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.
