Bunion’s consist of a thickened callus, an inflamed bursa and excess bone forming at the side of the first metatarsal head (big toe).
Bunions are diagnosed by the following symptoms:
A bulging bump on the outside of the base of the big toe
Swelling, redness or soreness around the big toe joint
Corns or calluses — often where the first and second toes overlap
Persistent or intermittent pain in the area of the big toe
Restricted movement of the big toe if arthritis affects the toe
My treatments and recommendations
Avoid wearing tight shoes especially high heels with pointy toes. Buy footwear that is wide in the toe box area.
Shoe pads are an option especially if they offer relief.
I teach all of my hallux valgus patients awareness exercises: “Always try to straighten the big toe.” I have them press the big toe into the floor and slide the other four toes and foot laterally until the big toe is as straight as possible. This is how I want the patient to stand all the time.
Stretch the feet and calfs. I am yet to meet a patient with bunions that does not have tight calfs. I have my patients stand with the forefoot on a ½ foam roll (3” high) with the heels on the ground for 2 minutes at a time twice a day. After about two weeks they are able to stand up straighter while doing this stretch. Calf tightness can be a cause of low back pain in and of itself so it is important to take this tightness out of the patient’s body.
Strengthening the involved side glutes, getting the hamstrings length and strength proper, and the peroneus longus strength up to normal is important because it allows the first metatarsal to resist the medially directed component of forces associated with hallux plantarflexion.
Use toe spreaders or a bunion splint especially while sleeping.
Massage CBD (Phyto-Zol) serum into the bunion area two to three times a day.
Shock wave therapy aka pulse wave therapy. I do this directly over the bunion area. This is an effective way to reduce bunion discomfort and even reduce the deformity itself.
Other ways to prevent and ease the pressure and pain caused by bunions include:
Watch your weight – remember, the rest of you is pressing down on your feet when you stand, walk or run.
Taping with Kinesio-tape is very helpful. I bring the big toe into a straight position and tape the toe. I teach the patient how to do this at home on their own.
Cover the bunion with a soft, cushioning, protective moleskin or gel-filled pad.
I check for their footwear and offer off-the-shelf shoe inserts or recommend custom made orthotics.
For the acute flare up I try warm foot soaks, ice packs, whirlpool, more CBD serum, etc.
This protocol has helped many patients avoid surgery.
Chronic Pain Patients Offered Help
If you have neck or low back pain for more than 3 months that is considered chronic pain. It will be important for you to find a doctor that combines the most recent and relevant treatments to help you. The assumption is that “Doctors want to help patients” but Doctors and patients alike often prefer subtle changes in practice and patient care. In simple terms, Doctors can be slow to adopt new technology that helps improve outcomes and patient care!
TheraLase laser therapy is a relatively new yet effective treatment that can help reduce chronic pain, however, laser devices have been considered expensive to most doctors. For doctors, purchasing a laser has become as simple as buying an old fashioned ultrasound device. For patients, there’s really only one thing you can do. And that’s to go to your doctor, and ask him or her about laser therapy.
Laser is a solution to help chronic back and neck pain sufferers – it may make the lives of many pain sufferers a lot more enjoyable and a lot less debilitating for a fraction of the cost of surgery and spinal injections.
TheraLase – a Canadian based company introduced a laser that may help prevent nerve (radicular) pain through the interruption of the lack of oxygen and blood flow (the ischemic metabolic pathway) to painful tissues; Theralase may interrupt the generation of inflammation and help decrease inflammatory chemicals that have already occurred and be causing chronic pain; TheraLaser may improve reinnervation in chronic nerve pain (radiculopathy).
What Theralase would do is essentially give doctors and chronic pain patients with mild-to-moderate musculoskeletal pain an option for treatment that is relatively inexpensive compared to drugs and surgery.
Dr. Jeffrey Tucker, a Chiropractor in Los Angeles, California combines TheraLase, hands-on massage therapy, diet and exercise as a perfect fit to help chronic pain patients. Tucker says “Laser therapy combines well with physical therapy, for increasing range of motion to stiff and painful joints and muscles, and increasing muscle strength. Doctors often move too slowly to adopt new technology that can help patient outcomes, then patient’s end up on the wrong side of recovery and health”.
Whether you are an athlete or chronic pain patient, you can never give up finding ways to improve performance and progressive thinking is crucial. The most basic drive for doctors to change is when patients go to their doctor’s office and ask about all of the new possible ways for help. Unfortunately if your doctor doesn’t work that way, you as the patient may have to take a detour from that doctor and find a practitioner using new technology like the TheraLase laser. Call 310-444-9393 if you would like a laser session,
The Zimmer EnPuls and the PiezoWave system is intended to relieve pain, improve circulation and reduce inflammation of myofascial pain. It is especially helpful for coccyx pain, tailbone pain, knee pain, low back pain, hip pain, plantar fasciitis and tendon injuries.
Other indications for the Zimmer EnPuls and PiezoWave include chronic painful muscular hardening, myofascial trigger points in the areas of the: Upper extremities; Cervical spine; Shoulder girdle; Thoracic spine and lumbar spine; Hip area; Lower extremities.
