Can Bunions Affect Your Gait?

Hallux valgus, more commonly known as a bunion, is a bony bump that forms at the base of the toe, particularly the big toe at the metatarsophalangeal (MTP) joint. Bunions are quite common and are even harmless in most cases. However, over time, bunions can cause the bones in the foot to misalign, pushing the big toe towards the other toes. Bunions impact gait and can cause pain and discomfort, leading to changes in walking mechanics. Individuals with bunions may have an altered gait pattern, walking with a limp or uneven stride. Bunions can also affect foot alignment, leading to overpronation or supination. In severe cases, bunionectomy can treat poor walking mechanics by addressing the misaligned bones.

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Messing with your stride?

Bunions can be caused by wearing ill-fitting shoes, foot deformities, or arthritis. Genetics, being female, aging, and certain occupations are risk factors. Ill-fitting shoes, like high heels, can put pressure on the toes and ball of the foot, leading to bunion formation. People with foot deformities or arthritis are more prone to developing bunions. Jobs that require prolonged standing or repetitive motion can also increase the risk of developing bunions. Bunions cause pain, swelling, and discomfort in the joint, making long periods of walking and standing difficult. Tight shoes and physical activity can worsen the pain. Bunions can also cause calluses and corns, making finding comfortable shoes challenging. Bunions can affect walking patterns and body alignment, leading to other issues.

Traditional vs minimally invasive bunionectomy

Surgery is often the last resort for individuals with severe bunions that do not respond well to conservative treatment. Bunionectomy surgery involves making a large incision to shave down the bony bump on the big toe joint. This traditional procedure is invasive and requires a longer recovery time compared to minimally invasive surgery (MIS) for bunion removal. Minimally invasive bunionectomy uses small incisions and specialized instruments to remove the bony bump and realign the toe joint. This technique results in less pain, reduced swelling, minimal scarring, and a faster recovery time than traditional bunionectomy.

Improve gait with MIS

Minimally invasive bunionectomy corrects the alignment of the big toe joint, reduces pain, and improves the biomechanics of the foot. Removing bony outgrowths and realigning the joint helps relieve pain, enhance foot mechanics, and reduce the risk of problems or injuries. Faster recovery times allow patients to return to normal activities sooner, preventing muscle weakness and stiffness and enhancing gait improvement.

Your recovery timeline

Post-surgical recovery plays a critical role in the overall outcome. Swelling and discomfort, common side effects, can be reduced by resting and elevating feet, using ice packs, and taking prescribed pain medication. Patients should avoid weight-bearing during the first 2 weeks, using mobility assistance like crutches or walkers. There are also specialized shoes recommended to maintain proper foot alignment. Surgeon follow-up appointments are essential to monitor progress and ensure proper healing. Patients should perform specific exercises to improve range of motion (ROM) and foot strength. Most patients can resume normal activities around 6-8 weeks post-surgery, although some stiffness or mild discomfort may persist.

Pain-free foot future

If ignored, bunions can continue to form, impacting the natural alignment of the foot. Over time, walking mechanics are affected, leading to reduced movement and involvement in certain activities. Wear properly fitting shoes with a wide toe box and good arch support to prevent bunions. Maintain a healthy weight with a balanced diet and regular exercise. Doctor recommended foot exercises and good foot hygiene are other helpful strategies. Early detection of foot problems can prevent bunions from worsening. Individuals at risk of developing bunions should use orthotic inserts, or arch supports to relieve pressure on the toes. With MIS, bunions can be a problem of the past. Combining surgery with these maintenance strategies can make walking a pain-free breeze.