Bunions

What is a bunion?

Bunions, also known as hallux valgus, are a condition affecting the ball of the foot. They occur when there is a misalignment of the bones that form the big toe joint, causing the big toe to gradually lean towards the second toe. This deviation creates a noticeable ‘bump’ on the inside of the foot, which can increase in size over time and is then referred to as a ‘bunion’. Physiotherapy can be an effective treatment for bunions.

How does a bunion happen?

Bunions can develop due to several factors, with the main contributors being poorly fitting footwear, unstable foot biomechanics, and the prolonged use of high-heeled shoes.

How do I know if I have a bunion?

Bunions may or may not cause pain, and the severity of discomfort often corresponds to the degree of deviation of the big toe. Pain is typically experienced during movement of the joint, so activities that require extensive joint motion—such as sprinting or dancing—can exacerbate symptoms. Wearing high-heeled shoes can also increase stress on the joint. Other symptoms may include:

  • mobility problems
  • falls
  • swelling/inflammation
  • balance problems

What should I do if I have a bunion?

If you have a bunion, it is important to undergo an assessment by a physiotherapist, podiatrist, or orthopaedic surgeon. Some bunions can be managed conservatively through non-surgical treatments, while others may require referral for surgical correction.

What shouldn’t I do if I have a bunion?

Hallux valgus is a progressive, degenerative condition that tends to worsen over time, especially with increased weight-bearing. Factors such as poor footwear, unstable foot biomechanics, and high-impact activities like intense running should be evaluated and potentially avoided. Reducing or eliminating these pressures on the ball of the foot is important to help manage the condition.

Physiotherapy treatment for bunions.

The physiotherapists at acephysiosports.com can provide conservative treatment and advice for bunions. These methods can slow or sometimes halt the progression of your bunion(s). If conservative methods do not provide relief, or if the condition gradually worsens, a surgical referral may be necessary. Physiotherapy is also crucial after bunion surgery. Treatment may include:

  • Stretching exercises for the muscles around the big toe and foot
  • Strengthening exercises for intrinsic foot muscles and supporting structures
  • Joint mobilisations to improve range of motion in the big toe
  • Gait retraining to reduce pressure on the affected area
  • Advice on footwear and orthotics to support the foot and reduce recurrence
  • Pain management techniques such as ice, heat, or electrotherapy
  • Scar tissue management and soft tissue massage post-surgery
  • Gradual return-to-activity planning to prevent overloading the joint

Could there be any long-term effects from a bunion?

Early conservative management is crucial in treating bunions, as it can slow or sometimes halt the progression of the deformity. If conservative measures are not effective, or the condition worsens, surgical intervention may become necessary to relieve pain and restore function.

To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.

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