BUNIONS
Before we can explain about bunions there are other factors that need to be described. Firstly, we have to consider BURSAE. These are naturally occurring sacs of fluid within joints in the human body that serve to protect that joint in movement. Bursae may occur as a defence against certain stresses, they are then known as adventitious bursae. If these bursae are subject to excessive trauma such as pressure, constant friction or a blow, then they may become inflamed. This condition is known as bursitis. Housemaid’s knee is inflammation of the bursae within the knee joint
Hallux Valgus is a deformity where the big toe crosses over the second toe, toward the midline of the foot. The two bones of the toe point away from the mid line of the body, but the metatarsal bone points towards the midline of the body. This condition is either hereditary or acquired due to the constant wearing of tight footwear (e.g. ‘winkle pickers’) or high-heeled shoes that throw the body weight forward.
A bunion is a bursitis superimposed over a Hallux Valgus deformity. It looks like a red, shiny swollen lump over the Big toe joint at the side of the foot. Treatment for bunions depend on the severity, removal of shoe pressure is immediately indicated, if infected then a course of antibiotics should be prescribed Mild cases can be treated with applications of anti-inflammatory drugs such as hydrocortisone cream or witch hazel and advice given regarding footwear. Palliative methods such as padding with felt or bunion shields manufactured from silicone may be tried to help remove the pressure. If the Hallux Valgus condition is severe, then the bunion may not be treated successfully unless surgery is performed to straighten the toe.
