bunions
A bunion is the swelling of the bursa, fluid-filled sacs in the tissue, below the base of the big toe. Bunions are usually caused by shoes that fit improperly, flat feet, arthritic contractures and deterioration of the fat pad of the feet. Sometimes bunions are hereditary. Twenty-five percent of the people with bunions are 65 years of age or older. In the elderly, atrophy (wasting away) of muscles, ligaments, and tendons and arthritis increase the likelihood of developing bunions.
Symptoms include pain, swelling, and limping. Foot soaks and emollients to lubricate the skin can temporarily relieve swelling and pain. Over-the-counter pads and toe separators can help. Molded shoes, which eliminate pressure on friction areas, may also help relieve pain. Occasionally steroid, whirlpool, and ultrasound treatment may be necessary for relief of inflammation. Analgesics or other pain medication may also be required. Surgery is sometimes necessary. Surgical treatment of bunions in the older person is indicated if pain and shoe-fitting difficulties persist after nonoperative treatment.
See also CORNS.
Shea, T. P., and Smith, J. K. The Over Easy Foot Care Book. Glenview, Ill.: Scott, Foresman and Co., 1984.
Symptoms include pain, swelling, and limping. Foot soaks and emollients to lubricate the skin can temporarily relieve swelling and pain. Over-the-counter pads and toe separators can help. Molded shoes, which eliminate pressure on friction areas, may also help relieve pain. Occasionally steroid, whirlpool, and ultrasound treatment may be necessary for relief of inflammation. Analgesics or other pain medication may also be required. Surgery is sometimes necessary. Surgical treatment of bunions in the older person is indicated if pain and shoe-fitting difficulties persist after nonoperative treatment.
See also CORNS.
Shea, T. P., and Smith, J. K. The Over Easy Foot Care Book. Glenview, Ill.: Scott, Foresman and Co., 1984.
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