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Monday, February 6, 2017

So you have a Bunion! What do you do?

Bunions are very misunderstood by patients in many cases.  Patients want to believe that the big bump on the inside of their foot is just skin.  I mean, they push on it and feel it's hard but want to deny the facts that are really going on here. A bunion at its core is a bone deformity, yes there is some imbalance at the joint from the capsule being overstretched on one side and over contracted on the other.  But the bone is ultimately the biggest problem that causes a patient to stroll into our office.

Some patients just want to know what's going on with their foot and some are convinced they need surgery immediately! If you have a bunion it might be worth reading this before seeing the doctor, we have broken down the most common type of patients that come in with a bunion. Knowing which one you are could save you from unnecessary foot surgery!



Not All Bunions Are Created Equal


1. The no pain bunion but someone has convinced them they need to do something before it gets worse. These patients usually are just curious what is wrong with their foot and want to make sure they are not going to be disabled if they do nothing.  These patients are educated on shoe gear and we explain that if you stay away from bad shoes, this may be what their foot is like for the rest of their life.  This visit usually ends with a relieved patient who is happy to not have to have surgery.

2. The no pain bunion but the patient hates the way their foot looks! These are sometimes the most frustrating patient to really help.  They have no pain yet they are contemplating surgery because they think their foot will be prettier.  There is a 50/50 chance this patient walks out of our office angry because we refuse to perform unnecessary surgery on a foot that does not hurt at all. We explain to the patient that even if we were to perform surgery, there is no guarantee that they are going to fit into a narrower, "cuter" pair of shoes after surgery. Some patients appreciate our open and honest opinion and others are just pissed they paid a $40 copay for me to tell them "wear wider shoes"!

3. The painful bunion that only hurts in certain shoes.  This patient demographic is identical to the #2 above, but these patients often present in a high heel stiletto with a foot that is identical to Fred Flintstone! They literally do not want to accept that their foot is just not meant for the shoes they are wearing.  Many of these patients, if they just switch to a mesh athletic shoe or wider shoe have no problems.  But getting this patient on board with this simple solution is sometimes difficult.  I explain that in order to fix their problem I have to cut their bone with a saw, move the bone over to correct the deformity and then put a screw in it.  I explain that they can not get it wet for 2 weeks and they have to wear a post-op shoe for 6-8 weeks.  Almost everyone of these irrational patients say, "can't you just shave the bump?" Because they are now the expert!  I have to almost always explain that we have to correct this problem at the level of the deformity so that the problem does not recur because I like to do my job right. These patients usually leave frustrated and seek the care of another podiatrist who decides that this a great patient selection for surgery. The patient that go to have surgery by another doctor are usually the horror stories you read when you google bunion surgery.  See if you do not have pain before, performing surgery is just cruel and unusually punishment that could lead on to lifelong disability. Pain in and out of all shoe gear is the requirement to have surgery and be happy.

4. The last bunion patient is the painful bunion in and out of almost all shoe gear.  These patients have pain that does not completely resolve with the absence of shoe gear.  This is ultimately the type of patient that does great with bunion surgery.  These people are so happy to have a realigned pain free joint and are accepting of some tingling or numbness that can occur with surgery in this area. But even these patients can decide to keep looking for the shoe that offers them comfort.  



Treatments for Bunions

Again there really are only two treatment options for bunions:

1. Modify shoe gear(go into wider shoes)
2. Surgery



There really are no great in between options for fixing a bunion.  If you have a bunion and you take away pressure to the big toe joint you get rid of what is causing the deformity to get worse and for some take away the pain. If the bunion is mild you can try something like the Yoga toes, but there is no guarantee this product will yield a great result but it may help stretch that over contracted part of the joint. Also, using a gel toe spacer may also yield some minimal improvement but both of these options are much better than surgery that may not be necessary.  If the foot is killing you and you are unable to be comfortable in and out of shoe gear, then bunion surgery may be a good options for you.  If you are looking to learn more about foot and ankle problems feel free to follow the link to our website at http://centeranklefootcare.com/services.html

Michele McGowan, DPM

If you live in the Central Florida area, it may be worth your time to take the drive to our office in Clermont to evaluate your bunion to see if surgery is really necessary or not. We are located at:

3190 Citrus Tower Blvd Ste A
Clermont, Fl 34711

Our number is 352-242-2502 if you would like to call to schedule your evaluation.





