Posts tagged: bunion

From Sewing to Surgery: A Brief History on Tailor’s Bunions

By , August 16, 2010 11:46 am

If you have a bunion on the outside of your foot, where the 5th toe meets the 5th metatarsal bone of the foot, you don’t just have a bunion, you have a Tailor’s Bunion. And if you have a Tailor’s Bunion, you can blame those who lived during the Renaissance period for your pain. You read that correctly, people who lived in the 14th century were responsible, at least in part, for the profession that eventually led to the naming of the Tailor’s Bunion. First, a brief history lesson, then more about your condition.

During the Middle Ages, clothing was merely a means of concealing the body. Then came the Renaissance period, where people sought to accentuate the human form not only in the arts but in the fabric they wore on their backs. Gone were the days of wearing a loose robe that had been so easily created from a single piece of cloth. People began shortening, tightening, cutting, piecing, and sewing swatches of fabric together in an eventually successful attempt to bring into prominence the contours of the human body. This, ladies and gentlemen, marked the emergence of tailoring and, as a matter of fact, the birth of fashion itself. It is not too difficult to imagine that with a growing demand for shaped clothing, came also a growing need for someone who could shape the clothes. First came the “cutter”, whose job was to make the patterns. Then came the “tailor”, who did the sewing.

Now, fast-forward a few hundred years, and you could find tailors in every town or city, sitting crossed legged in their shops, sewing away at their newest conceived design. Consequently the outside of their feet, especially the heads of the 5th metatarsals, would be rubbed on the floor with such vigor that it began to hurt. They would go on to develop prominences, or “bunions” on the outsides of their feet, which was simply the body’s way of protecting itself. This is exactly how the Tailor’s Bunion got its name.

Your next question, logically enough, may be how is it that you can have a Tailor’s Bunion if you are in fact not a tailor, and perhaps you don’t even sit crossed legged. The answer is again related to fashion: inappropriate shoe wear. Just like it’s cousin, the bunion on the big toe, a Tailor’s Bunion can form as a result of wearing shoes with a tight toe box. Increased pressure of the foot against the inside of your shoes can, over time, result in the metatarsal bone moving and ultimately the formation of a bunion. In patients with wide feet, a Tailor’s Bunion tends to be one of the more common complaints because even though these patients have wide feet, they still tend to wear standard sized shoes, which leads to increased pressure on the sides of the feet, particularly the toe joints.

Whether you have wide feet, you’re a tailor who still sits on the floor crossed-legged, or you have a Tailor’s Bunion for some other reason, the good news is that this problem is most often completely curable. If you have pain associated with your bunion, you can use over the counter anti-inflammatory drugs and pain killers to help alleviate your pain. If your pain has persisted for a long time or if the drugs don’t help your pain, then your doctor may decide it’s time to recommend surgery. Wearing appropriate shoes is

another important aspect of treating a Tailor’s Bunion. These special shoes, or any shoe geared towards people with wide feet, can be very effective in avoiding the development of a bunion or reducing the pain associated with bunions. These shoes are best used in conjunction with bunion pads, and in many cases can make your everyday activities much easier on your feet.

If you have a Tailor’s Bunion, you should consult your local Podiatrist today to see what course of action is best for you to return to your regular activities, whether that be a physically demanding job, daily exercise or becoming the next big Design Star!

Forefoot Fusions

By , March 17, 2010 9:23 am

          With roughly 52 bones in both of our feet, it’s easy to imagine that each of the joints in our feet must be able to work in a precise, coordinated fashion in order for us to stand and move without problems. This is something that’s easy to take for granted when we’re pain-free. After all, our hands also contain numerous bones and they don’t usually give us trouble, right? Unlike hands, our feet must bear the weight of our entire bodies with each passing step. Consequently, the result of dysfunctional foot joints can become much more devastating. In many such cases, fusing of the joint or joints in question is actually a very feasible solution.

          Depending on the case, there are several regions of the foot where podiatric surgeons consider fusion procedures. One area is within the toes. If you try curling them you may notice that each toe has several small joints which allow the curling motion. When one or more of these joints is fused, it converts the toe to a rigid lever and helps eliminate any grinding or other disease process occurring in that toe. Some indications for this may include traumatic arthritis, hammertoes, a cavus or high-arched foot type, and other various deformities.

          Another possible fusion may include the area between the ball of the foot and the first (big) toe. These procedures may be done for several reasons including stiffness or arthritis in the area as well as revisions for a previous bunion correction or in response to dysfunction of a tendon. If this is done, the doctor will typically fuse the joint in such a way that its position is optimally placed according to your needs and lifestyle. Your X-rays and foot structure will also be taken into account when the decision is made.

          Yet another common fusion site is between the bones of the mid-foot and the long bones of the forefoot. These procedures are similarly done in cases of arthritis, joint mal-alignment, Charcot disease, instability, and in certain bunion cases. Often times, these cases are especially effective in creating stability and providing for a large degree of correction.

          With any surgical procedure, there are certain benefits as well as potential risks. The site of fusion as well as the means of fusion (usually screws, wires, or small plates) will vary from individual to individual. Your local Chandler podiatrist can help answer any questions you might have about fusions and whether or not it might be a good option for you. The post-operative regimens also vary; some procedures will allow you to walk 

          With roughly 52 bones in both of our feet, it’s easy to imagine that each of the joints in our feet must be able to work in a precise, coordinated fashion in order for us to stand and move without problems. This is something that’s easy to take for granted when we’re pain-free. After all, our hands also contain numerous bones and they don’t usually give us trouble, right? Unlike hands, our feet must bear the weight of our entire bodies with each passing step. Consequently, the result of dysfunctional foot joints can become much more devastating. In many such cases, fusing of the joint or joints in question is actually a very feasible solution.

          Depending on the case, there are several regions of the foot where podiatric surgeons consider fusion procedures. One area is within the toes. If you try curling them you may notice that each toe has several small joints which allow the curling motion. When one or more of these joints is fused, it converts the toe to a rigid lever and helps eliminate any grinding or other disease process occurring in that toe. Some indications for this may include traumatic arthritis, hammertoes, a cavus or high-arched foot type, and other various deformities.

          Another possible fusion may include the area between the ball of the foot and the first (big) toe. These procedures may be done for several reasons including stiffness or arthritis in the area as well as revisions for a previous bunion correction or in response to dysfunction of a tendon. If this is done, the doctor will typically fuse the joint in such a way that its position is optimally placed according to your needs and lifestyle. Your X-rays and foot structure will also be taken into account when the decision is made.

          Yet another common fusion site is between the bones of the mid-foot and the long bones of the forefoot. These procedures are similarly done in cases of arthritis, joint mal-alignment, Charcot disease, instability, and in certain bunion cases. Often times, these cases are especially effective in creating stability and providing for a large degree of correction.

          With any surgical procedure, there are certain benefits as well as potential risks. The site of fusion as well as the means of fusion (usually screws, wires, or small plates) will vary from individual to individual. Your local Chandler podiatrist can help answer any questions you might have about fusions and whether or not it might be a good option for you. The post-operative regimens also vary; some procedures will allow you to walk

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