Burza
Epidemiologia

Hallux valgus (HV), powszechnie znany jako burza, to deformacja charakteryzująca się bocznym odchyleniem palucha w stawie śródstopno-paliczkowym pierwszym (1st MTPJ). Globalna częstość występowania wynosi około 19-23% w populacji ogólnej, z wyraźnym wzrostem u osób powyżej 60 roku życia (22,7%, 95% CI: 13,1%-33,98%) oraz znaczną przewagą u kobiet (23,74%, 95% CI: 16,21%-32,21%) w porównaniu do mężczyzn (11,43%, 95% CI: 6,18%-18%). Etiologia burzów jest wieloczynnikowa, obejmując komponent genetyczny (około 70% przypadków z historią rodzinną), czynniki środowiskowe takie jak noszenie obuwia na wysokim obcasie lub z wąskim przodem, a także choroby zapalne stawów i anatomiczne cechy stopy (np. płaskostopie). Epidemiologia wskazuje na progresywny charakter deformacji, która nie ustępuje samoistnie i może prowadzić do poważnych zaburzeń chodu, równowagi oraz zwiększonego ryzyka upadków, szczególnie u osób starszych.

Epidemiologia burzów (Hallux Valgus)

Burza, znana również w terminologii medycznej jako Hallux Valgus (HV), jest powszechną deformacją charakteryzującą się postępującym bocznym odchyleniem palucha w stawie śródstopno-paliczkowym pierwszym (1st MTPJ). Ta deformacja powstaje, gdy paluch zaczyna odchylać się w kierunku drugiego palca, powodując zmianę struktury stopy i powstawanie charakterystycznego wybrzuszenia w okolicy stawu palucha12.

Globalna częstotliwość występowania

Systematyczne przeglądy badań epidemiologicznych wskazują, że globalna częstość występowania burzów wynosi około 19-23% w populacji ogólnej345. Według niektórych badań, prawie jedna trzecia dorosłych Amerykanów zmaga się z deformacją typu hallux valgus lub miała z nią do czynienia67. Narodowe badania zdrowotne w Stanach Zjednoczonych wykazały częstość występowania na poziomie 0,9% we wszystkich grupach wiekowych, natomiast inne badanie przeprowadzone w Wielkiej Brytanii wykazało częstość występowania rzędu 28,4% u dorosłych89.

Badania przeprowadzone w populacjach osób starszych wskazują na częstość występowania sięgającą nawet 74%8. Szacunki sugerują, że około 18 milionów amerykańskich kobiet i 4 miliony mężczyzn zgłaszają występowanie burzów każdego roku10.

Różnice w występowaniu ze względu na płeć

Burze są znacznie częstsze u kobiet niż u mężczyzn13. Łączna częstość występowania hallux valgus według płci wynosi 23,74% (95% CI, 16,21% do 32,21%) u kobiet i 11,43% (95% CI, 6,18% do 18%) u mężczyzn34. Niektóre badania wskazują nawet na stosunek występowania u kobiet do mężczyzn wynoszący 8-9:1, a w skrajnych przypadkach nawet 15:11112.

Ta różnica jest najczęściej przypisywana różnicom w obuwiu, anatomii stopy oraz czynnikom genetycznym1113. Kobiety częściej noszą buty na wysokim obcasie lub obuwie z wąskim przodem, które wywierają nadmierny nacisk na przednią część stopy2. Dodatkowo, kobiety często mają słabsze ścięgna i więzadła w stopach14.

Występowanie w różnych grupach wiekowych

Częstość występowania burzów zwiększa się z wiekiem13. Badania wykazały następującą częstość występowania w różnych grupach wiekowych:

  • 11% (95% CI, 2% do 26%) u osób poniżej 20 roku życia
  • 12,22% (95% CI, 5,86% do 20,46%) u dorosłych w wieku 20-60 lat
  • 22,7% (95% CI, 13,1% do 33,98%) u osób powyżej 60 roku życia315

Szczyt zachorowań na hallux valgus przypada między 30 a 60 rokiem życia, choć prawdopodobnie początkowe zmiany występują już w okresie dojrzewania lub nawet wcześniej w przypadku młodzieńczego hallux valgus1112.

Według Narodowego Instytutu Zdrowia (NIH), szacuje się, że jedna na trzy osoby powyżej 65 roku życia ma burzę w pewnym stopniu16. Badanie przeprowadzone w zróżnicowanej społeczności Massachusetts na osobach w wieku powyżej 65 lat wykazało, że 37% badanych miało burze w momencie przeprowadzania badania17.

