Introduction
A 45-year-old woman presented at Leading Edge Podiatry with complaints of persistent pain and discomfort in her right foot. The patient reported that the pain had been gradually worsening over the past six months and was affecting her daily activities. She had no history of major medical conditions and was not currently taking any medications. The patient expressed a keen interest in finding a solution to her foot pain, as it was impacting her overall quality of life.
Patient’s Pain Symptoms
The patient described the pain as a throbbing sensation at the base of her right big toe. The onset of pain coincided with the development of a visible bump on the inner side of her foot, adjacent to the big toe. The pain was exacerbated by wearing tight shoes and prolonged periods of standing or walking. The patient noted occasional swelling and redness around the affected area.
Examination and Assessment
The podiatrist conducted a physical examination and observed a prominent bony protrusion on the inner side of the right foot, characteristic of a bunion. Palpation revealed tenderness around the bunion, especially at the joint where the big toe met the foot.
The patient’s footwear was assessed, and it was noted that she frequently wore narrow, pointed shoes, which likely contributed to the bunion development.
In addition to the bunion, the podiatrist assessed the patient’s gait and foot biomechanics. The patient demonstrated mild overpronation, and weight-bearing X-rays were ordered to evaluate the severity of the bunion and its impact on the underlying bone structure.
Additionally, the podiatrist discussed the potential benefits of physical therapy exercises to strengthen the muscles around the foot and address any contributing factors. The patient was educated on proper foot care practices, including avoiding high-heeled and narrow shoes.
In severe cases or when conservative measures fail to provide relief, surgical intervention may be considered. However, the podiatrist and patient agreed to monitor progress with conservative treatments before exploring surgical options.
Bunion in a Middle-Aged Woman
Additionally, the podiatrist discussed the potential benefits of physical therapy exercises to strengthen the muscles around the foot and address any contributing factors. The patient was educated on proper foot care practices, including avoiding high-heeled and narrow shoes.
In severe cases or when conservative measures fail to provide relief, surgical intervention may be considered. However, the podiatrist and patient agreed to monitor progress with conservative treatments before exploring surgical options.
Follow-up
The patient was scheduled for regular follow-up appointments to assess the effectiveness of conservative measures and make any necessary adjustments to the treatment plan. The podiatrist emphasized the importance of ongoing self-care practices and encouraged open communication regarding any changes in symptoms.
