A bunion is seen as an enlargement or “bump” on the inside of the foot near the big toe.
In more severe cases when the big toe joint is unable to move at all, the condition is called hallux rigidus (rigid big toe joint).
A tailor’s bunion (bunionette)is seen as an enlargement or “bump” on the outside of the foot near the little toe.
A callus is an area of thickened skin located on the bottom of the foot, in most cases on the ball of the foot and/or heel.
Hammer Toes occur when the tendons and ligaments around the toes become contracted and the toes take on a “claw-like” appearance.
A soft corn forms between the toes when the bony prominence known to doctors as the “condyle” of a toe rubs against the condyle of the adjacent toe while walking.
The most common cause of thick toenails is a fungus infection similar or identical to the fungus that causes “athlete’s foot.”
An Ingrown Toenail occurs when the side of a toenail begins to cut through the surrounding skin which is referred to by doctors as the ungualabia or “nail lip.”
Morton’s Neuroma occurs when one of the nerves on the bottom of the foot becomes “pinched” between two adjacent metatarsal bones or the base of the bones of two adjacent toes.
EPAT is an acronym for Extracorporeal Pulse Activation Treatment. “Extracorporeal” means “outside the body.”
Heel pain is usually caused by acute or chronic inflammation of the plantar fascia, a ligament-like structure located on the bottom of the foot.
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Podiatry Exam & Consultation
Bunions are those unsightly enlargements or bumps that occur on the inside areas of your feet. A bunion deformity can cause a wide range of problems for the patient and consequently can involve a varied approach to o treatment. An important point to consider in the understanding of this problem is that it is a progressive deformity. In other words, a bunion will in most cases worsen with time. No one can predict how fast the deformity will progress or to what extent it will cause debility or symptoms but most authorities would agree that sooner or later, it will worsen. Bunions, by nature, can cause pain in certain shoes, become a common site for arthritic changes, lead to secondary compensatory problems such as hammertoes or pain in the fat pad area. They may cause serious aesthetic or shoe wear concerns for certain individuals especially women who have to wear higher styled type shoes. Whatever the extent of involvement, a bunion deformity should warrant consideration by the patient and some level of professional evaluation by a foot specialist.
The possible causes of a bunion deformity are numerous and can only be numerically reduced pending a thorough examination by the foot specialist. Hereditary tendencies for bunions to occur in members of the same family, ranks high as a potential cause. Another frequent culprit is that of our manner of walking and in what type of shoe we wear over the bunion. In short, the particular mechanics of one’s walking style could be such that abnormal forces, pressures, and anatomical changes could result in a bunion deformity. Various arthritic conditions such as osteoarthritis, rheumatoid arthritis and gout can also lead to deformities of the first metatarsal joint and a bunion. An important fact to keep in mind is that. Generally speaking, shoe can aggravate an existing bunion deformity but will not initially cause one to occur.
The treatment options for bunion deformities include a wide range of therapeutic approaches. An early approach might include shoe modifications, padding, physical therapy and occasional injection care for the existing symptoms. Functional orthotics or foot supportive devices can, in many cases, reduce the involved abnormal forces and slow the progression of the bunion. In short, this means that the orthotics might prevent the bunion from worsening and may even reduce any existing discomfort. Surgical correction of the involved deformity is still another viable option and should be discussed thoroughly with your foot specialist. There are three levels of bunion deformities and each require specific surgical approaches. The bottom line is that a bunion deformity is not a condition to ignore or neglect. A good clinical evaluation is a primary and highly recommended first line defense in the management of this condition.