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Definition of a Bunion:
A bunion develops due to hallux valgus, a foot deformity. Bunion is generally considered as an enlargement of the joint (a lump of bone) at the base and side of the big toe. The bone which joins the big toe, the first metatarsal, becomes prominent on the inner border of the foot. This bump is the bunion and is made up of bone and soft tissue. As the big toe bends towards the others this lump becomes larger and the bunion can become painful - arthritis and stiffness can eventually develop.
How is it formed?
1. Commonest cause of bunions is the prolonged wearing of badly fitting shoes. Usually shoes with a narrow, pointed toe box that squeezes the toes into an unnatural position gives birth to Bunions.
2. Bunions also may be caused by arthritis or polio.
3. Heredity often plays a role in bunion formation.
4. Not surprisingly, bunions are nine times more common in women than men.
General points of shoe fit:
Do not select shoes by the size marked inside the shoe. Sizes vary among shoe brands and styles. Judge the shoe by how it fits on your foot.
Select a shoe that conforms as nearly as possible to the shape of your foot.
Have both feet measured. Most people have one foot larger than the other. Fit to the largest foot.
Make sure the ball of your foot fits well into the widest part (ball pocket) of the shoe.
Do not purchase shoes that feel too tight, expecting them to "stretch" to fit.
Walk in the shoe to make sure it fits and feels right.
Symptoms of Bunions:
Bunions starts as the big toe begins to deviate, developing a firm bump on the inside edge of the foot, at the base of the big toe.
There may be redness, swelling, and pain at or near the joint. Pain can occur from the pressure of the footwear on the bunion or it can be due to arthritis like pain from the pressure inside the joint.
The motion of the joint may be restricted or painful.
A hammer toe of the second toe is common with bunions.
Corns and calluses can develop on the bunion, the big toe and the second toe due to the alterations in pressure from the footwear.
The change in pressure on the toe may predispose to an ingrown nail.
Prevention of Bunions:
Bunions often become painful if they are allowed to progress. But not all bunions progress. Many bunion problems can be managed without surgery. In general, bunions that are not painful do not need surgical correction. For this reason, orthopaedic surgeons do not recommend "preventive" surgery for bunions that do not hurt; with proper preventive care, they may never become a problem. Bunion pain can be successfully managed in the vast majority of cases by switching to shoes that fit properly and don't compress the toes.
Surgery:
It has been suggested that when it comes to bunion surgery that there are more different surgical techniques for this than there is for any other surgical condition. They range from the "simple" or "minimal" surgical procedures to the major forefoot reconstructions.
Some of the procedures include:
A simple bunionectomy:
In this process, doctors cut off the lump of bone, tendons and ligaments around the big toe which can be out of balance, so this may be surgically corrected.
An osteotomy:
It is when a wedge of bone is taken out of the big toe and or metatarsal to 'straighten' the big toe (screws, plates or wires are used to hold the bones in place while they heal). The damaged joint surfaces can be removed and the joint fused together. It is usually reserved for when there is severe arthritis present; or other types of procedures have failed.
Repair of the Tendons and Ligaments around the Big Toe
These tissues may be too tight on one side and too loose on the other, creating an imbalance that causes the big toe to drift toward the others. Often combined with an osteotomy, this procedure shortens the loose tissues and lengthens the tight ones.
Arthrodesis
It is removal of the damaged joint surfaces, followed by the insertion of screws, wires, or plates to hold the surfaces together until it heals. Used for patients with severe bunions, severe arthritis, and when other procedures have failed.
Exostectomy
It is about removal of the bump on the toe joint; used only for an enlargement of the bone with no drifting of the big toe. This procedure is seldom used because it rarely corrects the cause of the bunion.
Resection Arthroplasty
It is about exclusion of the damaged portion of the joint, used mainly for patients who are older, have had previous bunion surgery, or have severe arthritis. This creates a flexible "scar" joint.
After bunion surgery:
Bunion surgery will help relieve pain and result in an improvement in the alignment of the toe in the vast majority of cases. Bunion surgery will not allow you to wear a narrower shoe or smaller shoes. Tight fitting shoes are a major contributor to bunions in the first place, so returning to this type of footwear is a risk for the bunion reoccurring. It is important that you discuss your expectations with the surgeon. There are risks associated with any surgery and these should be discussed by the surgeon. Less than 10 percent of patients experience complications from bunion surgery. These can include infection, a recurrence of the bunion, damage to the nerves, and continued long term pain. Most of these are treatable.
Apollo Hospital's Orthopaedic Department is at par to international standards. It treats deformities, injury related conditions and personal grooming requirements. Bunion surgeries are quite familiar a business in Apollo Hospitals.
| SPECIALITIES /PROCEDURES |
Hospital Stay |
Single Room
(In US $) |
Twin Sharing
(In US $) |
| ORTHOPEDICS |
| Knee Replacement |
| 1) Single (Including Implant) |
7 Days |
8200 |
6900 |
| 2) Double (Including Implant) |
14 Days |
14700 |
12500 |
| Hip Replacement |
| 1) Single (Including Implant) Cemented |
7 Days |
8000 |
6800 |
| 2) Double (Including Implant) |
14 Days |
14600 |
12500 |
| 3) Hip Resurfacing |
7 Days |
7800 |
6200 |
| Shoulder Replacement |
| 1) Single (Including Implant) |
7 Days |
8200 |
6500 |
| 2) Double (Including Implant) |
14 Days |
15000 |
13000 |
| Arthroscopic Surgery |
| 1) Memisectomy |
1 Day |
3100 |
2600 |
| 2) Shaving of Cartilage |
1 Day |
2600 |
2200 |
| 3) Anterior Cruciate Ligament |
3 Days |
4100 |
3200 |
| Fusion |
| 1) Cervical (Including implant) |
7 Days |
10000 |
8500 |
| 2) Lumber (Including implant) |
7 Days |
10000 |
8500 |
| 3) Bunionectomy |
3 Days |
4000 |
3500 |
Note:
- Prices are subject to change or withdrawal without notice.
- These are indicative prices only and may vary depending on the conditon of the patient, at the time of admission.
- Apollo will provide final estimates at the time of patient's admission.
- Single room is well furnished with Bed, Sofa-cum-Bed for Companion, Cupboard, Medicine Drawer, TV, Telephone and
Wi-fi facility for Internet access. Mobile phones are available on request.
- Stay and food for one Companion with patient in a Single Room is included in the above packages.
- Services like Mobile, Laundry etc. will be charged extra.
- Post-stay outside the Hospital is at the personal expense of the patient and is not included in the above prices.
- 1 US $ = INR 45
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