Bunions Types - Everything You Need To Know - Dr. Nabil Ebraheim
Vložit
- čas přidán 10. 06. 2024
- Dr. Ebraheim’s educational animated video describes the condition of bunions - types.
Follow me on twitter:
#!/DrEbraheim_UTMC
Find me on Instagram @OrthoInitiative
Bunion Types
Hallux Valgus is a bunion deformity of the big toe. Tailor’s bunion or bunionette deformity is a deformity of the 5th metatarsal. Another bunion type is a dorsal bunion. Hallux valgus is a common foot deformity with a lot of misconceptions about them. People sometimes describe this deformity as a bump on the side of the big toe. This visible bump (bunion) is usually associated with a lot of changes in that part of the foot. The big toe will deviate laterally (point towards the second toe), and this will throw the bone out of alignment, creating the bunion. It is a progressive problem that may cause pain or soreness, burning sensation, inflammation or redness, and women are more likely to have bunions than men. It is more prevalent in aging females. Bunions are usually progressive, and they do not disappear. The symptoms occur when wearing shoes with a tight shoe box or when wearing high heels. Etiology is multifactorial, which includes chronic exposure to narrow toe box shoes and maybe some genetic predisposition. The valgus deviation of the proximal phalanx promotes varus positioning of the first metatarsal which displaces the metatarsal head medially, leaving the sesamoid complex laterally translated relative to the metatarsal head. The first line of treatment of hallux valgus is shoe modification, pads, orthosis, or spacers. Surgical correction is done if the symptoms persist despite conservative treatment, including shoe modification. Surgical correction is done if the symptoms persist despite conservative treatment, including shoe modification. The type of surgery depends on the severity of the condition. It is a prominence of the lateral part of the fifth metatarsal head. It is more common in females. It is usually bilateral and has three types. In Type I, the fifth metatarsal head is enlarged or there might be lateral exostosis. In Type II, there is bowing of the fifth metatarsal. In Type III, there is increased four and five intermetatarsal (IM) angle. It is the most common type. Nonoperative treatment of Tailor’s Bunion is anti-inflammatory medications, shoe modification, or orthotics. Surgery is done if conservative treatment fails to relieve the symptoms. Do lateral condylectomy (excise the bump) for Type I. Do distal metatarsal osteotomy for Type II. Do oblique diaphyseal osteotomy if the intermetatarsal (IM) angle is more than 12 degrees. Dorsal bunion occurs due to dorsal flexed first metatarsal, over activity of the tibialis anterior muscle. The tibialis anterior muscle is an antagonistic muscle to the peroneus longus muscle. Dorsal bunion can also occur due to weakness of the peroneus longus tendon. Dorsal bunion can occur as a residual deformity after correction of a clubfoot deformity. The imbalance between a strong tibialis anterior tendon and a weak gastrocnemius soleus complex, which is compensated by strong secondary plantar flexors, such as the flexor hallucis longus and brevis will lead to the development of dorsal bunion. Over time, the contracture of this tendon results in plantar flexion of the big toe and a dorsal bunion. The patient complains of a deformity such as dorsal callosities and metatarsalgia. The shaft of the first metatarsal is dorsiflexed, and the great toe is plantar flexed, resulting in a prominent head of the first metatarsal. The condition is usually treated with tibialis anterior lengthening or flexor hallucis longus transfer to the plantar aspect of the first metatarsal head, and maybe plantar flexion osteotomy of the first ray. In general, dorsal bunion occurs due to a normal tibialis anterior muscle overpowering a weak peroneus longus, which results in elevation or dorsiflexion of the first ray, and this is usually seen in patients with a history of a club foot. Usually the gastrocnemius soleus is weak due to prior surgery. This is compensated by plantar flexion of the big toe by using the flexor hallucis brevis.
![#1 Tailor's Bunion & Bunionette Treatment? [Correctors? Surgery?]](/img/n.gif)
Very well explained! This is extremely helpful!!
I'm not sure if I wasn't aware of it before, but I noticed a small bunion beginning to grow next to my small toe during my recovery period of my broken femur. Is there a relationship between the sudden lack of walking (due to recovery) and the formation of bunions? Or did I just notice the bunion now and it was always there?
Thank you. 🙏🏻
So Diff supports available online are beneficial in controlling them or not ???
Sooo helpful, thank you so much!!!
Thanks. Accurate clear brief description
Very helpful,.. lots of love from Pakistan
Thank you so much sir very helpful 👍
Very helpful sir thank you 🌹🙏
Your are the best dr Nabil. Big thanks
Needed some info then noticed your in my home town. Awesome!
Hello how about if the bump is on the outer sides of both feet? What’s the treatment. But incase the patients wants them removed?
That was clealy explained, Thank you Sir
Extremely helpful. I wish you could be my doctor!!!!
