What Are Bunions and Why Surgery Isn’t Always Necessary?
Bunions, also known as hallux valgus, are bony protrusions at the base of the big toe joint. They can cause pain, swelling, and limit toe movement. While severe cases may require surgical intervention, conservative approaches can help manage symptoms and prevent further progression.
Conservative Treatments to Manage Bunions
1. Footwear Choices to Prevent Bunion Progression
Opt for roomy, comfortable shoes that provide ample space for your toes.
Avoid narrow or tight footwear, high heels, and pointed toes. Wearing tight footwear can over the long term tighten the tendons and ligaments that support the foot bones, so the big toe deviates towards the 2nd toe.
2. Using Padding and Cushioning for Immediate Relief
Toe separators, bunion pads or cushions to reduce friction between your foot and shoe. They can also encourage better spacing between the big toe and 2nd toe.
3. Medications and Cortisone Injections for Pain Relief
If there is swelling and pain over the bunion site, it may have an inflammatory response to constant pressure and friction against the shoe. Therefore, taking anti-inflammatory medication can provide short term relief. It is highly recommended you speak to health professional before taking medication.
Cortisone injections may also provide relief.
4. Benefits of Shoe Inserts and Orthotics
Shoe inserts or orthotics can redistribute pressure evenly during movement, preventing worsening of the bunion.
Consider using over the counter or prescription orthotic devices.
5. The Role of Icing in Reducing Inflammation
Apply ice to the bunion area after prolonged standing or when inflammation occurs. If you have reduced sensation or circulation issues, consult your doctor before using ice.
Foot Exercises for Bunion Relief and Prevention
Perform these exercises regularly to improve joint function, increase mobility, and potentially slow bunion progression:
1. Assisted Toe Abduction with Exercise Band
- Wrap an exercise band around both big toes.
- Pull both toes away from the other toes.
- Hold for 5 seconds and repeat for 20 reps.
2. Towel Grip and Pull for Strengthening Toes
- Place a small towel on the floor.
- Use your toes to grip and pull the towel toward you.
- Repeat for up to 2 minutes.
3. Toe Spread-Outs to Increase Mobility
- While sitting, place your foot on the floor.
- Keep your heel fixed and lift and spread your toes.
- Repeat 10 to 20 times on each foot.
4. Marble Pickup for Better Toe Control
- Place marbles on the floor and a bowl nearby.
- Pick up each marble with your toes and place it in the bowl.
5. Heel Raises for Improved Balance and Strength
- Stand on your toes and raise your heels.
- Strengthen calf muscles and improve balance.
Conclusion: Avoiding Bunion Surgery with Conservative Treatments
Remember, consistency is key. Consult a podiatrist for personalised advice and to determine the best approach for your specific case.
By combining these conservative measures, you can manage bunion symptoms effectively and maintain foot health. Our hope is that you can avoid surgery, though it may require time and commitment to healing.
If you’re dealing with bunions and want expert advice, book an appointment with Leading Edge Podiatry today! Call us at 7120 6063 or book online to get started on your personalised treatment plan.