Friday, June 28, 2013

Tailor’s Bunion (Bunionette)






What Is a Tailor’s Bunion?
Tailor’s bunion is, also called a bunionette, is an enlargement of the fifth metatarsal bone at the base of the little toe. The metatarsals are the five long bones of the foot. The enlargement that characterizes the tailor’s bunion occurs at the metatarsal “head,” located at the far end of the bone where it meets the toe. Tailor’s bunions are not as common as bunions, which occur on the inside of the foot, but both are similar in symptoms and causes.
            The symptoms of tailor’s bunions include redness, swelling, and pain at the site of the enlargement. These symptoms occur when wearing shoes that rub against the enlargement, irritating the soft tissues underneath the skin and producing inflammation.

Causes of a Tailor’s Bunion
Often tailor’s bunion is caused by an inherited faulty mechanical structure of the foot. IN these cases, changes occur in the foot’s bony framework that result in the development of an enlargement. The fifth metatarsal bone starts to protrude outward, while the little toe moves inward. This shift creates a bump on the outside of the foot that becomes irritated whenever a shoe presses against it.
            Sometimes a tailor’s bunion is actually a bony spur (an outgrowth of bone) on the side of the fifth metatarsal head. Heredity is the main reason that these spurs develop.
            Regardless of the cause, the symptoms of a tailor’s bunion are usually aggravated by wearing shoes that are too narrow in the toe, producing constant rubbing and pressure. In fact, wearing shoes with a tight toe box can make the deformity get progressively worse.

Diagnosis
Tailor’s bunion is easily diagnosed because the protrusion is visually apparent. X-rays may be ordered to help the doctor determine the cause and extent of the deformity.

Treatment:
Non-Surgical Options
Treatment for tailor’s bunion typically begins with non-surgical therapies. Your doctor may select one or more of the following options:
·         Shoe modifications. Wearing the right kind of shoes is critical. Chose shoes that have a wide toe box, and avoid those with pointed toes or heels.
·         Oral medications. Nonsteroidal anti-inflammatory drugs (NSAID’s), such as ibuprofen, may help relieve the pain and inflammation.
·         Injection therapy. Injections of corticosteroid are commonly used to treat the inflamed tissue around the joint.

When Is Surgery Needed?
Surgery is often considered when pain continues despite the above approaches. Surgery is highly successful in the treatment of tailor’s bunions.
            In selecting the procedure or combination of procedures for your particular case, the doctor will take into consideration the extent of your deformity based on the x-ray findings, your age, your activity level, and other factors. The length of the recovery period will vary, depending on the procedure or procedures performed.

Disclaimer:
There is a fine line between blogging and giving medical advice. The content of this blog is for informational purposes only and should not be construed as medical advice.  Nothing contained in this blog is intended to replace the medical advice of a trained, licensed physician.
In all matters relating to your health, you are urged to consult a physician. You can contact Advanced Bone & Joint to set up a formal consultation appointment with Dr. W. Anthony Frisella, Dr. Dane Glueck, Dr. Brandon Larkin, Dr. Anthony Lombardo, Dr. John McAllister, II, Dr. Brian Meek, Dr. Paul Spezia, Jennifer Eickhoff, FNP-BC, or Matt Pliske, PA-C

1 comment:

  1. There is evidence that people can inherit a tendency to develop bunions. However, it doesn’t always follow that if your parents or grandparents have bunions, you will have them too.
    http://www.footcentersofnc.com/common-foot-problems/bunions.html

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