Declaring War on Bunions - Part II
At Dallas Podiatry Works, we often observe what a painful and aggravating condition bunions can be. Fortunately, there is help! Early conservative intervention includes:
- Padding to reduce pressure
- Change of footwear
- Customized orthotics
- Modification of activities
If this does not resolve the pain, surgery may be necessary. There are several procedures that can be done, depending on the severity of the deformity and the desired outcome and Dr. Brook and/or Dr. Northcutt will discuss options with you.
Most bunion surgery is done at the big toe joint. The bony protrusion is removed and the toe is realigned. This surgery often allows you to walk that day, although you must remain at rest for about a week, with your foot elevated. If your job requires a lot of walking or standing, you may have to plan on a 4-6 weeks of recovery time. Otherwise you could return to work in about a week. Healing time depends on the patient and their circumstances as well as the combination of procedures performed. Your doctor will advise you when you can return to work. If the severity of your bunion is extreme, the surgery performed may be more complex. This requires a longer healing time because the foot may be more unstable. More often than not, this surgery would require the patient to be non-weight bearing with the use of crutches or a knee walker.
The success rate of bunion surgery is high and patients are usually quite satisfied. Providing the patient with enough information as what to expect before surgery is critical. Pain is usually minimal, and can easily be controlled with prescribed medication. In our practice we often use an OnQ Painbuster, a pain pump using local anesthetic, which can make this almost pain-free. Due to the nature of this surgery, it is often done as outpatient under a local or combined anesthetic. If you have bunions on both feet, your doctor may prefer to correct one foot at a time, waiting a number of weeks between surgeries.
Post-surgical complications could arise, but can usually be avoided by carefully following the doctor’s orders. Possible areas of concern are:
- Over correction/under correction of the deformity
- Bone not healing
- Bone healing in wrong position
Drs. Brook and Northcutt are experts at bunion surgery. Call (972) 566-7474 Dallas, or (972) 943-3323 Baylor/Plano or fill out our online contact form for help and further information. After an examination of your feet and test results, they can discuss with you the most viable treatment options. Remember, your feet don’t have to hurt!
If you have a success story with having a bunion surgery performed, we’d love to hear your story!
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