Understanding a Bunion
A 'bunion' is the lay term for the enlargement and deformity of the big toe joint. The toe moves toward the second toe due to progressive dislocation, while the 1st metatarsal bone moves oppositely, creating a bony lump on the inside of the foot.
Symptoms and Diagnosis
Pain and swelling result from shoe pressure against the bony prominence or from degenerative arthritis within the big toe joint. A painful bursitis (inflamed soft tissue sac) may also be present. Diagnosis is made by your Podiatrist based on clinical appearance, often aided by X-ray to determine severity or existing arthritis.
Bunion Risk Factors
Risk factors include specific foot features like forefoot width and metatarsal shape. Flat feet, first ray hypermobility, and a familial history are also associated with development. Additionally, poor footwear (too small or narrow) plays a crucial role in accelerating the bunion process.
Bunion Treatment Options
Treatment involves three main strategies: avoiding shoe pressure, using functional orthotics (shoe inserts) to off-load the foot, and surgery. While conservative treatment is usually recommended, significant deformities may require surgery to correct the bone alignment and stabilize the joint, typically involving a six-week recovery sandal.
Consultation and Care
Our Brisbane Podiatrists are experts in diagnosing and treating bunions. Following a full assessment of your symptoms and foot function, we will discuss the best treatment options, including custom orthotics, suited specifically to your needs.