My friend Xiaoxiao is a beautiful flight attendant, fashionable, tall and confident and optimistic; some friends often joke that she is really God’s favorite, a set of thousands of advantages in one. But recently she couldn’t be happy anymore. One day, she took off work and came to see me; when she took off her beautiful high heels, I understood what was bothering her – a bunion. She refused to let go of any details, from how the bunion developed to whether it needed surgery and whether she could wear high heels again after the surgery. How do you determine the severity of a bunion? When does surgery become necessary? A bunion, also known as a big toe, is a deformity in which the first metatarsal bone is displaced inward and the bunion slopes outward due to muscle pulling caused by a variety of factors. In appearance, the bunion is painful with swelling at the medial joint of the bunion, the bunion deviates under the second toe, elevating the second toe, and a hard knot forms in the skin under the sole of the second toe. A bunion is not always painful. Pain is only felt on the inside of the bunion, on the plantar aspect of the foot, when the bunion that has formed is aggravated, when the seed bone is involved, or when there is degenerative inflammation of the joint. Therefore, when painful enlargement at the joint of the medial bunion is evident and the bunion is deviated to the lateral side, the lesion may reach a more serious level, at which point surgery is required to resolve it. When the deformity is not obvious, the pain is not serious, and the age is over 20 years old, it can be solved by changing the way of wearing shoes and habits, placing soft pads or orthopedic devices, rehabilitation physiotherapy and Chinese medicine. For example, Xiaoxiao’s bunion is only painful when she is tired after working for a long time in high heels, and although it has been found for some time, the deformity is not serious. It can be cured by rest, soft insoles, low heel shoes and rehabilitation physiotherapy. Hearing this, Xiaoxiao finally relaxed her tightly locked brows. Does the surgery require bone amputation? How does the treatment work? There are more than 100 types of bunion surgery. This means that the pathology of bunions is very variable, and there is no single fixed solution for bunions. Among the surgical procedures for bunions, the main ones can be divided into soft tissue surgery, osteotomy orthopedics, joint fusion and arthroplasty. Therefore, surgery for bunion does not necessarily require osteotomy. In the early stage, when the bunion deformity is not heavy, soft tissue surgery to balance the flexion and extension, abduction and adduction muscle strength can completely reverse the bunion deformity. With the development of modern society, people have higher requirements for beauty while paying attention to the function of the body. Therefore, some of the bunion patients who request surgery have good foot function and not heavy symptoms, and they will have higher requirements for surgery. Some doctors, on the other hand, consider bunion as a “minor disease” and do not pay attention to it; some other doctors do not know how to choose from the many surgical options available. As a result, it is difficult to be satisfied with the outcome of the surgery. However, after fully understanding the various pathological changes of the bunion and considering the patient’s age and requirements, it is possible to obtain a good result by choosing the appropriate surgical procedure. However, after a full understanding of the various pathological changes and taking into account the patient’s age and requirements, a good outcome can be achieved by choosing the appropriate surgical procedure. Can I still wear high heels? How to wear them? How important are high heels to women? From the moment a woman puts on high heels, you can find that so graceful, so full of confidence …, high heels are like a woman’s magic stick! Xiaoxiao described to me the importance of high heels to herself. So, do women with bunions have to say ‘byebye’ to high heels? The answer is ‘no’. The correct way to wear shoes in general is to wear low heels with a heel of about 2 cm. Such shoes are good for arch formation and shock resistance, but also limit excessive steering activities and increase the stability of activities. Just like when we do ankle fusion for women, we often place the foot at about 1100. But the heel should not be too high; according to research, when the heel exceeds six centimeters, the toe will bear 2/3 of the entire body weight, while also changing the force line of the lower extremity, pelvis, lumbar spine and weight-bearing mode, can not reduce the usual arch can offset the impact of walking and jumping, but also cause a decrease in stability, easy to sprain easy to fall. Therefore, if you want to wear, it is recommended to wear 3-4 cm high heels. For women suffering from bunions, if they must wear high heels, it is best to wear high heels under the guidance of a doctor with the assistance of split-toe pads, braces or corrective straps; and the time spent in shoes should not be too long, preferably 2-3 hours; if it is not convenient to change shoes, you must also take a half-hour break every 2-3 hours to relieve foot fatigue. In addition, the front part of high heels must be loose, not pointed shoes. For women after bunion surgery, the time and frequency of wearing high heels should be minimized. In the three months after surgery, try to wear shoes for a short period of time under the guidance of the doctor, feel uncomfortable, immediately change shoes, gradually and gradually adapt. If you can’t change your job, it is recommended to wear 3-4 cm high heels, and under the doctor’s guidance, you can help by placing split-toe pads, braces or orthotics. Hearing this, Xiaoxiao finally smiled happily.