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		<title>Juvenile Hallux Abducto Valgus Deformity - Historial de revisiones</title>
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		<title>Elijah23A68 en 11:39 10 jun 2017</title>
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				<updated>2017-06-10T11:39:06Z</updated>
		
		<summary type="html">&lt;p&gt;&lt;/p&gt;
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				&lt;td colspan='2' style=&quot;background-color: white; color:black; text-align: center;&quot;&gt;← Revisión anterior&lt;/td&gt;
				&lt;td colspan='2' style=&quot;background-color: white; color:black; text-align: center;&quot;&gt;Revisión de 11:39 10 jun 2017&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Línea 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Línea 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class='diff-marker'&gt;−&lt;/td&gt;&lt;td style=&quot;color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;A bunion is an enlargement of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bone or tissue around &lt;/del&gt;the joint at the base of the big toe&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. The &lt;/del&gt;big toe &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;may turn toward &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;second &lt;/del&gt;toe. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The tissues around &lt;/del&gt;the joint may &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;be swollen &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tender&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;A bony bump at &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;base &lt;/del&gt;of the little toe is called a bunionette or tailor&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;'&lt;/del&gt;s bunion. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The little toe also bends inward, and the joint swells or enlarges.&lt;/del&gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Bunions are &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;more common in women than men. The problem can &lt;/del&gt;run in families. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;People born with abnormal bones in their &lt;/del&gt;feet &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;are more likely &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;form a &lt;/del&gt;bunion. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Wearing narrow-toed, high-heeled shoes may lead &lt;/del&gt;to the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;development of a &lt;/del&gt;bunion&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. The condition may &lt;/del&gt;become painful &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;as &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bump gets worse. Extra bone and a fluid-filled sac grow &lt;/del&gt;at the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;base &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;big &lt;/del&gt;toe&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. &amp;lt;br&amp;gt;SymptomsA bunion, also called a hallux valgus, &lt;/del&gt;is a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bony prominence on the inside &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the &lt;/del&gt;big toe&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;, caused by &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;misalignment of the joint&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The overlying skin maybe swollen, red and tender&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Bunions are &lt;/del&gt;often &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;painful and can limit what &lt;/del&gt;shoes &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;you can wear&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Orthopaedic surgeons diagnose bunions on the basis of physical examination and weight bearing x-rays&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Two angles are assessed, the intermetatarsal angle, that is between the first and second metatarsals (the bones that lead &lt;/del&gt;up &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;to the base &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the toes). If this angle exceeds 9? (the angle found in the healthy foot) it &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;abnormal and referred to as metatarsus primus varus&lt;/del&gt;. the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;hallux valgus angle, that is&lt;/del&gt;, the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;angle &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;big toe as it drifts toward the small toe. An angle that exceeds 15? is considered to be a sign of pathology&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Conservative Treatment. Apply a commercial, nonmedicated bunion pad around &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bony prominence. Wear shoes with &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;wide and deep toe box&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;If &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bunion becomes inflamed &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;painful&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;apply ice packs several times a day &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;reduce swelling&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Avoid high&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;heeled shoes over two inches tall&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;See your podiatric physician if &lt;/del&gt;pain &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;persists. Orthotics&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Shoe inserts &lt;/del&gt;may be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;useful in controlling foot function and may reduce symptoms and prevent worsening &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;deformity. Padding &amp;amp; Taping. Often &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;first step &lt;/del&gt;in &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;a treatment plan&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;padding &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bunion minimizes &lt;/del&gt;pain and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;allows the patient &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;continue a normal, active life&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Taping helps keep the foot &lt;/del&gt;in a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;normal position, thus reducing stress and pain&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Medication&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Anti&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;inflammatory drugs and cortisone injections &lt;/del&gt;are &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;often prescribed to ease &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;acute pain and inflammations caused by joint deformities&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Physical Therapy&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Often used to provide relief of the inflammation and from &lt;/del&gt;bunion &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain. Ultrasound therapy is a popular technique for treating bunions and their associated soft tissue involvement&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Most bunions can be treated without &lt;/del&gt;surgery. