Hallux Valgus (Bunions)
Hallux valgus is a medical condition in which the big toe tilts laterally toward the second toe. This results in a bump on the inner side of the foot, know as a bunion. Hallux valgus is related to a combination of genetic factors, activities, and inheritance. Some patients who have this condition do not have symptoms. Sometimes symptoms can be relieved if the patient wears wide well fitting shoes and give them time to adapt to the shape of their feet.
If simple measures do not help in anyway and Hallux valgus is causing you persistent and troublesome symptoms then surgery should be considered. There is no correct amount of pain or inconvenience which a bunion may cause which warrants surgery. Symptoms which a bunion causes are generally subjective, and what is a problem in one person's view will not be a problem in another's.
For bunion surgery to be successful (correcting the deformity and losing the symptoms) the mechanical factors driving the deformity should be overcome. Bunion surgery should replace the 1st metatarsal closer to the 2nd thus reducing the width of the foot, and also realigning the tendons and reducing their deforming forces.
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