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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:


If you have symptoms of coronavirus infection (COVID-19), however mild, do not leave your home for 7 days from when your symptoms started. The symptoms are:

  • new continuous cough and/or
  • high temperature

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days, contact NHS 111 online. If you have no internet access, call NHS 111. For a medical emergency dial 999. You can find the latest information and advice at www.gov.uk/coronavirus.


  • wash your hands with soap and water often – alcohol gel is effective against respiratory viruses
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately
  • try to avoid close contact with people who are unwell


  • touch your eyes, nose or mouth if your hands are not clean

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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