Author: Foot Doc
Date: 2/23/2008 1:44 pm PDT
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DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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You seem to be describing a common foot problem known as a tailor's bunion. Although symptoms can often be mitigated to one degree or another by padding and shoe selection, as with the standard bunion, correction of the deformity requires surgery, the precise nature and extent of which is individually determined by evaluation. Sometimes the problems is simply a hypertrophy of the head of the 5th metatarsal, and sometimes this is compounded by a lateral angulation or splaying of the metatarsal shaft. Accordingly, sometimes only a trimming down of the lateral and sometimes the dorsal prominence of the 5th metatarsal head is all that is needed, and sometime, that in company with an osteotomy to correct the angulation is required. Often an irritated bursal sac develops, which can be at least temporarily treated by such as drainage and/or a local corticosteroid injection, but any areas of redness should be first professionally evaluated for possible infection and appropriate treatment instituted. |
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