30 comments:

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  10. Hello, I am Theresa Williams After being in relationship with Anderson for years, he broke up with me, I did everything possible to bring him back but all was in vain, I wanted him back so much because of the love I have for him, I begged him with everything, I made promises but he refused. I explained my problem to my friend and she suggested that I should rather contact a spell caster that could help me cast a spell to bring him back but I am the type that never believed in spell, I had no choice than to try it, I mailed the spell caster, and he told me there was no problem that everything will be okay before three days, that my ex will return to me before three days, he cast the spell and surprisingly in the second day, it was around 4 pm. My ex called me, I was so surprised, I answered the call and all he said was that he was so sorry for everything that happened that he wanted me to return to him, that he loves me so much. I was so happy and went to him that was how we started living together happily again. Since then, I have made promise that anybody I know that have a relationship problem, I would be of help to such person by referring him or her to the only real and powerful spell caster who helped me with my own problem. email: drogunduspellcaster@gmail.com you can email him if you need his assistance in your relationship or any other Case.

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    3) Divorce Spells
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    ReplyDelete
  11. How to Get Your Ex Back After a Breakup or Divorce!
    Am sharing this testimony because am so happy, I thank Dr Unity for the great thing he has done in my life, After 12years of marriage, me and my husband has been into one quarrel or the other until he finally left me and moved to California to be with another woman. I felt my life was over and my kids thought they would never see their father again. i tried to be strong just for the kids but i could not control the pains that torments my heart, my heart was filled with sorrows and pains because i was really in love with my husband. Every day and night i think of him and always wish he would come back to me, I was really upset and i needed help, so i searched for help online and I came across a website that suggested that Dr Unity can help get ex back fast. So, I felt I should give him a try. I contacted him and he told me what to do and i did it then he did a (Love spell) for me. 28 hours later, my husband really called me and told me that he miss me and the kids so much, So Amazing!! So that was how he came back that same day,with lots of love and joy,and he apologized for his mistake,and for the pain he caused me and the kids. Then from that day,our Marriage was now stronger than how it were before, All thanks to Dr Unity. he is so powerful and i decided to share my story on the internet that Dr.Unity real and powerful spell caster who i will always pray to live long to help his children in the time of trouble, if you are here and you need your Ex back or your husband moved to another woman, do not cry anymore, contact this powerful spell caster now. Here’s his contact: Email him at: Unityspelltemple@gmail.com , you can also call him or add him on Whats-app: +2348071622464 ,you can also visit his website: https://unitysspelltemple.blogspot.com.
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    ReplyDelete
  12. I'am glad to read the whole content of this blog and am very excited.Thank you.

    ดูหนัง

    ReplyDelete
  13. I want to offer a bit of advice to anyone looking to find help on saving their marriage/relationship. Me and my husband had a torrid time for a whole decade; all our family & friends constantly advising us to get a divorce but we knew it would break our children’s heart. We tried so many different things to save our marriage and from trial & error we came across a very helpful tool online that has worked extremely well for us:
    https://unityspelltempe.blogspot.com - spend a bit of time and follow their guide if you are looking for help. I am not gonna start saying its a miracle cure that will fix things over night but the changes made with me and my husband over the last 2 years have been remarkable. It is a whole lot cheaper than expensive marriage counselling fees too where we have spent thousands and thousands of dollars on different counselling appointments and if I’m being completely honest, they had absolutely no positive effect. If anything, the financial constraints of it all just made us argue even more. I am just glad now that we are at the happiest point we have been for many years and I can finally see light at the end of the tunnel. I do really highly recommend the Dr.Unity for anyone who is having troubles right now. Good luck anyway to you all smile emoticon.if you are here and you need your Ex boyfriend,husband,wife,girlfriend back or your husband moved to another woman, do not cry anymore, contact this powerful spell caster now. Here’s his contact: Email him at: Unityspelltemple@gmail.com , you can also call him or add him on Whats-app: +2348071622464.

    ReplyDelete
  14. My heart was filled with remorse and pain for the past 7 months when my husband ended our marriage and went to his EX lover because i was unable to give him a son. I was so devastated and almost committed suicide. I asked everyone i knew for help but all my efforts were useless not until i was refereed to Doctor Casera by Oliver who i met online that he could be of help to me for he has helped her before. I got in touch with him and i poured out everything i had in mind to him and he promised to make me smile and make me live a better life by getting my husband back with his powers between just 24 hours. I believed in him and to my very eyes, my husband came on his knees pleading for forgiveness to come back and rectify his mistakes and today we are living with so much Joy and happiness. If anyone out there needs help of any-kind, get in touch with the Doctor now for he will help you out.

