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Archive for the ‘Bunion Surgery’ Category

An Athlete’s Guide to Dealing with Bunions

30 Nov

You don’t have to tell us bunions can be uncomfortable and difficult to deal with.   We’re runners, bikers, skiers, and the like and we know bunions can become even more of a hassle if you are an athlete. With months of training in a variety of footwear and weather condition and competitions you cannot or don’t want to miss, dealing with a bunion can often present a challenge.

How athletes treat their bunions
Don’t let those bunions curb your training!

“Bunion” in the name given to the deformity of the big toe which causes it to push outward and can be extremely painful.  Bunions typically continue to worsen overtime and surgery can eventually become the only way to permanently correct the deformity.  However as with any surgery, it comes with a myriad of risks and often significant recovery time, something athletes aren’t one to give into easily.

Until an athlete has the time to take off to have and recover from surgery, here are some options in dealing with your bunion:

  • Proper shoes can make a world of difference for an athlete dealing with bunions!  A properly designed shoe can help to alleviate pressure on the side of the foot which causes the majority of the pain for bunion sufferers as the boney nub rubs against the shoe during each and every stride.    If you are dealing with bunions, look for a sneaker with a tall toe box that is squared at the toes instead of rounded.  Shoes should also provide plenty of cushioning in the forefoot. Shoes with rearfoot stability are beneficial in reducing overpronation, which can intensify the symptoms of a bunion.  Also a shoe with a specifically designed bunion window can provide a little more leg room for your running companion.  Check with Nike and Adidas, at one point both carried models fit for bunions.
  • Treat your bunion conservatively. Physical therapy, injections and anti-inflammatory medications can help make the symptoms of your bunion less noticeable as you participate in athletics.  A few ibuprofen before the race or training session can sometimes do the trick.
  • Engage in cross training. If you experience a lot of pain with your bunions, alternate high-impact activities with low-impact training activities. Instead of running for conditioning, opt to swim, use an elliptical machine or ride a stationary bike to help stay in shape. Low-impact exercises will place little to no stress on your lower extremities and give them a much needed break from their normal sport.
  • When not running you can try inserts that push the big toe back in alignment such as toe spacers but for those that prefer a painless and more gentle remedy that can be worn while active, try Bunion Bootie.  For most fans of the Bunion Bootie, it is just as much a part of their workout gear as socks and shoes!

As an athlete with bunions, the key is to listen to your feet. They’ll let you know when it is time to take a break from running, jumping, sprinting, flipping or whatever it is that your sport requires. In the long run, your feet and your career will thank you!

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Bunion (Hallux Valgus) Treatment and Classification by Stage

10 Sep

Anyone that has been to the doctor for their bunion pain knows that genetics and a physical exam are the two area of focus for the man in the white coat.

First genetics; bunions aren’t exactly genetic but just like everything else in your DNA, your bone structure is (including those that make up your feet).

Second; a physical examination will really be the litmus test.  The doctor will measure your big toe angles, look for redness, sensitivity, and inquire about the pain level and times when the pain is exacerbated (based on type of shoe and activity).

Below is a representation of the life-cycle of bunion treatments.   There is always the suggestion that the patient take it upon themselves to make responsible and reasonable choices when it comes to footwear, but beyond home remedies such as ice and over the counter pain management aids, you are looking at orthotics, extreme shoe modifications, and prescription pain medicines.  If that doesn’t work, patients usually resort to surgery and while the chance of correcting the bunion is good, often times the complications and resulting pain in other areas of the foot, make it a less than desirable treatment option.

For reference;

The HA Angle is the Hallus Abductus Angel measures the angle between the first metatarsal and the big toe.
The IM Angel is the Intermetatarsal Angle and measures the area between the first and second matatarsals (the bones that make up the ball of the foot, behind the toes).  Surgery attempts to realign this angle.

You can also visit this site for a visual representation of the levels of deformity.

Bunion Treatment Life-Cycle

Source: Clinical Practice Guidelines First Metatarsaphalangeal Joint Disorders Panel. Copyright reserved by the Academy of Ambulatory Foot and Ankle Surgery.

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Is it Bunion Season?

29 Aug

Is there such a thing as Bunion Season?  Picture it…store fronts lined with only foot models with red bony bumps, sporting this season’s best in bunion splints and display cases with big sale letters “50% off Bunion Surgery“.  Nothing invokes feelings of sweaters and fresh apple cider like BUNION SEASON!