Różnice geograficzne w występowaniu

Częstość występowania burzów różni się znacznie na całym świecie15. Najwyższą częstość występowania odnotowano w Azji i Oceanii154. Światowa mapa rozkładu geograficznego wskazuje, że globalna częstość występowania i zapadalność na hallux valgus jest wyższa w krajach Oceanii4.

Co ciekawe, burze są rzadko spotykane w populacjach, które nie noszą obuwia, co sugeruje silny wpływ czynników środowiskowych, szczególnie noszenia obuwia, na rozwój tej deformacji1.

Czynniki ryzyka i predyspozycje

Zidentyfikowano kilka potencjalnych czynników ryzyka rozwoju burzów. Należą do nich:

  • Czynniki genetyczne – Burze mają silny komponent dziedziczny. Około 70% osób z burzami ma rodzica biologicznego, który również miał burze186. Ryzyko rozwoju burzów jest większe dla krewnych pierwszego stopnia osób dotkniętych chorobą (rodzeństwo lub dzieci) w porównaniu do ogółu społeczeństwa13.
  • Obuwie – Noszenie butów na wysokim obcasie lub obuwia, które jest zbyt ciasne lub wąskie, może zwiększyć ryzyko rozwoju burzów lub zaostrzyć istniejące1018.
  • Choroby zapalne stawów – Stany zapalne stawów, takie jak reumatoidalne zapalenie stawów, mogą osłabić stawy, zwiększając ryzyko rozwoju burzów10.
  • Rasa i pochodzenie etniczne – Niektóre badania wskazują, że osoby identyfikujące się jako czarnoskóre miały większe prawdopodobieństwo rozwoju burzów niż inne grupy1920.
  • Struktura stopy – Ogólnie rzecz biorąc, osoby z płaskostopiem częściej rozwijają burze, podczas gdy osoby z wyższymi łukami rzadziej ich doświadczają21.

Współwystępowanie z innymi schorzeniami

Burze są związane z różnymi problemami zdrowotnymi, które mogą wpływać na ogólny stan zdrowia pacjenta:

Wpływ na jakość życia

Burze stanowią znaczący problem zdrowotny, który może wpływać na różne aspekty życia pacjenta22. Kilka ostatnich badań zbadało związek między hallux valgus a jakością życia związaną ze zdrowiem (HRQOL)225.

Fizyczne i funkcjonalne ograniczenia

Objawowe hallux valgus wiąże się z obniżoną jakością życia związaną ze zdrowiem225. Zarówno ogólna, jak i specyficzna dla stopy jakość życia związana ze zdrowiem, są stopniowo niższe wraz ze wzrostem nasilenia deformacji hallux valgus, niezależnie od bólu stopy22.

Autorzy badania stwierdzili, że wpływ zwiększającego się nasilenia hallux valgus na jakość życia związaną ze zdrowiem jest niezależny od wieku, płci, wykształcenia, BMI i bólu w innych regionach24.

Wpływ psychospołeczny

Co ważne, związek zarówno obecności, jak i nasilenia hallux valgus z pogorszoną jakością życia związaną ze zdrowiem nie ogranicza się do bólu i funkcji fizycznej, ale rozciąga się na ogólny stan zdrowia, witalność, funkcjonowanie społeczne i zdrowie psychiczne225.

Burze mogą być również powodem niepewności i kompleksów u pacjentów25. Mimo że nie są one często omawiane, stanowią źródło niepewności, z którą borykają się pacjenci.

Nadzór i monitorowanie

Ze względu na wysoką częstość występowania i znaczący wpływ burzów na zdrowie publiczne, ważne jest systematyczne monitorowanie tej przypadłości w populacji.

Systemy nadzoru i badania epidemiologiczne

Szereg badań epidemiologicznych dostarcza informacji o częstości występowania i czynnikach ryzyka burzów. Dział epidemiologiczny hallux valgus dostarcza informacji o historycznych i bieżących grupach pacjentów z hallux valgus oraz prognozowanych trendach dla każdego z siedmiu głównych krajów (7MM)2627.