If you have tried other therapies and been disappointed or did not get the results you expected, please call the office at 310-444-9393 to experience the pain relief effects of the Zimmer EnPuls and the PiezoWave technology.
Both massage and DMS release muscle tension, body aches, and helps you to relax.
Deep Muscle Stimulator massage is a technique that focuses primarily on the deeper layers of muscle and fascia. The DMS method uses a hand-held vibration percussion device that oscillates to provide soothing pressure that gets difficult muscle ‘knots’ to release. DMS massage is for people who like massage and want a slightly more intense focused approach. DMS therapist are trained to target the taut, tender, and sore spots and hold the device to target the sore muscle and myofascial layer. The DMS massage is not painful yet it reveals the tender and sore spots.
Deep Muscle Stimulator massage eases pain
Deep Muscle Stimulator massage releases pain and increases blood flow. Deep Muscle Stimulator massage has been shown to decrease pain in chronic low back patients, shoulder pain, calf muscle tightness, plantar fasciitis, tennis elbow, tailbone pain, hip pain, and sports injuries.
Deep Muscle Stimulator massage increases range of motion
Most people don’t like stretching but if you have scar tissue from old injuries or prolonged and poor posture (sitting slumped over) you need to make the scar tissue softer and more pliable. And that’s what DMS helps to do. Muscle tissue should resemble raw meat, and not be dried out like beef jerky! The surfaces underneath the skin should slide and glide. If everything is stuck together, and it doesn’t slide and glide, it needs to be changed.
DMS helps to remix the water (circulation) with the taut and tight muscles so they can slide and glide again, releasing tension in the stuck muscles. DMS helps regain softness in the muscles, so they contract and release better to increase your range of motion.
Chiropractic. The goal of this treatment is to significantly decrease symptoms such as pain, tightness, stiffness, soreness, aches, and improve athletic performance, mobility, and your ability to perform general activities.
Laser. Evidence for the effectiveness of laser is strong. Patients feel the relief especially for knee pain and TMJ pain
Shockwave therapy. This form of medical treatment is acknowledged as a means for enhancing scar tissue mobility and breaking up muscle tightness and muscle and joint adhesions. It is also helpful for chronic pain reduction and improved mobility. It helps osteoarthritic symptoms with improved functional mobility and quality of life.
Along with laser, Deep Muscle Stimulator (DMS), shockwave therapy is effective for pain control of osteoarthritis of the knee, neck pain, low back pain, and increasing mobility.
Deep Muscle Stimulator Massage. Followed by hands on therapy, DMS is the most commonly utilized treatment in my office. Patients feel better after this type of massage than receiving a regular hand massage. They have significant improvements in pain, stiffness, and physical function.
Dietary supplements. I use a variety of products from Metagenics, Xymogen, Designs for Heath, and Standard Process for joint pain, arthritis, inflammation, and weight loss.
Widening the integrative approach to treatment
There is emerging evidence that integrating multiple conventional and alternative therapies such as chiropractic, exercise, laser, shockwave, DMS, lymph therapy provide the best results for patients.
If you are a person who still has pain and diminished mobility who has already explored other therapies and doctors but have been disappointed, I would like the opportunity for you and I to meet. I continuously evaluate the increasing body of evidence in support of new therapies, and I am confident in offering my patients a wider range of choices than standard chiropractic care.
Call 310-444-9393 for an appointment
If you have any of the above, have you tried Pneumatic Lymphatic Pump Therapy?
One of the most neglected systems of the body is the Lymphatic system. An innovative treatment for chronic pain, foot pain, hip pain, inflammation, neck pain, shoulder pain, & TMJ pain is Lymph Drainage Therapy (DLT). In my office I use state of the art technology called LymphaTouch for DLT. Benefits of the LympaTouch Pump Therapy include reduction in limb circumference, pain, increase in range of motion, scar mobility and improved functioning of the immune system. The immune system is stimulated through increased lymph flow. The additional flow carries more antigens to the lymph nodes, thereby increasing antibody/antigen contact. This has been found to help with chronic or subacute inflammatory processes — chronic fatigue syndrome, autoimmune disease, bronchitis, sinusitis, tonsillitis, laryngitis, arthritis, acne and eczema.
Call 310-444-9393 to schedule an appointment
DMS can be applied to all soft tissues in the body resulting in a focused, precise, deep tissue massage. During the initial contact on the body, the device is used to scan for areas within the soft tissues that feel dense, taut, ropey, tender, and overactive. You might feel areas that present a lack of motion and contain trigger points. These areas may be sensitive or painful but the DMS itself is not causing the pain, rather it is revealing tender or painful structures. DMS therapy is highly amenable to myofascial trigger point pain. The vibration and percussion will promote relaxation within the muscle system and lymphatic drainage that helps move trapped fluid that has a tendency to accumulate in some individuals. Breaking up trigger points and providing relief from fluid stagnation are two important benefits of DMS.
Foot Pain & Hip Pain Treatments
Call 310-444-9393 to schedule a Shockwave treatment.