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No more Bunion pain!

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    about Bunions

    What is a Bunion?

    A bunion is an enlargement of bone at the base of the big toe. It can occur on one or both feet. The big toe becomes deviated towards the second toe—this is called “Hallux Valgus.”

    The problem is progressive and can cause hammer toes and pain in the ball of the foot.

    This term describes the position of the big toe in relationship to the midline of the foot. The problem is progressive and can cause hammer toes and pain in the ball of the foot.

    about Bunions

    Causes of Bunions and Progression

    Bunions are normally inherited and get worse as we age. It’s very commonly painful, varying with shoe type and the kind of work we do. Pronation causes the foot to be unstable and contributes to bunion progression. This slowly overpowers the stabilizing force of the muscles in the arch, causing the big toe to bend and become weak. Many times calluses develop on the side of the bunion or big toe because of the deviation of the big toe.

    Bunions may worsen with tight, point-toed, or high-heeled shoes. Shoes that are too small can exacerbate the underlying cause. Women tend to develop painful bunions more than men.

    Over time the bunion can become very painful. This causes changes in the shape of the foot and alters the biomechanics, causing general foot and leg pain. If the bunion starts pushing on the second toe it causes hammer toes; that’s why early bunion treatment is necessary.

    There is a type of bunion that occurs on top of the big toe joint called hallux Limitus or hallux rigidus .The big toe is very stiff and doesn’t move. This can easily be treated or corrected.

    Our treatment

    Non-Surgical Treatments for Bunions

    If treated early in its progression, shoe changes, and possibly a custom orthotic, can help. Also, if big toe joint pain is present, an oral anti-inflammatory or topical analgesic cream should be tried. When you have pain in the big toe joint, that’s a form of capsulitis, which can be treated with a few injections of a mild steroid; this will normally help but will not stop the bunion progression.

    Check it out on FOX4

    Learn about Bunions

    As seen on FOX4 News!

    In this episode of ‘Ask the Experts’, FOX4 News is talking to Dr. Thomas Bembynista of KC Foot Care about bunions. Bunions occur for many reasons some are hereditary, and some are caused by injuries and activities shoes just aggravate the underlying problem.

    Most bunions fall into a moderate category which is easily treated on an outpatient basis. Some bunions that are severe where are the big toe and second toe overlap require more extensive correction but with a very successful result. A common problem also is a bunion most people know by the turf toe or jammed big toe normally this is more on athletic people. It’s when the big toe doesn’t bend well.

    When evaluating bunions and treatment it is important to make sure what do patient desires from treatment. There are conservative treatments that can reduce bunion pain and helped a patient with activities.

    About treatment

    Surgery for Bunions

    As seen on FOX4 News!

    If pain isn’t improved with non-surgical care then a surgical procedure is necessary. The bunionectomy is a removal of the bunion enlargement and correction of the big toe deviation with a osteotomy (cut in the bone), which is stabilized with countersunk screw fixation.

    Surgery is usually outpatient under IV sedation. This type of sedation is very safe—you are breathing on your own and it is like you are in a deep sleep; then the foot is numbed and the procedure performed. The patient is given postoperative instructions and pain medication. We normally phone out your pain medication for pickup. The patient is asked to start taking the pain medication before the numbing wears off, breaking the pain cycle.

    You should take the medication throughout the night and for the first 24 to 36 hours. When surgery is done outpatient, Dr. Bembynista will call you that night to make sure you’re doing well and to answer any questions. He also provides both his home and cell numbers to all surgical patients. You will see us back the following week at which time we will change your bandage and review range of motion exercises for the big toe joint. Sutures are normally removed within 2 weeks. Return to a regular shoe is normally within the first or second month.

    It’s important to understand that internal fixation via screws and early range of motion reduces the time of return to regular activities,work or sports.

    Before
    After

    An Austin bunionectomy is a common and effective surgical procedure used to correct mild to moderate bunions. This procedure involves a precise cut (osteotomy) of the first metatarsal bone to realign the joint and relieve the pain and deformity associated with a bunion. We typically perform this surgery under sedation in an outpatient surgical setting, meaning the patient is comfortably asleep but breathing on their own, avoiding the need for general anesthesia.

    Before surgery, we thoroughly review the patient’s foot X-rays to ensure proper surgical planning. These images allow us to evaluate the severity of the bunion and any additional contributing foot issues. The Austin procedure is chosen for patients with a specific type of deformity where the bunion angle can be corrected with a V-shaped cut and realignment secured with one or more small screws.

    Pain medications are prescribed and sent to the patient’s pharmacy prior to the surgery date. This allows the patient to have everything on hand before the procedure, ensuring a smoother recovery process. Most patients are given a mild narcotic for the first few days following surgery, in addition to anti-inflammatory medication and possibly something for nausea if needed.

    Following the procedure, we personally contact the patient the evening of surgery to check on their status, answer questions, and ensure they are doing well. This initial follow-up call is an important part of our postoperative care process and allows us to catch any early concerns before the first office visit.

    One of the unique aspects of our protocol is that patients are responsible for changing their own bandage during the early recovery period. Detailed instructions are given to ensure they are confident and safe while doing so. We typically advise gentle dressing changes beginning a few days after surgery, depending on the specific case.

    The first postoperative appointment is scheduled for two weeks after surgery. At this visit, we evaluate healing, remove any sutures if needed, and take follow-up X-rays to confirm that the bone is healing in the correct position. We also assess swelling, skin condition, and range of motion at the joint.