Epidemiologia burzów obejmuje takie elementy jak:

  • Całkowita częstość występowania burzów
  • Przypadki burzów w zależności od stopnia nasilenia
  • Częstość występowania burzów w zależności od płci
  • Zdiagnozowane przypadki epizodycznych i przewlekłych burzów26

Prognozy i trendy

Przewiduje się, że rynek burzów będzie znacząco rósł w badanym okresie (2019-2032)8. Naturalny przebieg burzów to generalnie progresja deformacji w czasie, a nie stabilne objawy lub poprawa2829.

Burze są postępującym zaburzeniem. Zaczynają się od przechylenia palucha, stopniowo zmieniając kąt kości na przestrzeni lat i powoli tworząc charakterystyczne wybrzuszenie, które staje się coraz bardziej wyraźne29. Ponieważ burze są postępujące, nie ustępują samoistnie i zwykle pogarszają się z czasem. Jednak nie wszystkie przypadki są podobne – niektóre burze postępują szybciej niż inne29.

Grupa wiekowa Częstość występowania (%) 95% przedział ufności
Poniżej 20 lat 11.0% 2% – 26%
20-60 lat 12.22% 5.86% – 20.46%
Powyżej 60 lat 22.7% 13.1% – 33.98%
Częstość występowania według płci
Kobiety 23.74% 16.21% – 32.21%
Mężczyźni 11.43% 6.18% – 18%
Częstość występowania w populacji ogólnej
Ogólna populacja 19% 13% – 25%

Implikacje dla zdrowia publicznego

Burze stanowią istotny problem zdrowia publicznego ze względu na ich wysoką częstość występowania i wpływ na jakość życia pacjentów. Rosnąca częstość występowania burzów wraz z wiekiem, szczególnie u kobiet, wskazuje na potrzebę ukierunkowanych strategii profilaktycznych i interwencyjnych5.

Przyszłe badania prospektywne są wymagane w celu identyfikacji czynników ryzyka rozwoju i progresji hallux valgus, a tym samym możliwych celów prewencji i interwencji225.

Wnioski i perspektywy

Burze stanowią powszechny problem zdrowotny, dotykający znaczącej części populacji globalnej. Częstość występowania wynosi około 19-23% w populacji ogólnej, z wyraźną tendencją do wzrostu wraz z wiekiem i przewagą u kobiet345.

Wpływ burzów wykracza poza lokalny wpływ na zwyrodnienie stawów stopy, równowagę, chód i upadki, prowadząc do pogorszenia jakości życia związanej ze zdrowiem22. Zrozumienie epidemiologii burzów jest kluczowe dla opracowania skutecznych strategii prewencyjnych i interwencyjnych.

