BUNIONS

Progressive deformity of the first metatarsal phalangeal joint, commonly hereditary and aggravated by poor footwear (heels, narrow shoes). Not all bunions are symptomatic and treatment is not always required. Commonly surgery is indicated to reduce deformity and re-align the joint.

SYMPTOMS

Deviation of big toe

Bony prominence

Pain and swelling within joint

Footwear accommodation problems

CAUSES

Hereditary

Poor footwear (eg. narrow heels)

Certain types of arthritis

Abnormal metatarsal index

TREATMENT

Conservative insole therapy

Orthoses- reduce pain

Footwear management

Surgical referral

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