    E-mail: relationshipsolutionhome@hotmail.com
    Website: http://relationshipsolutionhome.webs.com/
    Call/text: +1 (518) 460-6400

    ReplyDelete
  15. This is very nice blog, very nicely explained. Once i was also searching for Podiatrist in Bangalore that time one of my Neighbors suggested me The Family Doctor center. It is very nice one i visited here and got best results if you want any more info. you can go through the link http://www.thefamilydoctor.co.in/

    ReplyDelete
  16. Hello Every One Out Here
    I'm Debbie Kladke. I'm from United States North Bergen(US). I read some testimony about Dr. Iyaryi on how he has helped people in bringing back there ex within 48 hours i was just thinking if that was real,And decided to call a lady who made a testimony and also dropped her number,So i called her and ask her about Dr. Iyaryi she said Dr. Iyaryi is a trustworthy man and he his ready to bring back my lover for me,i was just so happy and a little bit relief that my lover will be back to me soon,Then i decided in contacting Dr. Iyaryi which i did,And before i could share him my problem he has already told me what i came for,And he said everything will be okay within 48 hours that my lover will be back to my arms,So he said he would be casting the spell and that within 48 hours my lover would call me,So i hoped so truly before the 48 hours i got a call from a man who has left me for the past 6 years saying he is sorry and he wants me back,i was happy and i said i also want him back,Then i traveled to Canada to meet him up,And he apologized for what he has done to me now he proposed to marry me and we are both preparing for our wedding soon,All thanks to the great and World best spell caster, Dr. Iyaryi His private mail driayaryi2012@hotmail.com. And also Reach him on WhatsApp Number: +2349057915709 Thanks Dr. IyaryI

    ReplyDelete
  17. How to get your Ex lover back fast after a breakup or divorce! Unityspelltemple@gmail.com is certainly the best spell caster online, and his result is 100% guarantee..
    I’m so excited sharing my testimony..
    After 12years of marriage, me and my husband has been into one quarrel or the other until he finally left me and moved to California to be with another woman. I felt my life was over and my kids thought they would never see their father again. i tried to be strong just for the kids but i could not control the pains that torments my heart, my heart was filled with sorrows and pains because i was really in love with my husband. Every day and night i think of him and always wish he would come back to me, I was really upset and i needed help, so i searched for help online and I came across a website that suggested that Dr Unity can help get ex back fast. So, I felt I should give him a try. I contacted him and he told me what to do and i did it then he did a (Love spell) for me. 28 hours later, my husband really called me and told me that he miss me and the kids so much, So Amazing!! So that was how he came back that same day,with lots of love and joy,and he apologized for his mistake,and for the pain he caused me and the kids. Then from that day,our Marriage was now stronger than how it were before, All thanks to Dr Unity. he is so powerful and i decided to share my story on the internet that Dr.Unity real and powerful spell caster who i will always pray to live long to help his children in the time of trouble, if you are here and you need your Ex back or your husband moved to another woman, do not cry anymore, contact this powerful spell caster now. Here’s his contact: Email him at: Unityspelltemple@gmail.com , you can also call him or add him on Whats-app: +2348071622464 ,you can also visit his website: https://unityspelltempe.blogspot.com .
    Wendy Murray

    ReplyDelete
  18. My names is Cathy i want to testify about the great spell caster called Priest Ade my husband and i have been married for 5 years now we don't have a child and the doctor told us i can't give birth because my womb have been damaged due to wrong drugs prescription this got me so worried and my husband was not happy so he decided to get married to another girl and divorce me i was so sad i told my friend about it she told me about a powerful spell caster she gave me his email address well i never believe in it that much though i just decided to give him a try and he told me it will take 24hrs to get my husband back to me and i will get pregnant i doubted him the 3rd day my husband came back to me and was crying he said he didn't want the divorce anymore 3 weeks after the doctor confirmed that i was pregnant he can also help you Email him at ancientspiritspellcast@yahoo.com or ancientspiritspellcast@gmail.com WhatsApp +2347059715465

    ReplyDelete
  19. I AM SO HAPPY DR TRUST, MY HUSBAND IS BACK.

