If athletes were given less care and more thought, the doctors might come up with some original ideas on why illness persists, why injury doesn’t clear up. If more non-physicians – podiatrists and physiotherapists for instance – could be induced to lend their ideas and talents, we might see a completely new approach to sports medicine. If the athlete had to wait longer for surgery, he might have time to recover from his ailments. ” I have a curse. It’s not rare, it’s not life-threatening, but it is a curse. Some days it hobbles me more than others, and I have to gingerly mince my way around. Ultra-thin soles to allow proper proprioception, neuromuscular activation in the entire kinetic chain, and to complement the body’s natural ability to absorb ground forces. Low, flat to the ground profile – shoes should allow all play activity that involves climbing, running, and jumping. Shoes should enhance lateral movement since the foot will not be up on a platform or have a slope from heel to forefoot. A single piece midsole/outsole allowing protection on unnatural surfaces (concrete, asphalt) and natural rough surfaces (rock,trail) while allowing proprioception and natural dissipation of ground reaction forces. This article describes the minimally invasive techniques we use at the Italian Hospital of Buenos Aires and their indications in the treatment of hallux valgus and lesser digital deformities. All techniques are performed as outpatient procedures under ankle or popliteal block with the patient supine and the operative foot positioned off the end of the table. 8 Fluoroscopy is useful to monitor the performance of some of the steps. Bösch Technique The Bösch technique is used to treat mild to moderate hallux valgus with an intermetatarsal angle of 10° to 20° and a distal metatarsal articular angle <10°. The video just below is that of an Austin bunionectomy, which is used to reduce a moderate intermetatarsal angle. This procedure is done at the level of the neck of the metatarsal. Larger angles may be reduced by doing procedures further back on the first metatarsal or even the joint just behind the first metatarsal bone. In general, one will be able to ambulate after a simple bunionectomy (just having the bump removed with a normal intermetatarsal angle, or even with a procedure done at the neck of the metatarsal such as the Austin, but procedures done further back will usually require a time period of being non-weightbearing. The study, led by Arthritis Care & Research Editor-in-Chief, Dr. Marian Hannan from Hebrew SeniorLife and Harvard Medical School in Boston, Mass, included 1,370 participants enrolled in the Framingham Foot Study. Participants had a mean age of 66 years and 57% were female. Foot exams to identify hallux valgus, lesser toe deformities and plantar soft tissue atrophy were conducted between 2002 and 2008. The team estimated heritability using software that performs genetic analyses of familial data (pedigree structures). Strengthening of the intrinsic muscles of the foot may also help keep the toe in better alignment and prevent larger deviations leading to correcting improper foot structure. Our findings indicate that hallux valgus is a significant and disabling musculoskeletal condition that affects overall quality of life," says Hylton Menz, an associate professor at La Trobe University in Melbourne, Australia, in a news release. "Interventions to correct or slow the progression of the deformity offer patients beneficial outcomes beyond merely localized pain relief." Who Gets Bunions? Part of the survey included pictures of the left and right feet where the base of the big toe was progressively more deformed. Participants were asked to look at their own feet and pick the pictures that most closely resembled them. That helped researchers determine the severity of each person’s problem. Wear sandals in the house because it is much gentler and kinder on the feet, and also relaxes the big toe significantly. The toe will get more air and take the pressure off the bunion. If you prefer, you can walk around the house barefoot which can make the healing process speed up. The gel from an aloe vera plant can be used to reduce the redness and pain of a bunion. Apply the gel twice a day to notice the results. Aloe vera gel is available in many drug stores or you can grow your own plants in the home. Bunions can also be associated with different diseases, such as cerebral palsy, Down's syndrome, Ehler-Danlos syndrome, multiple sclerosis, and different forms of arthritis. Bunions are often considered a hereditary condition, but you don't have to have a family member with bunions to develop them. Now mention orthopedic shoes, shoes lined with fleece, bunion pads, insoles, or orthotic arch supports to a bunion sufferer talking about hallux valgus and watch the look on their face change to sheer joyfulness. These types of solutions can take away the pain experienced in the bunion, and result in happy feet.