Biorąc pod uwagę znaczne obciążenie epidemiologiczne i kliniczne związane z burzami, konieczne są dalsze badania w celu lepszego zrozumienia czynników ryzyka, mechanizmów patofizjologicznych i opcji leczenia. Takie wysiłki mogą przyczynić się do zmniejszenia obciążenia związanego z burzami i poprawy jakości życia dotkniętych nimi osób2230.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Epidemiology and impact of hallux valgus: more than just bunions
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3102914/
    Hallux valgus (HV) is a common deformity characterized by progressive lateral deviation of the great toe at the first metatarsophalangeal joint (1st MTPJ). A recent systematic review estimated the prevalence of HV to be 23% in adults aged 18 to 65 years. It becomes more frequent with increasing age and is more prevalent in women than men. Several potential risk factors for HV have been identified. HV is rare in unshod populations but associates with wearing high-heeled or narrow shoes. The relationship between HV and obesity is less clear. Some studies have found an association between HV and increasing body mass index (BMI) whereas others have found no association. Most recently, it has been suggested that the association between HV and BMI differs between the genders, with a lower prevalence with increasing BMI in women but no association in men.
  • #2 The Prevalence of Bunions
    https://www.personalpodiatry.com/blogs/item/223-the-prevalence-of-bunions
    Bunions, characterized by a bony bump that forms at the base of the big toe, affect a significant portion of the population. This deformity arises when the big toe begins to lean toward the second toe, causing the structure of the foot to change and result in a bump at the big toe joint. Factors contributing to bunion development include genetic predisposition, footwear choices, and certain foot structures. More women than men have bunions, due to wearing narrow, tight-fitting shoes and high heels that place undue pressure on the forefoot. However, anyone can develop bunions, and they are increasingly observed across all age groups, from teenagers to the elderly. The widespread nature of this condition shows the importance of recognizing early symptoms and seeking appropriate treatment. […] Doctors often perform two tests blood tests and x-rays when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.
  • #3 Global prevalence and incidence of hallux valgus: a systematic review and meta-analysis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10510234/
    Though hallux valgus is a common foot deformity, the integrated information on its global prevalence and incidence is relatively lacking. […] A total of 45 studies were included in the meta-analysis. The overall pooled estimated prevalence was 19% (95% CI, 13% to 25%) (n=186,262,669) for hallux valgus. […] The pooled prevalence of hallux valgus by gender was 23.74% (95% CI, 16.21% to 32.21%) for females and 11.43% (95% CI, 6.18% to 18%) for males. […] The prevalence was 11% (95% CI, 2% to 26%) in individuals younger than 20 years old, 12.22% in adults aged 20-60 years (95% CI, 5.86% to 20.46%) and 22.7% in elderly people aged over 60 years (95% CI, 13.1% to 33.98%). […] The global estimated pooled prevalence and incidence of hallux valgus was 19%. […] A higher prevalence of hallux valgus was found in females, Oceania countries, and among people aged over 60 years.
  • #4 Global prevalence and incidence of hallux valgus: a systematic review and meta-analysis | Journal of Foot and Ankle Research | Full Text
    https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-023-00661-9
    A total of 45 studies were included in the meta-analysis. The overall pooled estimated prevalence was 19% (95% CI, 13% to 25%) for hallux valgus. […] The pooled prevalence of hallux valgus by gender was 23.74% (95% CI, 16.21% to 32.21%) for females and 11.43% (95% CI, 6.18% to 18%) for males. […] The global estimated pooled prevalence and incidence of hallux valgus was 19%. […] A higher prevalence of hallux valgus was found in females, Oceania countries, and among people aged over 60 years. […] The prevalence was 11% (95% CI, 2% to 26%) in individuals younger than 20 years old, 12.22% in adults aged 20-60 years (95% CI, 5.86% to 20.46%) and 22.7% in elderly people aged over 60 years (95% CI, 13.1% to 33.98%). […] The prevalence of HV was higher in females compared with males, as well as increasing trends in age, the incidence rate of HV was more prevalent in elderly people aged over 60 years. […] The prevalence of HV varied greatly around the world, with high prevalence in Asia and Oceania. […] The global prevalence and incidence of HV was found higher in Oceania countries from the geographical distribution world map.
  • #5 Epidemiology and impact of hallux valgus: more than just bunions | mijn-bsl
    https://mijn.bsl.nl/epidemiology-and-impact-of-hallux-valgus-more-than-just-bunions/7110728
    Hallux valgus (HV) is a common deformity characterized by progressive lateral deviation of the great toe at the first metatarsophalangeal joint (1st MTPJ). […] A recent systematic review estimated the prevalence of HV to be 23% in adults aged 18 to 65 years. […] HV poses a significant health problem, and associates with foot pain, poor balance, gait impairment, immobility, and risk of falling. […] Several recent studies have examined the relationship between HV and health-related quality of life (HRQOL). Symptomatic HV appears to associate with reduced HRQOL. […] Importantly, the association of both the presence and severity of HV with impaired HRQOL is not limited to pain and physical function but extends to general health, vitality, social function, and mental health. […] Future prospective studies are required to identify risk factors for the development and progression of HV and hence possible targets for prevention and intervention.
