Bunion: Elena’s Struggle for Comfort
Written by: Marcos Otero, Retired Physician Associate
Our Patient:
Patient: Elena, a 48-year-old office worker
Location: Buenos Aires, Argentina
Diagnosis: Bunion
Background:
Elena has a family history of bunions and often wears narrow, fashionable shoes for work. She spends long hours seated but walks several blocks daily to and from public transportation.
Presentation of Symptoms:
Elena began noticing swelling and discomfort in her big toe joint years ago, but the pain and misalignment have worsened over time, making daily activities challenging.
Key Symptoms:
Her symptoms impact both her work and social life.
- A visible bony bump at the base of her big toe.
- Pain and redness around the joint, especially after walking.
- Difficulty finding shoes that fit comfortably.
Diagnosis & Treatment:
- Diagnosis: A bunion confirmed through physical examination and X-rays showing joint misalignment.
- Treatment Plan:
- Switching to wide, supportive shoes.
- Applying ice packs to reduce swelling.
- Using custom orthotics and toe separators.
- Surgery recommended if symptoms persist.
Treatment Plan:
- Switching to wide, supportive shoes.
- Applying ice packs to reduce swelling.
- Using custom orthotics and toe separators.
- Surgery recommended if symptoms persist.
Complications:
Without intervention, Elena risks worsening joint damage, arthritis, and chronic pain, potentially requiring more invasive surgical procedures.
Cultural and Family Support:
Elena’s family, especially her mother, shares advice based on personal experience but hesitates to support the idea of surgery due to cultural fears surrounding recovery.
Life Today: Possible Outcomes
- Good Outcome: Elena opts for surgery, follows a thorough recovery plan, and can walk pain-free while enjoying a more active lifestyle.
- Bad Outcome: Reluctance to seek treatment leads to worsening pain and deformity, making surgery inevitable but with a longer, more complicated recovery.
