How the Human Body Works

· Parts of the Body:

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· Some Illnesses


How can I improve my bunions?
· using comfortable shoes
· using pads
· doing exercise
· with surgery
Many women have a bunion — a deformity of the metatarsophalangeal (MTP) joint at the base of the big toe. A bunion develops when the first metatarsal bone of the foot turns outward and the big toe points inward (toward the other toes), causing the joint to jut out. The Latin name for the deformity is hallux valgus (hallux means big toe, and valgus means turned away from the midline of the body).
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A bunion is most likely to develop when susceptible feet are repeatedly squeezed into narrow, pointed-toe footwear.
Bunions also run in families, because foot type (shape and structure) is hereditary, and some types are more prone to bunions than others.
High heels can exacerbate the problem because they tip the body's weight forward, forcing the toes into the front of the shoe. This may help to explain why bunions are 10 times more common in women than in men.
People in occupations such as teaching and nursing, which involve a lot of standing and walking, are susceptible to bunions. So are ballet dancers, whose feet suffer severe repetitive stress. Women can develop bunions and other foot problems during pregnancy because hormonal changes loosen the ligaments and flatten the feet. Bunions are also associated with arthritis, which damages the cartilage within the joint.
You may be able to relieve pain and prevent bunions from progressing with conservative measures that take pressure off the MTP joint and improve foot mechanics. Bunions generally don't require surgery unless there's an underlying deformity that can't otherwise be corrected or the pain becomes debilitating despite conservative treatment.

Conservative treatment

The first step is to relieve the pressure by wearing the right kind of shoe. (It's also important to maintain a normal weight.)
You can also protect the bunion with a moleskin or gel-filled pad, available at drugstores. (Make sure your shoes have enough space to accommodate it.) A clinician may recommend semisoft orthoses (shoe inserts) to help position the foot correctly as it strikes the ground. You can also wear a splint at night to hold the toe straight and ease discomfort.
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gel-filled pad
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semisoft orthoses
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When the bunion is irritated and painful, warm soaks, ice packs, and nonsteroidal anti-inflammatory drugs such as aspirin or ibuprofen may help. Ultrasound and massage may also provide some relief. Cortisone injections can relieve pain temporarily by reducing inflammation, but they have many side effects, especially when used often and at high doses.

Choosing surgery
If conservative measures fail and you still have pain that interferes with daily activities, you may need surgery to restore the toe to its normal position. Never undertake bunion surgery merely for cosmetic purposes, and never rush into it. You won't necessarily get rid of all your symptoms, and you'll have to stay off your foot for at least six to 12 weeks. Complete recovery can take a year or more, depending on the procedure. As with any surgery, you'll want to make sure the surgeon is experienced in performing the particular operation you've decided to undergo. You may also want to talk to other patients who've had the operation.
The aim of surgery is to relieve pain and restore normal function by eliminating the bony protuberance and realigning the joint (including ligaments, tendons, and nerves).

In the video you have another possible treatment:

Which one from the above would you choose?



María Ángeles A.