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Wednesday, September 3, 2014

Bunion Surgery Complication: Hallux Varus

Dr. Blake, 

I had a bunionectomy 12 years ago when I was 18 and now have a rather prominent hallux varus on my RT big toe.
Dr Blake's comment: Hallux Varus is where the big toe points towards the other foot and away from the 2nd toe, and definitely a significant complication and shoe fit nightmare.

 I honestly didn't know that this was what my condition was called until recently and thought for years that the space was normal aftermath of some bunion surgeries. I am concerned now because I have recently noticed some friction while walking in between my 3rd and 4th toes and I am unsure if this is related or not.
Dr Blake's comment: Probably only related because the destabilization of the big toe joint is leading to changes in the rest of the foot. 

 Also, knowing that my condition is not necessarily a normal expectation from my surgery, I would also like to find out if I can do anything non-surgical to correct the problem given the time lapse since surgery. If you can provide me any suggestions or insight into what might benefit me, I would greatly appreciate it. 
Dr Blake's comment: Where you can not tape the first and second toes together (may function differently), you can try to develop the adductor hallucis muscle which pulls the big toe towards the second. Please review the metatarsal doming video, and send me a short 30 sec vid of you attempting this seen from in front of you. I can then instruct you on how to modify to get the adductor hallucis. 

Just to let you know a little about me. I am a healthy mom of 2 and not looking to or able to have surgery due to my children's ages at this time, but if that is a path that I may need to travel down in the future could you tell me what those indications might be as well. Thank you again.
Dr Blake's comment: I can not imagine someone attempting shoe buying with this, so perhaps yours is very very mild. Please send a weight bearing picture of both feet to see the difference. Rich

Amy (name changed due witness protection)

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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.