BunionsToe Alignment
Comprehensive management of bunion deformities with conservative and surgical treatment options.
A bunion (hallux valgus) is a bony bump that forms at the base of the big toe where it connects to the foot. It occurs when the big toe pushes against the next toe, forcing the joint to get bigger and stick out.
Bunions are progressive deformities that typically worsen over time without treatment. While genetics play a role, footwear choices and foot mechanics significantly influence their development and progression.
Mild
Small bump with minimal symptomsSymptoms:
- •Slight bump at base of big toe
- •Occasional discomfort
- •Mild shoe fitting issues
Treatment:
Proper footwear, toe spacers, padding
Prognosis:
Excellent with conservative care
Moderate
Noticeable deformity with regular symptomsSymptoms:
- •Visible bump and toe deviation
- •Regular pain and stiffness
- •Difficulty finding shoes
Treatment:
Orthotics, physical therapy, injections
Prognosis:
Good with comprehensive management
Severe
Large deformity with significant functional impactSymptoms:
- •Large bump with severe deviation
- •Constant pain
- •Severe limitation in footwear
Treatment:
Surgical correction often required
Prognosis:
Variable, surgery may be necessary
Conservative Management
OngoingPrevent progression and manage symptoms
Active Treatment
6-12 weeksImprove function and reduce symptoms
Surgical Consideration
VariableCorrection of severe deformity
Mobility
Daily, multiple timesToe Stretches
Gently stretch big toe away from other toes
Toe Flexion
Bend and straighten big toe
Toe Circles
Move big toe in circular motions
Strengthening
DailyToe Spreads
Spread toes apart as wide as possible
Marble Pick-up
Pick up marbles with toes
Towel Scrunches
Scrunch towel with toes
Stretching
2-3 times dailyCalf Stretch
Stretch calf muscles against wall
Plantar Fascia Stretch
Pull toes back toward shin
Achilles Stretch
Step stretch for Achilles tendon
Genetic
Footwear
Medical
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