Big toe joint pain – bunions
Why are bunions a “bad” thing?
The bunion deformity is only one symptom of ankle bone dislocation. There could be many other parts of the body that are also being destroyed as a result of ankle bone instability. Back to why bunions are a bad thing. Stress fractures of the thin, skinny, weak 2nd metatarsal bone can occur when the thick, strong first metatarsal bone is pushed out of alignment. People can get pain under the ball of their foot. Also, many people can lose feeling in their feet and develop an ulcer over the bunion which could lead to bone infection and the need to partially amputate the forefoot. Yikes.
What is the best form of treatment for bunions?
There is absolutely no evidence that any form of non-surgical treatment can delay or reverse bunions from getting worse. Many people spend thousands of dollars on custom-made shoe inserts with the promise that their bunions will either be reversed or at least slowed from getting worse. There is no evidence to support that – actually, there is the opposite. Yes, there is research that shows a foot orthotic has no effect on slowing or reversing bunion deformities but they can make bunions even worse. (DOI: 10.1053/j.jfas.2015.01.011, DOI: 10.1177/0309364612447097, DOI: 10.1302/0301-620X.76B2.8113278 )
Unfortunately, many people have bunion surgery and within a few years it comes back because no one addressed the major underlying deformity – ankle bone instability.
Here is a standing x-ray of someone who had bunion surgery. They were not happy with the results. Watch the video to see why. The underlying cause was never addressed.
Let’s look at the entire foot structure. The ankle is partially dislocating on the heel bone and pushing the first metatarsal bone out of alignment.
Here is another example of someone who had multiple surgeries and still had the same pain in her big toe joint – that was until HyProCure was placed into her sinus tarsi.
Let’s see what would happen if the person first had the ankle bone stabilized with HyProCure before having bunion surgery. Here is a real bunion correction without having bunion surgery. Please know that this can only occur if caught early enough. This is why early effective treatments must be accepted. The longer you walk on a partially dislocating ankle bone, the less likely HyProCure and ankle bone stabilization procedures will be able to reverse the bunion deformity.
We wish that the non-surgical option could help but the reality is that there isn’t an effective non-surgical option. The partial dislocation of the ankle bone and subsequent first metatarsal bone misalignment is an internal deformity that requires an internal fix.
Before you have corrective bunion surgery, check to see if you are a candidate for HyProCure. Ideally, HyProCure can be inserted into your foot/feet to help reduce or eliminate the underlying cause of the formation of a bunion.
It is best to have HyProCure inserted into your foot before you have the bunion surgery. It should be a staged procedure, if possible. You will walk with a guarded hindfoot and if you have both hind- and forefoot surgery at the same time, it is possible the HyProCure stent could displace. Also, when you have bunion surgery, there will be limited big toe joint range of motion. Your foot will compensate by turning your foot inward. This can also create possible soreness/pain to the HyProCure site. This will all have to be discussed with your surgeon, as many variables will have to be decided and every case presents a unique situation.