    I completely trusted Dr Trust totally from the time I spoke with him during the period my husband Left me after 11 years of our marriage, He started the spell work on my husband, and gave me so much assurance and guaranteed me that he was going to bring my husband back to my feet in just 48 hours of the spell casting. I was so confident in his work and just as he said in the beginning, my husband is finally back to me again, yes he is back with all his hearts, Love, care, emotions and flowers and things are better now. I would have no hesitation to recommend this powerful spell caster to anybody who is in need of help.. E-mail Ultimatespellcast@gmail.com or Ultimatespellcast@gmail.com his website: https://utimatespellcaster.com

    WhatApp or call him +2348156885231

    Do accept my gratitude sir.

    ReplyDelete
  20. I AM SO HAPPY DR TRUST, MY HUSBAND IS BACK.

    I completely trusted Dr Trust totally from the time I spoke with him during the period my husband Left me after 11 years of our marriage, He started the spell work on my husband, and gave me so much assurance and guaranteed me that he was going to bring my husband back to my feet in just 48 hours of the spell casting. I was so confident in his work and just as he said in the beginning, my husband is finally back to me again, yes he is back with all his hearts, Love, care, emotions and flowers and things are better now. I would have no hesitation to recommend this powerful spell caster to anybody who is in need of help.. E-mail Ultimatespellcast@gmail.com or Ultimatespellcast@gmail.com his website: https://utimatespellcaster.com

    WhatApp or call him +2348156885231

    Do accept my gratitude sir.

    ReplyDelete
    Replies
    1. Its so unfortunate that my husband left me after five years in marriage. thought he finally left the house in the third year of our marriage just because i was unable to conceive. i wonder what happened to Andrea Delacruz my husband that makes him leave the house. he is a God fearing person and very humble. i know that leaving me wasn't ordinary. we dated for seven months and i never notice such character in him before i married him. i cried and wept through my days and night because i really love Andrea Delacruz my husband. in the process of crying and thinking, i recall that his grand mom never support our marriage, she never wanted me to be married to the family. i never give up and i prayed for God to intervene. one a faithful day it was a Thursday morning when my fellow college in my working place noticed my attitude and behaviour seems different from the real me and i never wanted to disclosed my Family issues but i shared with her my feeling and what i have been going through. she told me that something similar to these happened to her Elder sister and she told me that everything will be fine. she later invite me to her house to meet her elder sister then i opened up to her and she refers me to a man called Prophet Adeyemi and i did just as she said. i called Prophet Adeyemi immediately and he respond to my call in that moment and the first thing he said was 'WOMAN WOMAN' you have to believe and have faith that your problem will be solved. i asked, what should i do? then he said to me in two days time my husband will be back and i asked, Prophet Adeyemi is this going to be real? the last thing he said was that i will testify of his work. i did just as instructed and i watch for good forty-eight {48} hours. hmmmm, it was a good night time at 10:05pm within the days that Prophet Adeyemi told me that my husband Andrea Delacruz will be back, at first i heard the bell rings getting close to my door i heard someone saying HONEY!!!, it sound familiar i opened the door and i saw my husband standing and weeping in front of me. i was not surprised because its all i have been praying for him to come back home. Guess what in six days after i noticed my system and my body temperature is changed and i went to clinic for check up and the doctor told me that there is life in me which means i am pregna i really wants to use this opportunity to thanks Prophet Adeyemi so much and my lovely collage who directed me to Prophet Adeyemi if you have any problem or predicament that is worse or exactly like this you have been into, i plead you to contact Prophet Adeyemint.

      Prophet Adeyemi E-MAIL: adeyemispelltemple@gmail.com

      Prophet Adeyemi PHONE: +2348145810121

      ( Go through his site for more details)
      Indeed, he is a great and a lovely man, God bless him for uniting my family.