  • #6 Bunions: Symptoms, Causes, & Treatment
    https://my.clevelandclinic.org/health/diseases/14386-bunions-hallux-valgus
    Bunions are very common. Experts estimate that around one-third of Americans have bunions. […] Anyone can develop a bunion. Certain groups of people who are more likely to have bunions include: Females. People whose biological parents have bunions or issues with their foot mechanics. More than 70% of people with bunions have a biological parent whos had them. […] Bunions need treatment if they cause pain. Even if its a simple solution like changing the kinds of shoes youre wearing, you still need to see a healthcare provider or podiatrist to diagnose a bunion.
  • #7 Bunions (Hallux Valgus) – Common Foot Condition Myths & Facts | Podiatrists located in Chicago, Wheeling and Arlington Heights, IL | Global Podiatry
    https://www.globalpodiatry.com/post/bunions-hallux-valgus-common-foot-condition-myths-facts
    Bunions (Hallux Valgus) commonly misunderstood, this foot condition affects the lives of millions one of the most common foot problems in the world. Studies show that up one-third of adult Americans have bunion deformities or have had them. […] Bunions are Largely Hereditary. […] Gender Plays a Role. […] Bunions Will Only Get Worse. […] Bunions Involve More than Just the Big Toe.
  • #8 Bunion Market Report 2032: Epidemiology Data, Pipeline Therapies, Latest FDA, EMA, PDMA Approvals by DelveInsight
    https://www.einpresswire.com/article/698366408/bunion-market-report-2032-epidemiology-data-pipeline-therapies-latest-fda-ema-pdma-approvals-by-delveinsight?ref=rss&code=YZavm_mRwsDMBxk3
    The Bunion market report gives an understanding of the Bunion market, epidemiology, pipeline therapies and companies working in the market. […] The Bunion market size is anticipated to grow with a significant CAGR during the study period (2019-2032). […] As per a study titled Epidemiology and impact of hallux valgus: more than just bunions, the estimated prevalence of Bunion was found to be 23% in adults aged 18 to 65 years. […] As per a study by Nix et al. (2010), National health surveys in the United States have reported a prevalence of 0.9% across all age groups, while another survey in the UK reported a prevalence of 28.4% in adults. […] Research conducted in elderly populations has indicated prevalence rates as high as 74%. […] According to the analysis, women are more frequently diagnosed with bunion compared to men.
  • #9 How Common are bunions and what causes them? – Orthopaedics 360
    https://orthopaedics360.com.au/blog/how-common-are-bunions/
    Bunions are common. Very common. If you were to take a look at all of your friends and family members feet, the odds are that you will notice many bunions. […] A recent survey in the UK suggests that 28.4% of the total adult population have bunions. With around 75% of Australias population over the age of 18, this means that there are likely over 5 million people around Australia affected by bunions. […] Bunions are more common in females (At least twice as common and many estimates are much higher), and there is a progressive increase in prevalence as ones age increases. […] As you can see, bunions are a common issue in our community. They are more often seen in women and often have a hereditary origin.
  • #10 Bunions 101—What You Need to Know – Welia Health
    https://www.weliahealth.org/2024/02/bunions-101-what-you-need-to-know/
    According to a National Foot Health Assessment, about 18 million American women and 4 million men report having bunions every year. They are also twice as common among people sixty years of age and older. […] Bunions can develop due to a combination of factors, including: […] Bunions have a strong hereditary component. Certain foot shapes and inherited structural defects can predispose individuals to developing bunions. […] Wearing high-heeled shoes or shoes that are too tight or narrow can increase the risk of bunions or exacerbate existing ones. […] Inflammatory arthritis conditions like rheumatoid arthritis can weaken the joints, increasing the risk of bunions. […] Bunions can be challenging and uncomfortable conditions to deal with. However, with proper knowledge, proactive measures, and timely intervention, you can find relief and manage the symptoms effectively. Remember, early detection and treatment are key to preventing the progression of bunions.
  • #11 Bunion: Practice Essentials, Anatomy, Etiology
    https://emedicine.medscape.com/article/1235796-overview
    In the United States, the number of forefoot operations for the three most common forefoot ailments (HV, hammertoe, and intermetatarsal perineural fibrosis) is markedly higher in females than in males. The prevalence of HV is markedly higher in females, with studies reporting a female-to-male ratio of 8-9:1 and even as high as 15:1. […] This discrepancy is attributed to differences in footwear. […] With regard to age, the peak onset of HV is between the ages of 30 and 60 years, though it is likely that the initial changes occur during adolescence or even earlier in the case of juvenile HV.
  • #12 Bunion: Practice Essentials, Anatomy, Etiology
