about Tailors Bunion
What is a 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. This condition can result in redness, soreness, inflammation around the bone, and pain while wearing shoes.Tailor’s bunion is a deviation of the fifth metatarsal bone, patient with these have a condition called a splayfoot.
When trying on shoes you may find they fit with no weight on the foot you step down the shoe seems tight that is the foot splaying causing the front of the foot to widen.
Tailor’s Bunion can also result in callus tissue around the enlarged bone. Many times Tailor’s bunion is hereditary. The name of this condition comes from the tailor’s trade and their unique foot position during work. Dr. Bembynista will evaluate the bunion, review digital x-rays which we printed on paper to review and write notes on. We work with you concerning the best treatment plan.
Non-surgical treatments of Tailor’s Bunion
Conservative treatment options include shoe modification, oral anti-inflammatories, and possibly a mild steroid injection to reduce inflammation around the joint. Also we can trim any callus tissue around bunion. A cold spray is used before the injection, normally this significantly reduce any discomfort. If the pain is more on the bottom of the foot a custom-made orthotic can be used to correct the function of the foot and distributed the pressure more equally.
When conservative treatment options are unsuccessful, then one should consider surgical treatment. The determining factor for whether surgical treatment is needed is how severe the pain and deformity is. Many times, surgery requires removal of the bone enlargement and an osteotomy—a cut in the bone—which is then stabilized with a small screw.Patient’s can normally walk on there foot with a surgical shoe or camwalker with a few days.
What to expect during surgery?
This treatment is usually an outpatient procedure done under IV sedation. This type of sedation is extremely safe—you are breathing on your own and it is 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 pain medication for pick up. The patient is asked to start taking the medicine before the numbing wears off in order to break the pain cycle. You should take the medication throughout the night immediately following the surgery and for the first twenty-four to thirty-six hours afterwards.
When the procedure is done outpatient, Dr. Bembynista will call you the night of the surgery 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.
Before & After
Recently, I sought Dr. B’s advice about my severe tailor’s bunion that was causing me pain and keeping me from normal activities, such as taking walks and golfing. He took the time to carefully evaluate my situation and explain a procedure to correct it. I opted to have the surgery and have been very pleased with the results. The procedure went very smoothly, and I was careful to follow instructions for healing. I was amazed at the difference it made! I can now wear shoes that didn’t fit before, and I am easing into the activities that are important to me! Thank you, Dr. B! Cindy Shay
January 14, 2022
Went in with terrible pain on a tailors bunion thinking surgery was in my future. After a 10 minute procedure I walked out with no pain and it has stayed that way. I would recommend to anyone, very friendly.
May 8, 2019
Nail fungus has been difficult to successfully treat. Until recently the only options were topical or oral medication, each with limited benefit and potential side effects, such as liver damage.
PRP Platelet Injections
Platelet-rich plasma (PRP), is blood taken from a patient and spun in a centrifuge, concentrating the number of platelets. This plasma is re-injected into the site of injury or damage, inducing the body to repair damage.
When pain is located in the center of the heel into the arch when you first get up in the morning or after sitting for a period of time you likely have heel pain with associated 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.
Custom-made orthotic devices are used to treat heel pain, plantar fasciitis, ball of foot pain, ankle type pain and lower leg and knee pain by controlling abnormal foot function.
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.”
Lapiplasty 3D bunion surgery is a recently developed type of surgery for the most severe of all bunion deformities.
Ingrown toenails are very common. They are generally heredity and can also be caused by incorrect cutting of the nail itself.
Plantar warts which are also called Verruca occur on the sole of the foot.
Hammer toe deformities are commonly caused by bunions, flatfeet, heredity factors along with improper fitting shoes.
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.
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.
A Tailor’s Bunion is a painful enlargement of the bone on the outside edge of the foot, behind the small toe.