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Bunion (Hallux Abducto Valgus) - Best Hospitals, Doctors, Prices - Booking Health

Treatment of Bunion (Hallux Abducto Valgus)

Bunion (Hallux Abducto Valgus) | Information about hospitals and doctors | Rankings | Clinics | Prices | Send request to the hospital

Best hospitals and doctors for bunion (hallux abducto valgus) treatment abroad

Leading hospitals

Cost for treatment

Diagnostics of hallux valgus (hallux rigidus)
1536
Surgical treatment of bunion (hallux abducto valgus) with minimally invasive bunion osteotomy
6618.06
Orthopedic rehabilitation
690.57
The Vivantes Auguste-Victoria Hospital, has special expertise and received international recognition in the field of Urology, especially in the treatment of prostate cancer and also Oncology, Neurology, Cardiology and other directions. The possibilities of urological treatment include robot-assisted surgeries using the Da Vinci
Some prefer to solve their health problems and receive healthcare abroad, for example, in Switzerland. Since 2002, Swiss hospital Klinik Birshof belongs to Hirslanden, the first group of private healthcare facilities in Switzerland. The merger of the former private hospitals of the country has given important impetus to the Swis
University Hospital Mainz
University Hospital Mainz
Overall rating9.7 / 10
The University Hospital Mainz is one of the best maximum care medical facilities in Germany and an internationally recognized scientific center. There are more than 60 departments and institutes, which represent all fields of modern medicine. The hospital serves more than 68,000 inpatients and more than 273,000 outpatients annua
The Medical Park Gebze Hospital is a progressive medical facility, which diagnoses and treats patients in almost all fields of modern medicine. The hospital is part of the prestigious Medical Park Hospitals Group, which unites 28 advanced medical centers in various cities of Turkey and is one of the leading providers of medical
The Asklepios Hospital for Sports Injuries St. Wolfgang is a specialized medical facility for the treatment of orthopedic diseases and sports injuries, diseases of internal organs, cardiac pathology, urological diseases. In addition, the specialists of the hospital have a unique experience in the field of aesthetic medicine. The
The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
Beta Clinic Bonn
Beta Clinic Bonn
Overall rating9.7 / 10
The Beta Clinic Bonn is a modern private healthcare facility with 20 specialized departments. In addition, the clinic cooperates with 30 independent doctors of various specializations, most of whom have their own private practices. The doors of the clinic first opened for patients in 2008. Since that time, the medical facility h
The Eilenriede Clinic Hannover positions itself as one of the best medical complexes in Germany, where patients are provided with highly effective treatment in accordance with European medical standards. The main clinical focuses of the medical facility include general surgery, hand surgery, neurosurgery, plastic and aesthetic s
The ATOS Fleetinsel Clinic Hamburg is a modern medical facility with an impeccable reputation. The clinic is located in the historical center of Hamburg, in the Fleetinsel district. After more than 20 years of successful clinical practice, the clinic has gained a leading position in the treatment of orthopedic diseases in German
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About the disease

Bunion is a bone bump, which forms on big toe. Bunion usually develops if a person has disturbed biomechanics of walking, during which his joint is bending and he is developing swelling on big toe. In orthopedics this disease is also known as Hallux valgus. Disease is fairly common among elderly. Its appearance indicates malfunction of muscles. Damage to muscle balance can also cause deflection of cones and toe. In this case, joint where the big toe is connected with foot curves in wrong position. That`s why there is inflammation and pain in the fingers. A similar problem may occur on the other side of foot. If bunion causes severe pain, a doctor may resolve to use injections of steroids or even surgery to solve the problem. There are two basic types of bunion - serous (non-infectious) and purulent (infectious) bunion. Symptoms of each of them are different and treatment of bunion depends on its type. 60% of people with bunion develop this disease after 60 years.

Number of deformities is directly proportional to age: up to 30 years, it occurs in three percent of people, and by 60 years risk rises to 16%. After 60, people are in the highest risk of developing bunion. According to Medical News Today, which is a medical journal, bunion can also appear in adolescent girls, aged 10-15. It can happen if they dance ballet professionally. 

In most cases bunion forms as a result of congenital pathology of foot and toes, when joints become very weak. People who have flat feet are more likely to have this deformation. It can also be caused by arthritis, which is a disease that destroys bones. In some cases bunion is caused by injuries.

Many people believe that tight shoes are direct cause of bunion, but it was scientifically proved that this is not true. Tight shoes and high-heels can only aggravate and accelerate the process of developing disease. That`s why women who wear high heels very often and who have predisposition to this disease, are in higher risk of developing deformation. It happens because high heels create abnormal pressure on feet and friction that constantly rubs and weakens the bone of big toe. Skin responds to such pressure by forming a callus, that`s why soft tissue of foot becomes painful and inflamed. Ballerinas and other professional dancers are in higher risk of developing bunion, because they constantly need to stay on their toes, which means that toes take all the pressure created by weight of person. It can also be caused by rheumatoid, psoriatic arthropathy and cerebral palsy. In rare cases Sharot disease, multiple sclerosis and Down syndrome contribute to development of bunion.

Symptoms

  • Pain in the big toe, especially when walking
  • Skin and tissue surrounding  deformity is red and swollen
  • Area around the joint in very sensitive
  • Burning in toes
  • Wearing shoes becomes impossible
  • Bump causes blisters
  • Roughness of skin

Diagnosis

Diagnosis of bunion is done during simple examination, when a doctor can ask a patient to walk for some period of time to see if there were any changes in gait. In most cases nagging pain in forefoot is caused by tight shoes and does not present any danger, as it can be solved by simple change of shoes to more comfortable.

Methods of bunion diagnostics include:

  • Examination
  • An X-ray
  • A ultrasound of feet
  • CT scan
  • Magnetic resonance imaging
  • Laboratory puncture, when a doctor examines liquid
  • Arthrography, which is endoscopy of knee
  • Blood tests for signs of inflammation
  • Angiography of blood vessels to determine level of inflammation

Treatment

  • The most effective bunion treatment is minimally invasive bunion osteotomy, when doctor corrects a bunion. Before that patient needs to choose correct orthopedic footwear, which person will need to wear for one year or even more to support affected toe It is necessary to wear shoes with thick soles and rounded square front. They need to be low-heeled and have space. Such footwear can prevent skin from friction and reduce the pressure on affected joint.
  • Bursectomy is the simplest and least complicated type of bunion surgery. A doctor removes bunion and, if necessary, hypertrophied portion of metatarsal bones. For this purpose, he needs to do incision, with which he removes excessive bone. A doctor can also perform surgery called osteotomy. He does a number of deep cuts at the thumb and underside of foot. After that he fixes toes bone tissue and primary metatarsal bone by metal structures. Purpose of this treatment is the reduction of formation. Bunion surgery recovery time is six to eight weeks, when a person needs to take extra care of his feet. It is also desirable to avoid moisture and exposure to water. In some cases, doctors prescribe a course of treatment with calcium after surgery to strengthen the muscles and to make them more fit in future.
  • Injections into the affected joint help to reduce inflammation and fever. After such injections a person is recommended to have bed rest. Doctor usually uses corticosteroid injections into the joint area, which proved to be the most effective drugs for elimination of pain.  In acute stage, doctor can prescribe analgesics and non-steroidal anti-inflammatory drugs, which include ibuprofen, indomethacin and diclofenac.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko