Bunion

Seek professional opinion and treatment about your Bunion today. Experienced Foot Specialist with most advanced treatment. Call us +65 97731458 to schedule for an appointment.

A bunion is a bony bump that forms on the joint at the base of your big toe. A bunion forms when your big toe pushes against your next toe, forcing the joint of your big toe to get bigger and stick out. The skin over the bunion might be red and sore.

Wearing tight, narrow shoes might cause bunions or might make them worse. Bunions can also develop as a result of an inherited structural defect, stress on your foot or a medical condition, such as arthritis.

Smaller bunions (bunionettes) also can develop on the joint of your little toes.

Symptoms of Bunion

The signs and symptoms of a bunion include:

  • A bulging bump on the outside of the base of your big toe
  • Swelling, redness or soreness around your big toe joint
  • Thickening of the skin at the base of your big toe
  • Corns or calluses — these often develop where the first and second toes overlap
  • Persistent or intermittent pain
  • Restricted movement of your big toe

When to see a Doctor

Although bunions often require no medical treatment, see your doctor or a doctor who specializes in treating foot disorders (podiatrist or orthopedic foot specialist) if you have:

  • Persistent big toe or foot pain
  • A visible bump on your big toe joint
  • Decreased movement of your big toe or foot
  • Difficulty finding shoes that fit properly because of a bunion

Causes of Bunion

Bunions develop when the pressures of bearing and shifting your weight fall unevenly on the joints and tendons in your feet. This imbalance in pressure makes your big toe joint unstable, eventually molding the parts of the joint into a hard knob that juts out beyond the normal shape of your foot.

Experts disagree on whether tight, high-heeled or too-narrow shoes cause bunions or whether footwear simply contributes to bunion development. Other causes include:

  • Inherited foot type
  • Foot injuries
  • Deformities present at birth (congenital)

Bunions may be associated with certain types of arthritis, particularly inflammatory types, such as rheumatoid arthritis. An occupation that puts extra stress on your feet or one that requires you to wear pointed shoes also can be a cause.

Risk Factors of Bunion

These factors may increase your risk of bunions:

  • High heels. Wearing high heels forces your toes into the front of your shoes, often crowding your toes.
  • Ill-fitting shoes. People who wear shoes that are too tight, too narrow or too pointed are more susceptible to bunions.
  • Arthritis. Pain from arthritis may change the way you walk, making you more susceptible to bunions.
  • Heredity. The tendency to develop bunions may be present because of an inherited structural foot defect.

Complications of Bunion

Although they don’t always cause problems, bunions are permanent unless surgically corrected. Possible complications include:

  • Bursitis. This painful condition occurs when the small fluid-filled pads (bursae) that cushion bones, tendons and muscles near your joints become inflamed.
  • Hammertoe. An abnormal bend that occurs in the middle joint of a toe, usually the toe next to your big toe, can cause pain and pressure.
  • Metatarsalgia. This condition causes pain and inflammation in the ball of your foot.

Treatments of Bunion

Treatment options vary depending on the severity of your bunion and the amount of pain it causes.

Conservative treatment
Nonsurgical treatments that may relieve the pain and pressure of a bunion include:

  • Changing shoes. Wear roomy, comfortable shoes that provide plenty of space for your toes.
  • Padding and taping or splinting. Your doctor can help you tape and pad your foot in a normal position. This can reduce stress on the bunion and alleviate your pain.
  • Medications.
  • Shoe inserts. Padded shoe inserts can help distribute pressure evenly when you move your feet, reducing your symptoms and preventing your bunion from getting worse. Over-the-counter arch supports can provide relief for some people, although others may require prescription orthotic devices.
  • Applying ice. Icing your bunion after you’ve been on your feet too long can help relieve soreness and inflammation.

Surgical options
If conservative treatment doesn’t provide relief from your symptoms, you may need surgery. The goal of bunion surgery is to relieve discomfort by returning your toe to the correct position.

There are a number of surgical procedures for bunions, and no one technique is best for every problem.

Surgical procedures for bunions might involve:

  • Removing the swollen tissue from around your big toe joint
  • Straightening your big toe by removing part of the bone
  • Realigning the long bone between the back part of your foot and your big toe, to straighten out the abnormal angle in your big toe joint
  • Joining the bones of your affected joint permanently

It’s possible you may be able to walk on your foot immediately after a bunion procedure. However, full recovery can take weeks to months. To prevent a recurrence, you’ll need to wear proper shoes after recovery. It’s unlikely that you’ll be able to wear narrower shoes after surgery.

