Procedure overview

What is a bunion?

A bunion (hallux valgus) is an enlargement of the bone or tissue around a joint at the base of the big toe or at the base of the little toe (in which case it is called a "bunionette" or "tailor's bunion"). Bunions often occur when the joint is stressed over a prolonged period. Ninety percent of bunions occur in women, primarily because women may be more likely to wear tight, pointed, and confining shoes. Bunions may be inherited as a family trait. Bunions may also result from arthritis, which often affects the big toe joint.

Initial treatment of bunions may include wearing comfortable, well-fitting footwear (particularly shoes that conform to the shape of the foot and do not cause pressure areas) or the use of splints and orthotics (special shoe inserts shaped to your feet) to reposition the big toe. For bunions caused by arthritis, medications may help reduce pain and swelling.
If nonsurgical treatment fails, your doctor may suggest surgery, which resolves the problem in nearly all persons. The goal of surgery is to relieve pain and correct as much deformity as possible. The surgery is not cosmetic and is not meant to improve the appearance of the foot.
Other related procedures that may be used to help diagnose foot disorders include X-rays of the bone and foot. Please see these procedures for additional information.

Different types of bunion surgery

The type of surgical procedure performed depends upon the severity of the bunion, the individual’s age, general health, activity level, and the condition of the bones and connective tissue. Other factors may influence the choice of a procedure used:

• Mild bunion. For this type of surgery, the surgeon may remove the enlarged portion of bone and realign the muscles, tendons, and ligaments surrounding the joint.
  
• Moderate bunion. For a moderate bunion, the surgeon may cut the bone and shift it to its proper position. Whether or not the bone is cut depends on the severity and location of the deformity. In addition, the surrounding tendons and ligaments may need to be repositioned.
  
• Severe bunion. For a severe bunion, surgery may involve removing the enlarged portion of the bone, cutting and realigning the bone, and correcting the position of the tendons and ligaments.
  
• Arthritic bunion or big toe joint. If the joint is damaged beyond repair, as is commonly seen in arthritis, it may need to be reconstructed or replaced with an artificial joint. Joint replacement implants may be used in the reconstruction of the big toe joint.
  

Reasons for the procedure

Reasons to undergo bunion surgery may include severe foot pain that occurs even when walking or wearing flat, comfortable shoes. Surgery may also be indicated when chronic big toe inflammation and swelling does not subside with rest or medications.
Other reasons for surgery include toe deformity, a drifting in of the big toe toward the small toe, and an inability to bend and straighten the big toe.
There may be other reasons for your doctor to recommend bunion surgery.

Risks of the procedure

As with any surgical procedure, complications can occur. Some possible complications may include, but are not limited to:

• Stiffness
  
• Numbness
  
• Swelling
  
• Delayed healing
  
• Infection
  

Other complications may include recurrence of the bunion, nerve damage, and continued pain. The surgery may also result in overcorrection of the problem, in which the big toe extends away from the other toes.
There may be other risks depending on your specific medical condition. Be sure to discuss any concerns with your doctor prior to the procedure.

Before the procedure

• Your doctor will explain the procedure to you and offer you the opportunity to ask any questions that you might have about the procedure.
  
• You will be asked to sign a consent form that gives your permission to do the procedure. Read the form carefully and ask questions if something is not clear.
  
• In addition to a complete medical history, your doctor may perform a complete physical examination to ensure you are in good health before undergoing the procedure. You may undergo blood tests or other diagnostic tests.
  
• Notify your doctor if you are sensitive to or are allergic to any medications, latex, tape, and anesthetic agents (local and general).
  
• Notify your doctor of all medications (prescribed and over-the-counter) and herbal supplements that you are taking.
  
• Notify your doctor if you have a history of bleeding disorders or if you are taking any anticoagulant (blood-thinning) medications, aspirin, or other medications that affect blood clotting. It may be necessary for you to stop these medications prior to the procedure.
  
• If you are pregnant or suspect that you are pregnant, you should notify your doctor.
  
• You may be asked to fast for 8 hours before the procedure, generally after midnight.
  
• You may receive a sedative prior to the procedure to help you relax. Because the sedative may make you drowsy, you will need to arrange for someone to drive you home.
  
• Based on your medical condition, your doctor may request other specific preparation.
  

