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BUNION TREATMENTS |
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Conservative The first step in treating a bunion is to remove as much pressure from the area as possible. People with bunions should wear shoes that have enough room in the toe box to accommodate the bunion and avoid high-heeled shoes and tight-fitting socks or stockings. Dressings and pads help protect the bunion from additional shoe pressure. The application of splints or customized shoe inserts (orthotics) to correct the alignment of the big toe joint is effective for many bunions. Most patients are instructed to rest or choose exercises that put less stress on their feet, at least until the misalignment is corrected. In some cases, physicians also use steroid injections with local anesthetic around the bunion to reduce inflammation. Surgery If conservative treatment is not successful, surgical removal of the bunion may be necessary to correct the deformity. This procedure is called a bunionectomy, and there are many variations on the operation, which is usually performed by a surgeon who specializes in treating bone conditions (orthopedics) or by one who specializes in treating the foot (podiatry). Surgeons consider the angle of the bone misalignment, the condition of the bursa, and the strength of the bones when they choose which procedure to use. Most bunionectomies involve the removal of a section of bone and the insertion of pins to rejoin the bone. Sometimes the surgeons may move ligaments (which connect bone to bone in the joint) or tendons (which connect bone to muscle) in order to realign the bones. After this procedure, the bones and other tissues are held in place while they heal by compression dressings or a short cast. The individual must refrain from vigorous exercise for six weeks. Alternative treatment Deep friction massage techniques by a physical or massage therapist can be helpful to increase circulation, reduce inflammation, and prevent soft tissue build up. Physical therapy also provides useful approaches such as ultrasound to help retard or reverse the formation of the bunion. Various taping techniques can be useful to realign the toe and decrease friction and rubbing that may be present. The homeopathic tissue salt Calcarea phosphorica can be useful in balancing the bone formation/remodeling. |
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