Surgery isn’t recommended unless a bunion causes you frequent pain or interferes with your daily activities. Talk to your doctor about what you can expect after bunion surgery.

Seek professional opinion and treatment about your Bunion today. Experienced Foot Specialist with most advanced treatment. Call us +65 97731458 to schedule for an appointment.

Haglund’s Deformity

Seek professional opinion and treatment about your Haglund’s Deformity today. Experienced Foot Specialist with most advanced treatment. Call us +65 97731458 to schedule for an appointment.

Haglund’s deformity is a bony enlargement on the back of the heel that most often leads to painful bursitis, which is an inflammation of the bursa (a fluid-filled sac between the tendon and bone). In Haglund’s deformity, the soft tissue near the Achilles tendon becomes irritated when the bony enlargement rubs against shoes.

Haglund’s deformity is often called “pump bump” because the rigid backs of pump-style shoes can create pressure that aggravates the enlargement when walking.

Symptoms of Haglund’s Deformity

Haglund’s deformity can occur in one or both feet. The signs and symptoms include:

  • A noticeable bump on the back of heel.
  • Pain in the area where the Achilles tendon attaches to the heel.
  • Swelling in the back of the heel.
  • Redness near the inflamed tissue.

Causes of Haglund’s Deformity

To some extent, heredity plays a role in Haglund’s deformity. People can inherit a type of foot structure that makes them prone to developing this condition.

For example, high arches can contribute to Haglund’s deformity. The Achilles tendon attaches to the back of the heel bone, and in a person with high arches, the heel bone is tilted backward into the Achilles tendon. This causes the uppermost portion of the back of the heel bone to rub against the tendon. Eventually, due to this constant irritation, a bony protrusion develops and the bursa becomes inflamed. It is the inflamed bursa that produces the redness and swelling associated with Haglund’s deformity.

A tight Achilles tendon can also play a role in Haglund’s deformity, causing pain by compressing the tender and inflamed bursa. In contrast, a tendon that is more flexible results in less pressure against the painful bursa.

Another possible contributor to Haglund’s deformity is a tendency to walk on the outside of the heel. This tendency, which produces wear on the outer edge of the sole of the shoe, causes the heel to rotate inward, resulting in a grinding of the heel bone against the tendon. The tendon protects itself by forming a bursa, which eventually becomes inflamed and tender.

Diagnosis of Haglund’s Deformity

After evaluating the patient’s symptoms, the foot and ankle surgeon will examine the foot. In addition, x-rays will be requested to help the surgeon evaluate the structure of the heel bone.

Treatment of Haglund’s Deformity

Non-surgical treatment of Haglund’s deformity is aimed at reducing the inflammation of the bursa. While these approaches can resolve the bursitis, they will not shrink the bony protrusion. Non-surgical treatment can include one or more of the following:

  • Removal of the problem: Walking without shoes takes the pressure completely off the affected area.
  • Medication. Anti-inflammatory medications may help reduce the pain and inflammation. Some patients also find that a topical pain reliever, which is applied directly to the inflamed area, is beneficial.
  • Ice. To reduce swelling, apply a bag of ice over a thin towel to the affected area for 20 minutes of each waking hour. Do not put ice directly against the skin.
  • Exercises. Stretching exercises help relieve tension from the Achilles tendon. These exercises are especially important for the patient who has a tight heel cord.
  • Heel lifts. Patients with high arches may find that heel lifts placed inside the shoe decrease the pressure on the heel.
  • Heel pads. Placing pads inside the shoe cushions the heel and may help reduce irritation when walking.
  • Shoe modification. Wearing shoes that are backless or have soft backs will avoid or minimize irritation.
  • Physical therapy. A physical therapist can help identify biomechanical abnormalities that may be contributing to inflammation and recommend appropriate strengthening and stretching exercises to help decrease discomfort and prevent the need for surgery.
  • Orthotic devices. These custom arch supports are helpful because they control the motion in the foot, which can aggravate symptoms.
  • Immobilization. In some cases, casting may be necessary to reduce symptoms.

If non-surgical treatment fails to provide adequate pain relief, surgery may be needed. surgical treatment: Debridement of affected tendon and excision of retrocalcaneal bursa and haglund deformity. A central approach facilitates such debridement but necessitates detachment of 50% of the tendo achilies from calcaneus which is usually sutered back using bone anchors. In severe cases after debridement of substantial portion of the tendo achilies, augmentation may be done with the transfer of the flexor hallusis longus muscle.

Prevention of Haglund’s Deformity

A recurrence of Haglund’s deformity may be prevented by:

  • Wearing appropriate shoes; avoid pumps and high-heeled shoes.
  • Using arch supports or orthotic devices.
  • Performing stretching exercises to prevent the Achilles tendon from tightening.
  • Avoiding running on hard surfaces and running uphill.

