Bunions! Myths, Misconceptions & Movement with Dr Emily Splichal
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- Опубліковано 14 чер 2024
- Bunions are probably one of the most commonly misunderstood foot conditions and it's time to correct the confusion!
Join Functional Podiatrist and Human Movement Specialist Dr Splichal as she explores the what, why and how of bunions - as well as exercise and footwear modifications.
To learn more about Dr Splichal visit www.dremilysplichal.com
To learn more about EBFA's education please visit www.ebfaglobal.com
I’m two months away from it being 1 year since my bunionectomy. I was told that I would be healed & able to resume to walking and running within 3 months. My podiatrist & all of the sponsored infomercials claimed this to be the case but there are two sides to every story. Most independent non- sponsored videos and FB sites tell another story. Stories about toe stiffness, nerve damage, loss of flexibility, swelling much past the “3 months” & yes about
bunions coming back. Oh, & infections & problems with the titanium plates. Crazily, the only thing that I learned from my podiatrist prior to the surgery was about -potential issues with the titanium plates ( but he said that this “rarely happens” ) & nerve damage. I will come back to this. A bit about me, I’m super physically active. I always have been. I WAS jogging 2. 3 miles and practiced yoga prior to the survey . Nearly one year later my foot is not completely healed. Mind you, I was super pro-active with physical therapy, massaged my scar & foot, walked, worked on mobility as much as I could per the recommendations of the physical therapist & podiatrist. I was told this would help me to heal sooner. In my experience, this was not the case. My foot swelled even when I walked during a regular day of chores. My foot still aches even if I just ride a bike or have been on it all day. Also, I get an interesting pain up my toe. My flexibility no matter how much I have pushed is not 100% back. Which as I’ve learned is a risk when your older. Evidently, you have a higher chance of regaining flexibility if your younger. Sadly I learned this via my PT therapist after my surgery. I guess the Podiatrist didn’t think to tell me although he knew that I was runner & practiced yoga. In a nutshell, I did attempt to jog at the 7 & 8 mark but it hasn’t been the same- it aggravates my foot & I run with a bit of gait. That said, I decided to bike instead. Also, I learned through Michigan Foot Doctors that this surgery changes the anatomy of your foot. it’s a push come to shove only if you have arthritis . I wish that I didn’t have to say this but I honestly feel my foot will never be the same. The titanium plates bother me & I can feel there is something unnatural which prevents my foot from being flexible which makes sense if you think about. One last thing, I’ve been taking pictures and video of my foot since the surgery & I just recently noticed a change - my bunion is starting protrude a bit. When I lay my foot on the side I not only see it protruding a bit but when I run my finger along the bunion - it feels like a little moe hill it goes up then down. So TBD. In the end, I traded in one problem for another. This was my experience & I can honestly say that I have yet to come
across a painless all set to run in three months as most Podiatrist claim. This surgery is a big deal & should not be taken lightly. Ironically as I sit & write this my foot is numb & it’s a bit swollen. All around the surgical site.
Thankyou so much for sharing your story Susanna! You will help a lot of people. Myself included. My sister had a double bunionectomy years ago and both her bunions have come back. She was never given any information on how to prevent that from happening. Sorry about your experience and you are armed with information to prevent your bunions from coming back. I wish you the best!
I too know ppl whose bunions came back after surgery. I’m surprised Dr Emily doesn’t mention that. She’s normally so precise.
Hi Susanna, thank you for sharing this. When you say bunionectomy, is that the same as a Lapiplasty 3D which Dr.Emily showed in the video above where the titanium stabilizer was at the MPJ?
@@abi2270 - yes it was. ...I had the " lapiplasty" procedure done (basically the new age way of a bunionectomy)
Yea im super active run 6 miles a day bike as a mechanic was thinking about surgery because of the success my sister had she size 5 im size 14
This video is the most information and helpful video I have watched in the past 4 years since I began my journey back to good foot health. I have worn Vibram five finger shoes almost all the time and yes, over time my foot, leg, and core strength has come back. It has been a slow and yes, somewhat painful process but I now have no more pain in my feet and even in my hips. I can hike up 2-3000 feet over 10 miles with no longer term problems. Yes, I get tried but I can still do it at 73 years old!.
I had dorsal bunions, which for the most part are reversed. My toes splay now when I stand, and the toes in both feet spread when I walk. I no longer use toe spacers just Vibram shoes. I can also wear other brands of barefoot shoes and yes, regular shoes as well when needed for safety. I am a success case for any doctor.
