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Bunions are one of
the more common deformities of the foot. In this condition the big toe
(hallux) rotates and deviates towards the second toe. The prominence that
occurs is the result of the first metatarsal head shifting toward the
midline of the body as the foot widens. It may or may not cause symptoms
depending on the severity of the condition and the style of shoes that
are worn. There are many causes of the condition including inheritance,
arthritis, and flat (pronated) feet. Narrow or pointed shoes may accelerate
or aggravate the deformity but are generally not considered the cause
of the bunion deformities.
The treatment of the
bunions may be as simple as a change of the shoe gear. However, often
the condition requires surgical correction. In most cases, surgical realignment
of the first metatarsal and the soft tissue release is necessary to achieve
a lasting correction.
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