What is a Bunion? (also known as a hallux valgus)

A bunion is a deformity of the big toe as it moves towards the adjacent toe. It often creates bony prominence on the side of the big toe joint which is harder to fit in shoes which can make the joint sore. A bunion can also occur at the 5th joint known as a bunionette.

Kolegji Mbretëror i Podiatrisë (rcpod.org.uk)

Cilat janë shkaqet?

Often, bunions run in families, so it is thought to be a hereditary link. Tight fitting footwear may cause the joint to swell which in turn might make it painful.

Cilat janë simptomat?

Pain, swelling and redness of the joint are common due to the challenges of wearing shoes. The toes can rub against each other which can cause corns or callus. In more advanced cases the toe can underlap or overlap each other. In many cases there is no pain reported often in shoes with appropriate width.

Këpucë

Wide fitting shoes are recommended to help reduce the pressure on the side of the joint. Slip on shoes, tighter toe box, stiff materials around the bunion are not going to help if your bunion is causing you pain. There are specialist wide fit shoe brands that start at 2E, 4E, 6E and up to 8E. A measuring guide will help guide you on the appropriate width. Once you have determined the best width choosing the appropriate materials is also important as stretch in the toe box might provide further comfort.

Këpucët e duhura për shtrojat e këpucëve – YouTube

Men’s foot width measuring guide

Women’s foot width measuring guide

Ushtrime

If your big toe joint has been causing you pain, then exercises are recommended to help with your symptoms. The premise is to encourage movement of the joint and help activate the muscles that help provide stability to the joint. This in turn can help if your big toe joint is painful when you push your weight through it.

Lëvizshmëria e gishtërinjve të këmbëve

  1. Whilst seated place your foot on your knee (if you can). Other adapt to move your
  2. Kapni gishtërinjtë e këmbëve dhe tërhiqini drejt jush. Duke i lëvizur lehtë para dhe mbrapa.
  3. Aim to move joints of the toes with extension and flexion. Do for 2mins 3 times daily.

Toe Mobility Over A Ball

  1. Whilst seated place your foot on the floor resting the front of the foot on a ball
  2. Rrotulloni lehtë gishtërinjtë e këmbëve mbi top duke u shtrirë dhe përkulur mbi sipërfaqen e topit.
  3. This can help mobilise the painful forefoot to aid recovery, Do for 2mins 3 times daily.

Toe Yoga

  1. Uluni në buzë të një karrigeje me këmbët tuaja të mbështetura në dysheme.
  2. Try without using your hands (but use them if you struggle to do this)
  3. Lift the big toe off the ground, whilst the lesser toes 2-5th stay touching the ground.
  4. Slowly lower the big toe to the ground, and now swap by lifting the lesser toes 2-5th and keeping your big toe planted to the ground.
  5. Keeping rotating the movements, do this for 2mins on each foot

Kapëse peshqiri

  1. Uluni drejt në një karrige me një peshqir të vendosur nën pjesën e përparme të këmbëve.
  2. Përkuluni dhe lëshoni gishtat e këmbëve për të tërhequr peshqirin drejt jush.
  3. Keep your heel on the ground. Do for 2mins 3 times daily

Foot & Ankle Exercise: Towel Toe Curls – YouTube

  1. Për të përparuar, vendosni një peshë mbi peshqir.

Këmbë Doming

  1. Uluni në buzë të një karrigeje me këmbët tuaja të mbështetura në dysheme.
  2. Pa i shtrënguar gishtat e këmbëve, tendosni harkun e këmbës
  3. Synoni ta mbani thembrën dhe pjesën e përparme të këmbës në kontakt me tokën.
  4. Hold for 5 seconds each arch clench, do for 2mins
  5. Do this 3 times a day.

Ushtrim për vrapim zbathur: Mbajtja e këmbëve në formë dome – YouTube

Seated Calf Raise

  1. Uluni në buzë të një karrigeje me këmbët tuaja të mbështetura në dysheme.
  2. Spread your toes.
  3. Raise your heels off the ground, keeping your toes and the ball of your foot on it.
  4. Slowly lower the heels back to the ground, shortening the arch of the foot.
  5. Hold the position for a few seconds and relax.
  6. Do 15 repetitions 3 times a day.

Big Toe Joint Strengthening

  1. Uluni në buzë të një karrigeje me këmbët tuaja të mbështetura në dysheme.
  2. Use an elastic exercise band or loop
  3. Wrap the elastic band underneath the big toe and hold each end in your hands pulling the band tighter.
  4. Let the band pull the big toe up, then slowly push down with the big toe to the ground
  5. Hold to the ground under tension then slowly raise the toe up again
  6. Repeat for 2mins 3 times a day.

