It is commonly known as “bunion” (hallux means big toe and valgus means bent out or twisted out). A bunion is a common and potentially painful condition with unclear causes. It appears to be a deformed bony bump on the joint at the base of your big toe. It happens when your big toe point towards your second toe.
These factors might increase your risk of bunions:
Generally, observation is enough to diagnose a bunion, as the bump is obvious on the side of the foot or base of the big toe. However, your surgeon may order x-rays that will show the extent of the deformity of the foot.
If you have severe pain or trouble walking, and the symptoms do not improve with conservative management, your doctor may recommend bunion surgery. There are different types of surgeries to correct a bunion. Bringing the big toe back to its correct position may involve realigning bone, ligaments, tendons, and nerves.
Fasting is essential prior to bunion surgery. In the event you did not follow the instructions, the bunion surgery will be rescheduled. No food or drinks (except plain water) after midnight or as instructed. Last drink allowed is half a cup (100ml) of plain water.
Certain medications need to be stopped in preparation for the bunion surgery. Please inform your doctor of all medications you are on, especially blood thinners or herbal medications.
You will be supplied with a wedge shoe after bunion surgery - you are to wear it at all times when you walk so that your full body weight will be on your heel. Some bunion procedures allow you to walk on your foot right after the bunion surgery. In these cases, patients must use a special surgical shoe to protect the bunion correction.
Follow the instructions from the surgeon strictly to prevent the bones from shifting and the bunion correction failing.
Specific exercises will help restore your foot's strength and range of motion after bunion surgery. Always start these exercises slowly and follow instructions from your doctor or physiotherapist regarding repetitions.
Keep your foot elevated as much as possible for the first few days after surgery, and apply ice as recommended by your doctor to relieve swelling and pain. Never apply ice directly on your skin. It is common to have some swelling in your foot from 6 months to a year after bunion surgery.
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