Pins or screws hold the moved bone in place until it heals. Proximal metatarsal osteotomy – often selected for a more severe deformity, this procedure involves cutting and moving the base of the bone to change the angle between the first and second metatarsal bone.Distal chevron osteotomy – involves cutting and moving the end of the bone to change the angle between the first and second metatarsal bone.Determining the most appropriate bunion-correction surgery depends on many factors and is individualized for each patient. Surgical correction of the deformity involves cutting and shifting bone or fusing bones (the bump cannot just be cut or shaved off). Surgery is considered if all appropriate non-operative therapies have failed. A toe spacer and/or bunion sleeve – can be used to treat symptoms however, they will not affect the size of the bunion or prevent progression of the disability.A shoe stretcher or ball and ring stretcher – allows modification to current shoes to prevent irritation.
Shoe modifications – including wearing comfortable shoes with a wider and taller toe box.We always look at non-surgical treatments first, especially if you haven't been treated before. Your individualized treatment plan will be based on any previous treatment you may have received, the severity of your deformity and the presence of other medical conditions.
We will take weight-bearing X-rays of your feet to evaluate the severity of your bunion and to see if there is any underlying arthritis.We will take a complete health history and do a physical examination to determine the severity of your bunion, the mechanics of your foot and the areas of your pain.Inability to find shoes that fit or are comfortable.Pain and irritation over the bump on the side of the big toe while wearing shoes.Here are a few typical symptoms of bunions, but only a physician can make a proper determination: If you have bunions, at University of Michigan South Main Orthopaedics we can give you an expert diagnosis and a personalized treatment plan.
Genetics play a role in the development of bunions however, footwear that is too tight is often to blame. The often-noticeable "bump" is not new bone or overgrowth of bone but actually the metatarsal itself. To schedule an appointment with our foot and ankle specialists, call 73īunions (also known as hallux valgus) occur when there is misalignment of the first metatarsal (one of five long bones that run from mid-foot to the toes) in relation to the big toe.
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