However, some experts consider that high-heeled shoes with a small toes and tight-fitting shoes do not cause Hallux Valgus, but does keep this condition in a so-called “abducted position” if Hallux Valgus is present. It causes mechanical stretch and even deviation of the medial soft tissue. In addition, tight shoes can cause severe medial bump pain and, in some cases, nerve entrapment. (Frank et al., 2011) Symptoms usually include a bruised feeling of theheel, which is often worse in the morning or after sitting. This is due tocontracture of the plantar fascia while off the foot and a resultant stretchwhen first getting back on your foot.
An experienced surgeon will explain in detail the outcome of the operation; the more advanced the deformity where three to four toes have been affected to the point where all the toes are bunching together, the more extensive the operation and the less chance of the foot returning to its original condition. Having said this, one thing they almost guarantee, is that the sufferer will walk again without pain and be able to wear normal shoes. (This only happens in the most severe cases) As common sense tells us, the quicker a problem is fixed, the better the results.
How are bunions presented? The joint at the big toe becomes enlarged, misaligned, and/or swollen. The big toe may also shift toward the second toe; this makes the foot seem wider, and certain shoes could become increasingly difficult to wear. Pain may or may not accompany bunions. When soreness is present, it occurs as intermittent to steady burning, tenderness and/or aching. Mild. Mild bunions appear as a slight bump at the big toe joint; discomfort, if present, is generally minimal. Bunions in this category are addressed conservatively. Orthotics and/or shoe modification, including footwear with strong support, are frequently the treatment of choice.
Several studies have shown that about 85-90% of patients are satisfied with their bunion surgery and no longer have foot pain. On the other side of the coin, 10-15% of patients are not happy with their surgical outcome. Therefore, surgery is a last resort and should be avoided for solely cosmetic reasons. Bunions are also hereditary according to research. These people may need surgery to get rid of a bunion permanently. Despite any other causes of bunions, it is mainly the footwear which people choose to wear, so it’s very important to choose the right shoes and the right size to prevent bunions from occurring.
Only while the skeleton is still growing can the position of the great toe be improved with lasting effect. A night splint can be prescribed to move the great toe to medial. After the end of growth, adequate correction is no longer possible and conservative treatment is restricted to alleviation of symptoms. By the time patients consult a physician, most of them have already resorted to softer and wider shoes to alleviate pain from pressure on their bunion. Ring pads and other dressings tend to increase the prominence of the bunion and are usually unsuccessful. Antiphlogistic salves can be administered locally, nonsteroidal anti-inflammatory drugs systemically.
Toe Stretchers – Pain Relief for Bunion / Plantar Fasciitis / Hallux Valgus / Hammertoe. Flex Gel Straighteners / Separators Will Relieve Pain in Your Feet, Toes & Ball of Foot. Perfect for Quickly Alleviating Pain After Practicing Ballet / Dance / Yoga and Sports Activities – Lifetime Foot Pain Relief GUARANTEE. Hallux refers to the big toe and Limitus refers to decreased motion of the joint. So, putting together, there is limited motion in the big toe joint. Despite its name it may not be the longest toe on the foot of some individuals.