Juvenile Bunions

Causes and Risk Factors of Juvenile Bunions

1. Foot Structure: Conditions like flat feet or abnormal foot mechanics (such as overpronation) can contribute to the development of bunions.

2. Hypermobility: Excessive joint flexibility can lead to misalignment of the big toe joint, increasing the likelihood of developing bunions.

3. Hereditary: A family history of hypermobility, similar foot structures, and posture increases the likelihood of developing bunions over time.

4. Footwear: Tight, narrow shoes that squeeze the toes may increase pressure on the big toe joint, worsening the progression.

5. Neuromuscular Conditions: Conditions affecting the muscles and nerves may result in abnormal foot alignment, increasing the risk of bunions.

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Signs and Symptoms of Juvenile Bunions

• Bony Bump: A noticeable bump on the side of the big toe where the joint has become misaligned.

• Pain and Swelling: Tenderness, swelling, or pain around the joint, especially after walking or wearing shoes.

• Redness: The skin over the bunion may become red or irritated from pressure.

• Footwear Issues: Difficulty wearing shoes comfortably due to the protruding bump.

• Limited Toe Movement: Reduced flexibility in the big toe, making it hard to bend or straighten.

Treatment and Management of Juvenile Bunions

If you suspect your child has a bunion, it is recommended to take early conservative measures to prevent the condition from progressing and potentially requiring surgical intervention.

• Footwear Changes: Wearing shoes with ample space for the toes can help reduce pressure on the bunion and alleviate discomfort.

• Customised Insoles: These can correct abnormal foot mechanics and relieve bunion pain.

• Bunion Splints: These help relieve soft tissue tension and reduce discomfort.

• Physical Therapy: Exercises to strengthen and stretch foot muscles can improve alignment and prevent further deformation.