The ankle dorsiflexion exercise strengthens the ankles and lower leg muscles, unlike the big toe exercise that stretches and elongates the toe. You will need an exercise band such as a thera-band and someone to hold the band for you to perform this exercise. Sit on the floor with your legs straight to begin. Place your hands on the floor at your sides and use your arms to hold your back straight. Place the center of the band on the top of your forefoot with your toes slightly pointed. Next, pull your toes away from your friend and the ends of the band. Quadriceps Sitting. 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. Don't allow anatomic terminology mess with your foot and ankle claims. Read on for an expert podiatry coding and billing insight and take one step closer towards maximized ethical reimbursement. In the following podiatry coding expert article, learn more about some of the further common foot procedures your podiatrist might go through, and you'll be accurately coding those services. Sudden impacts (like those from jumping while sports) or simple wear-and-tear can result into toe, foot and ankle problems. You've got to recognize the differences concerning these diagnoses, or you might miss a subtle difference and then give the wrong code. The shape, size and arches of your feet are unique. Once your foot pain has resolved, custom orthotics for high heel shoes should be fitted for long term care. These customized, shoe inserts correct foot over-pronation and support the medial longitudinal arch. The high heel orthotics also have metatarsal pads that remove unwanted pressure to your second to fourth toes by lifting and supporting the transverse arch. Do you have trouble finding shoes that fit because the front of your foot has become too wide? Do you ever have pain in your big toe joint, or perhaps pain on the ball of your foot? You may have a bunion. DAYS POST SURGERY - December 10th 2009 - I cried over these casts/dressings. There was this stupid hard part that kept rubbing against the incisions, and they were so itchy and it was terribly frustrating not to be able to use either of your feet. Plus, as the swelling came down they became looser which just exacerbated the influx of obsessions and compulsions that come with general discomfort, frustration, and pain. A bunion (hallux valgus) is a deformity characterized by lateral deviation of the great toe, often erroneously described as an enlargement of bone or tissue around the joint at the head of the big toe (metatarsophalangeal joint) (from wikipedia) Arthroplasty — A comparison of arthrodesis with Keller's arthroplasty found that 75 percent of the arthroplasty patients were completely satisfied postoperatively, and that 88 percent experienced complete pain relief 46. However, 12 percent experienced worse pain after the surgery. The authors also found the response to surgery could be prolonged, with some patients needing up to 30 months before manifesting improvement. Overall, little difference in outcomes was found between the arthroplasty and arthrodesis groups. A small study comparing distal metatarsal osteotomy with Keller's arthroplasty found larger residual HA and IM angles in the arthroplasty group, but overall satisfaction and pain relief did not differ significantly 48. Factors exclusive to podiatric surgery contribute to preventable post operative bunion surgery pain if individual ignores their post-operative advice. Basically the body will feel enormous following this surgery, and this frequently leads patients to try to be more active. The indispensable truth is that the foot will require rest, distance from the ground, and icing subsequent to surgery. The greater part of pain felt following the first few days after surgery is frequently owed to inflammation from over doings. By following a suitable bunion surgery recovery program, the chances of developing considerable post-operative pain are decreased.