Most foot doctors will tell you there is, well…sort of, a bunion season.  If you think about it, we spend a good 3 months wearing flip-flops, sexy sandals, and sling backs, but as the weather starts to turn, or you begin your annual fall wardrobe shopping, you find yourself in brad new, not-yet-broken-in boots, and the seasons latest chocolate pumps.   I get goose bumps just thinking about all the good finds at the mall, but it doesn’t take long to realize this is a whole different ball game than the easy-breezy summer shoe selection.

Bunion Bootie

Very clinical picture of the Bunion Bootie

So does the fall weather actually CAUSE bunions?  No, of course not.  But those painful nubs sure do voice their opinions as they are crammed into the narrow toe box of the beauties you just bought on sale at Nordstroms.  Its true though.

there is a spike in bunion surgeries during the fall months

By day three following the retirement of the flops for the year, you’re hobbling home and looking online for the best podiatrist in town to evaluate your red, achy, and borderline right angles.

There are other financial and practical reasons bunions appointments peak in the fall…

  • Some people prefer to wait until the fall to schedule their bunion surgery and office visit, avoiding the bad news during summer fun
  • Most prefer to treat and deal with bunions before the holiday season approaches, which we all know comes all too fast once school starts!
  • Insurance premiums needs to be used up (or flex-spend accounts) before the close of the year

 

So what do you do if you don’t have time to get in to the doctor, or worse – you’ve been to the doctor and learn your only solution is surgery?  Don’t panic.

There is something that can reduce the pain during the day and sooth your feet at the end of the day by gently but evenly, pulling the big toe back to its natural position.  A nylon support that also provides a barrier against all those tight new kicks that tend to rub against the already traumatized metatarsal.

Bunion Bootie (www.bunionbootie.com) provides around the clock support for your bunions and at just 0.4mm thick, it really can be worn in any shoe; running shoes, boots, or work shoes.  Its customized to your foot and you control the fit by selecting the size you feel is right for your wear preference.

Try it, you’ll thank us :)

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The Newest Relief for Bunion Pain!

23 Aug

Now available and sold exclusively online….Bunion Bootie!

Are you looking for a non-surgical solution for your bunion pain?  Have you tried rigid splints, toe spacers, bunion cushions, and other home-grown devices to alleviate tense toes and aching feet after a long day of walking, standing, or running?  Well, slip your bothered bump into the Bunion Bootie for a customized fit and around the clock support for your foot.

Bunion Bootie is offered in 4 sizes currently; small, medium, large, and X-large. There’s a size guide to assess your correct size.   Additionally, unlike it’s stubborn splint counterpart, the Bunion Bootie is designed to fit either your left or right foot for that “Juuuust right” fit. 

Bunion Bootie is 100% composed of a soft flexible material that hugs your foot while anchored with an ankle strap, so that it gently pulls your big toe back to it’s anatomically correct position without fierce force or bulky material. 

At only 0.4mm thick it can be worn in any shoe without anyone being the wiser.  That’s right, any shoe!  Running shoe, dress shoe, work shoe, or sandles (although frowned upon by the fashion police).  You can even wear it barefoot!

 

 

 

 

 

 

 

No one wants to resort to surgery and until now there hasn’t been a viable option for bunion sufferers to turn to. 

With Bunion Bootie you can customize your relief and correction of the big toe by selecting a size true to fit or going one size smaller for a more aggressive correction.

Wear the more relaxed fitted bootie after a grueling 14 hours shift on your feet (nurses! hospitality workers!) and wear the tighter fitted bootie on the weekends, in your running shoes, around the house, and to bed.  It’s really up to you and your foot.

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How do you treat YOUR bunions? 6 Home Remedies….

14 Aug

There are  a handful of products out there that you can pick up at the drug store to take the edge off and a few splints out there that might actually prevent it from getting worse.  If all that fails, are you destined for bunion removal surgery?  Before we answer that question, let’s go through our options carefully.  Let’s start with the obvious solutions.

1.  You can pick up a pack of 6 moleskin pads for under $6.00 at your local drug store.

Not a bad solution if you are in a pinch.   Your attending your cousin’s wedding and if she really knew how thankful you were that you got to sit during the ceremony while she stood up at the alter, after walking 6 long blocks to the church, she’d roll her eyes at you.  But the truth is, you were ill prepared  and forgot your were the proud owner of said bunions when you bought the 3 inch heels (or for you men out there; when you pulled the dusty and stiff-as-a-board dress shoes off the shelf)  so a fast run (well, not really a run) through Walgreens on the way to the ceremony is your only chance at making it through the reception, even with an open bar.  As it stands now, you’re only 1 hour into the night and they are already fire engine red and screaming.

