3min chapter

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Bunions Explored w/ Tom Williams

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CHAPTER

Bony Growth Isn't What You Think It Is

The only reason that you start to get a bone growth there is within your body. There's a thing called loss law, essentially wherever you put force across bone, but new bone gets laid down. And because that part of the metatarsal head isn't normally taking on that sort of load, it has to reinforce its surface. The only way to really do that is to lay down more bone, which can then lead to bony growth in that spot. But like you said, initially, and for the most part, the bony is not bony growth. That's not what it starts as.

00:00
Speaker 2
And like you said, the only reason that you start to get a bone growth there is within your body, there's a thing called loss law, essentially wherever you put force across bone, but new bone gets laid down. And because that part of the metatarsal head isn't normally taking on that sort of load, it has to reinforce its surface. And the only way to really do that is to lay down more bone, which can then lead to bony growth in that spot. But like you said, initially, and for the most part, the bony is not bony growth. Yeah. That is not what it is. That's not what it
Speaker 1
starts as. And I guess the protrusion or how much that bony protrusion, how much that bone is protruding, is doesn't necessarily indicate the severity of the bunion. It's more related to the angles of the metatarsals, so what the angle between your first and second metatarsal is, and then what the angle of your halux is, which is halux is your big toe. Yeah. So, so bonyins are also, I guess, medically known as halux valgus. So it's important to just have a good understanding of that. Again, it's hard to visualize through audio. But if you understand the joints that are at play, then it can help you understand what things need to be addressed. It becomes really important
Speaker 2
going into like the treatment side of things when we get there, because if you understand all the things that have occurred to create that sort of deformity or deformation of the angles, et cetera, then you can almost reverse engineer it to start to change it or create change. Yeah.
Speaker 1
So, just like we said at the start, the body will respond to loads, external loads, at a place to pawn it, and that is part of what contributes to a bunion in most cases. You can also, like Tom said, reverse engineer and change the loads so that your body can change shape back in a lot of cases. So sometimes it depends on the severity of your bunion. I mean, there's always ways to change pain and function, mostly.
Speaker 2
Because again, it's a little over-talked about pain experience
Speaker 1
is not just physical. It's not just related to the structure. And you could have a deformity. A lot of people actually do have bunnions without pain, and they function decently, or they at least function well in all the things that they feel are important to them. But some people do have pain. So, the actual deformity itself isn't necessarily a cause of pain. That's another thing to be aware of.

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