Diagnosis is made by obtaining X-rays of the feet and identifying the dorsal spur and a decrease in the joint space. Also range of motion is performed to see if at least 40 degrees of dorsiflexion is obtained. Along with palpation of the big toe joint which induces pain.
Bunion deformities are most commonly a result of genetics. Someone in your family tree has the genetic predisposition for the bunions. One misconception is that tight shoes caused the bunion. In all actuality the tight shoes worsened the condition and made the bunion become more severe quicker. The entire deformity began because of a tight muscle called the adductor hallucis muscle which is pulling the big toe to the side near the second toe instead of straight up and down. This puts a backwards pressure on the metatarsal causing the bump on the inside of the foot near the big toe joint to become bigger as time goes on. Shoe pressure causes the nerve that runs along the inside of the foot to become irritated and the pain begins.
At Mid-Ohio Foot & Ankle Specialists we will obtain a set of X-rays so that we can determine the severity of the bunion deformity utlizing the necessary angles (called the intermetatarsal angle IM) and then offer you the appropriate procedure for correction.
At Mid-Ohio Foot & Ankle Specialists our doctors have performed thousands of bunion surgeries with excellent results and minimal pain and scarring. Our patients take an average of 3 pain pills over the 1st couple of days and then switch to Tylenol or ibuprofen. We also specialize in the correction of previous bunion surgeries that had less than-optimal outcomes. Dr. Staschiak is also a certified Lapiplasty specialist for severe bunion surgery correction.
Diagnosis is made by obtaining X-rays to determine the angles of the 4th and 5th metatarsals and also the angle of the 5th toe on the metatarsal head. The normal 4-5 angle is between 6-8 degrees with a symptomatic foot measuring greater than 9 degrees.
Also noted is a callous on the outside of the foot and most commonly on the bottom of the foot behind the little toe which is painful. An inflamed nerve called a neuroma can also be associated from the constant pressure irritating the nerve once the fatty pad has degenerated over time.
Surgical treatment may consist of Planing the 5th metatarsal head if the callous and pain are only on the bottom of the foot. Otherwise a special bone cut can be performed to move the head of the 5th metatarsal into a more corrected position and secured in place allowing you to walk immediately. This will also realign the 5th toe back onto the 5th metatarsal to give a straighter appearance.