The mole skin is soft and the adhesive is probably as good as you’ll get without super glue.  But truth be said, your shoes are already tight so anything else invited to the party just makes for a just a different kind of pain.  Now your little pigs are angry and even if you were able to dance up until the clock struck midnight, there’s a really good chance you would be digging in your purse for the other 5 in the pack since the adhesive can’t fight off the sweat and spilled booze on the dance floor.  No wonder celebrities sedate their feet with a local anesthetic before awards shoes and premiers…(If I knew myself where to  go to numb my nubs, I would have it on this list.  If anyone reading this has suggestions, please comment!)

2.  Gel Spacers, 2 for $5.00 at the drugstore.

If your shoes allow for it, great!  Slip them in between the pigs and away you go!  They gently separate the big and second toe and aren’t that uncomfortable in shoes with a wide toe box.  But again, usually it’s already a tight situation in there and the toe spacers do nothing for the red, and not to mention, oddly warm bunion, on the other side of the big toe.  This might be more of a proactive solution in my mind.  After looking at your mom’s big toe jetting out over the others, and what appears to be your own left-hook, you try to combat the situation early.  May the force be with you.

3.  There’s a new one on the market, bunion gel cushions for around $7.00.

Nobel idea, reduce friction and comfort with vitamin E.  The picture on the package looks enticing.  It appears to be so thin you can see through it and the fit on the foot model looks to be just right.  Upon removing it from the package however, it resembles the thick, pliable, opaque skin of a blister but 10 times the thickness.  It hangs over the big toe like a necktie, but then just drops.  Doesn’t do much for stable positioning and in all honesty, it’s bulky and tacky (I do mean to the touch but now that I’m looking at it, it’s very much tacky in the fashion sense also).  It doesn’t slip into shoes well and once it does, if it catches or decides it’s found it’s home, I hope it’s wear you want it or you’ll be fighting it all day/night.  And the vitamin E in there?  I don’t feel it.  I think they might have slipped that in to make it slightly less tacky and rubbery but not quite sure.  It doesn’t feel as good as it sounds.

4.  Flex Tastic toe spacers, $11.00 drug stores.

Oh these are one of my personal favorites.  Being on the receiving end of many a pedicures in my life, I still have not gotten used to, or like for that matter, the toe spacers they place in between my toes to allow the polish to dry.  These spacers lasted all but 30 seconds on my foot and then were promptly returned to the store for a full refund.  Due to my limited wear time I can’t provide an unbiased opinion but I can tell you that besides the unruly fit, there’s no way I could wear these and walk.  I can hardly stand with them on, and the package says don’t wear them in shoes.  To me that leaves the average bunion sufferer with sleeping and watching TV for wear time, and that’s assuming they could keep them on more than the 30 seconds I had them on.   I wish you luck.

5.  Next up, rigid bunion splint.  Bunion-Aid makes these and they can go for as much as $75.00 online, depending on the retailer.

I first saw these in my Women’s Health magazine and until that day, I had been reluctant to find anything that really addressed the correction of bunions (without surgery), or the cencept of preventing them from getting worse.  I’m not afraid to purchase online, but typically anything over $30 requires adequate product review, certainly $49.95 isn’t a price point I take lightly.  However, since I felt this product spoke to me, I purchased it a record-breaking 15 minutes after seeing the ad.  4 Weeks later I received the splint and I could barely wait to get it on!  If this worked for me I would send one to my grandma and mom, who’ve both been suffering with bunions for year and spent 12 hours a day on their feet working in the hospital.  Challenging to get on unless you are an origami expert, I finally got it on.  Well…..I can see right away that I will not be walking the mall in this thing, even if I could get shoes or flip flops on.  It’s huge, it’s bulky and looks like something the hospital would fit you for if you broke your big toe.  Ok, but it must work right?  A device like this (and one that cost $50!) must work to straighten the big toe alignment so I will resolve to live with the  strange fit and sleep with it.  So the first night I carefully laced it up and pulled it taught.  I’m an easy sleeper, 5 minutes and I’m out, sounds asleep until my alarm goes off.  Tonight started off no different.  However by 11pm I awoke and my toe was killing me!  I had to take it off, even after I had I felt a small child had been hanging white knuckled from my toe.  I’m not giving up.  Night 2, same drill but this time lacing it substantially looser.  Chalking up the previous night to user-error.  Nope, not a chance.  Same thing, it’s off by midnight.  I’m sad to say I never found the sweet spot after weeks of trying.  I even tried to wear it during the day (with socks on to keep it clean) and even that was ineffective.  It wasn’t conducive to walking and I don’t sit still much.  This wasn’t for me.