But you did not tell us how did you do it, can you share how did it happened. I am very troubled and put in a waiting line for operation.. I a. Scared.
Yes, I would like to know as well, what all you went thru, & if you did have surgery, or not , please ?
I am very thankful this is free. Health is my top priority !
Finally a really good source of information and education regarding podiatric health, heartfelt gratitude to Dr Emily Splichal, and the content creator of this channel. Have just subscribed.
Really informative. Thank you so much!
Outstanding lecture !
Severe bunions here
Try arch strength exercises she said it never works
But it did work for me raise your arch then go to a high calf raise
Work for me six weeks later after doing this my arch came back
Excellent, thank you! My daughter has juvenile hallux valgus and her podiatrist said it's genetic and there's nothing to be done but wait for it to become painful and have surgery. Also, I hope you address functional hallux limitus someday. I've been able to increase my range of motion with consistent effort but still have some pain that comes and goes. I'd like to hear your views on conservative treatment options and when surgery should be considered, as well as risks and recovery times for surgery. Thanks!
Thank you Dr Emily 🙌
Thank u for sharing this I am doing this myself in me home treatment painful but wow I am seeing a diffrence already
Thank u
Question!!!??? If u release adductor, don’t u flatten the transverse arch by loosening the toes? I have a multiplicity of problems w my left foot from childhood on. Long story but am EXTREMELY wary of any surgery anymore due to fascial line destruction or injury that forever alters it. I do a lot of soft tissue work and believe a great deal in fascial line research, but the pain is getting worse in multiple areas of my foot.
Exelent, very informative. I would like to schedule and online appointment with you doctor to share with you my Hallux Valgus case
I had the lapidus & I was at a moderate case. I wish I would of asked about joint health. My Podiatrist didn’t discuss this with me but I did have pain.
prolonged toes spacers caused nerve loss sensitivity in between my big toe
It’s very good info w the x-rays. But lack of pictures/drawing to help show the fixes is hard to understand. Short foot? mpj? Layman terms would be very helpful too for general audience. I tried many kinds of he silicon toe spacers moderate level scale, alignment tools for like three months, it doesn’t help much, it made walking habit change and created problems of other part of the foot somehow. After I gave up the spacers, it took time to go used to new way of walking too.
Excellent!
Great presentation as always. To make sure I have it correctly, the first ray abducts but does it also rotate (IR/ER)?
How about someone with juvenile hálux valgus- hyper mobile and plantar fibrosis? Any hopes there?
So is not just the toe is the metatarsal then the ankle, knee and finally the hip. When are we getting there?
Why is it not possible to decrease the intermetatarsal angle without surgery?
Does anyone use hallufix therapy sandals? Is it good. Its from Germany, i dunno if we have any equivalent here in America...
question regarding Hallux ridgidis (dorsal bunion) how do you correct or reverse it? How do you treat it in an active 65 yr-old runner? and............ should it cause pain like "turf toe."
Hi mam can I consult you online? I couldn't find a good orthopaedic with such knowledge. I really feel you can guide properly on my bunion and my bunion is on mild to moderate level
What is the treatment?
What is short foot
P
I’m 8 months out from a 1st TMT fusion. In hindsight, I should have asked my surgeon to do a lapidus, but he didn’t believe the angle was big enough to warrant that. I was not having pain then, but I am having bunion pain and hallux limitus pain. What are the bunion procedure options at this point? Akin has been suggested by some FB groups, but I would like your opinion Dr. Splichal.
A 1st TMT fusion is a Lapidus. The fusion was named after Dr. Paul Lapidus.
She does remote consults. I would book some time with her if you're really interested
Merry Christmas 🌹
What about barefoot shoes like from Vivo? Are they good?
They are good for prevention. If your foot has already got a bunion they cannot help anymore and too much freedom may be bad for that since then the strategy has to be to stabilize the situation first.
I just switched from Hokas to low drop shoes with Superfeet orthotics. Now I have PTTD. This is painful and difficult to treat. I’m not sure if I should switch back to Hokas or Brooks.
@@terriliggett5377 I love Hokas... never heard of them before and saw them at a running retail store and the price was not too crazy.. and found out afterwards, they are really good!