This is a really great educational video
How to get rid of this,,, it’s so painful please help me on this
Vielen Dank aus Deutschland, sehr hilfreich
Thank you.
Apparently have a hallux bunion and tailor bunion on each foot..
Same
I have both
What is the healing process
Do you have stock her in mindanao,i want to buy.
I am doing well in recovery (3rd week) from bimallelar surgery and I noticed what appears to be big toe arthritis to be present now (not noticeable before). Is it possible for the injury to have made that happen so quickly? It looks like a small bunion and when I ice the foot there is localized pain in that region.
I’ve got to the doctor tomorrow for this it’s so painful ! It’s like on my little toe area and it’s awful ! I have RA and I’m wondering if that has something to do with it ? I don’t wear tight shoes so I don’t know ? Thank you for explaining this I learned a lot from this .
I have several arthritis I have all these bunions When asking othro doctors they are starting to admit they do not know what causes arthritis, therefore, there are no cures. Bone replacement surgery does not stop the arthritis progression but will help a few years of pain. I wish I was told these facts in the beginning. Seems medicine is more into making money rather than being honest so I can make good decisions about what to do. I have to wear shoes that are extra extra wide shoes, lots of massages, and care. .
You just explained what I’m going through with the arthritis and my feet are hurting so bad I’m literally in tears it’s awful ! It’s really taken it’s toll on my bones and my joints I’m just miserable ! My doctor hasn’t done anything to help at all so I’m at a loss for what else to do !
Yeah, it's a bunion alright (Hallux Valgus) that I have, but, there's no pain whatsoever that necessitates immediate relief or treatment. Just a bone protrusion. So, how can I view this on a different light as oppose to what has been discussed? Can't find anything on CZcams see: "Bunions Without Pain".
Bunion can be also be as a result of weakness in glutes. Kelly Starrett talks about this. There is videos of VERY painful massages on youtube helping to correct this issue very effectively!
Pardon my thinking, but suggesting that generally correct (everything is connected idea) idea of something in the buttocks affecting the fingers is same as suggesting everything is a result of the Big Bang! Could you add detailed explanations how they are connected? Or at least link to how massage corrects bunions (not just glutes)? Thanx!
@@suchistheuniverse7858 and over simplified version is that when you "toe off" in gait, your hip is externally rotated and you push off with the medial part of the big toe instead of the dorsal part. (Id suggest watching "rebuilding the feet"). The massage claims to break up restricted tissues (short planter fascia, adhesions and under used intrinsic foot muscles) to allow the foot to function normal. I enjoy watching the videos on "correcting" but to my knowledge there is no literature to support it. Just anecdote at this point
@@ccommandent Thank you for quick reply. Could you give link to video (is it on youtube? I was not able to find relevant ones by "bunion massage Kelly Starrett").
@@suchistheuniverse7858 Kelly starett video is rebuilding the feet where he mentions glute medius weakness (he talks about this muscle being weak often). The massage bunion correction videos are not by him. Brandon raynor massage or see lex fitness bunion massage get corrected
You’re absolutely right Christian
ممكن الدروس باللغة العربية
I have them on both sides of both feet. My mother had them and so did my grandmother.
I'm 30. I've been diagnosed with hallux valgus and degenerative arthritis on my big toe. At this beginning stage, there is a very mild pain. But I want to cure it with exercise, medication or whatever it takes. Guys please give your suggestions. Also, is it a good idea to do calves raises having arthritis on my big toe?
Me too, 30 and hallux valgus on both feet. The right worse than the left. I'm trying the separators, but is so uncomfortable because I'm severe. I probably need to see doctor and get more advise.
@@odysseasv7138 I've heard if we put the separators for around 6-8 months, bunions can be corrected.
@@avneetsingh2010 I see. I usually use only 1 separator on the big toe, but that doesn't seem to work as it pushes the rest of toes away instead of bringing the big to straight. I think I'll buy the ones that go into all toes to straighten them all up. Will use for few months, if it doesn't help I see a doc.
@@odysseasv7138 did it work?
@@brayangomez6251 not big difference m8. However I was not consistent with it as it is uncomfortable and can get painful after a while.
How much..
السلام عليكم ورحمة الله وبركاته
what i really want to know is how u go to bed without ever having this and wake up with it the next day. on the outer bone below side of small toe
Same!!!
What if a guy has at least two of each and on the same damn foot?
Sir I have this problem since 30 days and my Sir told me to use rice method but still the swelling is not normal ,it is due to wrong football shoes plz zz help me out
It's happiness to my themp finger
Mayron kayo dito sa mindanao
1
mygrandpa hasbunoins
I would have loved to have been able to understand this video but the English is so broken that I was unable to get much from it
bunions are nasty esp for my foot fetish