6.  Bunion Bootie, $39.95 online at www.BunionBootie.com.

The search continues…..Bunion Bootie is a soft, flexible (good so far) bunion corrector (like the sounds of that) that can be worn in shoes and barefoot (hat trick!).  It’s beige so not as hard to keep “clean”.  It can be hand-washed and GENTLY pulls the big toe back to its anatomically correct position.  What’s the catch?  I can tell you I haven’t found it.  There are some points worth making though, it doesn’t offer much in the padding department but that’s by design.  It’s thin (only 0.4mm) so it can be worn (truly) in any shoe and even provides some protection against rubbing.  While it’s probably counter productive to wear in your tight 3 inch heels, it can easily be worn in running shoes, work shoes with wide toe boxes, flip flops and even Five Finger shoes!  It’s very durable and comes in 3 sizes for the custom fit your feet deserve.  You can chose a fit true to size for a comfortable all-around wear, or you can select a size smaller for more aggressive alignment action.  Word of advice, you don’t want to wear the tighter fit after a 12 hour shift, feet swell during the day and even more so after 12 hours.  Be kind and consider the days activities and personal wear preference.  It took years to get to this point so nothing will be changed overnight.  And if you’ve been through the bunion surgery just to have the nasty nubs return, consider the Bunion Bootie, it could prevent a round 3 at the surgeon since it can help maintain the position your doctor (and the pins) put you in.

If you have tried solutions not listed here, we would love to hear!!

 

 

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Bunion Surgery? There Has to Be Another Way…..

05 Aug

Are you toying with the idea of having surgery on your bunions?  Well, don’t.

If you’ve done any research you know then that surgery has the following risks and possible outcomes.

1.  Surgery, depending on the severity of the bunion can take up to a year to recover.  (So you can put those running shoes away…)

2.  Many times the bunion returns if the underlying problem is not corrected.  (My grandmother is one of the lucky ones in this category)

3.  Complication rates can fly as high as 55%!

Examples are infection, irritation from pins (Yes, that’s right, pins.  Read on…)  Risks are much higher for those with bad circulation, diabetes, and overall poor nutrition or health.  Other issues that could surface include but are not limited to;

  • Weakened big toe (We all need strong toes, even if we’re not ballerinas)
  • Pain transferred to other parts of the foot including the ball of the foot
  • Nerve damage
  • Extensive physical therapy
  • Continued swelling of the foot and let
  • An increase in pain
  • Terrible scarring
  • CRPS (Complex Regional Pain Syndrome) – you can read up on this and other complications in this article also.

4.  Studies reveal as many as 1/3 of patients express dissatisfaction with the results, even though the alignment was improved, you will not be able to wedge your tootsies into narrow 3″ heels like you did when you were 20.  (Sorry ladies!)

5.  For mild deformities the surgeon will probably elect to shave off the enlarged portion of the bone and then realign the muscles, ligament, and tendons.  (Sound fun so far?…Wait, it gets better, this is a Bunionectomy for MILD cases)

6. For more serious cases you could be looking at a Osteotomy.  A cut will be made at the base of the metatarsal bone.   Then the surgeon will rotate the bone and secure it in place with pins or screws.

So what do you do if you don’t want to go through surgery?

Try the more less invasive solutions.  Bunion Bootie is a gentle and 100% flexible support that will relieve the pressure on the toes to reduce the deformity and work to restore the natural and normal flexing action of the foot.  It will work to improve your gait over time (it does not work not overnight, after all it did take it years to get to this point) but will maintain the anatomically correct position of the foot (even post surgery if you are trying to avoid going under the knife for the second time).  Best of all, you can wear Bunion Bootie barefoot or in any shoe, including running and dress shoes!

 Please share your surgery or recovery experience below.  Anyone considering bunion surgery would benefit from your experience.

Oh and here’s a great article identifying a predictor in bunion recurrence after surgery!

Good luck!

 

 

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