      Delete
  21. Its so unfortunate that my husband left me after five years in marriage. thought he finally left the house in the third year of our marriage just because i was unable to conceive. i wonder what happened to Andrea Delacruz my husband that makes him leave the house. he is a God fearing person and very humble. i know that leaving me wasn't ordinary. we dated for seven months and i never notice such character in him before i married him. i cried and wept through my days and night because i really love Andrea Delacruz my husband. in the process of crying and thinking, i recall that his grand mom never support our marriage, she never wanted me to be married to the family. i never give up and i prayed for God to intervene. one a faithful day it was a Thursday morning when my fellow college in my working place noticed my attitude and behaviour seems different from the real me and i never wanted to disclosed my Family issues but i shared with her my feeling and what i have been going through. she told me that something similar to these happened to her Elder sister and she told me that everything will be fine. she later invite me to her house to meet her elder sister then i opened up to her and she refers me to a man called Prophet Adeyemi and i did just as she said. i called Prophet Adeyemi immediately and he respond to my call in that moment and the first thing he said was 'WOMAN WOMAN' you have to believe and have faith that your problem will be solved. i asked, what should i do? then he said to me in two days time my husband will be back and i asked, Prophet Adeyemi is this going to be real? the last thing he said was that i will testify of his work. i did just as instructed and i watch for good forty-eight {48} hours. hmmmm, it was a good night time at 10:05pm within the days that Prophet Adeyemi told me that my husband Andrea Delacruz will be back, at first i heard the bell rings getting close to my door i heard someone saying HONEY!!!, it sound familiar i opened the door and i saw my husband standing and weeping in front of me. i was not surprised because its all i have been praying for him to come back home. Guess what in six days after i noticed my system and my body temperature is changed and i went to clinic for check up and the doctor told me that there is life in me which means i am pregna i really wants to use this opportunity to thanks Prophet Adeyemi so much and my lovely collage who directed me to Prophet Adeyemi if you have any problem or predicament that is worse or exactly like this you have been into, i plead you to contact Prophet Adeyemint.

    Prophet Adeyemi E-MAIL: adeyemispelltemple@gmail.com

    Prophet Adeyemi PHONE: +2348145810121

    ( Go through his site for more details)
    Indeed, he is a great and a lovely man, God bless him for uniting my family.

    ReplyDelete
  22. After being in relationship with him for seven years,he broke up with me, I did everything possible to bring him back but all was in vain, I wanted him back so much because of the love I have for him, I begged him with everything, I made promises but he refused. I explained my problem to someone online and she suggested that I should rather contact a spell caster that could help me cast a spell to bring him back but I am the type that never believed in spell, I had no choice than to try it, I mailed the spell caster, and he told me there was no problem that everything will be okay before three days, that my ex will return to me before three days, he cast the spell and surprisingly in the second day, it was around 4pm. My ex called me, I was so surprised, I answered the call and all he said was that he was so sorry for everything that happened, that he wanted me to return to him, that he loves me so much. I was so happy and went to him, that was how we started living together happily again. Since then, I have made promise that anybody I know that have a relationship problem, I would be of help to such person by referring him or her to the only real and powerful spell caster who helped me with my own problem and who is different from all the fake ones out there. Anybody could need the help of the spell caster, his email: drosedebamenspellhome@gmail.com you can email him if you need his assistance in your relationship or anything. CAN NEVER STOP TALKING ABOUT YOU SIR HIS EMAIL ADDRESS IS:drosedebamenspellhome@gmail.com CONTACT HIM NOW FOR SOLUTION TO ALL YOUR PROBLEM

    ReplyDelete
  23. After being in relationship with him for seven years,he broke up with me, I did everything possible to bring him back but all was in vain, I wanted him back so much because of the love I have for him, I begged him with everything, I made promises but he refused. I explained my problem to someone online and she suggested that I should rather contact a spell caster that could help me cast a spell to bring him back but I am the type that never believed in spell, I had no choice than to try it, I mailed the spell caster, and he told me there was no problem that everything will be okay before three days, that my ex will return to me before three days, he cast the spell and surprisingly in the second day, it was around 4pm. My ex called me, I was so surprised, I answered the call and all he said was that he was so sorry for everything that happened, that he wanted me to return to him, that he loves me so much. I was so happy and went to him, that was how we started living together happily again. Since then, I have made promise that anybody I know that have a relationship problem, I would be of help to such person by referring him or her to the only real and powerful spell caster who helped me with my own problem and who is different from all the fake ones out there. Anybody could need the help of the spell caster, his email: drosedebamenspellhome@gmail.com you can email him if you need his assistance in your relationship or anything. CAN NEVER STOP TALKING ABOUT YOU SIR HIS EMAIL ADDRESS IS:drosedebamenspellhome@gmail.com CONTACT HIM NOW FOR SOLUTION TO ALL YOUR PROBLEM

    ReplyDelete