The term "hallux" or "hallux abducto-valgus" are the most commonly used medical terms associated with a bunion anomaly, where "hallux" refers to the great toe, " valgus " refers to the abnormal angulation of the great toe commonly associated with bunion anomalies, and "abductus/-" refers to the abnormal drifting or inward leaning of the great toe towards the second toe, which is also commonly associated with bunions. It is important to state that "hallux abducto" refers to the motion the great toe moves away from the body's midline. Signs and symptoms edit. If nonflexible deformity exists, additional procedures can be performed as needed for correction. Plantar capsulotomy of the proximal interphalangeal joint can be performed through a 1-cm incision on the medial surface of the joint. A lateral capsulotomy is made with a single-edge scalpel following the curvature of the condylar surface to its plantar aspect. With the cutting edge of the scalpel placed in the plantar position, joint extension is performed carrying the plantar aspect of the capsule to the scalpel edge. The orientation of the articular surfaces should be considered when the scalpel is introduced in the joint to facilitate this technique. A fencing athlete was seen with her big toes (hallux) turned outwards (valgus), hence crowding into her second toe. She was lucky as she did not have any symptoms of pain usually seen in the prominent bunions. Gymnasts and dance athletes often suffered from painful bunions. She could consider using nights splints for the big toe, taping during training and some icing after training to assist her. If she wanted something off-training, she could buy a broad forefoot footwear and use a silicone gel spacing device between the toes. Reddened skin over the base of the great toe. Pain over the joint where the great toe joins the foot (MPJ) Si se realiza una correcta evaluación preoperatoria y se siguen las indicaciones en el postoperatorio se puede obtener hasta un 90% de buen resultado con esta operación. Es muy importante el vendaje postoperatorio, casi tanto como la operación, además si el paciente usa de nuevo zapatos ajustados la patología puede aparecer de nuevo. Es una de las preguntas que más me mandan por correo, no conozco ninguna técnica que emplee láser para el tratamiento de esta patología, los libros y revistas actualizados de la especialidad tampoco la mencionan, he preguntado a mis colegas y no conozco a nadie que la practique. The cast and bandage was on for almost 3 weeks, and just came off. made my foot look so crinkled, but here's what it looks like just after removing the stitches! I took some lot of grape seed extract to keep the inflammation down, glucosamine to help the joint heal, a multiple vitamin, and protein shakes for easy digestion and masses of nutrients. I was then told to remove the boot cast for 1 hr per day, and walk on the foot. Add one hour per day to the bootless walking. "See you in 3 weeks ". Fungal nail infection happens when microscopic fungi enters a broken nail and causes them to be brittle, discolored and thick. It will not go away without treatment. This infection can be hard to treat, it can be passed on. It survives in warm and wet places. Topical creams can be used to relieve the fungi and for more serious infections antifungal pill may be prescribe by your doctor. Arthritis. Arthritis is the leading cause of disability in people over the age of fifty-five. It is usually associated with joint pain, but it can affect the bones and muscles as well, and it often causes swelling. Most hammer toes occur in the "lesser" toes (the second, third and fourth toes); it's rarely seen in the big toe. The most important step is to start wearing the right kind of shoes. Boxed street shoes, athletic shoes, soft leather shoes, and sandals are usually good choices. This is because, in order to relieve pressure on the bunion, your shoes must support your feet well and give your big toe joint enough room to flex. Also, the part of the shoe that surrounds the heel should tightly hold that heel in place. You may consider taking your shoes to a store or to a podiatrist to have them stretched.