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Bunion

The procedure done to remove bunions is called bunions surgery.

A bunion is a bony bump situated at the base of the big toe.

It is a type of bone deformity that can be very uncomfortable.

When the condition becomes extremely painful or uncomfortable, bunions surgery is often recommended.

Bunions can be attributed to a lot of factors.

However, one of the common reasons for the condition can be attributed to wearing of footwear that puts too much strain and pressure in the toe area.

Shoes that are too narrow, too small, or too uncomfortable might lead to the development of bunions.

Research shows bunions are more common in females than in males.

While bunion surgery is the option when the condition does not respond to conventional treatments, others have it done for aesthetic purposes.

Fortunately, bunion surgery offers a host of other benefits.

Bunion Surgery

Preparation

Just like any surgical procedure, preparation is necessary in bunion surgery.

Medical tests and examinations will have to be conducted to help ensure you are fit to undergo the procedure.

Your surgeon or doctor will likely check your blood, heart function, and urine, among others. An X-ray of the lungs might also be needed.

Prior to the surgery, you will likely be asked to stop taking certain medications.

During the surgery, local anesthesia will be administered.

In most cases, you will be conscious the entire duration of the surgery.

There are several types of bunion surgery.

The most common are arthrodesis, exostectomy, and osteotomy.

Arthrodesis – your surgeon will replace the joints that are damaged using screws and metal plates. The procedure is often done in order to correct the deformity.

Osteotomy – in order to realign and restore the joint of the big toe, an incision will be done in the area.

Exostectomy – the bunion is removed from the joint but no realignment is done.

After the surgery, the affected foot will be wrapped in a bandage and patient will be taken to the recovery room.

Vital stats will be monitored and if all is well, patient will be allowed to go home after a few hours.

Recovery

Typically, recovery from bunion surgery can range from six to eight weeks.

However, full and functional recover will take as long as four to six months.

While recovering, refrain from getting the stitches wet and putting any pressure on the operated area.

Once the bandage is removed, you will likely be advised to wear a brace to support movement while you are recovering or until fully healed.

To hasten healing and to alleviate pain, icing the affected area is recommended.

Also, in order to help facilitate faster healing, refrain from wearing high heels. Instead, opt for comfortable footwear at all times.

While not everyone may be aware of it, not all cases of bunion will require surgery. That being said, it would be best to check with the experts at www.bjios.sg to know the best treatment alternative for your case.

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Bunion or Hallux valgus is a condition characterized by a body deformity of the joint situated at the big toe’s base.

Depending on the condition’s severity, treatment alternatives can range from taking painkiller medications to having bunions surgery.

Symptoms

Telltale symptoms of bunions include:

  • Pain and inflammation of the joint of the big toe
  • A swollen bump situated on the outside edge of the foot
  • Callused and red skin on the affected toe
  • Sore skin on the top of the area affected
  • Noticeable changes in the foot’s shape

Sans proper attention and treatment, the condition can worsen and may even require bunions surgery.

Causes

While no exact causes for bunions are known, there are probable causes that have been identified.

Some of the likely causes include:

Arthritis

Bunions has been associated with the following types of arthritis:

Psoriatic arthritis – associated with psoriasis, a known skin condition

Gout – this type typically affects the big toe

Rheumatoid arthritis – swelling and pain of the join can be attributed to the joint lining being attacked by the body’s own immune system

Genetics

If you have family members that have bunions, you have a relatively higher risk of also developing the condition.

However, it will not always follow that if someone in the family has it, everyone in the family will also have it.

Other possible causes

Poor fitting shoes

Wearing of footwear that is too tight has been known to contribute to the development of the condition.

For those who already have the condition, poor choice of footwear can no doubt make the condition even worse.

Treatment Options

Noninvasive treatment options are almost always the first resort when treating the condition

Non-surgical treatment alternatives

Noninvasive treatment options are almost always the first resort when treating the condition.

However, while non-surgical treatment alternatives can do much when it comes to alleviating both the discomfort and the pain, it won’t do much when it comes to preventing the condition from escalating over time.

Non-surgical treatment options include:

Painkillers

When the bunion is painful, over-the-counter painkillers are prescribed.

