Bunions

HALLUX VALGUS ( BUNION )

Hallux Valgus is a deformity of the big toe generally attributed to the forcing of a foot into a shoe with a pointed toe and high heel. There are other concepts regarding the etiology of a bunion but most medical professionals agree that footwear plays a major role in the development of this condition. It is common to see the deformity among women but is seldom seen among men.

When the foot is forced into a high-heeled shoe with a pointed toe and permitted to pronate the first toe deviates increasingly in a lateral direction. Once the process is started forces to the foot anatomy promote further valgus deformity. A swollen inflamed bursa is common at the first metatarsal head.

Treatment should always be individualized and depends upon many factors such as age of the patient, degree of deformity, etc. Conservative measures dictate the use of footwear with a wide and deep toe-box to accommodate the deformity and one designed to
minimize pronation. Occasionally molded shoes that prevent pressure being placed on the deformity are prescribed. A metatarsal or transverse arch support may afford relief. Finally, and as a measure of last resort, surgical intervention may be necessary.

For those affected with this condition there is relief available but as with other physical ailments it is best to see a medical professional for an appropriate diagnosis and treatment recommendations.