Osteoarthritis

This form of arthritis is very common and the prevalence is higher in woman and the risk rises with an increase in age. It results from a progressive degeneration of protective cartilage. Cartilage is a tissue that cushions the end of the bones that come together to form a joint, which allows for shock & pressure absorption and reduces friction when stress is applied to it.
Bunion

Signs & Symptoms include:

  • Usually affects hand, hips, knees and feet
  • Aching pain upon or after movement
  • Tenderness with application of pressure
  • Swelling
  • Clicking noise or grating sensation during movement
  • Joint stiffness upon movement after a period of inactivity
  • Decrease in range of motion of the affected joint
  • Bone spurs

Management

Hallux Valgus
The degenerative process cannot be reversed however symptoms can be effectively managed with the goal of treatment being to reduce pain and increase function.

  • Exercise with routine stretching and strengthening including achieving a healthy body weight.
  • RICE: Rest, Ice, Compression, Elevation
  • Heat and cold therapy
  • Pain medication such as oral analgesics or Non-Steroidal Anti-inflammatory drugs (NSAID’s). Topical creams or gels such as Voltaren gel.
  • General Podiatric care: taking care of the calluses and hard skin build up that occurs as a result of abnormal pressure or stresses that occur during walking.
  • Use of ambulatory devices that can assist with mobility such as gripping tools or walking stick.
  • Appropriate footwear
  • Shoe inserts such as Innersoles or custom made orthotic devices
  • Use of protective gear and devices
  • Padding and strapping