During the procedure

Bunion surgery may be performed on an outpatient basis or as part of your stay in a hospital. Procedures may vary depending on your condition and your doctor’s practices.
Most bunion surgery is performed under ankle block anesthesia, in which your foot is numb, but you are awake. Occasionally, general or spinal anesthesia is used.
Generally, bunion surgery follows this process:

1. You will be asked to remove clothing and will be given a gown to wear.
   
2. An intravenous (IV) line may be started in your arm or hand.
   
3. The skin over the bunion will be cleansed with an antiseptic solution.
   
4. If a local anesthetic is used, you will feel a needle stick when the anesthetic is injected. This may cause a brief stinging sensation. If general anesthesia is used, you will be put to sleep using intravenous medication.
   
5. The doctor will cut, realign, and possibly remove portions of bone, ligaments, and tendons of the affected foot based on the severity of the bunion.
   
6. The doctor will close the opening with stitches and apply a sterile bandage or dressing.
   

After the procedure

After your surgery, you will be taken to the recovery room for observation. Your recovery process will vary depending on the type of anesthesia that is given. The circulation and sensation of the foot will be monitored. Once your blood pressure, pulse, and breathing are stable and you are alert, you will be taken to your hospital room or discharged to your home.
Your doctor will give you specific instructions for caring for your foot at home during the first few weeks after surgery. You may be discharged from the hospital wearing a special surgical shoe or cast to protect your foot.
Once you are at home, you will need to rest and keep the foot elevated on 1 or 2 pillows to help reduce pain and swelling. Your doctor may also recommend that you apply ice and limit walking. You may be advised to use a cane or walker following surgery.
It is important to keep the dressing clean and dry. You should cover the dressing with a plastic bag or plastic wrap and tape it with plastic tape when showering. An alternative is to take a sponge bath. The stitches will be removed during a follow-up visit, generally scheduled about 2 weeks after surgery.
Take a pain reliever for soreness as recommended by your doctor. Aspirin or certain other pain medications may increase the chance of bleeding. Be sure to take only recommended medications. Your doctor may also prescribe antibiotics to help prevent infection following your surgery.
Notify your doctor to report any of the following:

• Fever
  
• Redness, swelling, bleeding, or other drainage from the incision site
  
• Increased pain around the incision site
  
• Swelling in lower leg of the affected foot
  

You doctor will advise you as to your postoperative activities. Your foot may require continuous support from dressings or a brace for 6 to 8 weeks after surgery. You may need to refrain from driving for about a week after surgery.
Exercises or physical therapy may be recommended to help the foot recover its strength and range of motion after surgery. High heels should be avoided for at least 6 months after surgery.
Your doctor may give you additional or alternate instructions after the procedure, depending on your particular situation.

Online resources

The content provided here is for informational purposes only, and was not designed to diagnose or treat a health problem or disease, or replace the professional medical advice you receive from your doctor. Please consult your health care provider with any questions or concerns you may have regarding your condition.
This page contains links to other websites with information about this procedure and related health conditions. We hope you find these sites helpful, but please remember we do not control or endorse the information presented on these websites, nor do these sites endorse the information contained here.

About Phen375, the best weight loss supplement

What Is Phen375?

Even though the name of this product sounds similar to the previously sold prescription diet product, Phentermine, it is actually very different product. This is made from only natural ingredients, and is safe and produced in a pharmaceutical grade facility. You do not need a prescription in order to get your hands on this, either.

Phen375 has been proven to help many people lose up to 20 pounds per month on average, or 3 pounds to 5 pounds per week. No matter how much you weigh, that is certainly enough weight loss to make a difference in your life.

How Does It Work?

When you read the Phen375 customer reviews, you will see that it is the list of ingredients that really gets the attention of people. Included in this product are several different natural ingredients that have been proven to mimic HCG production of the body, which means that you will be less likely to store fat and more likely to burn fat as a quality energy source.


These ingredients include calcium, chromium, L-Carnitine, caffeine, cayenne pepper, citrus aurantium, and Longjack Tongkat Ali Root, which is an herbal extract. These ingredients all work together to raise your metabolic rate naturally so that you can eat the same still lose weight.


However, one aspect of this product that a lot of people really appreciate is that this is also a very powerful appetite suppressant. If you have never taken an appetite suppressant before, then you will be surprised at what a difference it can make in how hungry you are during the day, and how they can take away cravings that dieters often have.

What Are People Saying in the Phen375 Customer Reviews?

Many of these reviews are written by people who live tried other pills in the past but did not find anything that works for them. Also, this is often chosen supplement by people who have experienced a variety of side effects from other products in the past.

My Professional Review of Mira Hair Oil Treatment

My name is Olivia and I own my own hair salon In Ottawa Canada and what I have to say about Mira hair oil is true based on my experience and my clients.

I have been using Mira hair oil on my clients for months now and the results have been amazing to say the least!