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;But when nonsurgical treatments &lt;/del&gt;are &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;not enough, &lt;/del&gt;surgery &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;can relieve your &lt;/del&gt;pain, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;correct any [http://Plaza&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Rakuten&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Co&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;jp/annebridges/diary/201507090000 related foot &lt;/del&gt;deformity&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;], &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;help you resume &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;normal activities&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;An orthopaedic surgeon can help &lt;/del&gt;you &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;decide if &lt;/del&gt;surgery &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;is the best option for you&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Whether &lt;/del&gt;you&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;?ve just begun exploring treatment for bunions or have already decided with your orthopaedic surgeon to have &lt;/del&gt;surgery, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;this booklet will help you understand more about this valuable procedure&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Make better shoe choices. If you?re a woman, avoid high&lt;/del&gt;-&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;heeled footwear whenever possible (at &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;very least, choose &lt;/del&gt;shoes with &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;heels lower than two inches), and make sure all your footwear has &lt;/del&gt;a wide&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;, deep &lt;/del&gt;toe box&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;. Whether man or woman, if you?re trying on shoes and &lt;/del&gt;your toes &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;feel ?squished? or crowded by a particular shoe, reject that style and try another, or go for a larger size&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;You don?t need to invite trouble. In general, &lt;/del&gt;shoes &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;that come to a point at the toe are bad news, &lt;/del&gt;as &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;they tend to push the toes together into an overlapping pattern. Shoes with rocker soles will unload pressure on the bunion area. Examine your &lt;/del&gt;feet &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;regularly. Note any redness, swelling or discoloration. Flex your toes and check for any stiffness. If there is any, think back to what you?ve worn or done in the past few days. If the condition persists more than a few days, or worsens, a visit to the podiatric physician is in order&lt;/del&gt;.&lt;/div&gt;&lt;/td&gt;&lt;td class='diff-marker'&gt;+&lt;/td&gt;&lt;td style=&quot;color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;If you?ve developed a solid bump at the base of your big toe along with pain and swelling, it?s possible that you have a bunion. According to the American Podiatric Medical Association (APMA) &lt;/ins&gt;A bunion is an enlargement of the joint at the base of the big toe&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;-the metatarsophalangeal (MTP) joint, that forms when the bone or tissue at the &lt;/ins&gt;big toe &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;joint moves out of place. This forces &lt;/ins&gt;the toe &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;to bend toward the others, causing an often painful lump of bone on the foot&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Since this joint carries a lot of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;body?s weight while walking, bunions can cause extreme pain if left untreated. The MTP &lt;/ins&gt;joint &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;itself &lt;/ins&gt;may &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;become stiff &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;sore, making even the wearing of shoes difficult or impossible&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Bunions, from &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Latin ?bunio,? meaning enlargement, can also occur on the outside &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the foot along &lt;/ins&gt;the little toe&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, where it &lt;/ins&gt;is called a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;?&lt;/ins&gt;bunionette&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;? &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;?&lt;/ins&gt;tailor&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;?&lt;/ins&gt;s bunion.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;?&lt;/ins&gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Bunions are &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;not hereditary, but they do tend to &lt;/ins&gt;run in families&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, usually because of a faulty foot structure&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Foot injuries, neuromuscular problems, flat &lt;/ins&gt;feet&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, and pronated feet can contribute &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;their formation. It is estimated that bunions occur in 33 percent of the population in Western countries. &amp;lt;br&amp;gt;SymptomsIt is unusual to have much &lt;/ins&gt;bunion &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;or hallux valgus pain when out of shoe wear or at rest&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;There are exceptions &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;this and in particular if symptoms have been ignored during the day and &lt;/ins&gt;the bunion &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;has &lt;/ins&gt;become &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;very &lt;/ins&gt;painful &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;during &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;day then some symptoms may be present &lt;/ins&gt;at &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;night. The pain from &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;region &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;great &lt;/ins&gt;toe &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;at rest or at night &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;however more often &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;symptom &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;an arthritic &lt;/ins&gt;big toe &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;(hallux rigidus) rather than &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;straightforward bunion&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;To confuse matters these two conditions can sometimes coexist&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Bunion or hallux valgus pain is most &lt;/ins&gt;often &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;present when walking in enclosed &lt;/ins&gt;shoes&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;. There may be little bunion pain in sandals or barefoot. It is unusual to have much bunion pain when not putting weight on the foot or at night. If there is bunion pain at rest or at night then there may also be arthritic change within the toe&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Your doctor can identify a bunion by examining your foot&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Watching your big toe as you move it &lt;/ins&gt;up &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;and down will help your doctor determine if your range &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;motion &lt;/ins&gt;is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;limited&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Your doctor will also look for redness or swelling. After &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;physical exam&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;an X-ray of your foot can help your doctor identify &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cause &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bunion and rate its severity&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;You can buy orthotics over &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;counter from pharmacies, or they can be custom-made by &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;podiatrist to fit your feet&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Whether you need to buy an over-the-counter orthotic or have one specially made will depend on &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;individual circumstances &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the severity of your bunion. You can also use special bunion splints&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;worn over the top of your foot and your big toe &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;help straighten its alignment&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Splints are available for both daytime and night&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;time use&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;However, there's little evidence that splints are effective. Toe spacers are also available, which can help reduce the &lt;/ins&gt;pain &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;caused by bunions&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;However, toe spacers or orthotics &lt;/ins&gt;may be of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;limited use because they often compete with &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bunion for &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;already limited space &lt;/ins&gt;in &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the shoe. If your toe joint is painful and swollen&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;applying an ice pack to the affected area several times a day can help to relieve &lt;/ins&gt;the pain and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;inflammation. Never apply ice directly &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;your skin&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Wrap it &lt;/ins&gt;in a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cloth or tea towel&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;A bag of frozen vegetables makes a good ice pack&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;It's recommended that you wear flat or low&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;heeled, wide-fitting shoes if you have a bunion. Shoes made from soft leather &lt;/ins&gt;are &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ideal because they'll relieve any pressure on &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bunion&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Avoid narrow or slip-on shoes&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;High heels can also make your &lt;/ins&gt;bunion &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;worse by putting excessive pressure on your toes&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;If nonsurgical treatment fails, you may want to consider &lt;/ins&gt;surgery. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Many studies have found that 85 to 90 percent of patients who undergo bunion surgery &lt;/ins&gt;are &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;satisfied with the results. Reasons that you may benefit from bunion &lt;/ins&gt;surgery &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;commonly include severe foot &lt;/ins&gt;pain &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;that limits your everyday activities&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;including walking and wearing reasonable shoes&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;You may find it hard to walk more than a few blocks (even in athletic shoes) without significant pain&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Chronic big toe inflammation and swelling that doesn't improve with rest or medications&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Toe &lt;/ins&gt;deformity&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;-a drifting in of your big toe toward the small toes. Toe stiffness-inability to bend &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;straighten &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;toe&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Failure to obtain pain relief from nonsteroidal anti-inflammatory drugs. Their effectiveness in controlling toe pain varies greatly from person to person. Failure to