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Orthopaedics 360

“A Place to Learn”

A bunion, also know as a ‘Hallux valgus deformity’, is a painful deformity that occurs at the base of the big toe (the 1st MTP joint). A complex mechanism results in a painful prominence forming on the inside of the great toe, and the toe itself begins to migrate towards the 2nd toe. Normally the big toe should point forwards. When a bunion develops, the big toe drifts towards the lesser toes. When present, bunions commonly occur in both feet.

Why does a Bunion form

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Bunions are more commonly found in women, and there is often a strong history of bunions running in the family. There is no single cause as to why bunions develop in some people and not others. A combination of genetic predisposition, foot shape, and narrow footwear may contribute to symptomatic bunions.

 

Over time, gradual angulation of the bones occurs, with a stretching of the medial (inner) soft tissues, and contraction of the lateral (outer) soft tissues, resulting in a permanently angulated toe.

Bunions – What Issues can they cause

Do you experience any of these?

Difficulty with footwear

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Most patients with symptomatic bunions will experience painful pressure areas over the bony prominence. Difficulty wearing narrow shoes is common. In Severe cases, the bunion can result in lesser toe deformities that also cause callus formation with footwear.

Development of arthritis

Arthritis can develop in patients with underlying bunions. Increased pain and stiffness typically results.

Cosmetic Concerns

As bunions progress with time, cosmesis can become an issue for patients.

Compression of sensory nerves

The deformity can result in loss of function to one of the sensory skin nerves that runs through this region. Patients may experience loss of sensation over the big toe.

 

Bunions  – Myths Exposed

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Keyhole Bunion Surgery – Is now the right time

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What Imaging is needed

Plain Xrays are all that is required

Plain ‘weight bearing’ xrays are arranged. These allow assessment of the severity of angulation, the presence of any underlying arthritis, and the position of the joints of the lesser toes.

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What are the non operative options

Nonoperative treatment of symptomatic bunions is aimed at reducing the pressure going through the foot, and to reduce pressure sores and ulcer formation. This is usually attempted with a change in footwear. ‘Accommodative’ shoes, bunion pads, and orthotics may help relieve the pain.

 

Fed up with your bunions?

Cosmetic Keyhole bunion corrections now possible

Day Surgery Procedure

Usually No stitches required

Keyhole Minimally Invasive Bunion Corrections

Dr. Mike Smith performs ‘Keyhole’ minimally invasive bunion corrections

This technique is used to remove the bunion and straighten the toe. This specialised keyhole technique minimises scarring and usually requires no stitches.

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Do you experience any of the following issues with your bunions?

Pain over your bunion

Difficulty wearing shoes

Concerned with your foot’s appearance

Disclaimer: Please note that this is general advice only - for more information, please consult your regular doctor, or obtain a referral to see a specialist orthopaedic surgeon. 

Orthopaedics 360

Orthopaedics 360

P: (08) 7099 0188

F: (08) 7099 0171

Southern Specialist Centre

Orthopaedics 360

P: (08) 7099 0188

F: (08) 7099 0171

Health @ Hindmarsh

Orthopaedics 360

P: (08) 7099 0188

F: (08) 7099 0171

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Rugby Union SA partnership
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Rugby Union SA partnership

Orthopaedics 360 are proud to be partnered with Rugby Union SA. With one of the most active sporting clubs in South Australia, we have acknowledged the growing need for customised care for the growing and established athletes.

CONTACT US

Orthopaedics 360

A: 94-96 Fullarton Road, Norwood 5067

P: (08) 7099 0188

F: (08) 7099 0171

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