Dr. Berg's Foot Facts

Posts for tag: bunion

By Rion A. Berg, DPM
February 28, 2012
Tags: bunion   metatarsal   joint   degeneration   deformity  

When you look down and see that egg sticking out by the base of your big toe, you may wonder how it formed. On the surface all you see is the bump sticking out and sometimes some redness over it. This is what we refer to as a bunion. If all we had to fix was the bump, all the bunions would be approximately the same. Underneath, however, what is really going on, is your bones have shifted and you will usually see your great toe drifting toward your second toe.

An X-ray will give us information about the angles that have changed between the metatarsals and the toe bones, the phalanges. Determining the angles gives us the picture of the degree of bunion deformity you have developed,  and thus the extent of surgery that would be required to fix the problem. 
In many cases, the bump is more toward the top of the foot. In this instance, pain is usually worse with heeled             shoes, or any attempt to go up on the toes or crouch down on the ball of the foot.

In this case, the X-rays will show more of a spur on top of the great toe joint, and as the condition  progresses  there is degeneration of the joint with loss of space between the toe and the metatarsal bone.

Treatment:  Initial treatment is often conservative and may include orthotics (prescriptive foot supports), change in shoes or physical therapy. If the problem is more severe, or unresponsive to conservative measures, surgery may be indicated.

Finally, if the bump and pain is more to the top of the foot, a condition called hallux rigidus (rigid or decreasing motion). This condition is progressive and earlier surgical intervention is usually recommended to save the joint.

While all bunions aren’t created equal, our attention to your problem will receive the same focus and care regardless of the condition you have. We will provide you with the best education regarding the latest advances in podiatric medicine so that you may make a healthy choice to resolve your foot problems as quickly as possible.

Dr. Rion A. Berg
Podiatrist and Board Certified Foot Surgery


Foot and Ankle Center of Lake City
2611 NE 125th St., #130
Seattle, WA 98125


Conveniently Located in Northeast Seattle
Our office is located in Lake City within 10 minutes of Shoreline, Kenmore, Juanita, Sandpoint, Meadowbrook, Wedgewood, Maple Leaf, Broadview, Greenwood, Northgate, and Pinehurst. Parking is free.

From Downtown Seattle, take the 130th St. Exit. Turn Right onto 130th. It will become 125th. Pass the light at 15th Ave NE, and continue down the hill. We are at the corner of 26th & 125th at Lake City Professional Center.

From Edmonds, take the 145th St. Exit. Turn Left onto 145th. Turn Right on 15th Avenue NE, (Starbucks). Turn Left on 125th. We are at the corner of 26th & 125th at Lake City Professional Center.