    https://emedicine.medscape.com/article/1236005-overview
    In the United States, the number of forefoot operations for the three most common forefoot ailments (HV, hammertoe, and intermetatarsal perineural fibrosis) is markedly higher in females than in males. The prevalence of HV is markedly higher in females, with studies reporting a female-to-male ratio of 8-9:1 and even as high as 15:1. […] With regard to age, the peak onset of HV is between the ages of 30 and 60 years, though it is likely that the initial changes occur during adolescence or even earlier in the case of juvenile HV.
  • #13 Bunion: MedlinePlus GeneticsLock
    https://medlineplus.gov/genetics/condition/bunion/
    Bunions are a very common foot disorder, affecting about a third of adults in the United States. The prevalence of bunions increases with age. They are more common in women than in men, likely because of differences in foot anatomy, footwear, and genetic influences. […] The causes of bunions are unclear, although scientists suspect that both inherited and lifestyle factors contribute to their development. Studies suggest that congenital and juvenile hallux valgus tend to be related to joint deformities with a genetic cause. Little is known about the genetic contribution to bunions that occur later in life, and no specific genes involved in the development of bunions have been identified. […] Bunions are a complex condition without a clear pattern of inheritance. Many affected individuals have multiple family members who are also affected. The risk of developing bunions is greater for first-degree relatives of affected individuals (such as siblings or children) as compared to the general public.
  • #14 Bunions | informedhealth.org
    https://www.informedhealth.org/bunions.html
    Bunions are far more common in women than in men probably because women often have weaker tendons and ligaments in their feet and are more likely to wear tight shoes with high heels. […] Although it’s not possible to say for sure how many people have a bunion, it’s estimated that about 1 in 5 have one to some degree. […] In many people, bunions never cause any real problems. In others, the foot continues to change, the pain gets worse and they have trouble walking.
  • #15 Global prevalence and incidence of hallux valgus: a systematic review and meta-analysis
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10510234/
    The prevalence of HV was higher in females compared with males, as well as increasing trends in age, the incidence rate of HV was more prevalent in elderly people aged over 60 years. […] The prevalence of HV varied greatly around the world, with high prevalence in Asia and Oceania. […] The results of the present study clearly showed an increase in the prevalence of HV with age: 11% in individuals younger than 20 years old, 12.22% in adults aged 20 to 60 years and 22.7% in elderly people aged over 60 years.
  • #16 What You Need to Know About Bunions
    https://www.slhn.org/blog/2023/what-you-need-to-know-about-bunions
    Bunions are more common in women, according to Dr. Mishko. This might be because womens shoes tend to be tighter in the front which constricts the foot, he says. […] Bunions tend to develop in older adults. According to NIH its thought one out of three people over the age of 65 has a bunion to some degree. […] Often, bunion development is due to family history, Dr. Mishko says, noting that 70 percent of the time that may be the reason. […] Bunions can occur in children, but when that happens, theres a 94 percent chance that its related to family history, says the podiatrist. […] People who have laxity in their jointsthose who might be double-jointed, have Down syndrome, or Ehlers-Danlos syndromemight be more prone to bunions. […] The prognosis for bunion treatments is generally very good, says Dr. Mishko. He sees success rates in pain score, lifestyle scoring, as well as low complication rates.
  • #17 Small Deformity, Big Problem: Bunions Image a Large Number of People
    https://www.bunionpain.com/blog/small-deformity-big-problem-bunions-impact-a-large-number-of-people
    Bunions are caused by a deformity, called hallux valgus, which occurs when the first joint in your big toe rotates out of alignment. This causes your big toe to lean inward, crowd your other toes, and push out on the other sidewhere the characteristic bump forms. […] In fact, research estimates that between one-third and one-half of adults will get a bunion at some point in their lives. […] For example, one study that looked at the adults aged 65 and over in a diverse Massachusetts community found that 37% had bunions at the time research was conducted. […] Women are far more likely to develop bunions than men, no matter their age. […] The American Podiatric Medical Association says that parents who suffer from poor foot mechanics can pass their problematic foot type on to their children, who in turn are prone to developing bunions.
  • #18 Bunions – OrthoInfo – American Academy of Orthopaedic Surgeons
    https://orthoinfo.aaos.org/en/diseases–conditions/bunions/
