musculoskeletal and connective tissue disorders
Bunion
Treatment of Bunion
Wide toe box, bunion pads, orthotics, or a combination Sometimes, surgical treatment of complications Mild discomfort may lessen by wearing a shoe with a wide toe box or with stretchable material. If not, bunion pads can shield the painful area. Toe spacers can also be tried. Orthotics can also be prescribed to redistribute and relieve pressure from the affected articulation. If conservative therapy fails, surgery aimed at correcting abnormal bony alignments and restoring joint mobility should be considered. If the patient is unwilling to wear large, wider shoes to accommodate the bunion, surgery can be considered; however, patients should be told that orthotic devices should be worn after surgery to reduce the risk of recurrence. bursal aspiration and injection of a corticosteroid may relieve pain (see Considerations for Using Corticosteroid Injections ). Forjoint pain,oral nonsteroidal anti-inflammatory drugs (NSAIDs) or an intra-articular injection of a corticosteroid/anesthetic solution may help with analgesia. Forhallux limitus or hallux rigidus,treatment usually consists of orthotics or shoes that reduce motion at the first metatarsophalangeal joint. Some patients may experience pain relief from a corticosteroid injection. Sometimes surgical interventions (eg, osteotomy, arthrodesis) may be appropriate for patients with pain refractory to conservative measures. 