Greg Robinson Podiatrist

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  • Shockwave therapy
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  • Common foot and lower limb conditions treated
    • Achilles problems >
      • Achilles tendonitis / tendinopathy
    • Ankle problems >
      • Ankle sprain (Ankle instability)
    • Arch and Ball problems >
      • Flat feet / fallen arches (over pronation)
      • High arched foot / Pes Cavus
      • Metatarsalgia (pain in the ball of the foot)
      • Plantar Fasciitis (arch pain)
      • Sesamoiditis
    • Children - Common conditions affecting children - Osteochindrosis >
      • Osteochondrosis
      • Freiberg's Disease - Pain in the ball of the foot
      • Kohler's Disease - Pain in the navicular (bone near ankle)
      • Osgood-Schlatter Disease - Tenderness in the knees
      • Sever's Disease - Heel pain
      • Sinding-Larsen-Johansson Syndrome - Pain at the bottom of the kneecap
    • Common foot injuries >
      • Ankle sprain injuries (ankle instability)
      • Fractures
    • Deformities >
      • Bunions
      • Burrowing toe
      • Claw toe
      • Curly toe
      • Digital deformity
      • Flat feet / fallen arches (over pronation)
      • Hammer toes
      • Mallet toe
      • Metatarsalgia (pain in the ball of the foot)
      • Overriding and Underriding toes
      • Retracting toe
      • Tailors Bunion / bunionette
    • Diabetes and your feet
    • Diseases of your feet >
      • Arthritis >
        • Osteoarthritis
        • Rheumatoid arthritis
      • Freiberg's Disease - Pain in the ball of the foot
      • Gout / gouty arthritis
      • Kohler's Disease - Pain in the navicular (bone near ankle)
      • Raynaud's Disease
      • Sever's Disease - Heel pain
    • Forefoot pain >
      • Metatarsalgia (pain in the ball of the foot)
      • Neuroma / Mortons Neuroma
      • Sesamoiditis
    • Fungal problems >
      • Athlete's foot (Tinea pedis)
      • Fungal nails (Onychomycosis)
    • Geriatric foot care >
      • ​Foot care for seniors
    • Hip pain >
      • Trochanteric (hip) bursitis
    • Heel Pains >
      • Cracked heels / Heel fissures
      • Heel callus
      • Heel spur
      • Plantar Fasciitis (heel and arch pain)
    • Heel pain in adults >
      • Heel spur
      • Plantar Fasciitis (arch pain)
    • Heel pain in children >
      • Plantar Fasciitis (arch pain)
      • Sever's Disease - Heel pain
    • Knee pain/ injuries >
      • ITB - Iliotibial band syndrome
      • Patellar tendinopathy (jumper's knee)
      • Patellofemoral pain syndrome (anterior knee pain, runner's knee)
    • Nail problems >
      • Black toenails
      • Ingrown toenails (Onychocryptosis)
      • Fungal nails (Onychomycosis)
      • Paronychia (infection of the skin around the toenail)
    • Osteoarthritis
    • Pronation of the foot
    • Shin splints and shin pain
    • Skin problems >
      • Allergies
      • Athlete's foot (Tinea pedis)
      • Blisters
      • Burning feet
      • Callus (thickened skin) & Corns
      • Corns & Callus (thickened skin)
      • Cracked heels / Heel fissures
      • Paronychia (infection of the skin around the toenail)
      • Sweaty feet and Smelly feet
      • Swelling
      • Ulcers
      • Warts / Verrucae (plantar wart)
    • Stress fracture
    • Toe problems >
      • Bunions
      • Burrowing toe
      • Claw toe
      • Curly toe
      • Digital deformity
      • Hammer toes
      • Ingrown toenails (Onychocryptosis)
      • In-toeing and out-toeing
      • Mallet toe
      • Neuroma / Mortons Neuroma
      • Overriding and Underriding toes
      • Retracting toe
      • Subluxation
      • Tailors Bunion / bunionette
      • Turf toe
    • Vascular / Nerve problems >
      • Alcoholic neuropathy
      • Burning feet
      • Chilblains (cold feet)
      • Neuroma / Mortons Neuroma
      • Raynaud's Disease
      • Spasms
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Bunion

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A bunion is a bone abnormality caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint).

Bunions form when the toe moves out of place. The enlargement and its bulge cause friction and pressure as it rubs against footwear. Over time, the movement of the big toe angles in toward the second toe and rotates or twists - known as Hallux Abducto Valgus, this may cause overlapping of an adjacent toe. The growing enlargement will cause further irritation or inflammation. Bunions can also lead to other toe deformities such as hammertoe.

Bunions can lead to foot discomfort and pain from the constant rubbing, irritation and friction of the bulge against shoes.
The skin over the toe becomes red and tender. Over time, bursitis or arthritis may set in. The skin on the bunion, in between toes and bottom of the foot may develop corns and callus.
The foot may become too wide to fit into normal size shoes and discomfort may occur when tight shoes are worn.
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Treatment

Because bunions are bone deformities, they do not resolve by themselves. The goal for bunion treatment is:
1. to relieve the pressure and pain caused by irritations, and second
2. to stop any progressive growth of the enlargement, commonly with the use of orthotics to support the foots skeletal structure, together with intrinsic foot musculature strengthening.

Commonly used methods for reducing bunion skin pressure, friction and pain against footwear include:
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protective padding in the form of ‘pure gel hallux valgus protectors’, ‘fabric hallux valgus protector’, ‘bunion sleeve’.
Contact us for our bunion product range.

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Splints for night-time wear ‘Hallux valgus night splint’, to assist the toes and joint alignment. Contact us for our bunion product range.


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Surgical Treatment

Depending on the size of the bunion enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be sufficient to avoid progressive damage. In these cases, bunion surgery - bunionectomy, may be advised to remove the bunion and realign the toe.

1 Stan Road, Grayston Drive, Morningside, Sandton. Johannesburg

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