substantially improve with other treatments such as a change in shoes and anti-inflammatory medication. As &lt;/ins&gt;you &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;explore bunion &lt;/ins&gt;surgery&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, be aware that so-called &amp;quot;simple&amp;quot; or &amp;quot;minimal&amp;quot; surgical procedures are often inadequate &amp;quot;quick fixes&amp;quot; that can do more harm than good&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;And beware of unrealistic claims that surgery can give &lt;/ins&gt;you &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a &amp;quot;perfect&amp;quot; foot. The goal of &lt;/ins&gt;surgery &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;is to relieve as much pain&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;and correct as much deformity as is realistically possible. It is not meant to be cosmetic&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Wear insoles and well&lt;/ins&gt;-&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;fitting shoes to help slow down &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;progression of bunions and alleviate discomfort. Cushioning can also help alleviate discomfort. Consider wearing &lt;/ins&gt;shoes with a wide toe box &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;so they don't crowd &lt;/ins&gt;your toes. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Children can also develop bunions and should wear properly fitting &lt;/ins&gt;shoes as &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;their &lt;/ins&gt;feet &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;are still developing&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Elijah23A68</name></author>	</entry>

	<entry>
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		<title>Rosalind92F: Página creada con «Overview&lt;br&gt;&lt;br&gt;A bunion is an enlargement of bone or tissue around the joint at the base of the big toe. The big toe may turn toward the second toe. The tissues around the...»</title>
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				<updated>2017-06-10T02:55:32Z</updated>
		
		<summary type="html">&lt;p&gt;Página creada con «Overview&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;A bunion is an enlargement of bone or tissue around the joint at the base of the big toe. The big toe may turn toward the second toe. The tissues around the...»&lt;/p&gt;
&lt;p&gt;&lt;b&gt;Página nueva&lt;/b&gt;&lt;/p&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;A bunion is an enlargement of bone or tissue around the joint at the base of the big toe. The big toe may turn toward the second toe. The tissues around the joint may be swollen and tender. A bony bump at the base of the little toe is called a bunionette or tailor's bunion. The little toe also bends inward, and the joint swells or enlarges.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Bunions are more common in women than men. The problem can run in families. People born with abnormal bones in their feet are more likely to form a bunion. Wearing narrow-toed, high-heeled shoes may lead to the development of a bunion. The condition may become painful as the bump gets worse. Extra bone and a fluid-filled sac grow at the base of the big toe. &amp;lt;br&amp;gt;SymptomsA bunion, also called a hallux valgus, is a bony prominence on the inside of the big toe, caused by a misalignment of the joint. The overlying skin maybe swollen, red and tender. Bunions are often painful and can limit what shoes you can wear.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;Orthopaedic surgeons diagnose bunions on the basis of physical examination and weight bearing x-rays. Two angles are assessed, the intermetatarsal angle, that is between the first and second metatarsals (the bones that lead up to the base of the toes). If this angle exceeds 9? (the angle found in the healthy foot) it is abnormal and referred to as metatarsus primus varus. the hallux valgus angle, that is, the angle of the big toe as it drifts toward the small toe. An angle that exceeds 15? is considered to be a sign of pathology.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;Conservative Treatment. Apply a commercial, nonmedicated bunion pad around the bony prominence. Wear shoes with a wide and deep toe box. If your bunion becomes inflamed and painful, apply ice packs several times a day to reduce swelling. Avoid high-heeled shoes over two inches tall. See your podiatric physician if pain persists. Orthotics. Shoe inserts may be useful in controlling foot function and may reduce symptoms and prevent worsening of the deformity. Padding &amp;amp; Taping. Often the first step in a treatment plan, padding the bunion minimizes pain and allows the patient to continue a normal, active life. Taping helps keep the foot in a normal position, thus reducing stress and pain. Medication. Anti-inflammatory drugs and cortisone injections are often prescribed to ease the acute pain and inflammations caused by joint deformities. Physical Therapy. Often used to provide relief of the inflammation and from bunion pain. Ultrasound therapy is a popular technique for treating bunions and their associated soft tissue involvement.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Most bunions can be treated without surgery. But when nonsurgical treatments are not enough, surgery can relieve your pain, correct any [http://Plaza.Rakuten.Co.jp/annebridges/diary/201507090000 related foot deformity], and help you resume your normal activities. An orthopaedic surgeon can help you decide if surgery is the best option for you. Whether you?ve just begun exploring treatment for bunions or have already decided with your orthopaedic surgeon to have surgery, this booklet will help you understand more about this valuable procedure.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;Make better shoe choices. If you?re a woman, avoid high-heeled footwear whenever possible (at the very least, choose shoes with heels lower than two inches), and make sure all your footwear has a wide, deep toe box. Whether man or woman, if you?re trying on shoes and your toes feel ?squished? or crowded by a particular shoe, reject that style and try another, or go for a larger size. You don?t need to invite trouble. In general, shoes that come to a point at the toe are bad news, as they tend to push the toes together into an overlapping pattern. Shoes with rocker soles will unload pressure on the bunion area. Examine your feet regularly. Note any redness, swelling or discoloration. Flex your toes and check for any stiffness. If there is any, think back to what you?ve worn or done in the past few days. If the condition persists more than a few days, or worsens, a visit to the podiatric physician is in order.&lt;/div&gt;</summary>
		<author><name>Rosalind92F</name></author>	</entry>

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