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This article was co-written by Miguel Cunha, DPM. Miguel Cunha is the founder of Gotham Footcare and a podiatrist based in Manhattan, New York. Cunha is a foot and ankle surgeon with experience treating a wide range of foot and ankle injuries, from minor problems to complex plastic surgery. Cunha received his MD from Temple University School of Medicine and completed residency as chief physician at Washington Hospital and Georgetown University, where he specialized in lower extremity injuries. limb rescue for people with diabetes, plastic surgery for feet and ankles. Cunha is a member of the American Association of Departmental Medicine, the New York Department of Medicine, and the American Board of Ankle and Foot Surgeons, and is a board certified member of departmental medicine.
This article has been viewed 1,292 times.
Big toe deformity manifests as a large swelling in the last joint of the big toe. This condition is caused by wearing tight shoes or high heels, trauma, or genetics to the bone structure that causes the big toe to push toward the other toes on the foot. Eventually, the big toe joint becomes swollen and painful, which can make it difficult to walk or exercise. This article will discuss some daily habits changes, home remedies, and medical interventions to treat big toe deformities.
Steps
Use natural remedies
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Do foot exercises. Foot exercises can slow or stop the deformity of the big toe, preventing the disease from progressing to the point that surgery is required. [1] X Research Source Try the following exercises daily, especially after removing your shoes:
- Stretch the big toe. Use your hand to pull the big toe into a position in line with the other toes.
- Stretch the remaining toes. Straighten your toes forward for 10 seconds, then bend down for another 10 seconds. Repeatedly.
- Bend the toes. Press your toes into the floor or against the wall until your toes are bent back. Hold for 10 seconds, then release. Repeatedly.
- Use your toes to pick up objects. Practice using your toes to pinch and pick up an item such as a garment or towel, drop it, and then pick it up again.
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Wear shoes with low heels and a width that fits the foot. Ask the shoe store clerk to measure your foot size. They will let you know if the width of the shoes is correct for your foot size. The next step is to choose low-heeled shoes to avoid the pressure that causes the big toe to deform.
- Big toe deformity caused by a genetic abnormality in the foot with the first long bone being crooked inward. However, the condition can worsen and progress more quickly due to factors such as wearing tight shoes or high heels.
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Use thumb pads or shoe insoles to adjust the toes. Orthopedic pads available at the drugstore or medical supply store can help relieve pain and get the thumb back on track, if caught early enough. The insoles can also help adjust the toes as you wear the shoe.
- You can use ready-made insoles or visit an orthopedist to order a custom product.
- In addition, you should also consider using insoles to support the arch of the foot. If the arch of your foot is supported, it will gradually get better.
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Bandage feet and toes into normal position. Your toes will probably return to their normal position about 1-2 weeks after the dressing. Ask your doctor if you need help with this process.
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Pain relief. Exercises for the feet and toes are good and effective, but the intense pain of a big toe deformity needs to be addressed. You can ease the pain with the following methods:
- Soak your feet in warm water. [2] X Trusted Source Harvard Medical Schop Go to Source Prepare a basin of warm water and soak your feet for 20 minutes. The warmth will soothe the joints and provide temporary pain relief.
- Try applying ice. Ice packs are a good option when the pain is intense. You can put ice cubes in a plastic bag and wrap it in a thin towel. Apply an ice pack to your leg for 20 minutes at a time.
- Take nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen to relieve pain.
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Wear a big toe brace at night. Try using an orthopedic brace to push the toe back into the correct position and make it more comfortable. You can buy this product at a shoe store or orthopedic store. [3] X Research Sources
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Try a toe separator. Big toe stretch bands such as “Bunion-Aid” have been proven effective in treating big toe deformities and reducing pain in mild or moderate cases.
Treatment of severe big toe deformity
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Go see a doctor. If you have severe pain that seems to be increasing, or your feet can no longer fit in your shoes, see your doctor right away. The disease can slow down or stop completely, but you can’t cure it yourself.
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Take pain relievers prescribed by your doctor. In some cases, your doctor will advise you to change some of your daily habits and prescribe pain medication. To prevent the condition from getting worse, be sure to follow your doctor’s instructions.
