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Chiropody Services

Foot Conditions - Bunions, hammertoes

Bunions, Hammertoes, flat feet, corns, calluses, plantar fasciitis are few examples of foot conditions that can be a major cause of discomfort.


Bunions 

Referred as Hallux abductovalgus. The big toe has deviated towards the second toe. The 1st metatarsal head becomes more prominent. Soft tissue including tendons and ligaments tighten and contract on lateral side of first toe resulting in stretching and weakening of tendons and ligaments on medial side of first toe. Bunions can be very painful. 

Hammertoe
  • Imbalance between intrinsic and extrinsic muscles will lead to dominant muscles overpowering and causing digital contractures  

  • Sometimes hammertoes may result from abnormal alignment and deviation of the bone within the toes as well 

  •  For toe digits to function, they must be straight, stable, rectus, rigid beam during gait to allow normal propulsion

  • Digital deformities are collectively known as hammer toe syndrome

  • Toe deformities can appear as claw toes, mallet toe, retracted toe, or a hammer toe 

Causes of Bunions and Hammertoes 
  1. Abnormal Biomechanics due to flatfeet or high arches 

  2. Osteoarthritis

  3. Rheumatoid arthritis and inflammatory conditions such as spondyloarthropathies (reactive arthritis, psoriatic arthritis, etc)

  4. Trauma or injury to the first toe 

  5. Congenital and Genetic Factor

  6. Hereditary predisposition with conditions such as Ehler's danlos 

  7. Neuromuscular disorders 

  8. Improper fitting footwear - tight shoes or high heels 

Management and Treatment of Bunions and Hammertoes 
  1. Footwear education and advise according to foot type 

  2. Bunion splints and braces - although these options do not reverse bunion and hammer toes, but they help reduce worsening 

  3. Toe separators or toe props to help align the toes and reduce pressure 

  4. Tendon Release - soft tissue surgery 

  5. Orthopedic Surgery Consultation 

 Seek immediate advise from Chiropodists at Podera Health if you suffer from this issue!

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