November 2024

A bunion, medically known as hallux valgus, is a bony prominence that forms at the base of the big toe, causing the toe to angle towards the second toe. This condition can lead to significant discomfort and pain, especially when wearing shoes. Bunions develop gradually and are often caused by factors such as genetic predisposition, which influences foot structure, and wearing tight or ill-fitting footwear that places pressure on the toes. Other contributing factors include arthritis, flat feet, and repetitive stress from certain activities. As the bunion progresses, the surrounding soft tissue may become inflamed, resulting in redness and swelling. Understanding the causes of bunions is essential for prevention and management, as making appropriate footwear choices and addressing foot mechanics can help reduce discomfort and slow the progression of this common foot condition. If you see the beginning signs of a bunion, it is suggested that you consult a podiatrist who can offer you effective relief tips.

If you are suffering from bunion pain, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

If you have any questions, please feel free to contact our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Flat feet, or pes planus, occur when the arches of the feet are flattened, causing the entire sole to make contact with the ground. This can result in pain and cause difficulties with walking. In some cases, people with flat feet may benefit from surgical correction. Flat foot reconstruction aims to reshape the foot by repairing or realigning the bones, tendons, and ligaments to support the arch. The specific technique used can vary, based on such factors as the patient’s anatomy and the severity of their symptoms. While flatfoot surgery often results in improved mobility and relief from pain, the recovery process can take several months and may require the use of a cast or orthopedic boot. A podiatrist can determine if non-surgical treatments are still viable or if surgery is the best course of action. If you have foot problems related to flat feet, it is suggested that you schedule an appointment with a podiatrist.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.