BUNIONS | HALLUX ABDUCTO VALGUS (HAV)
Bunions (HAV - Hallux Abducto Valgus) present as a bone prominence on the inside of one or both feet, near the bottom or base of the big toe. The first ray (metatarsal) will have deviated to the mid line of the body (medial deviation). The big toe (hallux) then rotates (valgus rotation) and deviates towards the outside of the foot (abduction). Bunions do not have one direct cause, but are due to several different factors such as: improper footwear, faulty biomechanics, gait pattern, trauma, arthritis and genetics.
WITH TREATMENT
Royal City Foot Clinic will develop a treatment plan dependent on the stage of bunion you are experiencing.
If a patient is in the early stages, patients would benefit from orthotics to prevent the progression and severity of the bunion. It is also essential that you get into the proper footwear. All patients will be educated on proper footwear based on their feet.
If a patient is in the later stage, Royal City Foot Clinic will do their best to reduce the pain. There are several different pain management plans such as: therapeutic modalities, orthotics, footwear, surgery etc. Bone surgery is considered to be a last resort due to the high risk of recurrence and a long recovery period.
If a patient is in the early stages, patients would benefit from orthotics to prevent the progression and severity of the bunion. It is also essential that you get into the proper footwear. All patients will be educated on proper footwear based on their feet.
If a patient is in the later stage, Royal City Foot Clinic will do their best to reduce the pain. There are several different pain management plans such as: therapeutic modalities, orthotics, footwear, surgery etc. Bone surgery is considered to be a last resort due to the high risk of recurrence and a long recovery period.
WITHOUT TREATMENT
Without treatment, the bunion will keep progressing towards the later stage. The late stage is considered when the big toe (hallux) has completely dislocated/deviated and is now over or under-riding the lesser digits. It is common for the lesser toes to claw, due to the faulty biomechanics. The digital deformities will cause increased likelihood of callus and corn formation, which may eventually lead to ulceration. The patient may also find the bunion extremely painful as arthritis will start to set in. It is difficult to find footwear to accommodate the deformities now present. At the Royal City Foot Clinic, we are well versed in orthopedic footwear and can help you find appropriate footwear if your bunions and digital deformities have progressed.
