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The physicians at Gotham Footcare, led by Miguel Cunha, DPM, offer the most advanced, most effective treatments for those throughout New York City who are dealing with bunions. At Gotham Footcare, patients can get assistance with orthotics insoles and even bunion surgery in Downtown and Midtown Manhattan, New York. Our board-certified podiatrists are standing by today to help relieve bunion pain in your feet.
A bunion is a biomechanical imbalance involving the great toe joint. It is often described as a bump on the side of the big toe. Several different things may cause bunions, such as:
Congenital deformities present at birth
(Nature) Genetic Inheritance such as Ligamentous laxity (looseness of ligaments)
Bunions progressively worsen over time. Bunions start when the big toe rotates sideways towards the second toe and the first metatarsal projects outward in the opposite direction producing the characteristic bump, which increases prominently over time.
Characteristics of a bunion also include:
Bump on the inside of the foot
Great toe pushing onto the second toe
Pain and swelling around the great toe
Bunions can occur for several reasons, and it is important to remember there isn’t one specific cause. In general, bunions are a result of:
Genetics and a family history of bunions
Arthritis (inflammation) in the foot
Certain neuromuscular conditions that affect movement and coordination like cerebral palsy
Connective tissue disorders
If you are experiencing any of the following symptoms, consider making an appointment at Gotham Footcare today to be seen by one of our bunion specialists:
Pain and swelling around the big toe
Calloused skin and swelling near the base of the big toe
The big toe is pushing the second toe out of place because it is turning inward
The base of the big toe includes a large bump
Soreness near a big bump
When you come in for treatment, a gait analysis, and full evaluation is performed, including a medical history report and weight bearing X-rays. Once the nature and severity of the bunion is thoroughly assessed the best treatment options will be reviewed in great detail with the patient.Bunion treatment options
At Gotham Footcare, we pride ourselves on performing conservative treatment first before the need for surgical intervention.
Nonsurgical treatment options include:
Shoe gear modification: Using wider shoes with larger toe boxes
Splinting, strapping, cushioning, and padding of the bunion
Custom orthotics to stabilize and slow progression of the deformity
Avoidance of activities that aggravate symptoms
Anti-inflammatory medication for periodic relief
Physical therapy to calm the inflammatory process
Bunion surgery is performed as an outpatient procedure, under monitored IV anesthesia. The primary goal of bunion surgery is to relieve the pain associated with the deformity. Bunion surgery consists of removing the pronounced bone, realigning the big toe, and balancing the foot so the bunion does not return. Here at Gotham Footcare, we perform a more cosmetically pleasing incision performed on the inside of the foot rather than the typical bunion incision placed on top. The advantage of this technique is that you cannot see the incision when looking straight down onto the top of your foot. It also helps to avoid casting or crutches and instead allows you to walk out of the operation in a post-operative boot or shoe.
Take a look at our before and after gallery to see the radical improvements following our bunion treatments. Stop living in pain every day and call the bunion specialists in New York City today.
Contact us for expert treatment!