This variety is more developed and more serious than the flexible condition. Rigid hammertoes can be seen in patients with severe arthritis, for example, or in patients who wait too long to seek professional treatment. The tendons in a rigid hammertoe have become tight, and the joint misaligned and immobile, making surgery the usual course of treatment. With our seven locations across Middle Tennessee, Nashville Foot and Ankle Group has an office near you! Call your nearest Nashville podiatrist today and a member of our courteous and smiling staff will be happy to assist you! If allowed to progress, the condition can become worse. It does so because of the problem of obtaining a properly fitted shoe. The ball of the foot, with its bulbous outcropping of bunion, is considerably wider than the heel. The shoe with a snug heel that prevents slippage at its back might not fit the normal width of the ball of the foot at the front of the shoe. With the added growth of bunion, the width of the foot can no longer be considered normal. Thus, the proper fit at the ball of the foot leads to an angulation of the big toe. This deformity is a hallux valgus. Milian discussed her surgery, which was the second time she had it done on that foot. This is an important fact, which is not factored in to the discussion. "The aftermath is very, very, very painful and involves slow recovery," said Judge Milian, who was in the eighth week of her recovery and said that at week four she was still in terrible pain. Are your feet cold? “Cold feet relate to fears or stress you are dealing with – financial, relationship, work stress, empty-nest syndrome. Sometimes your feet have an odour. That tells me you are under stress, and need to be gentler to your self. The pain can be unbearable sometimes. You can be sitting in a very important meeting and all of a sudden the sharp pain comes in an instant, you try to sit there and pay close attention while trying to get your shoe off with the opposite foot. You're sound asleep dreaming of something wonderful when out of nowhere the pain causes you to wake up. You try to alleviate the pain by taking your foot from under the sheet, which seems to be weighting a ton and irritating your foot to no end. The screaming is horrific and you just want it to stop. Not to belabor the point, but your shoe selection as discussed earlier may be part of the problem. Changing the type of shoe that you wear on a regular basis can go a long way in reducing your pain. Lastly, most people develop bunions due to the way their feet function in gait. For most, it is due to too much pronation, or excessive flattening of the feet. If you exhibit that kind of foot structure than that has to be addressed as well and controlled, otherwise, even with a second surgery, you will almost be guaranteed a recurrence. However, immobilization of the toes can be accomplished. Proper taping techniques and the use of a surgical shoe will prevent motion of the toe. A surgical shoe works so well, it is often used in place of a cast for bunion surgery. This special shoe limits any motion at the fracture or site of surgery. The combination of tapping and a surgical shoe will not only stabilize the bone and allow the swelling to go down, but will also dramatically reduce the pain that is felt. My last patient's husband was so surprised to hear how much better her toe felt once it was properly taped and immobilized! Try padding the bunion. Padding can take up valuable space in the shoe so be very careful of the pads you choose. Try them on (shoes/pads) and walk around in the house on your day off to see if they work. They can also be painful to remove. Always soak your feet in warm water before attempting to take off the bunion pad. After removing the pad, try putting lotion on the bunion. Sometimes pads can cause irritation, so be careful. When sleeping wearing night splints. This can straighten the bunion while you sleep. You can go online to find them or they can be found in your local drugstore. Literally speaking, the number of people who are now facing foot problems is increasing gradually. It has been seen by the podiatrists that most of the foot problems mainly occur due to the improper use of shoes that do not fit or force the feet into unnatural shapes due to their designs. In addition, fatal injury, ill-fitting shoes, high impact physical activities and medical conditions are also responsible for several foot and ankle disorders. Most of the podiatrists suggest a physical exam of the foot for this crisis, perform X-ray evolution, padding or tapping, and prescribe orthotics, perform surgery is required depends on the condition. With so many styles, colors, and designers, it is easy to get carried away with shoe fashion. Try to be sensible when shopping and when pick out shoes to wear. If you plan on doing a lot of walking or standing, be sure to wear a more conservative shoe. Also, if possible, try to bring an extra pair of shoes so if you begin to feel pain or discomfort you can switch into something more sensible. If you have continued pain in your feet, you should see you podiatric physician to be appropriately treated and get more information on proper shoe gear for your foot type. Hallux Abducto Valgus or Bunion pain is one of the more common foot conditions treated by DR. Marc Blatstein Dr. Marc Blatstein’s patients usually relate pain either when wearing shoes, or when there is pressure applied to the side of the big toe Bunion pain can become such that “it hurts” both in and out of shoe gear. Treatment, Dr. Marc Blatstein relates may start with a varying the types of shoegear worn during the day, padding the area around the bunion, orthotics and eventually changing the types of shoes that you wear
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July 2017
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