A Bunionette is an enlargement of the bone on the outside edge of the foot, near the small toe. This condition can result in redness, soreness, inflammation around the bone, and pain while wearing shoes. Sometimes, Bunionettes can also result in calluses around the problem area. Many times, this particular ailment is hereditary. Dr. Bembynista will evaluate the bunion, review digital x-rays, and work with you concerning the best treatment plan.
Conservative treatment options include shoe modification, oral anti-inflammatories, and possibly an inflammation-reducing steroid injection.
If conservative treatment options are not successful in relieving the symptoms, then one should consider surgery. The determining factor for whether surgical treatment is needed is how severe the deformity is. Surgery often requires removal of the bone enlargement and an osteotomy—a cut in the bone—which is then stabilized with a small screw.
This treatment performed outpatient and under IV sedation. This type of sedation is extremely safe and has the effect of being more like a deep sleep. The foot is numbed locally as well, and Dr. Bembynista performs the procedure. After the surgery, the patient is given postoperative instructions, as well as pain medication. We normally phone out your medicine for pick up. The patient is asked to start taking the medication immediately after surgery, in order to break the pain cycle. You should take it throughout the night after the surgery and for the first twenty-four to thirty-six hours, post-surgery. When the procedure is done outpatient, Dr. Bembynista will call you the night of the procedure to make sure you’re doing well and also to answer any questions you may have. He provides his cell number to all surgical patients. We will see you the following week, at which time we will change your bandage and review activities. Sutures are normally removed within two weeks, and return to a regular shoe occurs normally within the first or second month of recovery.
It is important to note that internal fixation with screws and early range of motion post-surgery reduces the time of return to regular activities, work, and sports.