    Perhaps the most important part of recovery from an Austin bunionectomy is early range of motion exercises. We strongly emphasize that patients begin gently moving the big toe joint within the first week after surgery. This helps prevent stiffness and accelerates the return to normal function. The goal is to restore motion while still protecting the surgical correction.

    Most patients wear a postoperative boot and are allowed to bear weight on the heel or outer edge of the foot, depending on their individual case. Over time, as swelling decreases and healing progresses, we transition patients back into regular footwear.

    With proper surgical technique, pain management, and structured follow-up, the Austin bunionectomy offers excellent outcomes for reducing pain and improving alignment. Our comprehensive approach—combining precision surgery, close monitoring, and active patient participation—sets the stage for a successful and comfortable recovery

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    Testimonials

    5.0
    150 reviews
    Staff: 5 Punctuality: 5 Helpfullness: 5 Knowledge: 5

    I went to Dr. B for Bunion surgery- his knowledge, humor and bedside manner puts you at ease! (But watch him closely after surgery, b/c he will munch on your Graham crackers the nurses give you in recovery!) He calls you the evening after surgery to make sure all is going well and stays in contact with you until your next in person appt. He was kind and understanding as I recovered, he never rushes you and explains everything very well. I would HIGHLY recommend him for any of your foot/toe care needs! (Except pedicures, he doesn't do those...) :) And lets not forget his staff! They are all kind, helpful, and knowledgeable! Thank you ladies!

    February 8, 2022

    Staff: 5 Punctuality: 5 Helpfullness: 5 Knowledge: 5

    I am so happy to have been referred to Dr Bembynista who did surgery for me on a severe bunion and hammer toe. My friends highly recommended that I should contact him and my entire experience from the initial consultation through surgery has been the best! If you want a Podiatrist who truly CARES about his patients, there is none better!

    October 11, 2020

    Staff: 5 Punctuality: 5 Helpfullness: 5 Knowledge: 5

    Dr. Bembynista performed bunion surgery on me and it couldn’t have gone better. He puts you at ease immediately and explains the condition and treatment options thoroughly. He is concerned with your well being and comfort through the entire process, as shown by things like calling you the evening after surgery to check on your condition and comfort. The office staff is great, professional and caring. I highly recommend Dr. Bembynista.

    January 13, 2021

    Nail Fungus

    Nail Fungus

    Nail Fungus 89% successfully treated with Cold laser. Successful treatment of Nail Fungus for 10 years. Oral medication can cause liver damage.

    Learn More

    Heel Pain

    Heel Pain

    Pain in the heel when you first get up in the morning or after sitting for a period of time. Conservative care works 98% of the time.

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    Plantar Fasciitis

    Plantar Fasciitis

    Plantar fasciitis is one of the most common problem’s we see, successful conservative treatment occur’s in over 98% of the cases.

    Learn More

    3D Custom Orthotics

    3D Custom Orthotics

    Cutting edge 3-D Custom-made orthotic are used to treat heel pain, plantar fasciitis, ball of foot pain, ankle type pain and lower leg , knee pain and lower back pain by controlling abnormal foot function. Quick 7 day turn around.

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    Bunions

    Bunions

    A bunion is an enlargement of bone at the base of the big toe. It can occur on one or both feet. The big toe becomes deviated towards the second toe—this is called “Hallux Valgus.”

    Learn More

    Lapiplasty®

    Lapiplasty®

    Lapiplasty 3D bunion surgery is a recently developed type of surgery for the most severe of all bunion deformities.

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    Ingrown Toenails

    Ingrown Toenails

    Ingrown toenails are very common. They are generally heredity and can also be caused by incorrect cutting of the nail itself.

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    Hammertoes

    Hammertoes

    Hammer toes crooked and painful in shoes. Corns are on top or side of toe.

    Learn More

    Morton’s Neuroma

    Morton’s Neuroma

    Morton’s Neuroma is an enlarged nerve that usually occurs between the third and fourth toes, but a neuroma can also occur between the second and third toes.

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    Corns & Calluses

    Corns & Calluses

    Corns and calluses are thick, hardened layers of skin that develop when your skin tries to protect itself against friction and pressure. The pain you have is normally causes by a bone enlargement under the skin which is really causing the pain.

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    Tailor’s Bunion

    Tailor’s Bunion

    A Tailor’s Bunion is a painful enlargement of the bone on the outside edge of the foot, behind the small toe.

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    Regenerative Medicine

    Regenerative Medicine

    CLARIX FLO is an injectable regenerative therapy derived from human umbilical cord and amniotic membrane tissues from donated full term Cesarean birth. Commonly used to treat conditions like plantar fasciitis, osteoarthritis, and tendon injuries,

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    Pain on Top of Foot

    Pain on Top of Foot

    Pain on top or side of foot can be treated very successfully. Some causes are bone spurs and tendonitis.

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    Weak Ankles

    Weak Ankles

    Weak ankles can be treated with 3-D Custom Orthotics, stopping pain.

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    Minimally Invasive Surgery

    Minimally Invasive Surgery

    Minimally invasive surgery (MIS) allows podiatrists to treat foot and ankle conditions using tiny incisions, resulting in less pain, faster recovery, and minimal scarring. Often done in the office it saves significant cost.

    Learn More

    Locations

    Our Clinics

    Overland Park Office
    Suite 220
    (In Bank of America Building)
    Green Hills Office

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