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  #1  
Old 17th June 2008, 01:47 AM
Carmen Spezzano
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Default Bunion

I had a bunionectomy 15 years ago and within the last two years my big toe has started to go the opposite way it points away from the other toes there is so much pressure on my small toes now the pain is getting worse. im on my feet 10 hours a day at work, by the end of the night i can hardly walk what can i do
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Old 17th June 2008, 01:48 AM
FootDoc FootDoc is offline
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Default Re: Bunion

DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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The deformity that you are describing is termed "hallux varus," and following a bunion surgery it is generally a complication brought on by over-correction of the hallux valgus or otherwise improper performance of the bunionectomy procedure, or rarely spastic events thereafter. It is quite unusual to have this complication begin so long after the procedure, so I would suggest that it probably began subtly shortly after the surgery and has only now progressed to a symptomatic level. The only correction for a full-blown, symptomatic hallux varus is re-operation of the foot and realignment of the great toe. There are various procedure available, from soft-tissue revisions to ones in which the joint is removed. Which is appropriate depends on an individual evaluation of the problem. See a well-vetted, board-certified foot surgeon.
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