I use the word amazing because of not what I have witnessed but also what my clients have said to me

Please note I am not saying this because I get incentives, in fact there is no way of getting this oil through supply channels. You can only get it at their website.

Mira hair oil is not supplied locally nor delivered through a supplier. Hair dressers usually have their supplies delivered by a supplier or distribution shop such as Sally's or Cosmoprof but you will not find Mira hair oil in these stores

Mira hair oil came to my attention from a client of mine who raved about it and being a professional I had to test it out myself
So I first tested it out on myself! On the very first application my bleached hair took on life, it went from being dry and crunchy to silky, soft and smooth. And the results only got better because within a week I felt a difference in thickness and length. I say felt because I did not measure it, by week four my hair took on the youthful look and feel I once had as a teenager. I was convinced of its effectiveness as a healthy hair growth oil

I wanted more proof so I tested it out on my clients by offering it as a paid scalp and hair treatment with a scalp massage. In other words I tried it with actual paying clients; on clients who had hair issued like hair fall and damaged hair and the results were consistent with mine.

For instance, one of my client's hair is damaged as she gets lot of color dye, bleaching and straighten done to it and I told her to use a little Mira hair oil after any dye or color treatment. The results were also good in just a few short treatments her dry brittle "hay like hair" immediately got its softness and elasticity back, she was amazed at the results

As a hair stylist I know how damaging the effects of bleaching your hair can be I mean it literally damages and breaks down the structure of your hair so it is very hard to get that soft healthy look back again unless you grow your hair out. And that is what this oil seems to do as well-grow your hair out fast!






Another client I have comes in for a scalp massage with Mira hair oil and she is hooked on the oil as well, she simply loves the way it breathes life into her hair- and this client of mine comes in weekly for a treatment with Mira hair oil on her own accord and suggestion without me promoting it or pushing it

Another client has thinning hair in the front of her head and thick hair at the back and with regular use of the oil she is growing back thicker and healthier hair. So yes I am saying from my clients experience that this oil does regrow hair and will stop hair falling!

She pays me $60 for a Mira hair oil treatment with a short scalp massage. I tell you all this because I want you to know I tested it for real with no incentive for profit from the company- in fact I bought the oil from the website at $69.99 a bottle!

Ray Mears' Wild Food - Part (2)

A new video from the series of Ray Mears’ Wild Food show is now live. Take a look here:

We hope that it will be a nice video to watch, that will teach you a thing or two about survival in the wild.

Ray Mears' Wild Food - Part (2)

Surviving in the desert - Desert Survival Gear

There are multiple possibilities to remain stranded into the desert, like getting cought by a sand storm while traveling, getting kidnapped or even surviving a plane crash over a desert. No matter what happens you should always be as well protected as you can to survive in this kind of situation. The desert survival gear is oriented towards covering the esential survival needs of a person and less on defensive tool, due to the fact that there aren’t a lot of predators that would try to hurt you. But what should a desert survival pack contain ?

Needless to say that large quantities of water should be kept around you. How much water ? As much as possible. In the harsh conditions of the desert, being deprived of water can kill you very quickly.

Some food supplies are also very important to have in your desert survival gear pack, as you won’t find a lot of plants or animals that can be eaten.

One of the big mistakes made when prepairing for a desert trip, is thinking that you’ll only encounter high temperatures. The fact is that by night, the temperature goes under zero degrees celsius, so don’t forget to get enough clothes, to survive the tough nights. Also a tent with a sleeping bag will help a lot. The tent can be used, not only to keep you warm at night, but also to protect you from the sun, by day. Avoid dark colors that will attract the sun rays. Also get something that will cover your head. If you’re experiencing nausea, try to water your hat and hide from the sun’s rays.

Another tool that can prove to be very helpful within your desert survival gear is a flare gun or any sort of tool that can signal your position to the rescue team.

A first aid kit will be very helpful within your survival gear, it’s clear that you will have troble finding a pharmacyin the desert so pack some first aid items and medications that you think you’ ll need.

The desert, being such a harsh environment, will give you very few possible items to help you survive, so be sure you are as prepaired as you can be. Bring with you a knife or any other kind of cutting tool. Even a cactus has water in it so a knife will profe to be useful to cut the cactus and extract the water. While going through the desert, you should have around you as many people as possible. More people can carry more survival items and supplies, more people will build a shelter faster, when someone is injured, another person from the group can provide first aid, a larger group can defend easier, and so forth.

While traveling in the desert, prepairing and training are very important, people around you are helpful, but having a professional desert survival gear with a lot of food and water supplies is vital. Also, before traveling in the desert, read the news and ask the locals, to avoid possibly dangerous areas.