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Consider surgical options. Talk to your doctor about surgery if a big toe deformity is causing a lot of pain and your symptoms don’t go away despite other therapies. The surgeon will trim the bone of the big toe and align it with the remaining toes. This is a common type of surgery and is considered the only way to cure this disease.
- There are many options for big toe deformity surgery. Talk to your doctor to find the best option for you.
- Surgery often helps to correct the deformity of the big toe, but it does not guarantee complete relief of pain or that your toe will be completely straight again.
- After surgery, you should change some habits in life and exercise to prevent inflammation and pain later.
- Surgery always carries risks, such as infection in the wound, recurrence of the disease or reduced sensation in the big toe, so this is often the last resort you can consider. You can use pre-made insoles or visit an orthopedic specialist to order custom products. Your doctor will discuss with you the possible complications for you to consider and decide.
Make some changes in your life
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Go barefoot. Whether the deformity of the big toe is inherited from one of the parents or from wearing shoes that are too tight for a long time, spending a lot of time barefoot is a way to prevent or even cure the disease. The barefoot approach strengthens the foot muscles and helps align the bones back to their natural position instead of having to conform to the shape of the shoe. [4] X Research Sources
- However, if the deformity of the big toe is severe and painful, the situation may be worse when you are barefoot. In this case, you should just walk barefoot on the carpeted floor, or wear thick padded socks when walking around the house and doing daily errands.
- Wearing comfortable, thick slippers around the house is another option for pain relief, since your feet don’t have to put up with as much pressure as wearing shoes.
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Check to see if your shoes are making your big toe deformity worse. You may think your shoes are comfortable and good for your feet, but even tennis shoes and other athletic shoes can make big toe deformities worse. Choose supportive shoes with cushioning and arch arches. If you’re not sure which shoes to buy, consult your doctor.
- Remember to have the right shoe size. Shoes that are too small can make the condition much worse. When you try on shoes, make sure your big toe doesn’t touch the toe.
- To buy comfortable shoes, you should try on shoes at the end of the day, when the feet are the most swollen. Alternatively, you can use a foot sizing device every time you go shoe shopping, as your shoe size can change over time.
- Don’t wear high heels or pointy toe shoes. Stylish pointed-toe and high-heeled shoes, while beautiful, are very harmful when you have a deformed big toe. They increase pain sensation and make it difficult to heal. You should wear sandals with a lot of compression whenever possible.
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Avoid activities that can cause deformity of the big toe. Ballet and other activities that require tight-fitting shoes can lead to this condition. If an activity doesn’t allow you to wear comfortable shoes, it’s better to avoid them.
Advice
- A big toe brace such as “Bunion-Aid” helps to correct the big toe while maintaining foot movement. Big toe splints are also used after big toe deformity surgery to maintain the correction effect and protect the unhealed tissue.
- A big toe brace at night can prevent severe toe deformity in children by regulating bone growth. Because the adult foot is fully developed, this brace is not effective in treating big toe deformities in adults.
- Consider buying toe pads at medical supply stores to relieve pain and slow disease progression.
Things you need
- Toe pads or shoe insoles
- Non-steroidal anti-inflammatory drugs
- Low and wide heel shoes
- Medical bandages
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This article was co-written by Miguel Cunha, DPM. Miguel Cunha is the founder of Gotham Footcare and a podiatrist based in Manhattan, New York. Cunha is a foot and ankle surgeon with experience treating a wide range of foot and ankle injuries, from minor problems to complex plastic surgery. Cunha received his MD from Temple University School of Medicine and completed residency as chief physician at Washington Hospital and Georgetown University, where he specialized in lower extremity injuries. limb rescue for people with diabetes, plastic surgery for feet and ankles. Cunha is a member of the American Association of Departmental Medicine, the New York Department of Medicine, and the American Board of Ankle and Foot Surgeons, and is a board certified member of departmental medicine.
This article has been viewed 1,292 times.
Big toe deformity manifests as a large swelling in the last joint of the big toe. This condition is caused by wearing tight shoes or high heels, trauma, or genetics to the bone structure that causes the big toe to push toward the other toes on the foot. Eventually, the big toe joint becomes swollen and painful, which can make it difficult to walk or exercise. This article will discuss some daily habits changes, home remedies, and medical interventions to treat big toe deformities.
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