Bunions

• First phalanx of the great toe is laterally deviated; a nearby bursa is irritated

• “Hallux valgus”: laterally deviated great toe
  

• “Tailor’s bunion” is the same thing at the 5^th metatarsal

• Related to narrow-toed, high-heeled shoes; women outnumber men 10:1; can be genetic

• Etiology:

• Misalignment leads to erosion and loss of ROM at the 1^st metatarsal–phalangeal joint

A bursa on the medial side of the joint becomes irritated and inflamed

Bone spurs and arthritis can develop

• Signs and symptoms:

• Big bump on medial side of foot at the great toe; can be acutely painful

• Often covered with callus

• Massage?

• Acute inflammation locally contraindicates rigorous work

• Massage can work with the structure of the foot and rest of the body to achieve best function

Category: MAHE 2000 MCQs