Hallux valgus, a condition better known as a “bunion,” is the most common reason for foot surgery. It involves a progressive and uncomfortable deformity of the joint at the base of the big toe. It is estimated that the condition affects 10% of the population and the majority of those affected are women typically 40 years of age or older.
Contrary to popular belief, this deformity is not always genetic in origin. However, certain hereditary factors can predispose to its development.
The most common causes are biomechanical problems associated with wearing unsuitable footwear, especially pointed-toed or high-heeled shoes. In fact, shoes that are too small, too wide or with high heels (more than 5cm) can trigger the mechanism of formation of pathologies of the foot, such as hallux valgus.
Although it can occur in both sexes, the condition predominantly affects women aged 40 over (almost 95%). The hormonal changes associated with menopause often cause the feet to widen, making them more vulnerable to the development of a deformity.
Hallux valgus can look different depending on the patient and the degree of development of the deformity. It is always best to see a doctor at the onset of the first physical symptoms of the deformity since the disease is degenerative.Initially, bunions manifest as a protrusion (bump) on the outer side of the base of the big toe. Over time, this growth becomes more prominent and the big toe begins to deviate laterally towards the second toe. In more advanced stages, the second toe may overlap the big toe. As the lump grows larger and the deflection grows larger, the friction of the shoes can cause irritation, redness, and pain.
The clinical examination usually confirms the diagnosis. An X-ray is prescribed to assess the stage and severity and to determine the appropriate procedure for treatment. The latter can be compared to old x-rays to assess how quickly the problem progresses.
Dr Hobeychi, podiatrist, is recognized for his experience and conscientious approach. During the consultation, all the causes and predispositions that may have occurred in the development of the bunion(s) are explained, as well as the various possible alternatives.
Although changing certain habits can help slow the discomfort or the progression of the problem, surgery is often unavoidable. You can, however, try to relieve bunion naturally using the following methods:
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One of the consequences of a bunion that is not treated or treated late is the wear and tear and gradual disappearance of the articular surface of the head of the 1st metatarsal. In addition to the discomfort, pain, and difficulty putting on properly, delayed treatment can also affect a person's posture and gait. This can lead to deformity of the supports and the development of other problems, for example, osteoarthritis or fallen arch.
Although the techniques employed by Dr. Hobeychi, podiatrist, aim for minimal discomfort during the procedure and the postoperative period, surgery is done as a last resort and only when the pain is severe and the bunion makes it difficult to walk. Surgery is the only way to effectively treat a bunion.
The conventional method which corrects hallux valgus by simply filing the bone and tightening the tissue to straighten the toe can unfortunately cause the deformity to recur a few months after surgery. Filing or shaving the bump is therefore not sufficient to permanently treat a bunion.
Fortunately, the approach Dr. Hobeychi, podiatrist, resolves the problem definitively by correcting the faulty biomechanics and ensuring rigorous postoperative follow-up.
Long feared due to its slow and painful recovery, bunion correction surgery has come a long way in recent years. The methods favoured by Dr. Hobeychi, podiatrist, are much less invasive and painful than traditional techniques that required the installation of rods and the wearing of a cast during long months of recovery. In addition, general anesthesia administered in hospitals is often synonymous with prolonged bed rest following the operation.
At the Clinique et centre de chirurgie podiatrique de Terrebonne, bunion correction surgery is performed under local anesthesia with light sedation. Patients regain use of their feet immediately after surgery and can have both feet operated on during the same procedure.
The choice of a precise surgical technique is dictated by the extent and angle of the deformity, as well as the particular anatomy of the patient. In the vast majority of cases, surgical correction of the bunion requires an osteotomy, that is, cutting and then realigning the bone in question. The patient is awake throughout the procedure and the foot remains frozen for a period of approximately 24 hours.
Hallux valgus is manifested by a visible deformation of the big toe (lump on the outside), redness or inflammation from friction. The disease leads to the appearance of a lateral bony protrusion which can cause severe pain and interfere with walking or putting on shoes.
Patients of Dr. Hobeychi, podiatrist, walk out of the operating room, without a cast or crutches. You can return to your daily activities a few weeks after the surgery.
Surgery is recommended as a last resort when the pain is too severe and the deformity interferes with walking or daily activities. Most procedures require an osteotomy, which involves cutting and then realigning the bone. The choice of the most appropriate method to regain optimal functionality requires a perfect knowledge of the biomechanics of the foot.
The operation is performed under local surgery with light sedation. The procedure takes about an hour. Usually, the patient feels no pain during the surgery and very little discomfort after the operation. Very few patients take prescribed pain medication. The choice of the most appropriate method to regain optimal functionality requires a perfect knowledge of the biomechanics of the foot.
Our clinic is the first and only podiatric medicine establishment in the province to earn the Accreditation Canada seal, a mark of excellence in the field of healthcare organizations. This certification attests to our compliance with the most demanding standards in terms of healthcare services.
Dr. Hobeychi, podiatrist, as well as all of the Clinic's collaborating podiatrists are members of the Ordre des podiatres du Québec. Our nursing assistants are members of the Ordre des infirmières et infirmiers auxiliaires du Québec.