Paracetamol and ibuprofen are classic examples of OTC painkillers.

To play safe, make sure to always read the accompanying information leaflet and follow the dosage recommended.

Bunion pads

Bunion pads are also known to effectively ease pain brought about by the condition.

Reusable bunion pads made of gel or fleece can be easily purchased from pharmacies nowadays.

Bunion pads offer comfort by helping ensure your foot does not rub against your shoe.

Minimizing rubbing can help significantly reduce both pain and pressure.

Orthotics

Orthotics are typically placed inside the shoes and will work by helping realign the foot’s bones.

Orthotics has also been known effective in reducing the pain since it helps minimize pressure on the feet.

However, no evidence has been available yet when it comes to the effectiveness of orthotics even when used for long periods.

Surgery

If the bunion is very painful and already affects the patient’s quality of life, bunion surgery would be the recommended (and ideal) treatment recourse.

The surgery will be carried out in order to ease the pain and correct the alignment.

Nowadays, bunion surgeries are done as an outpatient procedure.

A general or local anesthetic will be used but the patient will not be required to stay in the hospital.

Different types of bunion surgeries

There are numerous surgical procedures for the treatment of bunions.

The procedure chosen will depend on the severity of the condition.

Some of the most common surgical procedures include:

Arthrodesis

This procedure is often considered ideal for those with advanced joint degeneration and severe deformities.

The procedure will entail fusing together the two bones in the big toe joint.

Post-surgery, patients would no longer be able to wear high heels as it would limit the movement of the big toe.

Osteotomy

This type of surgery for the bunion is deemed one of the most common.

The procedure involves cutting and removing a portion of the affected toe’s bone.

After the bony lump is removed, the bones will be realigned.

Bunions can worsen over time without proper management. Steer clear of the discomfort and pain bunions can bring by getting in touch with the experts at www.bjios.sg.

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bunion is the term given to the bony bump that develops at the big toe’s base

In essence, bunion is the term given to the bony bump that develops at the big toe’s base.

Wearing of footwear that is too small or narrow is considered one of the most common culprits of the painful condition.

There are more cases of bunions in women than in men.

When the condition does not respond to noninvasive treatments, surgery might be recommended to correct the deformity.

Removal of the bunions is sometimes referred to as bunionectomy, hallux valgus (Latin term for “foot deformity”) removal, or bunions surgery.

Bunion Surgery

To help alleviate the pain brought about by bunion, some wear shoes that are larger than their feet size.

Others find comfort when wearing protected pads.

Unfortunately, there will be instances when even making significant lifestyle adjustments won’t be able to improve the condition.

In similar scenarios, bunions surgery might become the best treatment option.

Some cases that might require bunion surgery can include the following:

  • Patient experiences severe pain. The pain and discomfort can make the performance of daily routine and activities extra challenging.
  • Patient can no longer walk without experiencing pain.
  • The big toe is still swollen and painful even after proper rest and medication.
  • Straightening or bending the toe is no longer possible.

For patients who are possible candidates for bunion surgery, discussing the condition as well as the procedure with the doctor is highly recommended.

A discussion with the doctor is important so both parties can decide on the kind of surgery to be performed to correct the condition.

To accurately diagnose the condition, an X-ray of the affected foot might be recommended.

While unknown to many, there are more than 100 different types of bunion removal procedures that can remove the bunion and realign the big toe.

However, oftentimes, the kind of bunion removal surgery will depend on the progression as well as the size of the bunion.

Preparation

Before the surgery, it will be likely that patients will be asked to undergo a few tests to assess their overall health status.

A cardiogram (to check heart function), X-ray of the lungs, blood and urine tests might also be suggested to check for other possible underlying conditions.

Patients taking blood thinning and other medications will most likely be asked to refrain from doing so at least a few days before the scheduled surgery.

After the surgery, patients are often already allowed to go home once the anesthesia has worn off.

Fasting might also be recommended but it will be determined based on the starting time of the scheduled procedure so it would be best to check with your doctor on this.

As a general rule of thumb, it would be best to ask for a list of dos and don’ts and make sure you strictly adhere to them so likely complications that will arise can be avoided.

Procedure

In most cases, general anesthesia will not be required during bunion removal surgery

In most cases, general anesthesia will not be required during bunion removal surgery.

