Some of the friendliest people I know have a special condition called Trisomy 21 or Down syndrome. In these individuals many skin, bony, muscle and joint conditions exist due to abnormal collagen development. One of the types of collagen (Type VI) is encoded by a gene on chromosome 21. The resulting effect is increased joint laxity or looseness of the ligaments that attach bone to bone or tendons that attach muscles to bone (hypotonia of muscles). The ligamentous laxity and hypotonia will then lead to multiple conditions encountered in the feet of a Down syndrome individual. While these string players weren’t experiencing foot pain, the principle was the same. We’d chosen to use our bodies in a manner of repetitive misalignment which over time has created pain and injury, and all warning signs were being been ignored hoping the problem would just go away. No one thought it could be different, knew what to look for as a solution to balance the body, or was actively correcting misalignments and challenging the weaker muscles to catch up for improved posture and health. Padding or taping – Using padding and taping your foot can help ease the foot back into a natural position, reducing the pressure and misalignment. If allowed to progress, the condition can become worse. It does so because of the problem of obtaining a properly fitted shoe. The ball of the foot, with its bulbous outcropping of bunion, is considerably wider than the heel. The shoe with a snug heel that prevents slippage at its back might not fit the normal width of the ball of the foot at the front of the shoe. With the added growth of bunion, the width of the foot can no longer be considered normal. Thus, the proper fit at the ball of the foot leads to an angulation of the big toe. This deformity is a hallux valgus. There are risks involved in having any type of surgery. No matter how good your surgeon is, if you do not follow directions you may have a bad outcome. Scarring, prolonged swelling, a stiff joint, numbness, shortening of the big toe, degenerative arthritis, infection and continued pain are the most common complications. More serious complications can include non-healing of bone or a severe infection requiring a second surgery. Swelling and pain occurs mostly after exercise or increased activity (due to pushing off of the big toe joint at the end of a gait cycle), making walking and certainly running more painful. Surgery may be considered for patients who do not respond to conservative measures. A wide range of surgical procedures is performed based on the angular relationships of bone and extent of arthritis. All procedures involve removing the boney bump from the great toe. Procedures differ on how to realign the bone behind the bunion and recovery time eliminating foot pain. 2)Avoid heels that are higher than an inch or two (the lower the better). For some people (although not everyone), this may be all you need to do to rid yourself of the pain associated with bunions. However, many people will find that they need more extensive treatment. Gout is characterized by inflammation and pain in the joints. One of the typical symptoms of gout is the sudden and excruciating pain (mostly) in the big toe, during the night. The area in and around the affected joint will develop inflammation, sometimes, along with fever. The skin of the affected toe turns red and shiny. The inflammation and other symptoms last for a few days. Once the swelling subsides, the skin starts peeling off. Though toe pain is common for all the three conditions, the intensity and nature of the pain may vary. The pain may be persistent or intermittent. It may or may not subside during nighttime. I am wondering why so many people think that there is nothing you can do for such a common problem. It is true that you really can't put a cast on a toe, but a fracture of any of the twenty eight toe bones is no different than a fracture of any other bone. The toes should be treated with the same respect as your other bones! Surgery should be a great experience because it will be the start of your recovery, and the start of a new more active, more enjoyable life. Spend time researching the person you select for your surgery and it will be time well spent. Rheumatoid arthritis (RA) is a systemic disease that affects about 2.1 million Americans, mostly women and has been show to attack multiple joints throughout the body. It is estimated that 1.5 million women and 600,000 men are victims of this debilitating disease. Of these affected, approximately 90% of the people with RA eventually develop foot or ankle symptoms and deformity. In fact, many of the early symptoms of RA often include foot problems. Foot problems are more common than symptoms to the hand and only second to knee problems. These symptoms can lead to serious disability.