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		<title>KurtisQuam49464 en 01:12 11 jun 2017</title>
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				<updated>2017-06-11T01:12:54Z</updated>
		
		<summary type="html">&lt;p&gt;&lt;/p&gt;
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				&lt;td colspan='2' style=&quot;background-color: white; color:black; text-align: center;&quot;&gt;← Revisión anterior&lt;/td&gt;
				&lt;td colspan='2' style=&quot;background-color: white; color:black; text-align: center;&quot;&gt;Revisión de 01:12 11 jun 2017&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Línea 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Línea 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class='diff-marker'&gt;−&lt;/td&gt;&lt;td style=&quot;color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;A &lt;/del&gt;bunion (&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;hallux valgus&lt;/del&gt;) &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;is a deformity &lt;/del&gt;of the base &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;joint &lt;/del&gt;of the big toe. The &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;cause is not clear in many cases. The deformity may cause &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;rub on shoes, &lt;/del&gt;which &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;may cause inflammation &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain. Good footwear is often all that is needed to ease symptoms. An operation to correct &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;deformity is an option if good footwear does not ease symptoms&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Bunions, Corns, and Calluses are all related in that they can each be caused &lt;/del&gt;by &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;tight and/or poor fitting footwear&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Each can also &lt;/del&gt;be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;caused by &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;following, footwear &lt;/del&gt;that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;is too narrow and/or too small. Constrictive toe boxes (toe area). Tapered toe boxes can cause bunions and cause them to worsen to &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;point of needing surgery&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br&amp;gt;SymptomsThe main problem &lt;/del&gt;is usually &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the pressure &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shoe over &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bony prominence&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;which causes discomfort &lt;/del&gt;or &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Sometimes &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;skin over the lump becomes red&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;blistered or infected&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The foot may become so broad that &lt;/del&gt;it &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;is &lt;/del&gt;difficult to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;get wide enough &lt;/del&gt;shoes. The &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;big toe sometimes tilts over so much that it rubs on the second toe&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;or pushes it up out &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;place so it presses &lt;/del&gt;on the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shoe. Also&lt;/del&gt;, the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;big toe does not work as well &lt;/del&gt;with a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;bunion&lt;/del&gt;, and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the other toes have &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;take more &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;weight of &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;body as you walk. This can cause pain under &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ball &lt;/del&gt;of the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;foot (&amp;quot;metatarsalgia&amp;quot;). Sometimes arthritis develops in the deformed joint&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;causing pain in the joint&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Diagnosis&lt;/del&gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Your doctor will ask questions about &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;past health &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;carefully examine &lt;/del&gt;your toe &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and joint&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Some &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the questions might be: When did the &lt;/del&gt;bunions &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;start? What activities or &lt;/del&gt;shoes &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;make your bunions worse? Do any other joints hurt? The doctor will examine your toe &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;joint and check their range &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;motion&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;This is done while you &lt;/del&gt;are &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;sitting &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;while you are standing so that &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;doctor can see &lt;/del&gt;the toe &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and joint at rest and while bearing weight&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;X-rays are often used &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;check for bone problems or &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;rule out other causes &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;pain and swelling&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Other tests, such as blood tests or arthrocentesis (removal of fluid from a joint for testing), are sometimes done &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;check for other problems that can cause joint pain &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;swelling. These problems might include gout , rheumatoid arthritis , or joint infection&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Non Surgical Treatment&lt;/del&gt;&amp;lt;br&amp;gt;&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Bunion pain can be successfully managed in &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;vast majority &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;cases by switching to shoes that fit properly &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;don't compress the toes&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Your orthopaedic surgeon &lt;/del&gt;can &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;give you more information about proper shoe fit &lt;/del&gt;and the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;types &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shoes &lt;/del&gt;that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;would be best for you&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Follow these general points &lt;/del&gt;of &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shoe fit. Do not select shoes by &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;size marked inside &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shoe&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Sizes vary among [https://kyle1scott7.wordpress.com/2015/06/24/contracted-toes shoe brands] and styles. Judge &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shoe by how it fits on your foot&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Select &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shoe that conforms as nearly as possible to &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;shape of your &lt;/del&gt;foot. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Have your feet measured regularly&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;The size of your feet change as you grow older. Have both feet measured&lt;/del&gt;. Most &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;people have one foot larger than the other&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Fit &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;the largest foot. Fit at the end of the day when &lt;/del&gt;your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;feet are the largest&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Stand during the fitting process and check &lt;/del&gt;that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;there &lt;/del&gt;is &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;adequate space (3/8&amp;quot; &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;1/2&amp;quot;) for your longest toe at &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;end of each shoe&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Make sure &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;ball of your foot fits well into &lt;/del&gt;the &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;widest part (ball pocket) of the shoe&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Do not purchase &lt;/del&gt;shoes &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;that feel too tight&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;expecting them to &amp;quot;stretch&amp;quot; to fit&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Your heel should fit comfortably in the shoe with &lt;/del&gt;a &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;minimum amount of slippage&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;Walk in the shoe &lt;/del&gt;to &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;make sure it fits &lt;/del&gt;and &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;feels right&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;(Fashionable shoes can be comfortable&lt;/del&gt;.&lt;del class=&quot;diffchange diffchange-inline&quot;&gt;) Some shoes can &lt;/del&gt;be &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;modified by stretching the areas &lt;/del&gt;that &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;put pressure on your toes. Splints to reposition the big toe and &lt;/del&gt;orthotics &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;(special shoe inserts shaped &lt;/del&gt;to your &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;feet) also may relieve pain&lt;/del&gt;. &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;For bunions caused by arthritis&lt;/del&gt;, &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;medications can be prescribed to reduce &lt;/del&gt;pain &lt;del class=&quot;diffchange diffchange-inline&quot;&gt;and swelling&lt;/del&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Most bunions can be treated without surgery. But when nonsurgical treatments are not enough, surgery can relieve your pain, correct any related foot deformity, and help you resume your normal activities. An orthopaedic surgeon can help you decide if surgery is the best option for you. Whether you've just begun exploring treatment for bunions or have already decided with your orthopaedic surgeon to have surgery, this booklet will help you understand more about this valuable procedure.&lt;/div&gt;&lt;/td&gt;&lt;td class='diff-marker'&gt;+&lt;/td&gt;&lt;td style=&quot;color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The original definition of a &lt;/ins&gt;bunion &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;was a bursa &lt;/ins&gt;(&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;a fluid-filled sac&lt;/ins&gt;) &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;on the side &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the foot near &lt;/ins&gt;the base of the big toe. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; &lt;/ins&gt;The &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursa was caused by a chronic friction of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;patient's first metatarsal bone (the bone &lt;/ins&gt;to which &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the big toe attaches) &lt;/ins&gt;and the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;shoe&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Few people go &lt;/ins&gt;by &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;this definition any longer&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; Today most people consider a bunion to &lt;/ins&gt;be the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;enlarged bone on the side of the foot &lt;/ins&gt;that &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;typically caused &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bursa&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Along with this bump, there &lt;/ins&gt;is usually &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;an associated mis-alignment &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;big toe, with it leaning in towards &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;second toe. In medical jargon&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the term for a bunion is &amp;quot;Hallux Abducto Valgus,&amp;quot; &lt;/ins&gt;or &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;quot;HAV&amp;quot; for short&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; Though &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;condition is really slightly different&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;it may also be known as &amp;quot;Hallux Valgus&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;quot; Bunions are usually a progressive problem, and can make &lt;/ins&gt;it difficult to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;find &lt;/ins&gt;shoes &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;that fit&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt; &lt;/ins&gt;The &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;condition is often quite uncomfortable&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;not only because &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the pressure the shoes exert &lt;/ins&gt;on the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bump&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;but because of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;other factors associated &lt;/ins&gt;with &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bunions, which we shall discuss shortly. This is usually &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;progressive problem&lt;/ins&gt;, and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;can make it difficult &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;find shoes that fit.