How is the diagnosis of bunion made?
The diagnosis of a bunion is straightforward. The physical exam is almost always diagnostic but most physicians will obtain x-rays to confirm integrity of the joint and presence of any underlying condition like arthritis or gout. Prior to any surgery, x-rays are essential.
How are bunions treated?
The earlier one seeks treatment, the less the chance of developing joint deformity. The treatment of bunions involves:
Rest and changes of shoes. Wearing wide shoes or sandals may help relieve pressure on the toe joint. There are many shoes, which are specially designed for bunions. One can even pad shoes around the toes to relieve pain and eliminate stress
Wear shoes that are comfortable and have plenty of toe space
The pain of a bunion is easily controlled with over the counter pain medications. Often some people find that applying a cold ice pack can relieve the swelling and joint pain.
In the majority of cases, conservative measures can help relieve the symptoms. However, a few percent of affected individuals find no relief from the above measures and may require alteration in foot care.
Injection of corticosteroids is widely done but only offers temporary relief. Less than 20% of patients with bunions benefit from steroid injections
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