@@terriliggett5377 try Altras they have a wide toe box
I've had a bunion on my left foot for years (I'm 47 now). I started wearing barefoot shoes a year ago, wasn't till earlier this year that my Chiropractor noticed my left foot was flat. So now I started wearing arch supportive insoles in my barefoot shoes. I'd say its considered mild. I will be seeing a specialist soon. I'm at a loss cause I want to blame the fact that I went barefoot.
Severe bunions here
Try arch strength exercises she said it never works
But it did work for me raise your arch then go to a high calf raise
Work for me six weeks later after doing this my arch came back
What happens if you remove the screws after the bunionectomy?
So far nobody can answer this
I would like to know the answer to this question as my lapidus hardware is painful.
I’m having my hardware removed. My surgeon said once full fusion takes place, hardware is no longer needed.
Hey Dr Emily Sounds like Lapiplasty and Lapidus is the only surgery that should be done.... Which is better???
Lapidus is the fusion of the 1st TMT (the Metatarsal base and the cuneiform). Lapiplasty is the Treace Medical name brand for their procedure/hardware solution for a Lapidus procedure. Hope that helps. There are other solutions out there for a when a Lapidus procedure needs to be done.
What if you already had a 1st TMT fusion? A surgeon has to do a Chevron or Akin bunionectomy I think. Any ideas?
i appreciate all of the explanations, but as a moderate bunion sufferer i went without little hope except surgery after watching this from what I've understood, and that made me feel destroyed a bit really. In any case i appreciate the honest opinion that i think it's been given. Regards!
Don’t despair, she’s a surgeon, so of course she’s going to tell you surgery is the only opt.
@@Divineearthangel777 I appreciate your words. Thank you!
@@Divineearthangel777 she's not a surgeon anymore
@@austinjoseph2881 ,
MEANING ???
I think my flat feet gives me pain in my ankles
Please don’t just listen to one video or doctor. Do your diligent research. Not all doctors will tell you the whole truth and not all of them will lie. Advocate for yourself and do research. Be proactive on your own health. There are different surgeries and not all doctors practice them. There are less invasive surgeries but still there will be pain and long recovery because it is your foot which holds the whole weight of your body and they cut your bone. Any fusion will mean you will never ever move that joint again. Therefore that option is not and should not be for everybody usually for a bunion with arthritis. That long incision should not be used no more there are better less invasive surgeries . It took me years to see a doctor for this and mostly because pain was waking me up and affecting me while working ( I’m on my feet all day). I got away dealing with my bunions by massaging, kinesio tape, separators etc. The one thing I started was barefoot shoes but didn’t understand the whole concept. Didn’t know also that you have to change the pronation and strengthen your ankles in order to avoid the bunions from getting worse. A lot of doctors still don’t know what causes bunions and the truth is that for everybody is different but most definitely the way most shoes are made is the biggest cause. Doctors won’t tell you that and most don’t believe that is the problem. I had surgery done on one foot 2 months ago. So far so good. Ice, elevation and go at your own pace. Healing is individual and your overall health has an impact also. If you have diabetes, high cholesterol, high blood pressure, you smoke, you drink , believe me that will have an impact in your recuperation and it will be a slow one even complicate things. That’s common sense to me because it will be the case with any surgery. Don’t blame the doctor in that particular scenario . I have managed to also use more natural remedies for pain and healing and I believe it has made a great impact on my healing. Will I have by other foot done? Only time will tell. But most definitely I know that I have to change everything that most likely caused them in the first place otherwise it will return. Read , investigate and try to understand any health issue before making a decision. Good health to all.
Just from my spidey senses and not a lot of medical knowledge.. for me it sounds like they don't want to admit that it is the shoes because then it would insinuate that problem was caused from external forces gradually adjusting the foot leading one to believe that you could reverse it by doing opposing external forces to the original ones that caused the damage and then their billions every year in surgery is out the window. Medical field is about money money money and not truth and health. Lies and money..
oterwise a not too bad explanation
CARTILAGE does NOT show up in X-rays
Severe bunions here
Try arch strength exercises she said it never works
But it did work for me raise your arch then go to a high calf raise
Work for me six weeks later after doing this my arch came back
Wolff's law....It is the HYPERTROPHY of the medial head of the first
She’s trying to push the surgery agenda and that’s BS
Severe bunions here
Try arch strength exercises she said it never works
But it did work for me raise your arch then go to a high calf raise
Work for me six weeks later after doing this my arch came back