Seek professional opinion and treatment about your Haglund’s Deformity today. Experienced Foot Specialist with most advanced treatment. Call us +65 97731458 to schedule for an appointment.

Foot and Ankle Pain

Dr Ambrose Yung Knee, Sports and Orthopaedic Centre Knee, Sports and Orthopaedic Clinic

Stop your Foot and Ankle Pain today. Effective Treatment, Non Surgery. Discuss with our Orthopaedic Specialist for the Diagnosis, Treatment and Prognosis of your Foot and Ankle Pain. Call us +65 97731458 to schedule for an appointment.

Refers to pain located in the foot. There are many things that can create foot pain including broken bones, muscle tears, nerve pain or other soft tissue pain. Our team and Specialist can work with you to decrease your foot pain and get you back on the road of life.

More and more people are facing common foot problems and more serious foot conditions everyday. The human foot is one of the best-engineered parts of the body. Each foot has 33 joints, eight arches, 26 bones, more than a hundred muscles, ligaments, and tendons that all work together to distribute body weight and allow movement. Unfortunately, many people pay no attention to their feet until they start to hurt.

Foot disorders must be diagnosed and treated early, before they become very painful and incapacitating. In some cases, some painful foot abnormalities are already warning signs of even more serious ailments such as diabetes, circulatory disorders, and nerve problems.

Foot and Ankle Pain

Common Ankle Problems:

  • PLANTAR FASCIITIS – Plantar fasciitis is one of the most common causes of heel pain. It is due to inflammation of a thick band of tissue called the plantar fascia, which runs across the bottom of the foot, connecting the heel bone to the toes.
  • ACHILLES TENDON RUPTURE – Achilles tendon rupture is where the large tendon in the back of the ankle ruptures.
  • ACHILLES TENDINITIS – Achilles tendinitis is a syndrome of irritation of the Achilles tendon in the ankle. The Achilles tendon is the large tendon in the back of the ankle that inserts into the heel bone.
  • ANKLE SPRAIN – The ankle joint, which connects the foot with the lower leg, is injured often. An unnatural twisting motion can happen when the foot is planted awkwardly, when the ground is uneven, or when an unusual amount of force is applied to the joint.
  • HAGLUND’S FOOT DEFORMITY – Haglund’s foot deformity is a protrusion of the upper posterolateral calcaneum.

Common Foot and Toes Problems:

  • BUNION / HALLUX VALGUS – Hallux valgus is a condition when the big toe of the foot called the hallux starts to deviate inward towards the direction of the little toe.
  • MORTON’S NEUROMA – Morton’s Neuroma is a benign soft tissue mass that forms on the nerve which runs between the metatarsals and the ball of the foot.
  • PLANTAR WARTS – A plantar warts (also known as “Verruca plantaris”) is a wart caused by the human papillomavirus occurring on the sole or toes of the foot.
  • INGROWN TOE NAIL – An ingrown toe nail is a painful condition of the toe. It occurs when a sharp corner of the toenail digs into the skin at the end or side of the toe.
  • ONYCHOLYSIS – Onycholysis is a diseases whose symptoms appear as the separation of the nail plate from the nail bed on your fingers and toes.
  • FOOT ARCH PAIN Arch pain, better known in the scientific community as plantar fasciitis, is the term used to describe the burning sensation under the long arches of the feet (arch strain).
  • CLAW TOE DEFORMITY – Claw toe is a result of the flexor digitorum brevis (attached to the middle bone, also called the middle phalanx) contracting and eventually overpowering all of the toe muscles.
  • FOOT ARTHRITIS– Foot arthritis is a disorder characterized by the swelling of the joints of the feet. Just like arthritis on another part of the body, it can be painful and debilitating.
  • FOOT CORNS – Known in the scientific community as ‘helomas,’ foot corns are actually thick skin areas that develop because of too much friction and pressure.
  • GANGLION CYST – Ganglion cysts are masses of tissues filled with fluid, usually jelly-like.

When do you need to call us about your Foot or Ankle problem?
If you are unsure of the cause of your discomfort, or if you do not know the specific treatment recommendations for your condition, you should seek medical attention. Treatment of these conditions must be directed at the specific cause of your problem.

Stop your Foot and Ankle Pain today. Effective Treatment, Non Surgery. Discuss with our Orthopaedic Specialist for the Diagnosis, Treatment and Prognosis of your Foot and Ankle Pain. Call us +65 97731458 to schedule for an appointment.