Procedure | Non-Surgical
Bunion Treatment (Orthoses)
A bunion is a painful bony bump that develops on the inside of the foot at the big toe joint. Bunions are often referred to as hallux valgus. The constant pressure on the big toe joint causes the big toe to lean toward the second toe. Over time, the normal structure of the bone changes, resulting in the bunion bump. This deformity will gradually increase and may make it painful to wear shoes or walk.
Orthosis, as artificial support for a part of the body. An orthotic may be prefabricated or custom made to fit you. This new terminology is gradually replacing the old usage, where the terms splint and orthotic sometimes overlapped. What used to be called a hammertoe splint is now called an orthotic.
Orthotics can be part of a comprehensive treatment plan to address various symptoms, usually having to do with pain and discomfort of the feet and legs. Some of the goals a doctor may have for orthotic treatment include:
• Correcting foot deformities
• Helping the foot or ankle function better
• Providing support to the ankle
• Reducing the risks for further injuries.
Orthotics are more than just a heel pad or shoe insert you can buy at most athletic stores. They’re highly customized shoe or heel inserts made for your feet. Your doctor will only recommend an orthotic if an off-the-shelf device or other treatments, such as exercises at home, haven’t proven effective.
Orthotics can be customized in a variety of materials. A doctor will write a prescription for an orthotic material based on what condition and symptoms a person has.
A doctor may also recommend taking nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen sodium, to reduce pain and inflammation.
The orthotic types can range in materials from rigid — usually made from materials such as carbon fiber or plastic — to accommodative, which is very flexible and cushioning.
Orthotics are often one part of a treatment regimen for many foot and ankle concerns. For example, a doctor may prescribe orthotics in conjunction with treatments such as more supportive shoes as well as physical therapy exercises.
Apply ice to the bunion area for 5-10 minutes at a time. Wrapping an ice pack in a thin towel can help prevent skin irritation while you ice your foot. Applying ice to the big toe joint of the foot is a simple way to ease the pain at home.
Mostly orthosis should be removed during sleep to prevent pressure ulcers and ensure proper ventilation for the foot.
Complications of orthosis if mot followed the doctor orders:
• Nerve compression.
• Local pain.
• Inadequate stabilization.
• Soft tissue irritation or breakdown.
• Muscle atrophy with prolonged use.
• Osteopenia due to lack of load on the bone.
