Bunions in Syracuse, NY and Central New York Area
A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe ( metatarsophalangeal joint ). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Valgus ). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallus Abducto Valgus . Bunions can also lead to other toe deformities, such as hammertoe .
Many people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or arthritis may set in, the skin on the bottom of the foot may become thicker, and everyday walking may become difficult—all contributing to chronic pain.
Wearing shoes that are too tight is the leading cause of bunions. Bunions are not hereditary, but they do tend to run in families, usually because of a faulty foot structure. Foot injuries, neuromuscular problems, flat feet , and pronated feet can contribute to their formation. It is estimated that bunions occur in 33 percent of the population in Western countries.
Treatment for Bunions
Because they are bone deformities, bunions do not resolve by themselves. The goal for bunion treatment is twofold: first, to relieve the pressure and pain caused by irritations, and second to stop any progressive growth of the enlargement. Commonly used methods for reducing pressure and pain caused by bunions include:
- Protective padding, often made from felt material, to eliminate the friction against shoes and help alleviate inflammation and skin problems.
- Removal of corns and calluses on the foot.
- Changing to carefully fitted footwear designed to accommodate the bunion and not contribute toward its growth.
- Orthotic devices—both over-the-counter and custom made—to help stabilize the joint and place the foot in the correct position for walking and standing.
- Exercises to maintain joint mobility and prevent stiffness or arthritis.
- Splints for nighttime wear to help the toes and joint align properly. This is often recommended for adolescents with bunions, because their bone development may still be adaptable.
Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy , may be advised to remove the bunion and realign the toe.
Our practice can provide multiple surgical options for bunion deformity, whether you are a teenager, an adult, or an older patient. The commonly performed procedures for bunions are below:
- Silver (Simple) Bunionectomy
- Keller Arthroplasty
- Austin (Chevron) Osteotomy
- Akin Osteotomy
- Bi-Plane Austin Osteotomy
- Scarf Osteotomy
- Closing Base Wedge Osteotomy
- Opening Base Wedge Osteotomy
- Lapidus Fusion
- 1st MPJ Arthrodesis
In the literature, over 100 different procedures have been described, starting in 1881 with J. L. Reverdin and the osteotomy technique that would be named for him. The Reverdin Osteotomy and it's modifications are still in use today.
Choosing the appropriate procedure involves an evaluation of the deformity including x-rays and a physical exam. Your doctor will discuss appropriate procedures for you based on your age, activity level, lifestyle, and level of deformity correction needed. It's definitely not a case of "one procedure fits all".
Do you need bunion treatment?
Podiatry Services of CNY, PC serving Syracuse, NY, and the Central New York Area is here to help. To learn more call