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Question about bunion and foot pain?
I recently went to a podiatrist because I have been having foot pain for the last 3-4 years. Over that time period, it has gotten progressively worse, which led me to see the doctor. Now, when I went to the doctor, she told me that I have bunions. Let me state that I do construction type work and I am required to wear steel toe boots. I have flat feet also. My problem is, I have always seen bunions as to be when the large toe starts to go outward. My foot is perfectly straight and looks nothing like a women who wears high heels 24-7.....She immediately said that I have bunions, without even x-rays. Does this even sound correct?....Given the fact that she didn't x-ray me, leads me to believe that she can be wrong.
My pain is as such: It hurts like heck maybe 1-2 days a week. The other days, it is tolerable. Now when the pain is there, sometimes I am able to push 100% of my body weight on the pain, behind the big toe, and it cracks, and I feel instantly normal but, sometimes it doesn't crack and only intensifies the pain.
Let me also state that she had a cortisone shot already loaded to inject my foot and I was a tad weary. She said that she would spray instant ice spray and it would numb the foot before the injection. I proceeded to let her do it. So, she sprayed the foot with a solution and it did nothing in terms of numbing. The second she started to inject the needle, my foot jumped right out of her hand and I got up and said,"I am out of here. This cannot be the only solution for this pain."...She proceeded to tell me that there is no cure for this. She can only treat the symptoms and no dr. will do surgery unless the bone is of a certain measurement. Which mine is not. My toe is perfectly straight.
Can anyone please offer some advice on this issue?
I also read that repeat cortisone shots is very bad for tendons.
Thanks
4 Answers
- 10 years agoFavorite Answer
A bunion is given its severity by an abnormality in the position of the 1st metatarsal, which is the long bone that comes before the toe. It is this bone that makes a bump on the side of the foot, the position of the big toe is somewhat irrelevant. You don't have to have a big toe that crams into the 2nd toe to have a bunion, and there are all sorts of degrees of the deformity that can physically cause pain.
That being said, there are also many other conditions that cause pain to the big toe joint area, including arthritis, inflammatory diseases, and tendon issues. I am not sure why she did not take an x-ray. This is a fairly common diagnostic test for most types of foot pain, as many types of foot pain are caused directly or indirectly by problems with bone structure.
An injection to the big toe joint can help with some cases, and may take the edge of the pain away, but in the long term does not tend to be as effective as it is in the knee or hip. This injection hurts given the small injectable space, and only the skin can be numbed beforehand, which eliminates the sensation of the 'stab' of the needle.
Surgical options are not limited to when the 'measurement' is right. Something is causing your pain, and if it is a bone or joint deformity, it can be corrected. However, this does not mean surgery is required, as there are a number of conditions that can be controlled with increased structural support via an prescription orthotic insert, anti-inflammatory medications, or therapy.
It sounds like there is some question or confusion as to your diagnosis. I recommend a 2nd opinion to correlate your first doctor's diagnosis, and to find if alternate treatment options are available. I hope you find relief soon.
Source(s): http://www.inpodiatrygroup.com/bunions-and-bunion-... http://www.inpodiatrygroup.com/arthritis-of-the-bi... http://www.inpodiatrygroup.com/bunion-surgery.html - Anonymous10 years ago
Bunions are most commonly treated by conservative means. This may involve shoe gear modification, padding and orthoses.
When these to provide adequate relief, surgery is often recommended. The choice of surgical procedures (bunionectomy) is based on a biomechanical and radiographic examination of the foot.
- Anonymous7 years ago
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