Sole Comfort carries an extensive selection of shoes to accommodate bunions and bunionettes. Beside our vast inventory, we have the skills and expertise to customize footwear, whether bought at our facility or elsewhere, to relieve painful bunions and bunionettes.
Bunions refer to a bony prominence or enlargement at the dorsal or medial head of the first metatarsal phalangeal joint (mpj). Bunionettes are acquired bony enlargement or prominence of the fifth metatarsophalangeal head. Often called a “Tailor’s bunion” because tailors setting cross-legged causing abnormal pressure on their outer feet while measuring clients, causing these deformities of the fifth metatarsophalangeal joints.
Bunion Deformity is a subluxation of the first metatarsal and the phalange or great toe joint. Hallux Valgus is a deviation of the great toe towards the second and is accompanied by enlargement of the medial first metatarsal head. Hereditary and anatomical predisposition combined with repeated minor injury from wearing footwear more narrow than the feet are generally thought to be the primary reason for bunions. Concern for heel fit is one of the primary reasons for wearing footwear too small for forefoot freedom of movement and functioning. Our heel bone, or calcaneus, is the largest bone in the foot and it will not deform from loose fit. Blisters are caused from friction of tight shoes. BUT the smaller bones of the forefoot can be deformed from tight shoes, i.e., shoes that are more narrow or short for our feet to function normally. 90% of Americans wear their shoes too small for their feet according to the study by the American Foot and Ankle Society.
Tailor’s bunion or bunionette is a prominence that may start as irritated, swollen tissue that is consistently rubbed by the shoe. With time, this constant pressure may cause the bone to thicken, creating an even larger bump to rub. The body may form a bursa to help protect the area.
Sole Comfort”s Solutions for Bunions and Bunionettes:
Some of the most common reasons for amputations are:
Sole Comfort focuses on safely supporting the remainder of the foot and limb to promote ambulation. Orthotic toe fillers can be molded directly to the foot and used in extra depth shoes. For severely deformed feet, custom footwear is available at Sole Comfort.
Sole Comfort is expert at assisting physicians and their patients in maintaining healed Charcot deformities.
Charcot Foot refers to the damage of the joints that occur in a neuropathic foot. Diabetics are prone to this condition due to autonomic neuropathy and hypervascularity. The result is a weakened bone (osseous) structure. An undetected injury such as a stress fracture, rupture of a ligament or sprain can result in chronic swelling and damage to the supporting foot structures. The foot may collapse with weight bearing of normal walking since the neuropathy causes LOPS or Loss of Protective Sensation. The architecture of the foot is rearranged so that the arch may become inverted, causing a rocker bottom foot. Rocker bottom deformities do not match the shape of any standard shoes so breakdown of the tissue will occur creating an open wound. The danger is that an open wound is susceptible to bacteria that can lead to infection, dangerous since blood supply may be compromised for healing.
NOTE: If foot lacks sensation and is hot, swollen, and/or red, see a physician immediately. Often early detection and treatment by podiatric physicians with serial casting will result in a more normal shaped foot. Time is important!
The “Gold Standard treatment” with many practitioners is total contact serial casting for open ulcers and Charcot foot. This aggressive approach assists patients to realize the seriousness of the situation so they will reduce activates, elevating limb appropriately and heal before resuming normal activities.
Charcot foot disease can affect the forefoot or rearfoot. Osteomyelitis, arthritis, and soft tissue infections are conditions which can be confused with Charcot Foot Disease.
Diabetes can be dangerous to your feet – even a small cut could have serious consequences. Diabetes may cause nerve damage that takes away the feeling in your feet. Diabetes may also reduce blood flow to the feet, making it harder to heal an injury or resist infection. Because of these problems, you might not notice a pebble in your shoe – so you could develop a blister, then a sore, then a stubborn infection that might cause amputation of your foot or leg.
To avoid serious foot problems that could result in losing a toe, foot, or leg, be sure to follow these guidelines:
Flat feet, (other names include: Pes plano valgus; Fallen arches; acquired flat feet; pronation of feet) is one of the most common foot problems and people continue to suffer because this condition is complex.
After heel strike the arch normally flattens in midstance and then weight is transferred to the inside of the forefoot. In a flat foot, the resupination action or the transference of weight to the great toe does not happen as it should. The heel and medial long arch remains rolled inward straining the ligaments of the foot, ankle, and knee.
The solution is to support the medial aspect of the foot and bring the ground to the foot in heel off so strain of the ligaments is reduced. Just providing medial arch support is not enough since at heel off, the foot is not supported and will over-pronate. The types of arch supports and orthotics available at Sole Comfort offer support to balance the multiple arches of the foot appropriately.