@RMJacobs The podiatrist is doing laser therapy on my bunions to reduce swelling plus a topical anti-inflammatory which is really helpful. He suggested to try the topical vs oral since its a very specific area of pain and to avoid damaging my stomach long term.
The laser therapy is not a cure but just to reduce swelling/pain. After a treatment he tapes up my feet with a pad in my instep to help keep big toe aligned correctly. The taping and pad are similar to what the orthotic will do once I am fitted for them. I notice a difference after treatment, there is still pain but its not as sharp and does not come on as quickly, though I think it is as much the tape and pad keeping things straight as much as the laser.
I have only had 2 treatments so I really can’t say if this is a good solution long term, I’m thinking its effectiveness will lessen as I age. Hoping that once I have the orthotics and am using them regularly, it will at least slow things down so I won’t have to have surgery too soon. From what I’ve been told, surgery is the only thing that will really “fix” it.
I also highly recommend making sure you are wearing properly fitted shoes/boots that support your feet! Before the sprain I would just wear whatever was comfortable (off the farm, on the farm I always wear good supporting footwear). For example my “non-farm winter boots” were these down filled things I got on clearance, they looked ridiculous but were so warm and comfy! No support whatsoever, my feet would slide around in them, which wasn’t a problem until the sprain, I wore them for 4 winters. The first snowfall this year was enough for me to go buy new boots immediately, my feet were in so much pain just from walking 3 blocks to work!