Get Back On Your Feet

Bunions are a common foot condition that can cause significant pain and discomfort. Bunions are characterized by a bony bump that forms on the side of the big toe, which can cause the toe to turn inward. The bony growth can lead to pain, inflammation, and even difficulty walking. There are several ways to alleviate bunion pain, including wearing comfortable shoes, using orthotics, and taking over-the-counter (OTC) pain medications. However, bunion surgery may be the only option in some cases to effectively straighten out the affected toe and alleviate pain.

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What causes bunions?

Genetics, arthritis, trauma, age, and foot mechanics are common causes of bunions. Wearing shoes that are too tight or have high heels can put pressure on the big toe joint, causing the joint to become misaligned and form a bunion. Conditions such as rheumatoid arthritis (RA) can also damage the joints in the feet, leading to bunions. As people age, the feet naturally lose some cushioning and flexibility, making feet more susceptible to bunions.

Conservative treatment options

Wearing comfortable shoes with a wide toe box and low heels can alleviate pressure on the bunion and reduce pain. Custom-made shoe inserts, called orthotics, can help redistribute weight and correct foot mechanics, which can help slow the progression of the bunion. Placing pads over the bunion can help reduce pressure and pain while taping can keep the toe in a proper position. Exercise can help stretch and strengthen the foot’s muscles and tendons. Over-the-counter pain medications can also help reduce pain and inflammation.

What is a bunionectomy?

The most common type of bunion surgery is called a bunionectomy. The procedure involves removing the bony bump and realigning the bones in the toe. The surgery can be done either through traditional open surgery or with a minimally invasive technique called a laparoscopic bunionectomy. Minimally invasive surgery uses smaller incisions, has a faster recovery time, and results in less pain than traditional surgery.

Healing time

Recovery from bunion surgery can take several weeks. After surgery, physical therapy (PT) may be recommended to help strengthen the muscles and ligaments in the foot. Surgeons will also recommend patients wear comfortable, supportive shoes and use orthotics to help keep the toe properly aligned.

Is surgery a permanent solution?

Patients should note that bunion surgery is not always a guaranteed fix. Sometimes, bunions can return even after surgery, especially if the patient does not take the proper precautions to protect the foot and maintain proper alignment. However, for many people, bunion surgery can be a highly effective solution to a painful and debilitating condition.