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Appointments and Consultations

To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital.

Coronavirus Information

Stay at Home

  • Only go outside for food, health reasons or work (but only if you cannot work from home)
  • If you go out, stay 2 metres (6ft) away from other people at all times
  • Wash your hands as soon as you get home

Do not meet others, even friends or family. You can spread the virus even if you don’t have symptoms.

What To Do If You Need Medical Help

If you need medical help for any reason, do not go to places like a GP surgery, pharmacy or hospital.

If you have symptoms of coronavirus (high temperature or a new, continuous cough), use the 111 coronavirus service.

If you need help or advice not related to coronavirus:

  • for health information and advice, use the NHS website or your GP surgery website
  • for urgent medical help, use the NHS 111 online service – only call 111 if you're unable to get help online
  • for life-threatening emergencies, call 999 for an ambulance

The big toe deformity Hallux valgus is commonly called "a bunion".

More Information

A bony lump appears on the inside of the foot, and the toe tilts towards the smaller toes. As the toe leans out of place, the bony bump of the "knuckle-bone" of the big toe becomes exposed and sometimes has a soft fluid swelling.

Some of the causes of bunions are not preventable. These include the way your bones have developed, the laxity of your ligaments, the spasticity of your muscles and the genes you have inherited. Tight fitting shoes can also contribute towards the formation of bunions.

Just because you have bunions does not mean your children will have them, but they do tend to run in the family. Bunions are commoner in people with unusually flexible joints, and that may be the heredity connection. Women also seem to have more instances than men.

Shoes? - Cultures who don't tend to wear shoes still have instances of bunions, but not as many. Squeezing your toes into poorly fitting shoes may worsen the deformity, particularly in higher-risk groups.

Wide well-fitting shoes together with a pad for the bony protrusion are generally sufficient for most people. Avoid high-heals as they tend to push the foot forward towards the toes.

An operation involves correcting the deformity of the big toe resulting in a narrowing of the foot towards a better shape, but this will not deliver an entirely regular foot.

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