Oftentimes however, a local anesthetic known as ankle block will be given.

It works by numbing the area situated below the knee.

The surgeon will proceed with the bunion removal and other necessary repairs once the knee is numb.

While there are several types of bunion removal surgeries, the following are three of the most common:

Osteotomy

The joint of the big toe is cut and realigned.

Exostectomy

No alignment is done but removal of the bunion is performed.

Arthrodesis

Metal plates or screws are used to replace the damaged joint and to correct the deformity.

Patient will be taken to the recovery room right after the surgery.

The blood pressure and heart rate will also be monitored while waiting for the anesthesia to wear off.

Fortunately, in most cases, patients can already go home after a couple of hours or so.

Recovery

Recovery from the surgery will usually take 6 to 8 weeks.

However, it will take at least 4 to 6 months for full recovery to take place.

Patients will have to wear a surgical boot or a cast for at least 2 weeks after the procedure.

For more information about bunion and the procedure appropriate for your case, visit www.bjios.sg now.

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A bunion is characterized by an unnatural and bony hump that develops in the big toe’s base.

It is also sometimes referred to as hallux valgus.

The condition may sometimes result to calluses and can be very painful.

Treatment options for the condition can vary.

It can also range from over-the-counter medications to bunions surgery.

Causes

Some experts believe that narrow, tight, and high-heeled shoes can contribute to the development of bunions.

Other likely causes can include:

  • Inherited foot type
  • Injuries of the foot
  • Congenital deformities

Symptoms

Bunion has several symptoms.

Some of the most common include:

  • Soreness, swelling, and redness in the area affected
  • Bulging bump on the outside of the base of the big toe
  • Thickening of the skin found at the base of the big toe
  • Corns or calluses
  • Persistent or intermittent pain
  • Limited movement of the big toe

Diagnosis

While it’s easy to diagnose bunion based on the unusual shape and the pain, in some instances, other tests might be needed.

For example, the doctor might recommend an X-ray to assess the extent of the deformity.

Blood tests might also be necessary to check if the pain can be the result of a certain kind of arthritis.

Depending on the evaluation, the doctor will decide if orthopedic shoes, medications, custom made inserts, or bunions surgery might be the right treatment option.

While majority of the cases will not require medical treatment, seeking medical attention might become necessary if the following symptoms are present:

  • Persistent big toe or foot pain
  • Bump on the joint of the big toe
  • Limited movement of the big toe or foot

Risk Factors

Some of the most common risk factors for bunion include:

  • High heels – wearing footwear with high heels can force the toes into the front, crowding them in the process
  • Arthritis – pain secondary to arthritis can affect the way an individual walks and can make them more prone to developing the condition
  • Heredity – individuals with structural foot defects that are inherited may be more susceptible to developing the condition

Treatment Options

To reduce swelling and inflammation, over-the-counter pain relievers might be prescribed.

In some instances, a heating pad or a warm foot bath might also offer the much needed relief from the pain and discomfort.

If pain is not consistent and the condition is in its early stage, using the right footwear might be able to help.

Doctors may also suggest using bunion pads, shoe inserts, and splints as long as it will not put pressure someplace else or cause other foot issues.

Surgery for bunions or bunionectomy can also become the likely treatment option for several cases.

Generally, procedure will involve removal or realignment of the soft tissue and the bone.

The primary goals are relieving pain and restoring normal alignment.

Small wires, plates, and screws may be utilized to help hold the bone in place.

In most instances, regional anesthetic is used during the procedure.

Sedatives may also be used.

Typically, the surgery can last an hour or more.

Bunion Surgery Types

There are more than 100 types of bunion surgeries.

However, no type is considered best as surgeries would need to be specific to the condition being treated.

Some of the most common types of bunions surgery are:

  • Exostectomy – this entails removing part of the metatarsal head
  • Realigning of the soft tissues (ligaments) located around the joint of the big toe
  • Arthrodesis or fusion of the big toe joint
  • Osteotomy – involves creation of small cuts in the bones so it can be moved in a normal position
  • Implant insertion of artificial joint

For help with bunions, please visit www.bjios.sg.

 

 

 

 

 

 

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