The main causative factor for the condition is improper shoes. Poorly fitting shoes that are usually too narrow tend to force toes into unnatural positions. Research also indicates that a significant number of cases are hereditary. In terms of prevalence, women are more frequently affected than their male counterparts. This is mainly attributable to their shoe designs.
If intervention does not take place in timely fashion, the condition progresses rapidly over time and may even result in some irreversible defects. Management should be focused mainly on prevention rather than waiting for things to get out of hand first. Replacing ill-fitting shoes with the correct ones is the most obvious remedy. When buying shoes, ensure that they resemble the shape of your feet to reduce discomfort.
Studies have found that a majority of patients who undergo the surgical procedure get the expected results. There are many types of surgical procedures that are used by specialized orthopaedic surgeons to manage the condition. These are designed to relieve pain, to realign the joints and to correct deformity. The type of surgical procedure to be done is dependent on a number of factors that include, among others, level of activity, extent of damage and general health status of the patient.
Physicians usually refer individuals to an orthopaedic surgeon for an evaluation. The evaluation has three main components. X-rays are done to find out the extent of the effects of the bunions on the joints. A medical examinations aims to reveal conditions that affect the effectiveness of this treatment. A physical examination is done to identify foot deformities, misalignment and the degree of soft tissue damage.
Being a minor procedure, it is frequently done in the outpatient department. The patient is required to arrive at the facility early enough so that proper assessment can be done by the anesthetist and the attending surgeon. Alternatively one might be required to be admitted on the day preceding the surgery. Regional anesthesia is typically used but general anesthesia may be used in some cases. The total time taken from start to finish is about 1 hour.
The recovery period varies depending on the bone affected and the amount of soft tissue involved. The usual time required for recovery is between 6 and 24 weeks. Complete recovery may take up to one year. When taking a bath or showering, one must ensure that the foot is covered properly so that the stitches are kept dry. Walking casts, wooden shoes and splints are sometimes used. It is important to avoid putting too much weight on the foot.
Although rare, there are a number of complications associated with bunion surgery San Francisco residents need to know even as they consider undergoing the same. Commonly, patients may suffer connective tissue contractures, swelling, nerve and blood vessel damage, infections and persistent pain. Many of these complications heal spontaneously but a few may require specialized treatment.
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