Hallux Valgus - Bunions
What is it?
A subluxation of the 1st MPJ with a deviation of the great toe towards the second with an enlargement of the medial first metatarsal head. In a nutshell, bone rubs against bone and creates more bone. Affects gait by degrading toe-off and causes excessive pronation due to 1st ray instability.
- Excessive pronation and narrow footwear.
- Higher incidence amongst women than men.
- Hereditary factors are listed in some literature.
- Reddened skin over the base of the great toe. Pain over the joint where the great toe joins the foot (MPJ)
- If caused by overpronation, stability or motion control shoe
- Proper fit, including accomodation for widening of the toebox
- Superfeet insoles, to guide the foot to its best alignment and reduce the pressure/deviation
- Educate on proper non-running footwear choices and pre-accommodation for a bunion
- Calluses may be trimmed
- Icing may help bursitis and pain symptoms
- Surgery, but that's beyond our scope of expertise