Bunions (Hallux Valgus) is a common complaint seen at Base Podiatry.  The change in big toe position, associated pain, difficulty fitting into shoes and the overall look are often catalysts for people to seek adivce for their bunions.  It can exist in one or both feet and is commonly seen across the generations within families.   

​

The process that creates hallux valgus is an osteoarthritic degeneration of the joint and inflammation of the surrounding joint capsule and bursa - much like knee osteoarthritis.  It progresses with time and pain fluctuates depending on footwear, activity and how stable the joint is at that given point in time.  This creates frustrated patients that just want some pain relief and to slow down the process.  The last thing most patients want is a surgical procedure - particularly if they can manage their pain, wear comfortable shoes during the week and on the odd occasion put on a pair of heels and hit the town.  

​

The other problem is a bunion is generally not a isolated condition.  Secondary issues with the smaller toes and movement compensations in the arch and ankle from the big toe not moving as it should, place strain on other areas of the foot and ankle.  It is common for hammetoes, arch pain and tendon pain to develop as a result of bunions.  

​

At Base Podiatry, treatment for hallux valgus focuses on correcting muscle imbalances around the big toe that contribute to the drifting toe.  Exercises, splints, footwear stretching and advice plus suitable arch support can limit the progression of hallux valgus but also manage your pain.  Prolotherapy (glucose injection therapy) can have a dramatic effect on the pain, swelling and strength of the joint and is administered in appropriate cases.  The overall effect is to strengthen the weakened joint capsule and reduce pain levels.  Problematic cases may benefit from a surgical referral.  This can be determined to be beneficial in the early stages of treatment or if conservative treatment has not improved your quality of life.  

​

Get in touch with the podiatrists from Base Podiatry to have your bunions assessed and determine the most suitable treatment for you and your lifestyle.  

​