not always successful and

sometimes if we end up going on to

surgery that will help to ensure that

that bunion isn't as much of a problem

down the road

Mayans are generally pretty painful they

start off mild and they can get worse

bunions come in all sorts of sizes and

shapes so here's a bunion and we've got

the prominence on the inner side of the

toe pushing out and usually that's where

people will have friction or that will

rub on their shoe as it bun uniforms

this metatarsal will start to swing over

and that allows the distal part or the

farthest part of the toe to swing over

and usually you'll start to rub on that

second toe so that bunion actually

involves the whole process of all three

bones with the joint in the middle

that's the biggest issue as a bunion

gets more symptomatic and starts to rub

on your shoe that's the time to start

looking at things that we can do so we

first start treating bunions we start

with a lot of the easy things there's

different devices we can use some called

toe sleeves or toast spacers

there's also bunion splints which we can

use to wrap around the toe to pull it

over they generally work really well

when you're wearing them but as soon as

you take it off the budget can come back

so those are more for people who can

tolerate wearing them in a shoe that

doesn't interfere with their activities

and some people need to go on to surgery

when we look at surgery try to tailor

the particular surgery to the individual

because there's a lot of different

options so that will involve correcting

both the alignment of the bones the

joint and sometimes even correcting or

tightening the

like nuts the recovery from surgery is

going to vary depending upon the

particular surgery that's chosen again

that's tailored to the individual so

sometimes we'll allow people to go into

a boot immediately after surgery to

start walking on it but there are some

cases where we have to be very careful

to protect the bunion and we don't allow

people to walk on it for the first few

weeks until we know it's safe to do so

the techniques and the ways that we

correct bunions now have gotten to the

point where we're doing them with less

invasive techniques and the recoveries

are not as lengthy so it's important to

talk to your physician about what we can

do now to make the bunion recovery

easier than what it's been in the past