Review for Bunion

  • Age n/a
  • Chronicity 4 - 6 Months

Treatment Ratings

    Almost Cured
    Massage, Supportive Shoes, Toe Separator, Proper Running Form
    Not Improved

This is a topic I unfortunately have a wealth of experience with. I suffered a basketball injury to my right foot ~10 years ago that left me with a bunion and hallux rigidus (stiff big toe). I've accepted that it will never heal, but I've learned how to manage it so that it has virtually no impact on me running 80 miles/week.

First things first - I would advise against the Nike Frees. I tried the 3.0 three years ago, and while they felt great (light and fast), they were a major factor in me developing a significant foot injury (capsulitis) that left me unable to walk without pain for a year. I thought that I'd never run again. Because of the Free's last, I inadvertently began overusing the outside of my right foot, resulting in my big toe (with the bunion) not doing its share of the work. The first sign, which I promptly ignored, was peroneal tendonitis along the outside of the right calf. I foam-rolled / "sticked" it away and continued running high mileage. Then the ball of my right foot swelled up and running became impossible.

I saw several orthopedic surgeons, a couple physical therapists, bought two expensive pairs of orthotics, and finally relearned how to use my big toe after a trying year.

I've learned that I need to do the following to keep my foot fully functional:

*Always be aware of my gait when walking and running. Proprioception is a funny thing in that you can sometimes lose it without knowing. I now periodically "check in" with my foot to make sure I feel the big toe pushing off and taking on about 2/5 of the load.

*Stick with lightweight stability shoes. I like New Balance because the toe box is typically fairly wide. The 90x series was great for me and I use the 1190 now. The Saucony Mirage is another one I've had success with. You may require a different shoe, but I'd recommend sticking with some support, although you don't have to go over 10 ounces.

*Interestingly, I now depend on the Correct Toes by Dr. Ray McClanahan. I tried a couple of the cheap spacers before, but the fact I can slap some socks and shoes on top of these make them well worth the expensive price. I wear them all day and night except for when I'm running or doing some other moderate physical activity.

*I have to spend about 5 minutes pre-run and preferably 20 either post-run or in the evening massaging my foot and finger-spacing my toes. My left hand spaces and my right thumb goes in between and massages the knots/bubbles out of the ball of my foot near the big toe area. I also wiggle the big toe around a bit while it makes all kinds of arthritic cracking noises to try to keep the range of motion that I have left.

That's about all I can think of at the moment.

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