A 2016 TOP DOC
Dr. Maria Jacobs leads the Radiation Oncology team at Mercy Medical Center bringing passion, enthusiasm and a heart for caring to her patients.
Mercy’s team of breast surgeons and breast cancer specialists in Baltimore help women determine the best breast cancer treatment options available to them.
The surgeons of The Center for Minimally Invasive Surgery at Mercy treat a variety of conditions including gallbladder disease, gallstones, hernia, colon cancer and GERD.
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Mercy Medical Center's downtown campus includes our Main Hospital - The Mary Catherine Bunting Center, McAuley Plaza and The Weinberg Center.
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The surgeons at The Institute for Foot and Ankle Reconstruction at Mercy in Baltimore specialize in the diagnosis and treatment of big toe deformities, such as hallux varus.
Hallux varus occurs when the big toe angles AWAY from the second toe. This can cause the big toe to rub against the inside of shoes which makes finding comfortable shoes very difficult. In minor cases hallux varus can be accommodated by finding wider shoes and by padding the big toe. However, more severe cases can be disabling.
By far the most common cause of hallux varus is failed bunion surgery. A bunion is the opposite problem where the big toe angles TOWARD the second toe. When bunion correction surgery is performed over aggressively, hallux varus occurs. The reasons for having hallux varus are:
The main difficulty with hallux varus is shoe wear. Because of the abnormal position of the big toe, it can be nearly impossible to wear closed shoes in severe cases. These patients often can only wear open toed foot wear which may not be compatible with work, recreation, or colder weather. Problems that patients with hallux varus can experience include:
Hallux varus is usually obvious just by visual inspection of the foot. Standing X-rays of the foot can confirm the deformity and the severity of the angulation can be measured. X-rays can also look for problems that may have occurred from the previous surgery as well as for arthritis of the big toe joint. Physical examination by the orthopedic foot specialist will look specifically for how easily the deformity can be corrected and if there is any stiffness in the toe joint present.
Conservative Treatment of hallux varus includes:
If conservative treatment fails and the hallux varus deformity is significantly affecting the patient’s work or recreation, surgical correction may be necessary. Surgery for hallux varus falls into two main categories, reconstruction or fusion:
The top rated team of doctors and surgeons at The Institute for Foot and Ankle Reconstruction at Mercy Medical Center in Baltimore, Maryland, is recognized as one of the region’s best programs for foot and ankle reconstruction and injury. Our surgeons offer pioneering surgical care and innovative, one-of-a-kind treatment for foot and ankle conditions, including osteoarthritis, sprained ankle, ankle arthritis, Achilles tendinitis, flat feet, heel pain, foot and ankle trauma, nerve problems and problems of the big toe. Mercy Medical Center is proud to have been named a Best National Hospital in Orthopedics by U.S. News & World Report.
The Institute for Foot and Ankle Reconstruction is part of The Orthopedic Specialty Hospital at Mercy Medical Center.
Dr. Rebecca Cerrato, a Board Certified orthopedic surgeon at The Institute for Foot and Ankle Reconstruction at Mercy, is highly regarded for her expertise in foot and ankle disorders.
Remember the acronym RICE when you sprain your ankle: rest, ice, compression, elevation. When pain persists after a day, see a doctor.