Forefoot Archives - Dr Bothma

Bunionette

Dr Bothma — Wed, 01 Nov 2023 09:12:24 +0000

Bunionette refers to a bony prominence at the base of the pinkie toe. Bunionette is less responsive to nonsurgical measures and frequently requires minor surgical intervention.
Dr Bothma has to take many factors into consideration when he advises as you on your bunionette problem as the approach to these deformities varies from person to person.

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Dr Bothma — Mon, 01 May 2023 09:35:02 +0000

Pain in the ball of the foot, the great toe or the lesser toes is usually associated with weight-bearing activities.
Common causes are foot strain, overuse, injury, arthritis, deformity (such as bunion formation or claw toes) and nerve related problems.
Investigation includes a detailed history, clinical examination and special investigations such as x-rays, blood tests and scans.
Clinical assessment is comprehensive and Dr Bothma will discuss treatment options with you in detail.

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Dr Bothma — Mon, 01 May 2023 09:34:32 +0000

Bunion refers to a bony prominence at the base of the great toe that is frequently painful and causes difficulty with footware.
The great toe usually deviates to the side and this deformity may also affect the lesser toes.
Treatment of bunion may be non-surgical but there are excellent surgical options available for deformities that are painful or progressive.
Dr Bothma has to take many factors into consideration when he advises you on your bunion problem as the approach to these deformities varies from person to person.

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Dr Bothma — Mon, 01 May 2023 09:34:06 +0000

Arthritis (joint inflammation) may affect the joints in the ball of the foot as well as the joints of the toes.
There are many forms of arthritis. The most common form is osteoarthritis or degenerative arthritis. Other forms include inflammatory arthritis such as rheumatoid arthritis and arthritis caused by gout.
Arthritis usually causes pain and swelling but may also result in progressive deformities of the toes. Some forms of arthritis are joint destructive and are better treated earlier than later.
Nonsurgical treatment can be very effective but disease progression and deformities may require surgical intervention. Dr Bothma will be able to advise you in this regard.

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Dr Bothma — Mon, 01 May 2023 09:33:35 +0000

Deformities of the great toe and the lesser toes are commonly seen in our foot surgery practice.
Toe problems of this nature include painful corns, hammer toes or claw toes, overlapping or deviation of toes, arthritis of the toes, toe nail deformities and nerve related toe deformities.
Some of these conditions may be effectively treated by non-surgical means but in most cases the deformities are progressive in nature or painful and patients are exploring the option of having their toe deformities surgically managed.
The treatment of multiple toe deformities can be complex and Dr Bothma will discuss non-surgical and surgical options comprehensively with you before a treatment plan is finalised.

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Dr Bothma — Mon, 01 May 2023 09:32:57 +0000

Nail problems of the great toe and the lesser toes include ingrown toenail, nail bed deformities and infections.
Commonly, patients are exploring the option of surgical treatment as management by their family physician or podiatrist failed to resolve their problem.
Toenail problems may be related to other foot abnormalities.
Following assessment, Dr Bothma will suggest appropriate measures for your consideration.

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Dr Bothma — Mon, 01 May 2023 09:32:27 +0000

Injuries of the forefoot are common and usually entail striking the forefoot on an object on the ground, twisting the foot or dropping an object on to the foot.
Some injuries are caused by excessive walking, running, dancing, jumping and sport.
Forefoot injuries include bruises, cuts, nail injuries, sprains, dislocations and fractures.
Multiple toes may be involved and injuries vary from mild to severe.
Treatment may be non-surgical or surgical depending on the nature and severity of the injury.
Forefoot injuries may have long term adverse outcomes if not managed correctly. Dr Bothma will assess your injured foot and advise you accordingly.

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Dr Bothma — Mon, 01 May 2023 09:31:47 +0000

Occasionally, even well planned and correctly performed surgery of the toes and forefoot may develop complications with undesirable results.
Revision surgery (minor adjustments or re-do) may be required.
Dr. Bothma has in-depth experience in the assessment and revision of adverse outcome forefoot procedures.
Revision cases may be complex in nature and require detailed planning and consultation.

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