Surviving in the desert - Desert Survival Gear

The usefulness of a pocket survival kit

The preppers world got into a discussion lately about the usefulness of a pocket survival kit. Let us start this article by saying that the World End Shop Team does not recommend the usage of these types of survival kits. Just so we’re clear about the meaning of the words “pocket survival kit”, we’re talking about an emergency pack that can fit in your pocket, so nothing fancy about that. The main reason why we don`t agree with this kind of protection and the reason why we don’t stack our shop with pocket survival kits is because you wont find an emergency pack to protect you entirely from a disaster and that would fit into a pocket.

Of course, something is better than nothing and, just like in the movies, even a tiny object can save your life an a given situation, but if you are a survival enthusiast then you shouldn’t rely entirely on a survival kit that can fit into your pocket. From personal experiences, preppers say that survival kits that fit in your pocket are very useful when going on an outdoor trip or at hunting. A pocket survival kit won’t save your life, not to mention your loved ones.

The main issue about a pocket survival kit is that you can’t stack food and water supplies in it, these being among the most important things you’ll need in order to survive until help reaches you.

Usually, all you’ll have in your pocket survival kit will be some signaling tools, cutting tools, fire starters and some first aid items. These will come in handy but their size could also be a problem. When trying to make shelter using a cutting tool that’s small enough to fit in your pocket it could take a lot longer than using a professional cutting knife, especially designed for survival purposes. Also, when talking about position signaling tools, the bigger the light it emanates, the better. A professional tool could even ensure that you’ll be seen from a rescue plane.

Some preppers advise you to have a can opener inside your pocket survival kit. We are totally against this idea, seeing that a knife could help you open a can and at the same time it can be useful in many more ways. Also, don’t forget to try all of the tools inside your mini survival kit. These kinds of emergency packs, being very cheap, usually have some poor quality items. You really don’t want to be in a crysis situation and see your knife break when used to cut a piece of paper. (Yes, someone had this experience with a poor quality knife).

As a final advise, we would like to tell you this: why pick between a pocket survival kit and a normal emergency pack ? You can get both. This way you know that you have everything you need in a big pack, but, if situation calls, you can make use of the pocket emergency pack. That’s it for this week, have a nice time on our blog and on our webshop and stay safe !

The usefulness of a pocket survival kit

Information on Survival Gear Bags

While searching for products to bring to our webshop, we discovered a lot of people interested in survival gear bags, and the subject is really interesting to talk about. While thinking about survival gear we often forget about the bag that will keep everything in it, a bag that has enough space for all of the items, has a lot of pockets so you can grab and use anything inside it with ease, a bag that isn`t too heavy, can possibly be waterproof and more.

If you think that such a bag would be hard to find, you couldn’t be more wrong. Survival gear shops often have emergency bags that can be bought at very low prices. We have available for sale survival kits packed in this kind of bags already on our webshop. But let’s get back to the bag talk. Having a bag designed strictly for emergency purposes is a must if you’re a prepper. Just imagine having all of the items needed to survive an imminet disaster, but, while runing for your life, the bag holding the items tears apart and everything falls on the groud. How much precious time would you lose to gather everything up again ? How would you carry everything without a bag ?

But that isn’t the only issue that you might have if you don’t have a professional survival gear bag. Here are some qualities that your bag with survival gear should have:

• It should be fire resistant (if the disasters you are prepairing for involve fire). Fire is one of the most devastating phenomenons that could destroy your survival tools in a matter of minutes. Fireproof bags will resist high temperatures and even fire for some minutes, so you have enough time to get it and run.
• It should be waterproof. Water can damage your food and water supplies, it can get your spare clothes wet and so forth.
• The bag should be made of a strong material, so it doesn’t tear when you have a lot of tools inside it.
• It should have at least two small handles to be carried by hand and a bigger one so it can be carried on your shoulder.
• The survival gear bag should have a lot of pockets with zippers.
• Your bag should have a camouflage design, so you don’t attract unneeded attention.
• A professional survival gear bag should have a reinforced floor.

Get a bag that can hold all of the emergency items that you plan to take with you, and more. You will always add more items to the survival kit, and you don`t want to keep changing your bag every time you find a new item to add.Don’t spend too much time with the bag picking, and start gathering survival tools. The bag has only a minor impact on your survival chance. What’s inside the bag will be way more important. So while the talk about the survival gear bag is interesting, don’t waste a lot of time with it and start prepairing. If you can’t find a survival gear bag that has the qualities listed  in this article, get one of our survival kits that already has a professional survival gear bag.

 

 

Information on Survival Gear Bags