Hallux valgus (Bunions)

"Surgical correction is the only effective solution for hallux valgus".

DR. CARLOS VILLAS TOMÉ
SPECIALIST. ORTHOPEDIC SURGERY AND TRAUMATOLOGY DEPARTMENT

The hallux valgus or bunion is a deviation of the big toe (first toe) towards the rest of the toes due to the prominence of the head of the first metatarsal (bone that continues the phalanges of the toe) and the inadequate angulation of the joint, causing the overlapping of the first and second toe.

It is more frequent in women of advanced age, it is associated to deformations of the fingers with the use of inadequate footwear, although it can be familiar, mainly if it appears already in the adolescence.

The use of footwear of narrow tip and some alterations of the foot are the determining factors in their appearance.

The clinical history and the exploration of the foot are the fundamental elements for the diagnosis. X-rays are not always necessary, except if the decision is made to have surgery.

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What are the symptoms of bunions?

In bunions there is a painful inflammation of the edge of the foot in the area of the union of the toe with the rest of the foot.

It produces continuous and dull pain located in that zone, that worsens when walking and improves with the rest and the local heat.

Sometimes, it is noticed sensation of rubbing, crackle or crepitation when moving the finger, besides the deformity.

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The most common symptoms are:

  • Inflammation in the area.
  • Continuous pain.
  • Sensation of rubbing.

Do you have any of these symptoms?

You may have hallux valgus

How are bunions treated?

Initially it is treated with anti-inflammatory drugs, painkillers, physiotherapy, local application of heat or cold and avoiding repetitive activities that aggravate the symptoms.

It is very important to use adequate footwear, avoiding shoes with narrow toe boxes or high heels. Choose footwear with a broad last that does not rub against the bunion, with soft and adaptable upper leather.

Sometimes, the cushions in the area of the bunion alleviate the pain. Some orthopaedic solutions that your doctor should recommend may also be helpful.

Temporary immobilization of the hallux joint may be beneficial.

If these measures do not work, local infiltration may be beneficial.

Surgical correction of hallux valgus is the definitive option. There are several techniques to choose from depending on the severity of the diagnosis.

Where do we treat it?

IN NAVARRA AND MADRID

The Department of Orthopedic Surgery and Traumatology
of the Clínica Universidad de Navarra

The Department of Orthopedic Surgery and Traumatology covers the full spectrum of congenital or acquired conditions of the musculoskeletal system including trauma and its aftermath.

Since 1986, the Clinica Universidad de Navarra has had an excellent bank of osteotendinous tissue for bone grafting and offers the best therapeutic alternatives.

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  • Pediatric orthopedics.
  • Ankle and foot.
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