Standing Calf raise with a ball

  1. Standing near a chair, wall or sideboard for support to hold on to.
  2. This can be done barefoot or with shoes if you find this uncomfortable barefoot.
  3. Squeeze a ball between your ankles the aim of the exercise is to raise onto your big toe lifting your heels off the ground.
  4. Holding your balance on a wall, lift the heels as high as possible while squeezing the ball.
  5. Lower the heels and repeat the exercise.

Bunion Padding

This is cushioning also known as a bunion guard. Some are sleeves for the foot or some slot over the big toe itself.

Gel Bunion Cushioning | Simply Feet

Pedag Hallux Soft Gel Big Toe Bunion Pad – ShoeInsoles.co.uk

Toe Spacers

A gel toe-spacer might help provide comfort from the compression of the toes. Although if this is not a problem then you likely don’t need it.

Toe Insoles – ShoeInsoles.co.uk

Insoles / Orthosis

In some cases, patients might have a bunion and a very flexible foot (sometimes flatter on weight bearing). In these cases, it might be worth trialling an arch support as this may help improve symptom of joint pain. It is worth noting an insole or arch support will require

Insoles for Bunions – ShoeInsoles.co.uk

Night splints are available and although studies have shown they do not provide a correction of the toe position, in some cases, they can help reduce the pain in the joint.

Epitact Rigid Bunion Corrector for Night Use – ShoeInsoles.co.uk

Injection

An injection into the joint might be considered if you have pain and stiffness. This is often due to arthritis, so the aim is to reduce the inflammation.

Menaxhimi Kirurgjikal

A metatarsal osteotomy is a surgical procedure to help correct the shape and position of the bunion. There are many types of different surgeries for a bunion, but this will be decided by the surgeon undertaking the procedure to get the best outcome.

BOFAS > Patient > Patient Information > Bunion Surgery

Ekzistojnë rreziqe për kirurgjinë e këmbës dhe kyçit të këmbës

 

Jashtë punës

There will be a requirement to elevate your foot and rest, gradually increasing weight-bearing as you recover.

Swelling and Stiffness

The foot can swell as a response to surgery is part of the healing process. It can take up to six months for swelling to completely settle in some cases. In some cases, post-surgery there may be increased stiffness in the foot.

Infection

The act of surgery is invasive, so there is risk of infection. In some cases, this can delay healing and will require antibiotic treatment.

Bloods Clots

There is a small risk of developing a blood clot after foot surgery. Following the pre and post-operative advice will help reduce this risk.

Numbness

Mund të ekzistojë në vendin e operacionit nëse ka pasur dëmtim të një nervi.

Dhimbje e vazhdueshme

Some patients have persistent pain post-surgery or the symptoms may return. This can sometimes be because of a bunion reoccurrence. Further surgery does not always bring favourable outcomes. You develop pain in another part of your forefoot due to altered foot mechanics. The use of foot orthosis and supportive shoes can be required.

Sindroma e Dhimbjes Kronike Rajonale

Ndërhyrja kirurgjikale ndonjëherë mund të rezultojë në një këmbë të fryrë, të dhimbshme dhe shumë të ndjeshme. Kjo mund të jetë sfiduese për t'u menaxhuar dhe shpesh pacientët do të referohen në klinikën e dhimbjes për mbështetje.

Qasje e Bazuar në Kritere

In Bristol, North Somerset and South Gloucestershire bunion surgery falls under the criteria-based access (CBA) Forefoot surgery policy. Therefore, you must have exhausted and evidenced the conservative treatment options available. The bunion deformity itself needs to be causing a substantial impact on functional impairment. Surgery for cosmetic purposes or failure to simply adapt your footwear to a wider fit would not meet the criteria. A consultation with a foot and ankle specialist can help discuss the treatment you have been doing and what further options are recommended. Funding for Surgery will only be considered if the problem is causing pain or severe functional impairment and treatment has been exhausted.

Nëse keni vështirësi të menaxhoni gjendjen e këmbëve tuaja?

Kontaktoni klinikën tuaj të përgjithshme nëse keni nevojë për ndihmë dhe udhëzime të mëtejshme, në disa raste kërkohet një referim te shërbimet lokale muskuloskeletale, dhe ata mund t'ju këshillojnë për trajtimin ose rrugët e duhura të përshtatshme për ju.

Kthehu te Këmba dhe Kyçi i Këmbës