    Bunions are more common in women than men. Seventy percent of people who develop bunions have a family history, which suggests there is a large genetic component to developing bunions. […] Most bunions develop in adulthood and may be the result of repetitive micro-trauma, possibly from wearing shoes with a heel lift and narrow toe box. […] Bunions may be caused by wearing poorly fitting shoes in particular, shoes with a narrow, pointed toe box that forces the toes into an unnatural position. […] Heredity some people inherit feet that are more likely to develop bunions due to their shape and structure. […] In most cases, bunions are treatable without surgery. […] Although nonsurgical treatment cannot actually reverse a bunion, it can help reduce pain and keep the bunion from worsening. […] Your doctor may recommend surgery for a bunion or bunionette if, after a period of time, you have pain and difficulty walking despite changes in footwear and other nonsurgical treatments.
  • #19 Small Deformity, Big Problem: Bunions Image a Large Number of People
    https://www.bunionpain.com/blog/small-deformity-big-problem-bunions-impact-a-large-number-of-people
    Some people, such as those who self-identified as Black, were more likely to develop bunions than others. […] Tight, narrow, and high-heeled shoes have often been accused of being the cause of many womens bunions. […] Some medical conditions can also mean a higher likelihood of developing bunions.
  • #20 Women, Blacks at Greater Risk for Bunions | MedPage Today
    https://www.medpagetoday.com/rheumatology/arthritis/48939
    A large cohort study has confirmed several risk factors associated with hallux valgus: female sex, African-American race, older age, pes planus and knee/hip osteoarthritis (OA). […] The prevalence of hallux valgus in the total sample was high at 64%. Prevalence in race-gender subgroups was as follows: African-American men, 69%; African-American women, 70%; Caucasian men, 54%; Caucasian women, 65%. […] The authors noted that the association between hallux valgus and knee-hip OA may signify lower-extremity OA, as reported in the Clearwater Osteoarthritis Study.
  • #21 Bunions 101 | Advanced Foot & Ankle Care Specialists
    https://afcdallas.com/bunions-101/
    Bunions can be caused by one or more of the following: […] Generally speaking, people with flatter feet tend to develop bunions while people with higher arches tend not to. […] Bunions are a progressive deformity, meaning they get worse over time. […] Because they are progressive, they dont go away and usually get worse over time. […] The surgical box is much more complex. […] Because the bunion is severe, it needs to be addressed at the apex of the deformity.
  • #22 Epidemiology and impact of hallux valgus: more than just bunions
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3102914/
    HV poses a significant health problem, and associates with foot pain, poor balance, gait impairment, immobility, and risk of falling. The likelihood of 1st MTPJ osteoarthritis (OA) increases with HV severity but nodal OA and pain at the low back, hip and knee are also associated with HV, suggesting that it is a component of generalised OA. Several recent studies have examined the relationship between HV and health-related quality of life (HRQOL). Symptomatic HV appears to associate with reduced HRQOL. However, both general and foot-specific HRQOL are progressively lower with increasing severity of HV deformity, regardless of foot pain. Importantly, the association of both the presence and severity of HV with impaired HRQOL is not limited to pain and physical function but extends to general health, vitality, social function, and mental health. In summary, the impact of HV extends beyond local influence on foot OA, balance, gait and falls, to impair HRQOL. Future prospective studies are required to identify risk factors for the development and progression of HV and hence possible targets for prevention and intervention.
  • #23 Bunions and Other Health Issues | Austin Podiatrists | Austin Foot and Ankle Specialists
    https://www.austinfootandankle.com/faqs/bunions-lead-to-other-foot-problems.cfm
    Bunions are a progressive condition, meaning they tend to worsen over time without proper intervention. […] Given the potential complications that can arise from untreated bunions, it’s crucial to seek professional care from a skilled podiatrist as soon as possible. Early intervention can help slow the progression of the deformity and prevent additional foot problems from developing. […] Untreated bunions can also increase your risk of falls and injuries, especially as you age. The altered foot mechanics and potential pain can affect your balance and stability, making it more difficult to maintain proper footing on uneven surfaces. […] In the early stages of bunion development, your podiatrist may recommend various conservative treatments to help manage symptoms and slow the progression of the deformity.
  • #24 Prevalence of bunions increases with age; more common in women | ScienceDaily
    https://www.sciencedaily.com/releases/2011/02/110223092217.htm
    Bunion deformity was found in 36% of the study population and occurred more frequently in women and older individuals. […] The prevalence of bunion deformity was greater in women and increased with age. […] The study authors found that the impact of increasing hallux valgus severity on HRQOL is independent of age, sex, education, BMI, and pain in other regions.
  • #25 What to Do About Your Bunions | TIME
    https://time.com/6970347/bunions-treatment-stigma/
    More than 25% of people worldwide have bunions and the deformity, which is particularly prevalent among older people, is more likely to affect women than men. […] It’s not talked about a lot but it is an insecurity that patients have, says Dr. Dana Brems, a podiatric foot and ankle surgery specialist in Los Angeles. […] Once people have a symptomatic bunion, Phillips says, there’s a fairly high frequency of other problems involving the foot. […] Podiatrists don’t tend to operate on bunions just for cosmetic reasons, but bunion correction surgery is the go-to treatment for people who experience continuous pain and find it difficult to walk.
