Simply removing the “bump” without realigning the first metatarsal will not provide lasting relief proper weight bearing in the foot will not be restored, and the bunion will recur. ![]() After performing an osteotomy (cutting across the bone) to restore normal alignment and foot mechanics, screws are used to secure the bone during healing. However, in patients whose bunions are progressing and impacting other areas of the foot, a surgical procedure that realigns the first metatarsal may be needed. If a bunion is primarily an inconvenience or cosmetic concern, finding shoes that accommodate the bunion to relieve discomfort may be advised. The disorder has been found in populations of nonindustrial societies where shoes are not worn. Although wearing tight or pointed shoes can exacerbate bunions, ill-fitting footwear does not cause the condition, which is believed to be hereditary. This can cause not only bunion formation but also crossover toes, hammertoes and metatarsalgia – chronic pain and tenderness in the ball of the foot. Roberts explains the fundamental problem is that, with the angulation of the first metatarsal, the bone does not bear its “fair share” of the body’s weight. Metatarsal, widening of the forefoot, and prominent bunion.ĭr. Forefoot anatomy, showing deviation of the first With overlying soft-tissue thickening and bone spur formation, the protruding bunion may gradually enlarge and become more tender with shoe wear.įigure 2. The bunion is the prominent head of the first metatarsal. This widens the forefoot and causes the big toe to be pulled toward the second toe. Also called hallux valgus, a bunion develops when the first metatarsal (the midfoot bone at the base of the big toe) drifts away from the metatarsals of the other toes. Bunions are more than a cosmetic issueīunions, which are seen more frequently in women than in men, are among the most common conditions affecting the forefoot. By following prescribed guidelines for rest and physical therapy, most patients achieve excellent results. Most patients achieve 85% of healing at three months, with gradually diminished swelling and return of full strength in the affected area thereafter. Owing to the demands of weight bearing, and depending on the procedure, recovery from foot and ankle surgery may take several months. In addition, with their pain well controlled, most patients do not require an overnight stay in the hospital. ![]() These anesthesia techniques minimize the need for postoperative narcotic medications. An example is the popliteal nerve block, an injection used in conjunction with other regional anesthesia methods to numb the lower leg for at least 24 hours after foot and ankle surgery. While in the past, postsurgical pain had sometimes been a concern, patients can now benefit from innovative anesthesia methods that combine different modes of pain control techniques to minimize discomfort. ![]() Many injuries and conditions of the foot and ankle can be treated without surgery, but when an operative procedure is needed, recent advances allow orthopedic surgeons to offer a broader range of options than were formerly available. Skeletal structures of the foot and ankle For this reason, it is advisable to seek prompt medical attention for pain or other issues of the foot or ankle.įigure 1. ![]() Roberts, MD, Chief of the Foot and Ankle Service. “An injury or condition that affects one part of the foot or ankle can impact adjacent structures and have a cascading effect that can lead to additional problems,” explains Matthew M. Because the foot and ankle are made up of an intricate, interconnected network of bones, tendons and ligaments that are also weight-bearing, damage to these parts of the body can be quite disabling. Seeking Treatment for Foot and Ankle Problems IntroductionĬommon injuries and ailments affecting the foot and ankle range in complexity from simple ankle sprains to arthritis to traumas that affect multiple structures.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |