What are bunions and how do they develop. Can bunions lead to toe numbness. What are the most effective treatments for bunions. How can you prevent bunions from forming.

Understanding Bunions: A Common Foot Deformity

Bunions are a prevalent foot condition affecting up to one-third of Americans. These bony bumps form on the outside of the big toe, resulting from years of pressure on the metatarsophalangeal (MTP) joint. As the joint gradually misaligns, a visible protrusion develops, medically termed hallux abducto valgus.

Are bunions more common in certain demographics? Indeed, older adults and women are more susceptible to developing bunions. These deformities can affect one or both feet, significantly impacting a person’s mobility and quality of life.

Types of Bunions

• Big toe bunions (most common)
• Congenital hallux valgus (present at birth)
• Juvenile or adolescent hallux valgus (occurring in 10-15 year olds)
• Tailor’s bunion or bunionette (forming on the base of the little toe)

The Root Causes of Bunion Formation

Why do bunions develop? The primary culprits are foot mechanics and structure. Over time, the way you walk or the shape of your foot can cause the big toe to bend inward towards the second toe. This gradual process leads to the formation of bunions.

Can shoes cause bunions? While ill-fitting, narrow shoes and prolonged standing can exacerbate bunion pain, they are not the root cause of the problem. These factors may contribute to discomfort but do not initiate bunion formation.

Risk Factors for Bunion Development

1. Family history of bunions due to inherited foot structure issues
2. Foot injuries
3. Inflammatory diseases like rheumatoid arthritis
4. Flatfeet or other structural foot problems

Recognizing Bunion Symptoms: Beyond the Visible Bump

How can you identify a bunion? The most obvious sign is a red, swollen bump resembling a turnip on the outside of the big toe. Interestingly, the term “bunion” is believed to derive from the Greek word for turnip, reflecting its appearance.

Do bunions cause pain and discomfort? Yes, bunions can lead to various uncomfortable symptoms, including:

• Difficulty bending the big toe or pain when attempting to do so
• Challenges wearing regular shoes comfortably
• Formation of corns or calluses on the affected area
• Development of hammertoes (painful, tight toe tendons and joints)
• Numbness in the big toe

The Link Between Bunions and Toe Numbness

Can bunions cause numbness in toes? Yes, bunions can indeed lead to numbness in the big toe. This occurs due to the misalignment of the joint and potential nerve compression. As the bunion progresses, it may put pressure on nearby nerves, resulting in numbness or tingling sensations.

Is toe numbness always a sign of a bunion? Not necessarily. While bunions can cause numbness, other foot conditions such as Morton’s neuroma or peripheral neuropathy can also lead to similar symptoms. It’s crucial to consult a healthcare professional for an accurate diagnosis.

Diagnosing Bunions: Professional Assessment and Imaging

How are bunions diagnosed? Healthcare providers can often diagnose bunions through a visual examination of the foot. However, to assess the extent of joint damage and bone alignment, X-rays are typically recommended.

Are there any specific tests for bunion-related numbness? While there’s no specific test for bunion-induced numbness, your doctor may perform a neurological examination to assess nerve function in your toes. This can help determine if the numbness is directly related to the bunion or if there are other underlying causes.

Treatment Options: From Conservative Approaches to Surgery

Can bunions be cured? Unfortunately, bunions don’t disappear on their own. However, various treatment options can help manage symptoms and prevent progression. These include:

• Bunion pads and taping for cushioning and alignment
• Footwear modifications to reduce pressure on the toes
• Orthotic devices to address alignment issues
• Pain relievers and anti-inflammatory medications
• Physical therapy and exercises to improve muscle strength
• Steroid injections for pain and inflammation relief
• Surgery (bunionectomy) in severe cases

How effective are non-surgical treatments for bunions? Many people find significant relief through conservative treatments. However, the success rate varies depending on the severity of the bunion and individual factors. It’s essential to work closely with a healthcare provider to develop a personalized treatment plan.

Bunion Surgery: When Is It Necessary?

When should you consider bunion surgery? If conservative treatments fail to provide relief and walking becomes extremely painful, your healthcare provider may recommend a bunionectomy. This surgical procedure involves removing the bunion and realigning the bones to correct the position of the big toe.

What does bunion surgery entail? The specifics of the surgery can vary based on the severity of the bunion and the patient’s individual needs. Generally, it involves:

1. Removing the bony protrusion
2. Realigning the metatarsal bone
3. Adjusting surrounding soft tissues
4. Possible insertion of screws or plates for stability

Is bunion surgery always successful? While bunion surgery has a high success rate, it’s important to note that recovery can take several weeks to months. Additionally, there’s always a small risk of complications or recurrence. Discussing the potential risks and benefits with your surgeon is crucial before deciding on surgery.

Preventing Bunions: Proactive Measures for Foot Health

Can bunions be prevented? While you can’t change your genetic predisposition to bunions, there are several steps you can take to reduce your risk or prevent existing bunions from worsening:

• Wear properly fitting shoes with a wide toe box
• Avoid high heels and shoes that crowd the toes
• Use orthotic inserts to improve foot alignment
• Maintain a healthy weight to reduce pressure on your feet
• Practice foot-strengthening exercises
• Address any underlying foot conditions promptly

How important is proper footwear in bunion prevention? Choosing the right shoes is crucial in preventing bunions and managing existing ones. Opt for shoes that provide adequate support and don’t compress your toes. Remember, your shoes should conform to the shape of your feet, not the other way around.

Foot Exercises for Bunion Prevention

Can exercises help prevent bunions? While exercises alone can’t prevent bunions, they can strengthen the muscles in your feet and toes, potentially slowing the progression of existing bunions. Some beneficial exercises include:

1. Toe spreads: Spread your toes wide, hold for a few seconds, then release.
2. Toe curls: Curl your toes downward, hold, then release.
3. Marble pickup: Use your toes to pick up marbles and place them in a container.
4. Towel scrunches: Place a towel on the floor and use your toes to scrunch it towards you.

How often should you perform these exercises? Aim to do these exercises for about 10 minutes daily. Consistency is key in maintaining foot strength and flexibility.

Living with Bunions: Strategies for Comfort and Mobility

How can you manage daily life with bunions? Living with bunions can be challenging, but there are several strategies to improve comfort and maintain mobility:

• Use ice packs to reduce swelling and pain
• Massage the affected area to improve circulation
• Wear bunion-specific socks or sleeves for protection
• Consider custom orthotics for better support
• Modify activities that exacerbate pain
• Practice good foot hygiene to prevent complications

Can dietary changes help with bunion management? While diet doesn’t directly affect bunions, maintaining a healthy weight can reduce pressure on your feet. Additionally, some people find that an anti-inflammatory diet helps manage bunion-related pain and swelling.

Alternative Therapies for Bunion Relief

Are there any alternative treatments for bunions? Some people find relief through alternative therapies such as:

1. Acupuncture
2. Reflexology
3. Herbal remedies
4. Homeopathy

While scientific evidence for these treatments is limited, some individuals report benefits. Always consult with your healthcare provider before trying alternative therapies to ensure they don’t interfere with your current treatment plan.

The Future of Bunion Treatment: Emerging Therapies and Research

What new treatments are on the horizon for bunions? Researchers are continually exploring new ways to treat bunions more effectively. Some promising areas of study include:

• Minimally invasive surgical techniques
• Advanced 3D-printed orthotics
• Gene therapy to address underlying genetic factors
• Regenerative medicine approaches using stem cells

How might these advancements change bunion treatment? These emerging therapies could potentially offer more effective, less invasive treatments with shorter recovery times. However, more research is needed to validate their safety and efficacy.

The Role of Technology in Bunion Management

How is technology improving bunion care? Advancements in technology are enhancing various aspects of bunion management:

1. 3D scanning for more precise orthotic creation
2. Wearable devices to monitor gait and pressure distribution
3. Virtual reality for pain management and physical therapy
4. Telemedicine platforms for remote consultations and follow-ups

These technological innovations are making bunion care more accessible and personalized, potentially improving outcomes for patients.

Bunions: Causes, Symptoms & Treatment

Overview

What is a bunion?

A bunion is a bump that forms on the outside of the big toe. This foot deformity occurs from years of pressure on the big toe joint (the metatarsophalangeal, or MTP, joint). Eventually, the toe joint gets out of alignment, and a bony bump forms. The medical term for bunions is hallux abducto valgus.

Who might get a bunion?

Up to one in three Americans have bunions. The foot problem is more common in older adults, especially women. Bunions can form on one or both feet.

What are the types of bunions?

Bunions on the big toe are the most common. Other types include:

• Congenital hallux valgus: Some babies are born with bunions.
• Juvenile or adolescent hallux valgus: Tweens and teens between the ages of 10 and 15 may develop bunions.
• Tailor’s bunion: Also called a bunionette, this bunion forms on the outside base of the little (pinky) toe.

What causes bunions?

Pressure from the way you walk (foot mechanics) or the shape of your foot (foot structure) causes your big toe to bend in toward the second toe. Bunions happen gradually over time. Standing for long periods and wearing ill-fitting, narrow shoes can make bunion pain worse, but they don’t cause the problem.

What are the risk factors for bunions?

You may be more likely to get a bunion if you have:

• Family history of bunions due to inherited foot structure problems, like flatfeet.
• Foot injuries.
• Inflammatory diseases, such as rheumatoid arthritis.

What are the signs of bunions?

A bunion resembles a turnip — red and swollen. In fact, some sources say the word bunion comes from the Greek word for turnip. Other symptoms include:

• Inability to bend the big toe, or pain and burning when you try to bend it.
• Difficulty wearing regular shoes.
• Corns or calluses (thickened skin).
• Hammertoes (painful, tight toe tendons and joints).
• Numbness in the big toe.

Symptoms and Causes

What causes bunions?

Pressure from the way you walk (foot mechanics) or the shape of your foot (foot structure) causes your big toe to bend in toward the second toe. Bunions happen gradually over time. Standing for long periods and wearing ill-fitting, narrow shoes can make bunion pain worse, but they don’t cause the problem.

What are the risk factors for bunions?

You may be more likely to get a bunion if you have:

• Family history of bunions due to inherited foot structure problems, like flatfeet.
• Foot injuries.
• Inflammatory diseases, such as rheumatoid arthritis.

What are the signs of bunions?

A bunion resembles a turnip — red and swollen. In fact, some sources say the word bunion comes from the Greek word for turnip. Other symptoms include:

• Inability to bend the big toe, or pain and burning when you try to bend it.
• Difficulty wearing regular shoes.
• Corns or calluses (thickened skin).
• Hammertoes (painful, tight toe tendons and joints).
• Numbness in the big toe.

Diagnosis and Tests

How are bunions diagnosed?

Your healthcare provider can diagnose a bunion by looking at it. You may also get X-rays to check for joint damage and bone alignment.

Management and Treatment

How are bunions managed or treated?

Bunions don’t go away. Treatment often focuses on relieving symptoms and may include:

• Bunion pads and taping: Over-the-counter bunion pads can cushion the area and ease pain. You can also use medical tape to keep the foot in the correct position.
• Footwear changes: Switching to shoes with wide, deep toe boxes can take pressure off of your toes. You may be able to use a stretching device to widen shoes you already own.
• Orthotic devices: Over-the-counter or custom-made shoe inserts (orthotics) can help to control alignment issues such as pronation that may be contributing to bunion formation. You can also place a spacer between the big toe and second digit. Some people find relief by wearing a splint at night to keep the big toe straight.
• Pain relievers: Nonsteroidal anti-inflammatory drugs (NSAIDs) both oral and topical can be combined with ice packs help with pain and swelling.
• Physical therapy: Massage, physical therapy and ultrasound therapy can break up soft-tissue adhesions to reduce pain and inflammation. There are actually exercises that can help improve muscle strength around the bunion and can modestly improve alignment.
• Injections: Steroid injections may reduce pain and swelling but may also be damaging if used too often or injected into the joint itself. This is often a late treatment of bunions when trying to avoid surgery.
• Surgery: If nonsurgical treatments don’t help, and walking becomes extremely painful, your provider may recommend surgery. This procedure is called a bunionectomy. Your provider removes the bunion and realigns bones to bring the big toe back into the correct position.

Prevention

How can I prevent a bunion?

Proper-fitting footwear is key to preventing bunions or keeping an existing bunion from getting worse. Your healthcare provider can offer tips on how to select appropriate shoes. In general, you should buy shoes with a wide toe box and soft soles. Avoid shoes that are narrow and pointed at the tip, and high heels that put pressure on the front of the foot. If you have flatfeet or another inherited structural foot problem, custom-fitted orthotics can help prevent, or slow the progression of, bunions.

Outlook / Prognosis

What are the complications of bunions?

Having a bunion may increase your risk of:

What is the prognosis (outlook) for people with bunions?

Without the right care, like changing your footwear or using orthotics, bunions can get worse over time. If you have severe pain when you walk or stand, you may become sedentary (inactive), which isn’t good for your health or quality of life. Most people get symptom relief with over-the-counter aids or through treatments at a medical office. If needed, surgery can help.

Living With

When should I call the doctor?

You should call your healthcare provider if you experience:

• Difficulty walking.
• Lack of movement in the big toe.
• Severe inflammation or redness in toe joints.
• Signs of infection after surgery, such as fever.

What questions should I ask my doctor?

You may want to ask your healthcare provider:

• Why did I get a bunion?
• What are the best treatments for bunions?
• What can I do to lower the risk of getting a bunion on my other foot?
• How can I lower the risk of other foot problems like calluses and corns?
• What complications can occur if I do not treat my bunion?

A note from Cleveland Clinic

Bunions are very common. While over-the-counter bunion pads and pain relievers ease symptoms, you should see a healthcare provider. Your provider can recommend other treatment options, such as shoe gear modifications, physical therapy, medications and orthotics. Treatments can reduce pain and stop bunion symptoms from getting worse. If the pain becomes severe, surgery to remove the bunion and realign the big toe can help you get moving again.

Here’s How Bunions Affect Your Overall Health: Go Feet: Podiatrists

If you have a bunion, you know the inconvenience they cause. These bumps at the base of the big toe form when the first metatarsal bone turns outward and the big toe points inward. As a result, your joint pushes out to the side in a deformity clinically known as hallux valgus.

Certain people, particularly women, have a genetic predisposition to developing bunions. Wearing tight, pointed shoes certainly doesn’t help. At Go Feet, we can help you manage bunions before they start to cause long-term health issues. The following are some of the issues you may encounter because of a bunion.

Impaired foot function

Bunions develop slowly over time. But, as the bunion gets larger, it can seriously affect how your foot works. You experience redness, swelling, tenderness, and pain at the base of the big toe, and it can migrate to the ball of the foot.

Your bent big toe may put pressure on your other toes, causing damage such as hammertoes or corns. You may also develop ingrown toenails and calluses on the bottom of the feet.

Constantly shifting your weight to take pressure off the irritated joint can lead to serious pain in the ball of the foot, a condition called metatarsalgia. You may find many shoes uncomfortable as they put pressure on the bunion. This affects many activities, even walking. You may find, as your bunion grows, that walking normally in otherwise comfortable flats causes persistent, unrelenting pain.

Sedentary living

Bunions can discourage an active lifestyle, as walking and participating in other activities that put pressure on your feet are just plain painful. As you get older, bunions are more likely to form – a time when you benefit tremendously from the camaraderie and health benefits of physical activity.

A sedentary lifestyle puts you at greater risk of weight gain and chronic disease development. You are also more likely to suffer depression. Severe bunions can seriously interfere with the quality of life – making simple chores, such as just going to the store, unpleasant.

Foot arthritis

Your big toe joint has a higher chance of developing arthritis as a result of bunions. Because the joint is out of alignment, the friction on your bones is unusual, damaging the cartilage. When the cartilage wears thin or wears away completely, bone-on-bone pain results in stiffness and inflammation associated with arthritis.

Gait dysfunction

Your big toe may be a small part of your body, but it plays a big role in helping you maintain balance and a proper gait. As your bunion grows, it affects the way your foot strikes the ground and how you distribute your weight. This can lead to problems that creep up the kinetic chain to the knees and hips. Bunions also throw off your balance and can cause falling, especially for the elderly.

At Go Feet, we take conservative approaches to treatment first, offering padding and taping to minimize pain. Medication and physical therapy can also reduce inflammation and bunion pain. A customized orthotic may also help with the side effects of gait and foot strike misalignment.

Surgery to remove the bony protrusion, a bunionectomy, is also a possible treatment for severe cases. If you have a bunion beginning to form, don’t wait until it becomes so serious that surgery is the only option. Proper management and treatment can help you avoid the painful complications of the deformity and delay invasive treatments. Call Go Feet for an appointment, or book using this website.

Bunion symptoms & treatments – Illnesses & conditions

A bunion (hallux valgus) is a deformity caused by the base joint of the big toe developing sideways. This pushes the bones of the big toe towards the smaller toes.

If you have a bunion, try to stay positive. There’s a lot you can do to help yourself.

What causes a bunion?

Bunions can be caused by:

• a genetic (hereditary) tendency to have a weakness of this joint
• a joint problem such as osteoarthritis or rheumatoid arthritis

In most cases it isn’t clear why a bunion develops.

Bunion symptoms

Bunion’s can cause:

• pain and stiffness of the big toe joint
• swelling of the big toe joint – the foot may become so wide it can be difficult to find wide enough shoes
• difficulty walking
• arthritis in the big toe

Most symptoms settle with time.

Tight or badly fitting shoes

Wearing tight or badly fitting shoes puts extra pressure on the big toe joint and causes friction on the overlying skin. This tends to make the problem worse.

The skin over the bunion can also rub on the inside of your shoes. This can cause the skin and tissues over the big toe joint to thicken and become inflamed, swollen and painful. Sometimes a fluid filled sac (bursa) develops over the joint.

How they’re diagnosed

To diagnose a bunion, a healthcare professional will ask you about it and examine your big toe.

Other investigations may be considered, these can be discussed with your healthcare professional.

Treating bunions

Wearing the right footwear is one of the best things you can do to help.

Choose flat wide shoes that fit you properly. Ones with laces or an adjustable strap are best as they can adjust to the width of your foot.

Avoid high-heeled, pointed or tight shoes.

Bunion pads

Bunion pads can give you some protection from the pressure of your shoes.

You can usually buy these from pharmacies, chiropodists and podiatrists.

Medication

Many people take medication to cope with their pain and symptoms, and help them remain active.

You may be prescribed pain medication to ease the pain. Make sure you take any medication as prescribed, and get advice from a GP, pharmacist or suitably trained healthcare professional.

Surgery

You may be referred for assessment by an orthopaedic or podiatric surgeon if other treatments don’t help and your bunion is very painful.

An operation won’t return your foot to normal but most people find it reduces their symptoms and improves the shape of their foot.

Other intervention

There are other health interventions which may be more appropriate for your condition. These can be discussed with your healthcare professional.

Work

If you have a bunion try to stay at or get back to work as soon as possible. You don’t need to be fully pain and symptom free to return to work.

Research shows the longer you’re off work the less likely you are to return.

Fortius Clinic – Bunion Surgery

There are many types of bunion surgery but the most common are ‘scarf osteotomy’ and ‘chevron osteotomy’, both of which are carried out at the Fortius Clinic.

What does it involve?

Bunion surgery is usually carried out as a day case procedure under a general anaesthetic along with an injection into the foot to numb it and reduce pain after the operation.

During the procedure the surgeon will usually make two incisions (cuts) around the big toe and remove the bony bump on the side of the foot, realigning your toe. The metatarsal bone is then cut (known as an osteotomy ) to reposition the bones and effectively narrow your foot. The osteotomy is held in place with small metal screws that remain in the foot.

Recovery

Immediately after surgery:

• Your foot will be bandaged, numb and pain free
• Your specialist will be able refer you to a physiotherapist to advise on exercises and walking in the padded stiff shoe supplied
• Before you go home, you will have an X-ray and you will be discharged only when you are comfortable, with a follow-up appointment and painkillers if required

During the first few weeks:

• Elevate your foot (above the level of your heart) as much as possible to reduce swelling
• Move around only when you need to, for example to wash or use the toilet. Don’t put weight on the operated leg
• Some blood ooze can be expected in the bandage. If you are worried, contact the Fortius Clinic for advice
• Take painkillers as prescribed by your doctor
• Avoid smoking

Follow-up appointments:

Everyone is different, so healing and post-operative programmes vary from person to person. However, the schedule of follow-up appointments below is typical:

• 2 weeks – your bandage will be removed and you will be given a toe splint and special shoe to support your toe
• 6 weeks – your hospital shoe and toe splint will be removed and you will have an X-ray
• 12 weeks – final appointment and discharge

When can I start to walk?

Your surgeon will be able to advise you about this, as every case is different. However, below is a guide to what may be advised:

• 0-6 weeks – you will be able to weight bear in a hospital shoe
•  After 6 weeks – you will be able weight bear in your own shoes

How do I wash and shower?

For the first two weeks after surgery, it’s important to keep the bandaging totally dry although you can shower with a waterproof cover over the plaster. After two weeks, you can remove the cover if the wound is healed, but gently dab the wound dry and then re-apply your toe splint.

How should I look after the wound?

Once out of bandaging, don’t pull at your scabs but let them fall away naturally. If your wound becomes red, swollen or sore, contact the Fortius Clinic and arrange to see your consultant to check it’s not infected.

Physiotherapy and rehabilitation

You will be referred to a physiotherapist who can guide you through the stages of rehabilitation including gait re-education (learning to walk correctly again), toe mobilisation exercises, swelling reduction and reducing muscle tightness.

When can I start to drive again?

The DVLA states that it’s the responsibility of the driver to ensure they are always in control of the vehicle. A good guide is if you can stamp down hard with the foot to stop the car during an emergency stop. Being able to do this can take at least six weeks.

Although your specialist will advise you about when it’s safe to start driving again, it remains your responsibility to drive safely and you should also check with your vehicle insurer to confirm you are covered.

When can I return to work?

This depends on the type of work you do and how quickly you recover. As a general guide, if your job involves sitting down for most of the time, you should be able to return to work after four weeks; if it involves manual work, you may need to have up to eight weeks off.

What long-term outcome can I expect after surgery?

This is a very successful procedure, with 90% patient satisfaction rates. You can expect:

• Excellent pain relief once the toe has healed, which can take up to six weeks
• A good level of activity by three months
• To have fully recovered by six to 12 months and be able to carry on with your normal sports and other activities, although you may experience some swelling in the foot for up to a year

What are the risks?

Below is a guide to the risks of this type of surgery. However, your surgeon will discuss these with you before your procedure, and answer any questions you may have:

• Infection
• The risk of infection is around 1% although this can usually be effectively treated with antibiotics. Serious problems caused by infection are very rare and can be treated
• Nerve damage
• Nerves that supply feeling to the skin are near the incision site. Permanent damage is rare (around 5%) but if your toe stays numb after surgery, it may be because the nerve is bruised but it will usually recover
• Under-correction or recurrence of symptoms
• The risk of this is around 5% and it’s more common in severe cases. Although under-correction does not usually cause symptoms to return, it can cause a mild cosmetic deformity, in which case you may be able to have further surgery
• Over-correction
• In rare cases (around 1%) the toe can be straightened too much so that it bends towards the other foot (hallux varus). Although this is a very rare complication, it usually requires further surgery
• Deep Vein Thrombosis (DVT)
• You may be given blood-thinning medication after the surgery if you are at a higher risk of DVT (where a blood clot forms in a deep vein in the leg). However, DVT is fairly unusual after this type of procedure (less than 3% of cases)

Important:This information is only a guideline to help you understand your treatment and what to expect. Everyone is different and your rehabilitation may be quicker or slower than other people’s. Please contact us for advice if you’re worried about any aspect of your health or recovery

Bunions – Foot Health Facts

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Even though bunions are a common foot deformity, there are misconceptions about them. Many people may unnecessarily suffer the pain of bunions for years before seeking treatment.

What Is a Bunion?  

A bunion (also referred to as hallux valgus) is often described as a bump on the side of the big toe. But a bunion is more than that. The visible bump actually reflects changes in the bony framework of the front part of the foot. The big toe leans toward the second toe, rather than pointing straight ahead. This throws the bones out of alignment—producing the bunion’s bump.

Bunions are a progressive disorder. They begin with a leaning of the big toe, gradually changing the angle of the bones over the years and slowly producing the characteristic bump, which becomes increasingly prominent. Symptoms usually appear at later stages, although some people never have symptoms.

Causes

Bunions are most often caused by an inherited faulty mechanical structure of the foot. It is not the bunion itself that is inherited but certain foot types that make a person prone to developing a bunion.

Although wearing shoes that crowd the toes will not actually cause bunions, it sometimes makes the deformity get progressively worse. Symptoms may therefore appear sooner.

Symptoms

Symptoms, which occur at the site of the bunion, may include:

• Pain or soreness
• Inflammation and redness
• A burning sensation
• Possible numbness

Symptoms occur most often when wearing shoes that crowd the toes, such as shoes with a tight toe box or high heels. This may explain why women are more likely to have symptoms than men. In addition, spending long periods of time on your feet can aggravate the symptoms of bunions.

Diagnosis

Bunions are readily apparent—the prominence is visible at the base of the big toe or side of the foot. However, to fully evaluate the condition, the foot and ankle surgeon may take x-rays to determine the degree of the deformity and assess the changes that have occurred.

Because bunions are progressive, they do not go away and will usually get worse over time. But not all cases are alike—some bunions progress more rapidly than others. Once your surgeon has evaluated your bunion, a treatment plan can be developed that is suited to your needs.

Nonsurgical Treatment

Sometimes observation of the bunion is all that is needed. To reduce the chance of damage to the joint, periodic evaluation and x-rays by your surgeon are advised.

In many other cases, however, some type of treatment is needed. Early treatments are aimed at easing the pain of bunions, but they will not reverse the deformity itself. These include:

• Changes in shoewear. Wearing the right kind of shoes is very important. Choose shoes that have a wide toe box and forgo those with pointed toes or high heels, which may aggravate the condition.
• Padding. Pads placed over the area of the bunion can help minimize pain. These can be obtained from your surgeon or purchased at a drug store.
• Activity modifications. Avoid activity that causes bunion pain, including standing for long periods of time.
• Medications. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.
• Icing. Applying an ice pack several times a day helps reduce inflammation and pain.
• Injection therapy. Although rarely used in bunion treatment, injections of corticosteroids may be useful in treating the inflamed bursa (fluid-filled sac located around a joint) sometimes seen with bunions.
• Orthotic devices. In some cases, custom orthotic devices may be provided by the foot and ankle surgeon.
  
   

When Is Surgery Needed?

If nonsurgical treatments fail to relieve bunion pain and when the pain of a bunion interferes with daily activities, it is time to discuss surgical options with a foot and ankle surgeon. Together you can decide if surgery is best for you.

A variety of surgical procedures is available to treat bunions. The procedures are designed to remove the bump of bone, correct the changes in the bony structure of the foot and correct soft tissue changes that may also have occurred. The goal of surgery is the reduction of pain and deformity.

In selecting the procedure or combination of procedures for your particular case, the foot and ankle surgeon will take into consideration the extent of your deformity based on the x-ray findings, your age, your activity level and other factors. The length of the recovery period will vary, depending on the procedure or procedures performed.

7 Causes of Numbness in Feet and Toes

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If you lose feeling in your foot or toes due to a funky positioning at the movie theaters, it’s easy to pinpoint what’s wrong (and how to fix it). Other times? Tingling and numbness can be a bit more confusing—and a little bit scarier. What is going on down there?

Often, if you’re feet are feeling prickly or your toes are straight up numb, nerves—bundles of fibers that help to transmit motor and sensory info throughout the body—are involved. Pressure on them, irritation of them, damage to them—it can all lead to a lack of feeling in your dogs. Here, common reasons even healthy guys might have less sensation than normal and what to do if you notice the symptom.

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1

Your shoes are too damn tight.

Squeezing into uncomfortable loafers day in and day out for a decade? “Dress shoes are tighter and therefore compress the foot, which, in turn, compresses the nerve,” explains Ettore Vulcano, M.D., chief of foot and ankle surgery at Mount Sinai West in New York City. And when a nerve is compressed, you can feel pins and needles. Look for shoes that are wide enough so that your feet are comfortable, not squashed; after a few days, you should regain business-as-usual foot feeling.

Got tingling and numbness on just the tops of your feet? Loosen the laces on your sneaks. “There are superficial nerves on the tops of our feet that are susceptible to trauma from laces pressing on the area,” says Brian Fullem, D. P.M., a sports podiatrist in Clearwater, FL. “Try to skip crossing the shoelace over the highest part of your foot,” says Fullem.

2

You have a bunion.

That bony bump on your big toe joint ain’t pretty—and it could be causing bigger problems, too. Over time, as your big toe pushes against the rest of your toes (causing the bunion), you’re overloading and squeezing your adjacent toes (especially number two), Vulcano says.

The result? Nerve compression. A toe spacer can take the pressure off, Vulcano says. And often, changing your shoes, using orthotics, or icing can help. But if you’re still having pins and needles, see an orthopedic surgeon. Sometimes, surgery’s necessary.

3

You have a herniated disc.

Weightlifters and athletes who’ve recently overdone it and notice tingling toes may have a herniated disc, which happens when the rubbery cushions (discs) in your spine push into the spinal canal, irritating nearby nerves. “The sciatic nerve runs from the lower back to the toes,” Vulcano says.

If this is the culprit you’d also likely feel some serious low back pain and weakness in your feet, ankles, or legs. An X-ray or MRI can ID a herniated disc. From there, treatment could run the gamut from taking it easy to surgery.

4

You’ve irritated a nerve big time.

Numbness and even shooting pain in one or two toes (usually the third and fourth) could be caused by a neuroma, a.k.a. an irritated nerve, Fullem says. Telltale signs: feeling like you’re walking on a pebble or like you have a won’t-go-away pain on the ball of your foot. Running (or any high-impact sport for that matter) or tight ski boots or hiking shoes (that compress the nerve could be to blame, too. Opt for shoes that are wider in the front or, to alleviate pressure, try an insert called a metatarsal pad (that goes on the ball of your foot), Fullem advises.

Still in pain? Worst-case scenario, you’ve got scar tissue and may need surgery to have the enlarged nerve removed, Vulcano says, so get yourself to the doctor.

5

You have nerve damage.

Neuropathy, a chronic nerve condition, is a common complication of other health issues such as alcoholism (which can interfere with the metabolism of vitamins essential to nerve health) and even medical treatments such as chemotherapy, says Vulcano.

It’s best treated by figuring out what the underlying cause is first—but also requires you see a neurologist who can prescribe nerve pain medications, says Vulcano. “Neuropathic patients should carefully examine their feet—above, under, behind—daily for ulcerations, as neuropathy is a risk factor for the development of skin breakdown.”

6

You have tarsal tunnel syndrome (TTS).

As in, the foot-version of carpal tunnel syndrome. When the nerve in the tarsal tunnel—a space in your foot on the inside of your ankle—is compressed, heel and arch pain along with numbness and tingling can ensue, says Fullem. It’s fairly uncommon, says Fullem, but can be caused by poorly-fitting shoes (it’s really time to give your footwear some thought), trauma, or lower body swelling (think: you sprained your ankle). OTC arch support and calf stretches can help, says Fullem.

7

You have diabetes

Chronic levels of high blood sugar can damage your nerves and cause tingling in your feet and legs—a condition called peripheral neuropathy. Roughly half of the people with diabetes experience this symptom, according to WebMD.

If the numb feeling is accompanied by extreme fatigue, thirst, and frequent urination, you may want to talk to visit the doctor who can assess your diabetes risk.

Cassie Shortsleeve
Freelance Writer
Cassie Shortsleeve is a skilled freelance writer and editor with almost a decade of experience reporting on all things health, fitness, and travel.

Melissa Matthews
Health Writer
Melissa Matthews is the Health Writer at Men’s Health, covering the latest in food, nutrition, and health.

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Best Practices for Relieving Bunion Nerve Pain

It can be easy to overlook a bunion at first. Bunions tend to take a long time to develop, and they may not cause pain initially. However, if left untreated, bunions can lead to serious discomfort. In some cases, individuals may even suffer from bunion nerve pain, which could prevent them from engaging in regular daily activities. On a positive note, there are measures you can take to protect your feet and alleviate bunion pain. Today, we’ll explain the best practices for relieving bunion pain now and in the future: 

Bunion Pain

Bunions are bony bumps that form along the side of the foot. Though they may not be painful when they first appear, they tend only to get larger and worse with time. Bunions form as a result of misaligned joints, muscles, and tendons within the foot. As such, untreated bunions can contribute to other foot problems. Bunions may even cause nerve damage in the big toe, which can manifest in the form of burning and numbness. Bunions may be painful to the touch or cause dull, throbbing pain throughout the day. 

Dealing with Bunion Pain

The only way to get rid of a bunion for good is to have it surgically removed. Other treatment methods will –– at best –– address the symptoms of bunions, but not the root cause of bunions themselves. So if you want a long-term solution to bunion pain, then surgery is your best option. (More on that later.) If you’re in need of short-term bunion pain relief, you may consider wearing a bunion cushion or pad underneath your shoe. Such a device won’t reduce or reverse bunions, but they can mitigate some of the pain caused by walking with bunions. In addition, individuals currently suffering from bunion pain may consider utilizing ice packs or anti-inflammatory medication. And it is best for individuals with bunions to avoid wearing tight-fitting shoes such as high-heels. Extra pressure on the foot can exacerbate bunion development and discomfort. 

Bunion Surgery

Modern bunion surgery is safe, fast, and effective. Though there are many variations of bunion surgery, many involve the removal of the bunion and the correction of the internal misalignments in the foot. This means individuals who undergo bunion surgery can find relief from bunions now, as well as protection from developing more bunions later. 

Minimally invasive bunion surgery is itself not pain-free, but it is much less painful than traditional surgical methods. During a minimally invasive bunion surgery, the surgeon makes several very small incisions to remove the bunion and correct any imbalances in the foot. This surgery is an outpatient procedure, so most patients are able to walk out of the operating room and resume many daily activities immediately following their appointment. What’s more, minimally invasive bunion surgery requires significantly shorter recovery periods than traditional surgical techniques. Bunions will not go away on their own, so the sooner you seek treatment for them, the better off you’ll be. 

Contact Us

At Northwest Surgery Center, our team are experts in the field of minimally invasive surgery. We have years of experience, and we’ll be happy to answer any questions you may have about bunions or bunion surgery. Contact us here to learn more or to schedule an appointment today.

90,000 – Dr. Linko Clinic. Orthopedists and traumatologists

Pain in the foot and heel

Foot pain is a biologically important warning signal that indicates pathology. Pain in the foot appears as a result of overload, deformation, fractures, tendon and joint pathologies, or general diseases caused by metabolic disorders. Pain in the foot can appear as a result of its intensive training, improper load distribution and injuries. In addition, there are other diseases that manifest themselves as pain in the foot, but have nothing to do with orthopedics.

Pain in the foot can be considered by divisions: pain in the heel or in the Achilles tendon is characteristic of the hindfoot, pain in the instep of the foot for the middle, pain and deformity of the toes, most often as a result of transverse flat feet, is observed in the forefoot.

Anatomy of the foot.

The strong heel bone is the ankle support. The tarsus carries part of the load for the vertical mobility of the foot. The skeleton of the foot consists of three sections: the tarsus, metatarsus and toes.The arch from the calcaneus to the toes forms the longitudinal arch of the foot. When rolling from heel to toe, the heads of the metatarsal bones transfer force to the floor and, together with the toes, form the forefoot.

When should you contact a specialist?

• for painful swelling in the foot or ankle lasting more than five days.
• for open wounds.
• for stabbing and cutting pain.
• if foot pain persists for several weeks.
• if, in addition to cramps in the foot, you have a fever.
• for structural changes in the foot or ankle.
• Foot and heel pain in athletes – runners
• achillodynia (pain in the area of ​​the Achilles tendon)
• heel spur (stitching pain in the heel)
• Haglund’s disease (deformity of the calcaneal tuberosity)
• stress fracture (fracture from fatigue)
• inflammation of the mucous bags in the area of ​​the tarsal joints (intermetatarsal bursitis)
• bursitis of tendon sheaths on the sole
• peroneal tendonitis

Inflammation of the Achilles tendon (Achillodynia)

Achillodynia symptoms

• Stitching pain in the Achilles tendon at the beginning of the movement.
• thickening of the Achilles tendon above the attachment point.
• redness and local increase in skin temperature.
• crepitus – crunching of the tendon during movement.

Early stage: pain in the foot under exertion.

Late stage: foot pain at rest / persistent pain.

Achillodynia often presents as stabbing pain in the attachment of the Achilles tendon to the heel at the beginning of a movement or at the beginning of a workout. However, this is quite deceiving.Even if during the training itself the pain in the foot goes away, the Achilles tendon is still exposed to stress and becomes more vulnerable, which sooner or later will lead to its rupture.

How is achillodynia treated?

• Limiting the load on the foot. For acute inflammation, use anti-inflammatory pain relievers (eg, Ibuprofen). -use of special insoles (increase in the rise in the foot, protection against excessive pronation)
• Special exercises for stretching the calf muscles
• shock wave therapy
• Surgical removal of inflamed tissues
• Surgery to restore the integrity of the tendon (Achilles tendon plasty)

Heel spur: plantar fasciitis

Heel spur symptoms:

• stitching pain in the foot
• Pain in the foot at the beginning of movement
• pain depends on the intensity of the load
• cutting pain in the foot on the sole in the heel area.

Most often, poor-quality shoes or overstrain in the foot is the basis of the inflammatory process of plantar aponeurosis.

A heel spur occurs in people who are overweight or in people who are tall. Athletes and runners, as well as people who are fond of other sports, often complain of stabbing pain in the plantar region of the foot.

How is heel spur treated?

For patients with plantar fasciitis, it is recommended to reduce the load on the foot in which pain is not felt.Exercises to stretch the aponeurosis in the foot prevent chronic disease and accelerate recovery. Special insoles limit the place where the tendon is attached to the heel from stress. Shock wave therapy accelerates the treatment of this pathology.

Inflammation of the synovial sheaths of the tendons (tendovaginitis)

Tendovaginitis is a cause of pain in the midfoot, caused by inflammation of the synovial sheaths of the extensor tendons that run along the dorsum of the foot and connect to the toes. Such a disease can occur as a result of physical stress.

Symptoms of tendovaginitis:

• pulling pain in the foot
• skin redness, swelling, crepitus (crunching) in the tendons during movement
• Perceptible thickening of tendons

Incorrect and too tight shoes, as well as excessive sports loads, are the main causes of inflammation of the tendon sheaths.

What treatment?

• cold compresses
• Physiotherapy
• pain relievers (Ibuprofen)
• fixation with orthosis

People who play sports are advised to pause their workouts and replace shoes with more comfortable ones until the pain in the foot is completely gone.NSAIDs – Non-steroidal anti-inflammatory drugs (NSAIDs) can help you overcome pain in your foot.

Calcaneus exostosis (Haglund’s disease)

Symptoms of exostosis of the calcaneus

• deformity of the posterior calcaneus
• Swelling and redness at the attachment of the Achilles tendon to the heel
• hindfoot pain

The causes of this disease are uncomfortable shoes with a tapered top. These shoes put a lot of pressure on the upper surface of the heel bone and are the beginning of a series of abnormalities in the foot. When using unsuitable shoes, other defects may appear in the foot, which the patient may not be aware of at the onset of the disease.

How to treat Haglund’s exostosis?

Most often, this disease affects athletes – runners. Patients are advised to pause training and reduce the load on the foot. Calcaneus exostosis is treated with the following methods:

• orthopedic insoles
• Physiotherapy
• NSAIDs (ex.Ibuprofen)
• shock wave therapy
• surgical correction of deformity (in advanced cases)

Metatarsalgia (pain of the metatarsal bones) with transverse flat feet

Symptoms of metatarsalgia

• Reduction of the transverse arch of the forefoot
• forefoot extension
• external deviation of the thumb
• Foot pain under stress

In metatarsalgia (metatarsal pain), patients experience pain in the metatarsophalangeal joints at the level of the ball of the foot of both feet, which are located just behind the toes. This area in the foot is under the most pressure than others. As a result of the transverse flat feet, the transverse arch of the foot decreases and the load on the plantar fascia increases. During the roll of the foot from heel to toe, an overload of the anterior region of the 2-4 metatarsal bones occurs, which normally practically do not bear it. Weak connective tissue or poorly trained leg muscles are two of the most significant reasons why patients begin to feel pain in the foot.If a person wears uncomfortable narrow-toed shoes every day, the risk of the disease increases significantly.

What treatment?

• orthopedic insoles for strengthening the transverse arch of the foot
• Foot exercises and gymnastics
• Low-soled shoes that do not constrict the forefoot
• Operation: Correction of transverse flat feet

Morton’s neuroma

This is a pathological thickening of the interdigital nerve of the foot that causes pain between the third and fourth toes. This disease, which is characterized by stabbing and burning pain in the foot, can be triggered by transverse flat feet.

Symptoms of Morton’s neuroma

• stitching, sometimes burning pain in the toes in the forefoot
• numbness of fingers
• Reduction of pain after taking off shoes

Disease of Morton’s neuroma manifests itself in the form of painful edema of the neural membrane between the metatarsal bones, and the transverse flat feet accelerates its development.

If you have the feeling that you are stepping on a pea or pebble when walking, then you most likely have Morton’s neuroma.

Diagnosis of pathology consists in traditional examination methods including MRI, the sensitivity of which is 98%

How is Morton’s Neuroma Treated?

• Shoes with low soles, not narrowing the toes
• foot gymnastics
• Local anesthesia with cortisone injection into the neuroma area
• neurectomy – surgical excision of the inflamed nerve

Hallux valgus

This is a term for deformity at the level of the medial metatarsophalangeal joint with the valgus (lat.Valgus – curved), that is, outward, deviation of the first toe.

Hallux valgus is caused by a long-term violation of the biomechanics of the first metatarsophalangeal joint, which may be associated with transverse flat feet and weakness of the ligamentous apparatus, some neurological disorders, congenital deformities and a number of other reasons. Deformity of the joint is accompanied by progressive arthrosoarthritis.

Severe forms of deformity primarily concern women.This is due to the weakness of the connective tissue in women. In addition, this is due to the peculiarities of the forms of women’s shoes (heels), which contribute to this negative trend.

There are three unfavorable factors in the shape of footwear:

Heel height.

• Significantly increased pressure on the forefoot is observed when the heel is over 3 inches (7.62 cm). On the one hand, this contributes to the appearance of flat feet, and on the other hand, the toes are pressed into the shoe.

Narrow toe cap.

• If the toe of the shoe is too narrow, then the toes do not have the necessary freedom. As a result, they are forced to be in an uncomfortable position, which over time leads to permanent deformation.

Shoes too short.

If the shoe is too short, the toes are forced into an unnatural position, and this contributes to the bursitis of the big toe.

With hallux valgus, the angle between the I and II metatarsal bones is significantly increased.In this case, the 1st metatarsal bone begins to move inward, and the first toe, held by the adductor muscle, moves outward. Because of this, the head of the 1st metatarsal bone begins to form a tubercle, which is called the “bone on the legs.” Since in this case the big toe cannot still “look” forward, it begins to gradually deviate outward.

Due to constant pressure, the bone bulge becomes inflamed and in excessive contact with the shoe. This usually leads to bursitis, that is, inflammation of the mucous membrane of the joint bag.

In addition, due to constant pressure, bone changes begin in the region of the head of the 1st metatarsal bone. Changes in the bone lead to swelling, tenderness, and soreness in the thumb.

Incorrect position and angle of inclination of the big toe lead to premature wear of the main joint, damage to the cartilage and a significant increase in the size of the bone growth on the leg.

Clinical picture

• thumb deviation from the central axis
• pain in the joints of the feet
• foot fatigue
• deviation of the big toe outward, gradual increase in the “bone”
• Hammer deformation of other toes
• transverse flat feet

Treatment

In the early stages of the disease, treatment is mainly symptomatic, aimed at eliminating the pain syndrome.With pronounced deformities, surgical intervention is performed in order to eliminate the deformity. Early surgical treatment leads to the prevention of arthrosis in the first metatarsophalangeal joint and more favorable consequences of the operation. Modern methods of surgery do not destroy the joint, while maintaining its mobility and support ability. Corrective osteotomies such as Chevron, Skarf or proximal osteotomies in various variations are widely used

Prevention

• regular check-up by an orthopedist
• use of orthopedic insoles
• Use of rational footwear (heels no higher than 7 cm, shoes without stilettos, pointed toes, made of natural materials)
• for the prevention and improvement of blood circulation in the foot, walking on sand and small stones barefoot.

Sore and swollen toe

In addition, the appearance of edema may indicate the presence of fungal or infectious diseases. When blood flow in the lower extremities is disturbed, blood begins to accumulate, which leads to swelling of the toe and its pain. Sometimes such problems can arise due to an ingrown toenail, but then the entire foot begins to swell along with the fingers. Only the attending physician can eradicate the focus of the disease. By removing part of the ingrown toenail, the symptoms disappear immediately.

The presence of a splinter or thorn in the finger can also cause swelling and pain in the toes. After all, the infectious process can begin with the ingress of a foreign body into the finger. First of all, you need to figure out what caused the swelling of the fingers, and begin to immediately take measures to eliminate them.

What diseases cause swelling on the toes

Various kinds of diseases can also cause pain and swelling. Among them are pathologies such as:

1.Arthritis. An increase in the size and limitation of the mobility of one or more fingers may indicate the appearance of this disease, which causes degenerative-dystrophic disorders in the cartilage tissue. The development of arthritis is provoked by the presence of excess weight in people, flat feet, as well as hard physical work. It is not surprising that athletes often have swollen lower extremities, as they regularly receive injuries, bruises and sprains. At the second stage of the development of pathology, the joints of the fingers are damaged, so any delay entails great consequences.Without proper treatment, the patient’s condition will deteriorate, eventually leading to disability. You should see your doctor right away and have a full physical exam if you have big toe swelling and pain.

2. Arthrosis. One of the most common symptoms of this condition is swelling of the toe near the nail. This joint pathology is characterized by a destructive effect on cartilage. At the onset of the disease, the pain is intermittent, but eventually becomes chronic.Osteoarthritis often begins with pain in the thumb that disappears after rest. In the morning, patients experience a certain degree of stiffness, difficult functioning of the joints, and crunching. Signs of arthrosis such as limited mobility and chronic pain overlap with symptoms of subchondral sclerosis and epicondylitis. If an infection appears in the joints, then arthrosis becomes infectious.

3. Osteoporosis. With the development of this disease, bones lose strength and mass, which is due to pathological processes that make bone tissue fragile and cause edema.Osteoporosis patients should be careful and careful with their fingers, because any inaccurate movement can lead to a fracture. At the beginning of the development of pathology, the toe swells and begins to hurt, and after a while deformation occurs in the foot.

4. Evidence of the development of a disease such as bursitis may be symptoms when the joint of the big toe is swollen and sore, as well as reddened. Severe bruises and an advanced stage of arthrosis can cause it to appear.When the joint is affected, the space between the bones and muscles becomes inflamed and filled with fluid. If the pathology is not treated, then the disease becomes chronic and the pain becomes permanent. To confirm the diagnosis, the patient is given a fluid puncture, MRI, and X-ray in addition to a visual examination.

5. The development of gout can be caused by a malfunction of metabolic processes in the body. This pathology is more common among men than women. At the initial stage of the pathology, the toes swell, and in the future, the phalanges of the fingers can completely collapse.Swelling and pain are paroxysmal

6. Ankle injury. With a heavy load on the legs, the little toe is the most vulnerable spot. For example, it can be damaged by bumping against a furniture leg or doorframe, or by wearing tight shoes. After the blow, the little finger begins to swell and hurt. In general, bruises do not pose any danger to humans. However, the negative impact can manifest itself in the form of chronic pain or the development of not the most pleasant diseases. If after the impact the finger is swollen and sore, then a medical examination is necessary.

7. Edema of the fingers can also be caused by an allergic reaction. If the legs constantly itch, itch and discomfort appears, then the human immune system begins to react to irritating factors and produce chemicals that cause swelling. All symptoms will disappear only if the external stimulus is neutralized.

8. Diabetes mellitus. Swelling of the legs with this disease is provoked by a violation of metabolic processes. Usually, patients have pain and blue toes.In addition, the sensitivity of the lower extremities decreases, there is numbness in the fingers and a burning sensation in the feet. If such symptoms are observed, then you should immediately contact an endocrinologist so that the doctor can conduct an examination and prescribe the most appropriate treatment.

9. Panaritium. This pathology appears with an infectious infection. You can clearly see the symptoms that begin with suppuration of the nail, are characterized by painful sensations and swelling of the finger, cysts with purulent contents are formed.A blister and swelling can be seen on the phalanx. In addition, impaired sensitivity and capillary blockage occur. In this case, herbal baths can help, but the disease can be completely cured only after opening the cysts and completely removing the purulent contents.

Which doctor to contact

To establish the reason why the toe hurts and is swollen, as well as to treat this problem, you must consult a doctor. The first step is to visit a therapist who can prescribe treatment or refer to a more narrowly qualified specialist.Swelling of the extremities can also be caused by diseases with the heart, therefore, in order to exclude this cause, the patient should be examined by a surgeon or rheumatologist. An orthopedist will help solve the problem with foot deformity, and an endocrinologist will prescribe treatment for hormonal disruptions. If the condition is the result of an injury, then you should visit a traumatologist who will identify the essence of the problem. An accurate diagnosis and treatment is possible only after studying the symptoms of the disease and analyzing the patient’s condition.

Before a consultation with a doctor is scheduled, the pain can be relieved on your own. To keep your toes from hurting, you can apply heat or cold to them (when they burn and turn red). At home, you can use both medicines and traditional medicine.

Priority drugs

The treatment procedure consists in applying special ointments or creams to the damaged area and rubbing the bruises on the toes with gels.Non-steroidal drugs that relieve inflammation help with severe pain and fever. The active ingredients in the preparations directly affect the cause of the inflammation without harming the kidneys and stomach. To renew cartilage tissue, strengthen it and slow down the destruction process, a group of drugs such as chondoprotectors can be used.

Drug therapy should be carried out under the supervision of a physician.

How to prevent illness

Basic preventive measures help prevent swelling in the toes.You just need to take care of your body and try to avoid the possibility of injury. The key to good foot health will be personal hygiene, which should be part of every person’s life on an ongoing basis.

Special attention should be paid to the choice of comfortable, high-quality footwear, which should be made of natural materials, and also have a not very high heel and a comfortable sole. In addition, special orthopedic shoes or insoles can be used.If fungal or other diseases are detected, they should be treated immediately.

You should also monitor the diet so that it is complete and includes all the necessary micronutrients obtained from foods. It is necessary to reduce the amount of salt consumed, since it does not allow excess water to leave the body, which causes edema. It is also better to abstain from drinking alcohol or to minimize it.

Edema of the fingers is easy to treat and is often completely eliminated, but only if treatment was provided in a timely manner.Following the elementary rules, you can prevent the formation of edema, as well as maintain health.

90,000 Morton’s Neuroma – Symptoms, Cause, Diagnosis and Treatment.

Diagnosis Morton’s neuroma is a musculoskeletal disorder that causes pain in the upper part of the foot between the toes. The disease occurs due to pinched nerves between the toes.

Morton’s neuroma most often occurs between the second and third toes or between the third and fourth toes.It is more correct to say that the compression occurs between the metatarsal legs in the forefoot. The pain can sometimes be acute, shock, and numbness or decreased sensitivity in the affected area can also be observed. Another name for the diagnosis: Morton’s syndrome . Morton’s neuroma affects the intermetatarsal plantar nerve, also known as the interdigital nerve. A neuroma can be a benign accumulation of nerve fibers or a tumor of a nerve (note: Morton’s neuroma is almost always benign).

– Can be treated conservatively

It is important to note that in the vast majority of cases, it is possible to treat conservatively without surgery. Studies have shown a well-documented effect in the form of a significant reduction in pain when using pressure wave therapy (1). This effect is due to the fact that pressure waves destroy damaged tissue, which is less elastic and mobile, and that this stimulates better blood circulation in this area (angiogenesis).Unlike a surgical procedure, pressure wave therapy will not result in scar tissue and potential pain from this scar tissue. It is for this reason that we recommend that you try a course of 5-7 pressure wave treatments before considering surgery.

In this article we will consider, among others:

Causes of Morton’s neuroma

2. Symptoms of Morton’s neuroma.

3. How to diagnose Morton’s neuroma.

4. Treatment of Morton’s neuroma.

A) Conservative treatment

B) Invasive treatment

5. Self-measures and exercises against Mortons

Scroll down for watch an instructional video with exercises which can help you with Morton’s neuroma.

TIP: Many people with Morton’s hallux valgus like to use og toe pullers specially adapted compression socks (link opens in a new window) to increase circulation and limit the stress on the nerve clamp between the toes.

VIDEO: 5 Exercises Against Morton’s Neuroma

This video shows five exercises that help increase circulation in the feet, strengthen the arch, and improve functionality. An exercise program may work for people with Morton’s neuroma, but always remember to take your pain pattern and shape of the day into account.

Feel free to subscribe on our Youtube channel – and follow our FB page for daily health advice and exercise programs.

Causes of Morton’s neuroma

The most common cause of Morton’s neuroma is when the forefoot has been overloaded or improperly loaded for a long time. Tight shoes that press the forefoot together can also be a strong factor. Increased stress can be the result of over-activity, weight gain, poor footwear, and inappropriate exercise. Loads in excess of the body’s carrying capacity will lead to a build-up of harder damaged tissue in the forefoot.Over time, this will reduce flexibility and mobility in this area. Reduced mobility of the front joints of the foot can cause mechanical irritation of the nerves between the toes.

Plantar Nerve Overview – Wikimedia Photo

Les også: 7 early signs of gout

Symptoms of Morton’s neuroma

Some of the most common symptoms of Morton’s neuroma are weight loss, often after a short period of time.The pain pattern varies from person to person, however, electrical pain, shock, walking on razor blades, or having a rock in your shoes are often used in patient explanations. A burning sensation or numbness is also quite common. It should be noted that Morton’s neuroma can also be asymptomatic, as shown in the 2000 study by Bencardino et al.

Common symptoms of Morton’s neuroma may include:

• Burning pain in the forefoot, which can also cause burning pain forward to the toes.

• Tingling or tingling sensation between the affected toes – usually between the third and fourth toes.

• Numbness and numbness in affected toes.

3. Diagnosis of Morton’s neuroma.

The physician first examines for signs of inflammation, infection, deformity, a blood test, or biomechanical results. Then a special test called Mulder’s Sign is often used, where the doctor squeezes the forefoot to see if it recreates the symptoms.If it recreates foot pain, then it is a positive test. Other possible causes of neuroma-like symptoms: tenonitis , stress breaking, intermetatarsal bursitis or Freiberg’s disease . However, due to Morton’s relatively characteristic symptoms and clinical signs, the modern clinician will be able to recognize the diagnosis.

Who can help me diagnose Morton’s neuroma?

We will always use officially approved professions in our guidelines – this is because these are professions that are regulated by Helfo and are also covered by the Norwegian Fund for Patient Injury Compensation (NPE).Unauthorized professions also do not have title protection, and in theory, therefore, anyone can call themselves a naprapat or an acupuncturist – as long as these professions are not regulated and allowed. It also ensures that naprapats who only call themselves without education are no longer allowed to call themselves that. But for the assessment and treatment of foot and ankle problems, we recommend a modern chiropractor, physical therapist, or chiropractor. Make sure you do good research ahead of time and make sure they actually work with Morton’s neuroma.If you wish, you can also check out some of our clinics and partners near you.

Imaging diagnostic examination of Morton’s neuroma (X-ray, MRI, CT or ultrasound)

First of all, it is important to note here that in most cases visualization is dispensed with. However, if medically indicated, x-rays are usually taken first. This is necessary to exclude degenerative changes in the joints (osteoarthritis), local focal bone growth or stress fractures are the cause of pain.Diagnostic ultrasound (sonography) can detect thickening of the interdigital nerve, but is also prone to human error. If this thickness exceeds 3 mm, then it is compatible with Morton’s neuroma. MR photography can, like ultrasound, provide a good view of both the bones and soft tissues of the foot and is considered the best diagnostic imaging option when it comes to diagnosing Morton’s neuroma.

Example: MR image of Morton’s neuroma

MRI image of Morton’s neuroma between the third and fourth metatarsal bones – Photo Wikimedia Commons

4.Treatment of Morton’s neuroma.

• A) Conservative treatment of Morton’s neuroma

– Pressure wave treatment

– Physical treatment (including joint mobilization and joint manipulation)

– Sole and shoe adjustment

– Self-directed measures (Hallux valgus support and compression garments)

• B) Invasive treatment of Morton’s neuroma (considered more risky)

– Cortisone Injection

– Surgical intervention (neurotomy)

– Alcohol injections (today the method of treatment is used less often)

Conservative treatment of Morton’s neuroma

Very many patients do without invasive treatment measures.Thus, conservative treatment is a treatment that carries little or no risk. The usual conservative treatment plan can often include joint mobilization of the foot as well as pressure wave treatment directed at the neuroma itself. As mentioned at the beginning of the article, pressure wave therapy has a well-documented effect on pain due to Morton’s neuroma (1). It is also very important to mention here that joint mobilization in chiropractic or forefoot joint correction, in meta-analyzes, is almost as effective as cortisone injections when it comes to functional improvement and pain relief (2).

That is why it is advisable to combine mobilization of joints and therapy with pressure waves with conservative treatment of Morton’s neuroma. If you combine this with your own measures and exercises, you can achieve very good results. Avoid bad shoes that put strong pressure on the forefoot, do stretching and strength exercises for the foot, and feel free to use them. toe pullers (see example here – link opens in a new window) or compression socks for restoration.The latter two can promote better circulation and preservation of space between the toes. Better space between your toes will help relieve pinched nerve.

Self-intervention: Toe extensor / toe hallux support

In the picture above, you see what is called a toe remover (link opens in a new window), also sometimes called hallux valgus support. Their purpose is to prevent the big toe from falling on top of each other and thus compress the areas between the toes.Many people with Morton’s neuroma report that they experience symptom relief when using this measure. You can find out more about the product (and similar products) by clicking the image or the link above. A cheap self-concept worth trying for those with Morton’s neuroma.

Sole and cushion shoes

Displacements of the foot and ankle can be directly related to improper load on the foot. – which, in turn, is associated with an increase in the incidence of Morton’s neuroma.Especially significant hyperpronation is associated with both Hallux valgus and Morton’s neuroma. We recommend testing the function of the foot and ankle with a specialist who can guide you (such as a chiropractor, physical therapist, or chiropractor) to further adapt the sole to the public environment. Before paying with an expensive solution, we recommend that you try the lightweight and inexpensive single messages and see if you think it will have a positive effect within a few weeks.If you think this works, then it might be helpful to go for professional posts.

We also note that some over-pronation of the foot is fairly common – and that aids such as an adapted sole can mean that the underlying problem (eg, significant muscle weakness in the foot) cannot be addressed. There are also shoes with abnormally durable cushioning these days. The truth is, these shoes take work tasks off your feet, which in turn respond to slackening and decreasing load capacities.After all, you run the risk of being completely dependent on your soft shoes. This can easily be compared to a back brace – an aid that was almost completely abandoned as it was seen to lead to weakness and muscle loss in the muscles of the back.

Read more: Pressure Wave Therapy – Something For Your Morton Neuroma?

Invasive treatment of Morton’s neuroma

Unfortunately, not all patients respond to conservative treatment – and then more frequent lye is often required.We find cortisone injections among the most common procedures. Such injections, mixed with anesthetic, should only be done under ultrasound guidance. If your doctor says that he does not need ultrasound monitoring, we strongly recommend that you find another therapist. Here we will talk a little more about alcohol injections, cortisone injections, and neurotomy (surgery).

Alcohol injection

This is an alternative if conservative treatment does not help.A mixture of alcohol (4%) is injected directly into the neuroma, causing poisoning of the fibrous nerve tissue, and then a gradual improvement in the form of a decrease in symptoms is possible. The course of treatment must be repeated 2-4 times with an interval of 1-3 weeks between injections. Research has actually shown about 60% success rates for this type of injection, which is similar to or higher than surgical removal of the nerve, but with fewer side effects. Studies have also found that if the injection is carried out under ultrasound guidance, then the likelihood of a positive result is much higher.

Cortisone Injection

Cortisone injections (most often mixed with an anesthetic) may in some cases reduce inflammation and relieve symptoms. Unfortunately this does not work at all and among them you can see that the pain and inflammation return after a few weeks or months. As is well known, cortisone can only be used a limited number of times because it is known to cause degenerative destruction of ligaments and soft tissues.The procedure should only be performed under ultrasound guidance.

Neurotomy (surgical removal of nerve tissue)

As a last resort, if all other interventions fail. In this operation, an attempt is made to remove the affected nerve tissue. This leads to the formation of scar tissue, and in 20-30% of operations you see a relapse due to damaged tissue in this area. When working on the feet, they always talk about a long recovery period and a high probability of permanent changes in the foot.

Les også: 7 natural pains against gout

5. Self-measurements and exercises against Morton’s neuroma.

Research has shown that, in addition to conservative treatment, strengthening the muscles of the foot can also help increase the loading capacity of Morton’s neurons (3). In the video shown earlier in the article, you see a suggestion for an exercise program that can improve foot function.Otherwise, we also recommend this exercise program, which strengthens the foot and ankle (link opens in a new window).

Do you need advice or have questions?

Feel free to contact us at YouTube or Facebook if you have questions or similar questions regarding exercise or muscle and joint problems. You can also see an overview of our clinics at the link here if you would like to make an appointment.Some of our pain clinic departments include: Eidswall Center for Healthy Chiropractic and Physiotherapy (Viken) and Lambertseter Chiropractic and Physiotherapy Center (Oslo). All our clinics are equipped with the latest medical devices, including pressure measuring devices and laser devices. With us, the most important thing is professional competence and the patient.

Les også: 4 exercises against plantar Fashitt

Next page: Leg pain (Great guide)

Click on the picture above to go to the next page.

Sources and Research:

1. Seok et al, 2016. J Am Podiatr Med Assoc. 2016 March; 106 (2): 93-9. DOI: 10.7547 / 14-131. Extracorporeal Shock Wave Therapy in Patients with Morton’s Neuroma A randomized, placebo-controlled trial.

2. Matthews et al, 2019. Efficacy of non-surgical interventions for advanced plantar digital compression neuropathy (Morton’s neuroma): a systematic review and meta-analysis.

3.Yoo et al, 2014. The effect of exercises on intrinsic foot muscles in combination with interphalangeal flexion exercises at the metatarsophalangeal area with Morton’s toe. J Phys Ther Sci. 2014 Dec; 26 (12),

Bencardino J., Rosenberg Z.S., Beltran J., Liu X, Marty-Delfaut E. (September 2000). “Morton’s neuroma: is it always symptomatic?” AJR Am J Rentgenol 175 (3): 649-53. doi: 10.2214 / ajr.175.3.1750649.

Frequently asked questions about Morton’s neuroma:

Is Morton’s neuroma a form of rheumatism?

No, Morton’s neuroma is not a form of rheumatism.As mentioned in the article: “Morton’s neuroma affects the interdigital nerve.”

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Treatment of big toe bumps with foil

Treatment of bumps on the big toe with foil

Treatment of bumps on the big toe with foil

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From wearing high-heeled shoes for a long time, I got a bump on my leg, on my big toe.At first I didn’t bother, but then it started to hurt, and when the pain didn’t go away, I turned to the surgeon. Of course, it turned out that the foot was deformed and as a remedy for pain, a magnetic valgus splint was recommended. I purchased Magnetfix. Really relieves pain, fixes the leg and no discomfort.

treatment of bumps on the big toe with foil

I remember suffering from this bump on my leg, in general I suffered from a bone on my leg for more than a year, it was a very big problem to pick up shoes, the joint became inflamed, hurt, the bump gradually grew.I already thought that I would have to do an operation, but I heard about Magnetfix from my neighbor and decided to try it. The fixator quickly relieved the pain, and during the course of application the lump completely resolved! I’m even surprised at such a quick recovery 🙂

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