The big toe joint of the foot is an extremely important joint for normal function and walking. It is the joint that has to move to allow the body to move forward or pivot about. If the joint does not move, then the ability to walk, run or move forward efficiently is going to be impaired somewhat. A number of thing can affect this joint. For example there could be some arthritis in the joint in a condition known as hallux rigidus, if the joint does not more or hallux limitus if the joint is restricted in motion. The ' hallux ' is the technical name for the big toe. An experienced surgeon will explain in detail the outcome of the operation; the more advanced the deformity where three to four toes have been affected to the point where all the toes are bunching together, the more extensive the operation and the less chance of the foot returning to its original condition. Having said this, one thing they almost guarantee, is that the sufferer will walk again without pain and be able to wear normal shoes. (This only happens in the most severe cases) As common sense tells us, the quicker a problem is fixed, the better the results. Bunion typically appears as a bony bump at or around the base of the big toe. Statistical data indicates that women who wear narrow shoes, high heels or small-sized shoes are at higher risk of developing bunions. Almost 90% cases are reported in females and occur when other toes of the foot push your big toe away from the mid-plane or from normal physiological site. Bunions or other pedal deformities (or defects of connective tissue) run in families. If your parents or siblings have bunions, you are very likely to develop bunions too. Bunions causes thickening of the soft tissue, known as bursitis, and a bony overgrowth at the base of the big toe. This condition often becomes inflamed and painful, and makes it difficult for a person to walk normal. The bone deformity is scientifically known as "hallux valgus, and as a result of this, the pressure on the deformity which surrounds the tissue on the toe begins to thicken. Current surgical methods have had excellent result. It corrects the deformity, alleviates the pain and allows for the application of normal shoe ware again. Sudden impact or simple wear-and-tear can cause toe, foot and ankle problems. As such you need to be aware of the differences between these diagnoses or you may miss a subtle difference and report the wrong code. One thing to bear in mind is that you might require modifiers to help differentiate work on different areas of the feet or for that matter toes. These modifiers include LT and RT, TA-T9 and sometimes 59 depending on the service your physician provides. These modifiers become all the more important if the FP carries out the same procedure on more than one foot or toe. Pain while running signals that a bunion is being aggravated. An increase in symptoms such as redness, swelling and inflammation is likely. The friction can thicken the skin around the bunion over time as well. Bunions, which angle the big toe toward its neighboring toe, create pressure and friction between the two digits. Running increases friction, and in combination with foot sweat, corns and calluses easily develop between the big toe and second toe. Restricted big toe movement and ongoing pain while walking can also result from the aggravation. Prevention There is also a condition called adolescent bunion, which tends to occur in 10-to-15-year old girls. How are bunions diagnosed? Suggestions to reduce the wear high-heeled shoes to the problems caused by the body, and experts put forward proposals as follows.Looking for a pair of high heels is consistent with your foot shape please. The pain caused by wear high heels for excessive sliding forward. The inside of the shoe should reserve enough space, inappropriate high heels would cause feet move forward and cause sufficient pressure stimulus causing pain. While wearing high-heeled shoes for your foot type can help relieve pain, correct the cause of foot pain. You should make sure that the shoes and feet, walking foot sliding will bring pressure to bear more toes. This condition got its name from the turn of the last century when tailors would spend long hours working with their feet crossed in such a manner that the outside of the feet would continually press against the floor and as a result, over time, the bump on the outside of the foot would form. In either case the foot now has trouble fitting into a conventional shoe, (it is too wide). If there is enough pressure on the bone a secondary bursitis may form which will make the pain even worse. In those with poor circulation the skin overlying the bone may breakdown from too much pressure. The most common cause of this deformity is tight, poorly fitting shoes. Sometimes there are structural deformities of the foot that place abnormal pressure on the bones in the feet creating the hallux valgus deformity. Pressure over the metatarsal bone in the foot causes the bone to point abnormally and force the toe to point outwards and the metatarasal bone to point in. If a change in footwear does not help, you may referred to an orthopaedic surgeon. The most common operation performed for bunions is called an excision arthroplasty. The surgeon will cut way the part of the big toe joint that is sticking out and causing the trouble.