Bunions and other Toe Deformities

The function of the toes, especially the big toe, is to help us to balance, and to propel us forward during walking or running.

Some problems begin in childhood and may go unnoticed. Others begin later on in life, perhaps as the result of injury or the added pressure of incorrect footwear or biomechanical abnormality.

One of the most common complaints is Hallux valgus, better known as a "Bunion". Normally the big toe points straight ahead, but in this condition it curves towards the others and the joint becomes swollen and tender, making walking difficult. The other toes become affected, and corns can develop.

Once a bunion has been formed, you can stop it getting worse by wearing shoes with a straight inside edge. For treatment, consult a State Registered Chiropodist who may suggest protective pads to ease pressure on the joint, or shoe alterations, including an appliance like a shield which fits over the tender joint for protection. In severe cases, the Chiropodist may advise surgery to realign the big toe, fixing it in a correct position. State Registered Chiropodists will be able to advise you and refer you to the appropriate Podriatric Surgeon for consultation. Hallux rigidus is where, instead of bending normally, the big toe stiffens and forms a bump at the top of the joint, making the push-off motion in walking difficult. This often results from stubbing or injury to the toe, perhaps during sport.

State Registered Chiropodists will be able to provide pads or strapping to stabilise the joint, or appliances to modify the way you walk. They can also help to relieve pain by fitting "balloon" patches in your shoes.

Another common complaint is Hammer Toes. The toe most usually affected is the second toe, which becomes bent up in an inverted "V" shape and can't straighten out during walking. Corns develop where it rubs against the shoe. Some people are born with clawing of the lesser toes, which might be due to muscle imbalance, and can lead to hammer toes, which often accompany bunions too.

State Registered Chiropodists will be able to prescribe treatment, appliances which straighten the toes, or, when necessary, may advise surgery to provide permanent correction.

Many babies are born with toes which don't lie flat, or are retracted. If the problem continues, muscle strengthening exercise may help, or silicone orthoses may be needed to correct the complaint.

Consultation: appointment by telephone 01293 784200