Bunions Types - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes the condition of bunions - types.

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Bunion Types
Hallux Valgus is a bunion deformity of the big toe. Tailor’s bunion or bunionette deformity is a deformity of the 5th metatarsal. Another bunion type is a dorsal bunion. Hallux valgus is a common foot deformity with a lot of misconceptions about them. People sometimes describe this deformity as a bump on the side of the big toe. This visible bump (bunion) is usually associated with a lot of changes in that part of the foot. The big toe will deviate laterally (point towards the second toe), and this will throw the bone out of alignment, creating the bunion. It is a progressive problem that may cause pain or soreness, burning sensation, inflammation or redness, and women are more likely to have bunions than men. It is more prevalent in aging females. Bunions are usually progressive, and they do not disappear. The symptoms occur when wearing shoes with a tight shoe box or when wearing high heels. Etiology is multifactorial, which includes chronic exposure to narrow toe box shoes and maybe some genetic predisposition. The valgus deviation of the proximal phalanx promotes varus positioning of the first metatarsal which displaces the metatarsal head medially, leaving the sesamoid complex laterally translated relative to the metatarsal head. The first line of treatment of hallux valgus is shoe modification, pads, orthosis, or spacers. Surgical correction is done if the symptoms persist despite conservative treatment, including shoe modification. Surgical correction is done if the symptoms persist despite conservative treatment, including shoe modification. The type of surgery depends on the severity of the condition. It is a prominence of the lateral part of the fifth metatarsal head. It is more common in females. It is usually bilateral and has three types. In Type I, the fifth metatarsal head is enlarged or there might be lateral exostosis. In Type II, there is bowing of the fifth metatarsal. In Type III, there is increased four and five intermetatarsal (IM) angle. It is the most common type. Nonoperative treatment of Tailor’s Bunion is anti-inflammatory medications, shoe modification, or orthotics. Surgery is done if conservative treatment fails to relieve the symptoms. Do lateral condylectomy (excise the bump) for Type I. Do distal metatarsal osteotomy for Type II. Do oblique diaphyseal osteotomy if the intermetatarsal (IM) angle is more than 12 degrees. Dorsal bunion occurs due to dorsal flexed first metatarsal, over activity of the tibialis anterior muscle. The tibialis anterior muscle is an antagonistic muscle to the peroneus longus muscle. Dorsal bunion can also occur due to weakness of the peroneus longus tendon. Dorsal bunion can occur as a residual deformity after correction of a clubfoot deformity. The imbalance between a strong tibialis anterior tendon and a weak gastrocnemius soleus complex, which is compensated by strong secondary plantar flexors, such as the flexor hallucis longus and brevis will lead to the development of dorsal bunion. Over time, the contracture of this tendon results in plantar flexion of the big toe and a dorsal bunion. The patient complains of a deformity such as dorsal callosities and metatarsalgia. The shaft of the first metatarsal is dorsiflexed, and the great toe is plantar flexed, resulting in a prominent head of the first metatarsal. The condition is usually treated with tibialis anterior lengthening or flexor hallucis longus transfer to the plantar aspect of the first metatarsal head, and maybe plantar flexion osteotomy of the first ray. In general, dorsal bunion occurs due to a normal tibialis anterior muscle overpowering a weak peroneus longus, which results in elevation or dorsiflexion of the first ray, and this is usually seen in patients with a history of a club foot. Usually the gastrocnemius soleus is weak due to prior surgery. This is compensated by plantar flexion of the big toe by using the flexor hallucis brevis.

[helenjohnson]

Very well explained! This is extremely helpful!!

[ccommandent]

Bunion can be also be as a result of weakness in glutes. Kelly Starrett talks about this. There is videos of VERY painful massages on youtube helping to correct this issue very effectively!

[ibrahimalwahshi]

That was clealy explained, Thank you Sir

[tamarividanalage]

How to get rid of this, , , it’s so painful please help me on this

[iltaffrauff]

Very helpful, .. lots of love from Pakistan

[shh]

I have them on both sides of both feet. My mother had them and so did my grandmother.

[mariahcarrington]

Needed some info then noticed your in my home town. Awesome!

[michelldurbecq]

This is a really great educational video

[diegogarcia-udii]

Yeah, it's a bunion alright (Hallux Valgus) that I have, but, there's no pain whatsoever that necessitates immediate relief or treatment. Just a bone protrusion. So, how can I view this on a different light as oppose to what has been discussed? Can't find anything on Youtube see: "Bunions Without Pain".

[wbyvlld]

I am doing well in recovery (3rd week) from bimallelar surgery and I noticed what appears to be big toe arthritis to be present now (not noticeable before). Is it possible for the injury to have made that happen so quickly? It looks like a small bunion and when I ice the foot there is localized pain in that region.

[avneetsingh]

I'm 30. I've been diagnosed with hallux valgus and degenerative arthritis on my big toe. At this beginning stage, there is a very mild pain. But I want to cure it with exercise, medication or whatever it takes. Guys please give your suggestions. Also, is it a good idea to do calves raises having arthritis on my big toe?

[davelane]

What if a guy has at least two of each and on the same damn foot?

[MarvTube]

I'm not sure if I wasn't aware of it before, but I noticed a small bunion beginning to grow next to my small toe during my recovery period of my broken femur. Is there a relationship between the sudden lack of walking (due to recovery) and the formation of bunions? Or did I just notice the bunion now and it was always there?

Thank you. 🙏🏻

[cosine]

Apparently have a hallux bunion and tailor bunion on each foot..

[stardust_here]

So Diff supports available online are beneficial in controlling them or not ???

[joe]

I have a dorsal, I swear it's from when I stubbed my toe so hard I swore I broke it. That was about five years ago and it's never felt the same, always had a bump growing but it's gotten more painful for about two years now

[drbharat]

Excellent video
What software you use to prepare your slides

[ym]

Vielen Dank aus Deutschland, sehr hilfreich

[Godbepraised]

Extremely helpful. I wish you could be my doctor!!!!

[tjgrafiks]

what i really want to know is how u go to bed without ever having this and wake up with it the next day. on the outer bone below side of small toe