&amp;#160; The condition is often quite uncomfortable, not only because &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;pressure &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;shoes exert on &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bump, but because &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;other factors associated with bunions&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;which we shall discuss shortly&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Causes&lt;/ins&gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Perhaps the most frequent cause of bunion development is the wearing of shoes with tight, pointed toes, or with high heels that shift all of &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;body's weight onto your toes &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;also jam &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;toes into your shoes' &lt;/ins&gt;toe &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;boxes&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;It's estimated that more than 50 percent &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;women have &lt;/ins&gt;bunions &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;caused by high-heel &lt;/ins&gt;shoes&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;that nine out &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;10 people who develop bunions are women&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Bunions can also develop on your little toes, in which case they &lt;/ins&gt;are &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;called bunionettes or tailor's bunions. &amp;lt;br&amp;gt;SymptomsSymptoms include pain in &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;around &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ball of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;big &lt;/ins&gt;toe&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, usually from the bone rubbing too much against the shoe&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;You may be unable &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;wear certain types of shoes due &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the shape &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;the forefoot&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The big toe appears &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;be bent inwards towards &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;in come cases over the inside toe&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Diagnosis&lt;/ins&gt;&amp;lt;br&amp;gt;&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;A thorough medical history and physical exam by a physician is necessary for &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;proper diagnosis &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bunions &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;other foot conditions&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;X-rays &lt;/ins&gt;can &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;help confirm the diagnosis by showing the bone displacement, joint swelling, &lt;/ins&gt;and&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;, in some cases, &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;overgrowth &lt;/ins&gt;of &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bone &lt;/ins&gt;that &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;characterizes bunions&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Doctors also will consider the possibility that the joint pain is caused by or complicated by Arthritis, which causes destruction &lt;/ins&gt;of the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cartilage of &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;joint&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Gout, which causes &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;accumulation of uric acid crystals in the joint&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Tiny fractures of &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bone in &lt;/ins&gt;the foot &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;or stress fractures&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Infection&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Your doctor may order additional tests to rule out these possibilities&lt;/ins&gt;.&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;&lt;/ins&gt;Most &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bunions can be treated without surgery&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;The first step for treating bunions is &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;ensure that &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;shoes fit correctly&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Often good footwear is all &lt;/ins&gt;that is &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;needed &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;alleviate &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;problem&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Shoes that are wide enough to avoid pressure on &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;bunion are &lt;/ins&gt;the &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;obvious first step&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Look for &lt;/ins&gt;shoes &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;with wide insteps and broad toes and definitely no high heels. Sometimes&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;you can get your existing shoes stretched out by a shoe repairer&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Seek advice from &lt;/ins&gt;a &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;podiatrist. Pads and toe inserts&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Protective bunion pads may help &lt;/ins&gt;to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;cushion the joint &lt;/ins&gt;and &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;reduce pain&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Toe inserts are available that splint the toes straight&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;It may &lt;/ins&gt;be &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;recommended &lt;/ins&gt;that &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;you wear some &lt;/ins&gt;orthotics to &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;improve &lt;/ins&gt;your &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;foot position when walking&lt;/ins&gt;. &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;Medicines. Some people find anti-inflammatory medicines, such as ibuprofen or aspirin&lt;/ins&gt;, &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;or paracetamol help ease the &lt;/ins&gt;pain &lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;of their bunions&lt;/ins&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Most bunions can be treated without surgery. But when nonsurgical treatments are not enough, surgery can relieve your pain, correct any related foot deformity, and help you resume your normal activities. An orthopaedic surgeon can help you decide if surgery is the best option for you. Whether you've just begun exploring treatment for bunions or have already decided with your orthopaedic surgeon to have surgery, this booklet will help you understand more about this valuable procedure&lt;ins class=&quot;diffchange diffchange-inline&quot;&gt;.