Bunion is a common problem that occurs mainly in women, but can develop on almost any foot. A person with a bone in their leg experiences a hard bony bulge at the base of the big toe where it connects to the foot. The bone is more than just a blow to the foot, but it can develop into a chronic and painful condition of the foot.
Most bursitis can be treated without surgery. However, in severe cases, an orthopedist may recommend surgery as an alternative treatment. This occurs when the patient is not relieved by the usual non-surgical bunion treatment.
Diagnostic tests
By carefully examining the foot and collecting a complete medical history, the foot specialist can determine if you have a bone. The anatomy of the foot is examined during the examination and X-rays or radiographs may be ordered. X-rays can determine the integrity of the bones and joints of the foot, as well as reveal any underlying problems, such as arthritis or gout.
Your doctor may order an x-ray during the exam to get a clear indication of the problem with your foot. X-rays are an excellent method of assessing the correct position of the toes to see if any changes have occurred.
Non-surgical treatment
One of the most common non-surgical treatments that can be done at home is rest. The foot should rest for an extended period, while avoiding any activity that could make the pain worse or worsen the condition. Loose or wide shoes may need to be worn during the healing process, especially if the condition is painful.
Your doctor may prescribe anti-inflammatory drugs to help reduce inflammation and swelling. Anti-inflammatories will also reduce the pain experienced by bursitis. Over the counter medicines can help relieve inflammation and swelling. Some of the commonly used medicines are Advil, Motrin, Alev and Naprosin.
Applying an ice pack to the affected area can also help reduce pain and swelling, especially after the bone marrow has worsened from physical activity or wearing tight shoes. Your podiatrist may also recommend stretching the inside of your big toe to relieve tension and pressure that can arise when the condition worsens.
One way to quickly fix the problem is with tailor’s bursitis surgery, which flattens the bones of the toes. Usually, the excess bone is shaved off to return the foot to its normal state. However, most likely, without changing shoes, the condition will return.
Your podiatrist may also prescribe a small brace or pad to help make your bursitis much less painful.
Cortisone treatment
The last resort for many people with severe bursitis before surgery is cortisone treatment. A local injection of cortisone directly into the bunion may help reduce swelling of the joint at the base of the big toe. Your doctor may give you cortisone injections over several visits if the pain becomes severe and other treatments do not provide relief.
