Many people have bunions, which are deformities of the metatarsophalangeal (MTP) joint that is located at the base of the big toe. A bunion will develop when the first metatarsal bone of the foot turns outward, and the big toe ends up turning inward. The majority of shoes do not accommodate this protrusion and end up putting pressure on the joint.
The bursa, which is the fluid-filled sac that cushions the joint, ends up getting inflamed, making the entire joint painful and stiff. At this point, many people seek surgery. However, there are a few things that you can do to minimize the risk of bunion formation.
Preventative Measures
The first thing you should do in order to minimize the risk of a bunion forming, or manage it once it is already there, is to wear the right kinds of shoes. Shoes that you wear should have wide, flexible soles to support the feet and enough room in the toe box to accommodate the bunion. Avoid wearing heels that are more than an inch high.
You can also wear a gel-filled or moleskin pad to protect the bunion; these are available at drugstores. Shoe inserts called semisoft orthoses are sometimes recommended by clinicians to help position your feet correctly as they hit the ground.
If you are able to maintain a normal weight, this would be helpful as well, as too much excess weight will put pressure on the feet and exacerbate the situation. If you already have a bunion that is painful and irritated, you can use ice packs and/or soak the affected foot in warm water periodically.
Nonsteroidal anti-inflammatory drugs, such as ibuprofen or aspirin, may be helpful. Massage, ultrasound, and whirlpools can also be helpful. You may experience temporary pain relief with cortisone injections, but these can come with multiple side effects, particularly when you use them frequently.
There are many things that you can do to avoid having a bunion that needs to be surgically treated. If you want to know which of these options is best for you call Casteel Foot & Ankle Center in Rowlett or Royse City at (972) 412-4449.