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Prevention&amp;lt;br&amp;gt;Because bunions develop slowly, taking care of your feet during childhood and early adulthood can pay off later in life. Keep track of the shape of your feet as they develop over time, especially if foot problems run in your family. Exercising your feet can strengthen them. Learn to pick up small objects, like a pencil or pebble, with your toes. Wear shoes that fit properly and don't cramp or pinch your toes. Women should avoid shoes with very high heels or pointed toes&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>KurtisQuam49464</name></author>	</entry>

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		<title>JenniZerangue0: Página creada con «Overview&lt;br&gt;&lt;br&gt;A bunion (hallux valgus) is a deformity of the base joint of the big toe. The cause is not clear in many cases. The deformity may cause the foot to rub on s...»</title>
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				<updated>2017-06-10T03:49:03Z</updated>
		
		<summary type="html">&lt;p&gt;Página creada con «Overview&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;A bunion (hallux valgus) is a deformity of the base joint of the big toe. The cause is not clear in many cases. The deformity may cause the foot to rub on s...»&lt;/p&gt;
&lt;p&gt;&lt;b&gt;Página nueva&lt;/b&gt;&lt;/p&gt;&lt;div&gt;Overview&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;A bunion (hallux valgus) is a deformity of the base joint of the big toe. The cause is not clear in many cases. The deformity may cause the foot to rub on shoes, which may cause inflammation and pain. Good footwear is often all that is needed to ease symptoms. An operation to correct the deformity is an option if good footwear does not ease symptoms.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Causes&amp;lt;br&amp;gt;Bunions, Corns, and Calluses are all related in that they can each be caused by tight and/or poor fitting footwear. Each can also be caused by the following, footwear that is too narrow and/or too small. Constrictive toe boxes (toe area). Tapered toe boxes can cause bunions and cause them to worsen to the point of needing surgery. &amp;lt;br&amp;gt;SymptomsThe main problem is usually the pressure of the shoe over the bony prominence, which causes discomfort or pain. Sometimes the skin over the lump becomes red, blistered or infected. The foot may become so broad that it is difficult to get wide enough shoes. The big toe sometimes tilts over so much that it rubs on the second toe, or pushes it up out of place so it presses on the shoe. Also, the big toe does not work as well with a bunion, and the other toes have to take more of the weight of the body as you walk. This can cause pain under the ball of the foot (&amp;quot;metatarsalgia&amp;quot;). Sometimes arthritis develops in the deformed joint, causing pain in the joint.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Diagnosis&amp;lt;br&amp;gt;Your doctor will ask questions about your past health and carefully examine your toe and joint. Some of the questions might be: When did the bunions start? What activities or shoes make your bunions worse? Do any other joints hurt? The doctor will examine your toe and joint and check their range of motion. This is done while you are sitting and while you are standing so that the doctor can see the toe and joint at rest and while bearing weight. X-rays are often used to check for bone problems or to rule out other causes of pain and swelling. Other tests, such as blood tests or arthrocentesis (removal of fluid from a joint for testing), are sometimes done to check for other problems that can cause joint pain and swelling. These problems might include gout , rheumatoid arthritis , or joint infection.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Non Surgical Treatment&amp;lt;br&amp;gt;Bunion pain can be successfully managed in the vast majority of cases by switching to shoes that fit properly and don't compress the toes. Your orthopaedic surgeon can give you more information about proper shoe fit and the types of shoes that would be best for you. Follow these general points of shoe fit. Do not select shoes by the size marked inside the shoe. Sizes vary among [https://kyle1scott7.wordpress.com/2015/06/24/contracted-toes shoe brands] and styles. Judge the shoe by how it fits on your foot. Select a shoe that conforms as nearly as possible to the shape of your foot. Have your feet measured regularly. The size of your feet change as you grow older. Have both feet measured. Most people have one foot larger than the other. Fit to the largest foot. Fit at the end of the day when your feet are the largest. Stand during the fitting process and check that there is adequate space (3/8&amp;quot; to 1/2&amp;quot;) for your longest toe at the end of each shoe. Make sure the ball of your foot fits well into the widest part (ball pocket) of the shoe. Do not purchase shoes that feel too tight, expecting them to &amp;quot;stretch&amp;quot; to fit. Your heel should fit comfortably in the shoe with a minimum amount of slippage. Walk in the shoe to make sure it fits and feels right. (Fashionable shoes can be comfortable.) Some shoes can be modified by stretching the areas that put pressure on your toes. Splints to reposition the big toe and orthotics (special shoe inserts shaped to your feet) also may relieve pain. For bunions caused by arthritis, medications can be prescribed to reduce pain and swelling.&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;&amp;lt;br&amp;gt;Surgical Treatment&amp;lt;br&amp;gt;Most bunions can be treated without surgery. But when nonsurgical treatments are not enough, surgery can relieve your pain, correct any related foot deformity, and help you resume your normal activities. An orthopaedic surgeon can help you decide if surgery is the best option for you. Whether you've just begun exploring treatment for bunions or have already decided with your orthopaedic surgeon to have surgery, this booklet will help you understand more about this valuable procedure.&lt;/div&gt;</summary>
		<author><name>JenniZerangue0</name></author>	</entry>

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