Mr Stuart A Metcalfe BSc(Hons), MPhil, FRCPod(S)
CONSULTANT PODIATRIC SURGEON
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FELLOW ROYAL COLLEGE OF PODIATRY
Bunions (Hallux Valgus)
A bunion is referred to "hallux valgus" and involves the big toe moving position so that it points inwards toward the second toe. Patients with bunions may also notice that their foot becomes wider as it begins to splay. The main problem is that these changes are progressive and typically worsen with time. If you think you might have a bunion then you should seek early advice. If your bunion is treated early you might be able to avoid not only the pain associated with severe bunions but also have a much better chance of a cure.
The operation is actually quite straight-forward when performed by an experienced surgeon. A cut is made over the top of the deformed toe, sometimes the tendon is lengthened. Once the soft tissues have been released the next step is to realign the bone.
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Frequently Asked Questions
WHAT WILL HAPPEN DURING MY APPOINTMENT?
The very first thing that needs to happen is for the diagnosis to be confirmed and this is done through a very detailed history and clinical examination. Because some of the causes of big toe joint pain can be related to conditions that effect the whole body, Mr Metcalfe may well decide to arrange some investigations
WHAT TREATMENT WILL I BE OFFERED?
Mr Metcalfe will decide on the best treatment for your big toe joint pain in discussion with you based on his clinical findings. The aim is to get patients back to full activity and pain free as quickly as possible. Possible treatments include:
Biomechanical assessment & orthotics
Joint injections
Medicines such as anti-inflammatories
Surgery
Cheilectomy
Joint resurfacing
Keller arthroplasty
Joint fusion
Joint replacement
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