A high tourniquet was placed at the thigh. Lateral release was performed over an incision that was placed between the first and second metatarsal bones. The musculus adductor hallucis tendon was released, and the lateral sesamoid was mobilized. The medial approach was performed according to the technique described by Waizy et al. 14 . The exostoses were removed, and the center of the metatarsal head was marked with a 1.2 mm K-wire. An oscillating saw was used to perform a 90° chevron osteotomy. The distal fragment was displaced to the lateral side, and osteosynthesis was performed according to the patient group. A bunion has the tendency to increase in size due to excessive weight load and from shoe pressure. It causes widening of the forefoot and May in turn cause your gait to become off balance. Although, not as common, a bunion on your small toe is called a tailors bunion. If athletic, you can make a slit in the bunion area to allow for extra room and less pressure. If you overpronate, try a commercial arch support to help take some of the weight off the bunion. Heading out now to look for shoes with built in bunion splints that are fashionable. I'll probably be gone for awhile. Results show the prevalence of bunions, lesser toe deformities and plantar soft tissue atrophy was 31%, 30% and 28%, respectively. Hallux valgus and lesser toe deformity, two of the most common structural foot disorders that affect up to half of older adults in the U.S. and Europe, were found to be highly heritable depending on age and sex. The team reports that plantar soft tissue atrophy did not demonstrate significant heritability in the study cohort. Examnine the whole foot, looking at the overall shape. Hallux valgus is commoner in flat or neutral feet. Metatarsus adductus makes it more difficult to correct hallux valgus. All warts result from a viral infection of the skin caused by direct skin-to-skin contact. The virus, called Human Papillomavirus (HPV), enters the skin through a cut. The cut may be so small that it is invisible to the naked eye. Plantar warts are contracted in public places where people walk around barefoot like locker rooms, pools, gyms, and salons where foot care treatments such as pedicures are performed. If left untreated warts, including plantar warts, can spread to other parts of the body. Self-treatment using over the counter acid preparations or freezing solutions is an option for many, but should be avoided by anyone with diabetes or circulatory disorders. This article reports the outcomes of bilateral corrective surgery for hallux valgus in a selected patient population. Materials and Methods Forty consecutive patients (80 feet) who presented to the outpatient surgery unit at our institution for surgical correction of bilateral hallux valgus were prospectively evaluated. Suitable patients were selected from those attending a specialist foot and ankle service with bilateral symptomatic hallux valgus. Patients underwent preoperative clinical scoring using the American Orthopaedic Foot & Ankle Society (AOFAS) hallux assessment scoring system in addition to radiological assessment by dorsoplantar, oblique, and lateral weight-bearing radiographs of the feet (Figure 1). Preoperative pain scores were also recorded. While the precise cause is not known, there seem to be inherited (genetic) factors that lead to abnormal foot function like overpronation that can predispose to the development of bunions. This is especially common when bunions occur in younger individuals. This abnormal biomechanics can lead to instability of the metatarsal phalangeal joint and muscle imbalance resulting in the deformity. Are your feet and toes feeling tense, tired and sore? Suffer no more! Your feet are the foundation of your body – treat them right so they remain flexible, strong and able to Tango, Salsa, Waltz and keep on dancing from dusk until dawn. Bunions are often described as a bump on the side of your big toe joint. The bony prominence reflects the movement of your big toe toward your second toe and the uncovering of your metatarsal bone. This malalignment of the big toe joint produces the bunion’s “bump” which is enhanced by enlargement of the local bone. Padding/Spacers/Shields/Splints Over the counter bunion pads can be placed on the bump to minimize pain to the bump from pressure. Your podiatrist can dispense spacers/shields or splints to supply a degree of symptomatic relief. Oct 27, 2011 By Kathryn Meininger Photo Caption Hallux varus can be caused by rheumatoid arthritis. Photo Credit Comstock/Comstock/Getty Images Dr Marybeth Crane is a board certified podiatric foot and ankle surgeon specializing in sports medicine. Your feet should last a lifetime! For more foot health tips, a copy of her new book "If Your Running Feet Could Talk" and doctor-approved foot care products, visit her website or read her blog Your body will thank you for it! The best treatment appears to be prevention. Wearing shoes that fit and do not alter the natural arches is key. If the arches are too high or too low, a person can use an orthotic to help support the arch and allow proper foot movement. I plan to have it worked on again by a surgeon who's practice is out of this vortex. I will go out of network to reduce the possibility of any network adverse influence. I have never been interested in suing my Doctor but rest assured I will eventually file a complaint to the medical board and hit a review up on yelp. That's to come in due time!! The problem you are facing is that none of the networked Doctors will want to correct it, because once they do it proves a bit of negligence, that your Dr. screwed up. Get it?