Foot Pain Treatment: Podiatrist Talks Bunion Causes, Pain & Treatment The Podiatrist and yourfeetnz

Bunions may progress in size and severity

Bunions are such an eye-sore! They can turn back the dial on even the hottest heels. But just what the heck are these things anyway?

Contrary to common belief, bunions are not a bone growth. Instead, a bunion is a progressive change of position of bones in the foot. Specifically, the bone commonly known as the bunion, is the 1st metatarsal. The first metatarsal moves away from the foot and is it changes, it pushes out the side of the foot where it appears as the “bunion bump”

As the 1st metatarsal moves one direction, the big toe moves in the other direction and leans towards the 2nd toe. These two bone changing position causes the 1st toe joint to be out of alignment and destabilizes the area leading to more progressive change and pain the joint.
Just how do bunions form?
The great majority of bunions are 90% genetic. The remaining 10% are caused by conditions such as rheumatoid arthritis and similar disorders. The mechanics that are genetically inherited allow the bones to change position over time as described above.

Women are more genetically prone than men to get bunions 10:1. If one has genetic predisposition to get bunions, outside influences such as tight shoes and high heels may speed the progression. However, if one does not have genetic predisposition, tight and high heeled shoes will not cause a bunion.
Are there any potential treatments?

There are some effective preventive treatment for bunions. Bracing or splinting the toe, different shoe gear or arch supports/custom orthotics have shown to be beneficial in preventing the formation or progression of bunion deformity.

When bunions become painful, getting into wider and/or deeper shoes may provide symptomatic relief. Devices to protect the area may also provide relief but often make the shoe fit tighter, leading to more discomfort. When those alternatives are not effective, surgery is a consideration.

If you have any concerns, call The Podiatrist.

Get started on resolving your foot problem today.


About Your feet and podiatry with Caron Orelowitz | Registered Podiatrist - Auckland

Caron Orelowitz was born in Johannesburg and emigrated to New Zealand in 1997. She studied Podiatry at The Witwatersrand Technikon and was in private practice in South Africa for a few years, before setting off to ‘the other side of the world’. Auckland Podiatry. Since 1998 she has been helping people of all ages who have problems with their feet, from the elderly, to sports people, and those who just want some TLC for the feet. At present she has 5 practices (with a satellite Diabetes Practice out West Auckland), owns a children’s shoe shop (Scooters in Remuera), and tries to fit in some exercise when time permits. Caron is an active member of Podiatry New Zealand (NZ), and holds the position of Treasurer for the Auckland Branch, as well as representing the Northern Region on the Executive Council. She is registered under HPCAA (Health Practitioner Competency Assurance Act), and is often seen attending (and organizing) Seminars and workshops. Caron has a special interest in Paediatrics and can often be seen on the floor showing children some exercises. ACC registered Discounts for Super Gold Card Holders, members of Grey Power and Green Prescription participants.

Posted on October 13, 2014, in Uncategorized and tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink. Leave a comment.

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