Patient: Description of condition (onset, main symptoms, hospital visited, etc.): The patient is a 63-year-old female who has had a left bunion for many years, along with a foot pad, and recently had pain and swelling on the top of her foot from walking. Two weeks ago, she went to see a doctor at Tsinghua Pond and he said it was due to the bunion. He put blood in the foot pad and it healed for a week, but now it is still swollen and painful. 1.Can I see you for medical treatment? 2.Can you give some treatment suggestions?
Jian Shen, Department of Orthopedics, Beijing Hospital, Ministry of Health: Bunion is a common orthopedic disease, especially in middle-aged and elderly women. It is mainly caused by the collapse of the “transverse arch” of the forefoot, resulting in a wide forefoot, bunions, and friction in shoes, as well as excessive weight-bearing of the 2nd, 3rd and 4th metatarsals after the collapse of the transverse arch, accompanied by forefoot “foot pad”, which can cause bursitis with pain, especially after menopause. The above symptoms will be aggravated by ligament laxity. When the deformity and symptoms are not heavy, conservative treatment can be adopted, wearing flat soft shoes, reducing activities, prohibiting massage, taking appropriate anti-inflammatory and blood-boosting drugs, topical creams and foot soaks. If there is no relief, surgery can be considered to improve the quality of life. Our hospital surgery is no problem.