Total Pageviews

Pay Pal Donation




Please consider a donation if you feel the blog has helped you. A $5 donation will help me pay for the blog artwork, guest writers, etc. I am very honored and grateful. Dr Rich Blake

Followers

Dr Blake's Book

Translate

Wednesday, April 4, 2012

Bunion Pain: Xray Evaluation of the Swollen Tissue which causes Pain

Xray Evaluation of a Typical Bunion with almost 3/8 th inch soft tissue swelling at the bunion prominence.

Stage 4 Bunion Deformity with Red Inflamed Tissue



Patients can come in with red hot inflamed bunions. They may be so sore that they want surgery soon (even yesterday!!). When I get Standing AP Foot X-rays I show them the amount of soft tissue swelling between the bone and joint. I try to get them to do 5 minutes ice massage twice daily and physical therapy to reduce the overall swelling. 50% reduction of swelling, especially the 50% that is inflamed tissue, is common to achieve sometimes even with just the ice massage over the period of 4 weeks. As the symptoms die down, the immediate urge to have surgery passes, and I think the patients who still need surgery will make better decisions. For a lot of patients, as the pain resolves, and the bump reduces, and they learn all of the other steps to avoid surgery (see previous posts), surgery can be put off indefinitely. 

1 comment:

  1. I wanted to thank you for this good read! I'm definitely enjoying a little 'you have a bookmark to check for new stuff to send




    XRANM

    ReplyDelete

Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.