  • #26 Bunion Market Report 2032: Epidemiology Data, Pipeline Therapies, Latest FDA, EMA, PDMA Approvals by DelveInsight
    https://www.einpresswire.com/article/698366408/bunion-market-report-2032-epidemiology-data-pipeline-therapies-latest-fda-ema-pdma-approvals-by-delveinsight?ref=rss&code=YZavm_mRwsDMBxk3
    The Bunion market is expected to surge due to the disease’s increasing prevalence and awareness during the forecast period. […] The epidemiology section provides insights into the historical, current, and forecasted epidemiology trends in the seven major countries (7MM) from 2019 to 2032. […] The Bunion market report proffers epidemiological analysis for the study period 2019-2032 in the 7MM segmented into: Total Prevalence of Bunion, Prevalent Cases of Bunion by severity, Gender-specific Prevalence of Bunion, Diagnosed Cases of Episodic and Chronic Bunion.
  • #27 Bunion – Market Insight, Epidemiology and Market Forecast – 2030
    https://marketpublishers.com/report/life_sciences/pharmaceuticals/bunion-market-insight-epidemiology-n-market-forecast-2030.html
    This report can be delivered to the clients within 7-10 Business Days. DelveInsight’s 'Bunion – Market Insights, Epidemiology, and Market Forecast-2030′ report delivers an in-depth understanding of the Bunion, historical and forecasted epidemiology as well as the Bunion market trends in the United States, EU5 (Germany, Spain, Italy, France, and United Kingdom) and Japan. […] The Bunion epidemiology division provide insights about historical and current Bunion patient pool and forecasted trend for every seven major countries. It helps to recognize the causes of current and forecasted trends by exploring numerous studies and views of key opinion leaders. This part of the DelveInsight report also provides the diagnosed patient pool and their trends along with assumptions undertaken. […] The disease epidemiology covered in the report provides historical as well as forecasted Bunion epidemiology scenario in the 7MM covering the United States, EU5 countries (Germany, Spain, Italy, France, and the United Kingdom), and Japan from 2017 to 2030.
  • #28 Bunions: A review of management
    https://www1.racgp.org.au/ajgp/2020/november/bunions
    Bunions are a common complaint, particularly among older female patients. […] Increased prevalence is seen in women and older patients. In the Australian population, 82.3% of patients who present to their GP with bunions as their chief complaint are female, and 80.5% of patients are aged 45 years. […] The overall prevalence in the adult population is 23%. […] The natural history of bunions is generally progression of deformity over time, rather than stable symptoms or improvement. […] Referral to an orthopaedic specialist is recommended if the patient has a painful prominence, has exhausted non-operative management and is a suitable operative candidate. […] Once non-operative management has been exhausted, referral to an orthopaedic specialist is recommended. […] Delayed surgical intervention may be appropriate in cases of juvenile bunion as surgery should be avoided until the patient reaches skeletal maturity, if possible. […] The goal of surgery is pain relief, and cosmetic concerns and footwear difficulties may persist despite a successful operation.
  • #29 Bunions
    https://www.foothealthfacts.org/conditions/bunions
    Bunions are a progressive disorder. They begin with a leaning of the big toe, gradually changing the angle of the bones over the years and slowly producing the characteristic bump, which becomes increasingly prominent. […] Because bunions are progressive, they do not go away and will usually get worse over time. But not all cases are alike—some bunions progress more rapidly than others.
  • #30 Epidemiology and impact of hallux valgus: more than just bunions | Journal of Foot and Ankle Research | Full Text
    https://jfootankleres.biomedcentral.com/articles/10.1186/1757-1146-4-S1-A8
    Hallux valgus (HV) is a common deformity characterized by progressive lateral deviation of the great toe at the first metatarsophalangeal joint (1st MTPJ). A recent systematic review estimated the prevalence of HV to be 23% in adults aged 18 to 65 years. It becomes more frequent with increasing age and is more prevalent in women than men. Several potential risk factors for HV have been identified. HV poses a significant health problem, and associates with foot pain, poor balance, gait impairment, immobility, and risk of falling. The likelihood of 1st MTPJ osteoarthritis (OA) increases with HV severity but nodal OA and pain at the low back, hip and knee are also associated with HV, suggesting that it is a component of generalised OA. Several recent studies have examined the relationship between HV and health-related quality of life (HRQOL). Symptomatic HV appears to associate with reduced HRQOL. Importantly, the association of both the presence and severity of HV with impaired HRQOL is not limited to pain and physical function but extends to general health, vitality, social function, and mental health. Future prospective studies are required to identify risk factors for the development and progression of HV and hence possible targets for prevention and intervention.