A bunion gives the big toe a deformed appearance, because it is angled and pushes against the other toes. The University of Maryland Medical Center notes that all the toes can become affected by the bunion and develop a condition called hammer toes. The toenails may also become bent and brittle as blood flow is decreased because of pressure from the big toe. Noreen Kassem is a hospital doctor and a medical writer. Her articles have been featured in "Women's Health," "Nutrition News," "Check Up" and "Alive Magazine." Kassem also covers travel, books, fitness, nutrition, cooking and green living. TREATMENT — Hundreds of studies have been published assessing numerous conservative and surgical treatments for hallux valgus (HV) deformity. Overall, there is little evidence that conservative treatments are useful. Nevertheless, we agree with the American College of Foot and Ankle Surgeons and suggest that patients make use of conservative therapies before surgical referral is made 36. The incision is made over the dorsal lateral first articular metatarsopahangeal joint. A single-edge scalpel is introduced in the articular space from dorsal to plantar. The blade is oriented laterally to cut the capsule and the adductor tendon, usually assisted by medial deviation of the toe. Patient satisfaction — Patient satisfaction does not appear to correlate with surgical outcome as determined by radiographic parameters (ie, HA and IM angles) 43. Some patients have a misapprehension that the hallux should be straight after the operation. Others may be under the mistaken impression that they will be able to fit into narrower shoes postoperatively and can be dissatisfied if this expectation is not met. A bandage is placed to maintain the varus overcorrection of the hallux. The patient is encouraged to walk with full weight bearing on postoperative day one with a postoperative shoe. Bunion typically appears as a bony bump at or around the base of the big toe. Statistical data indicates that women who wear narrow shoes, high heels or small-sized shoes are at higher risk of developing bunions. Almost 90% cases are reported in females and occur when other toes of the foot push your big toe away from the mid-plane or from normal physiological site. Bunions or other pedal deformities (or defects of connective tissue) run in families. If your parents or siblings have bunions, you are very likely to develop bunions too. Would you know what to do if you find out you have a bunion on your foot? First, what is a bunion? It is this bump on your foot, specifically in the middle part of your big toe and your foot. This can be painful and sore. You ought to have it checked as soon as possible. A bunion treatment is highly advised when diagnosed with one. Do not let something like this pass; though at times it may not hurt it could develop into something major. An ingrown nail can also cause severe toenail pain by growing into the lateral nail fold, causing trauma, inflammation and secondary infection. It is more likely that re-alignment of the big toe will also be necessary. The major decision that must be made, is whether or not the metatarsal bone will need to be cut and re-aligned as well. The angle made between the first metatarsal and the second metatarsal is used to make this decision. The normal angle is around 9-10 degrees. If the angle is 13 degrees or more, the metatarsal will probably need to be cut and realigned. This effectively reduces the angle between the first and second metatarsal bones, narrowing the foot. The bone is held in the desired position with a metal screw or pin. I didn't specifically include hallux valgus in my claim to increase my "left foot condition" because I thought that the C&P would note that it was there and include it as part of the deterioration of my foot condition. My VA podiatrist mentioned it in her progress notes and even the C&P examiner mentioned it during the exam. But when I got the records of the C&P from ROI, the report specifies that it is NOT an exam for hallux valgus. Even after taking into account pain in other areas of the body, people with bunions still reported poorer mental and physical functioning than those without bunions. The American Podiatric Medical Association (APMA) states that a bunion is a lump of bony and soft tissue situated at the base of the big toe. A bunion develops from a condition called “hallux valgus,” which is a chronic deviation of the big toe toward the foot’s midline. Over time, with this sustained deviation, the base of the big toe becomes inflamed and a prominent bump develops. Causes Often caused by poorly fitting shoes that force the toes into unnatural positions, hammer toe can be very painful and make it difficult for you to go about your day-to-day activities. Sit down on the ground and bend your knees at a 45-degree angle so that your feet are flat on the floor. Contract your foot muscles so that the bottom of your foot curves a bit. Hold the contraction for three seconds. Relax and do this exercise 10 times. Take a 30-second break and repeat the set. You Might Also Like Big Toe Stretch Atrophy! Not that I would have changed my mind at all, but its impt to know esp. When you're an athlete or althletic person. All of the women in my family have horrible bunions. Are there any exercises that can ward off or help bunions? Dr. Shirzad also notes that while diabetes isn't a direct cause of lesser toe deformities, diabetic patients with neuropathy may not notice when a toe has become painful. They, and others with reduced sensation in their extremities, should be especially aware of any injury or changes in their toes. Although when I signed the form to do these three things, I wasn't sure exactly what we were doing, only that this is what the Dr. ordered, so I signed whatever he asked me to sign. Majority of my appointments through my HMO network Dr's have been rushed, and this is surgery on an HMO. I am scared!