Ganglions are harmless, but can sometimes be painful. If they do not cause any pain or discomfort, they can be left alone and may disappear without treatment, although this can take a number of years. Initially the foot will be very swollen and will require elevation. Swelling will persist for around 4-6 months after surgery. However, in some cases, it will continue up until a year after surgery. The Mayor of London, Sadiq Khan, has today announced that all London Underground, Overground stations and Dial-a-Ride vehicles now have life-saving public access defibrillators available to be used if a passenger suffers cardiac arrest. But around half of all ganglion cysts treated using aspiration return at some point. If a cyst does return, surgery may be necessary. Surgery Mr David Redfern is an exceptionally esteemed, trusted, highly trained andexperienced London-based orthopaedic surgeon who specialises in foot and ankle problems. He is internationally recognised for developing minimally invasive techniques for treating foot and ankle-related conditions, and treats the full spectrum of foot and ankle complaints. He also has a vast amount of experience when it comes to medicolegal work.

Royal Orthopaedic Hospital - Hallux Rigidus (Big Toe Arthritis)

Toe splints and spacers may help to reduce any rubbing in between the big toe and the other toes. Padding over or around the bunion may also be helpful providing you have wide shoes or running trainers. Weight swelling of the big toe joint – the foot may become so wide it can be difficult to find wide enough shoes The aspiration may also help your symptoms. It might be done in your GP surgery or you may be referred to the hospital. According to the American Orthopaedic Foot & Ankle Society, hallux rigidus is the most common cause of arthritis pain at the base of the big toe.It is usually performed to aid painful arthritis of this joint (hallux rigidus) which has not responded to other non-operative treatment. Hydrocortisone injections are used to treat swollen or painful joints, such as after an injury or if you have arthritis. A corticosteroid (steroid) injection may be suggested alongside some of the above treatments. This helps reduce inflammation and may be helpful if you have pain and stiffness in the joint due to arthritis. Surgery

Royal Orthopaedic Hospital - Bunions

Zumstein M, Jost B, Hempel J, Hodler J, Gerber C. The Clinical and Structural Long-Term Results of Open Repair of Massive Tears of the Rotator Cuff. J Bone Joint Surg Am. 2008;90(11):2423-31. doi:10.2106/JBJS.G.00677 - Pubmed This operation aims to fuse the big toe joint together and it is usually performed as a day case operation. It is also referred to as arthrodesis of the big toe (metatarsophalangeal) joint. An ingrown toenail is a common cause of pain or discomfort in the big toe. It can occur if a person cuts their toenail too short or curves it in too far when cutting it. Wearing tight shoes may aggravate or even cause an ingrown toenail. Most people do not have any side effects after a hydrocortisone injection. Side effects are less likely if only one part of the body is injected.

It's often the first treatment option offered for ganglion cysts as it's less invasive than surgery. Most integrated care boards (ICBs) do not fund treatment for ganglion cysts unless they cause significant pain or disrupt daily activities. If you’re having high doses of hydrocortisone injections, or you’re also taking other steroid medicines or tablets for fungal infections or HIV, you may get underactive adrenal glands as a side effect. Ask your doctor if you need to carry a steroid emergency card. Common side effects Hydrocortisone injections can make some health problems worse so it's important that your doctor monitors you. Hallux rigidus, is arthritis (pain and stiffening) of the main joint of the big toe in the ball of the foot. It is due to a wearing out of the joint surfaces. Sometimes only the upper part of the joint is affected and the rest of the joint is undamaged. In other people the whole joint is worn out. What are the causes of this condition?