Hallux Valgus – Scarf Osteotomy Is Effective

The provision of adequate postoperative analgesia is also fundamental to the success of this procedure, and the effective use of nerve blocks to achieve this is a key factor in extending the indications of outpatient surgery to bilateral hallux valgus corrective surgery. The safety and efficacy of peripheral nerve blocks in foot and ankle surgery have been well established, and levobupivicaine is a safe, effective local anesthetic agent able to provide analgesia for up to 10 hours postoperatively. 17,18 As such, no patient in this study required increased analgesia above the oral agents prescribed on discharge from the outpatient surgery unit. So, what do I think the study has shown (even assuming that there are no environmental factors)? That when you cram a foot into a shoe, there is some sort of genetic predisposition for that to lead to bunions. Much of information I read about bunion surgery and many of the images I found online of it were so disgusting and revolting that I would no longer even consider having the procedure done. If at all possible, I wanted a way to relieve my bunion pain while correcting the underlying bunion problem at home. Without surgery. I recommend wide extra-depth orthopedic shoes or even custom shoes for patients with bunions and hammer toes. Sometimes for older patients in nursing homes I will cut a hole in their shoe to make more room. Padding or taping sometimes helps mild to moderate deformities. Most drug stores have a foot care section with pads like tube foam or spacers available. Some patients find foot soaks in Epsom salt water solution helpful especially after a long day on your feet. Aug 19, 2010 By Suzanne Robin Photo Caption Too tight or too narrow footwear can cause or aggravate bunions. Photo Credit foot and shoe image by JoLin from Fotolia.comhallux valgus angle If the podiatrist who has been treating you has fitted you for orthopedic devices to place inside your sneakers, be sure to wear them each and every time you exercise. If your doctor has suggested you wear W sneakers to alleviate the pressure on the bone deformities, do not attempt to exercise in any other size sneakers. The wide toe box of these sneakers will ensure that you do not experience the same level of discomfort or pain you would feel while exercising in regular size athletic footwear. Diabetes also affects the blood supply to your feet, and this can delay healing and increase your risks of infection and amputation. Pain develops when the bump causes irritation to the nerves and other tissues at the joint. Swelling of the first metatarsophalangeal joint leads to pain in the area, especially in when wearing tight fitting shoes. This causes the skin over the toe to become red and tender. Also, because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis, arthritis and callus formation on the bottom of the joint all contribute to the chronic pain associated with a bunion deformity Hawke F, et al. Custom-made foot orthoses for the treatment of foot pain. Cochrane Database of Systematic Reviews. 1, 2009. Bunions may seem to be an unimportant cosmetic concern, but in truth, such foot problems actually cause pain as well as corns. With this in mind, individuals should become aware of what causes bunions, so as to avoid the suffering brought forth by such foot condition. In most cases, bunions are formed due to uncomfortable shoes, which forces one’s feet to achieve balance in an awkward manner, th read more Bunions are swelling and inflammation around a toe joint caused by excessive pressure on that joint. To correct them, surgery is often "chosen" without any non invasive alternatives presented. This article takes a look at more natural remedies. read morehallux valgus