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Diplomate, American Board of Podiatric Surgery

Diplomate, American Board of Podiatric Surgery

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Bunion Treatment

A bunion is an enlargement of the bone at the base of the big toe, and it can occur on both feet. The problem is progressive and can get worse the longer treatment is avoided. This condition normally gets worse with age, and it is commonly very painful.

A bunion is an enlargement of the bone at the base of the big toe, and it can occur on both feet. The problem is progressive and can get worse the longer treatment is avoided. This condition normally gets worse with age, and it is commonly very painful.

Bunions can be made worse depending on the type of shoe worn on the foot. Extremely narrow shoes can exacerbate the problem. In addition pointed heel shoes and high heels can also make bunions worse.

If treated early, bunions can usually be dealt with without surgery. This is usually done with possibly a custom orthotic which are shoe inserts. In addition, oral anti-inflammatory or topical cream can treat the pain and swelling around bunions. The pain can also be treated with injections at the joint site.Pain can occur on the outside of the foot which is a tailor’s bunion.

If pain is not improved through non-surgical means, then surgery is necessary. A Bunionectomy is a procedure to removal of the bony enlargement bump and a correction of the big toe deviation through a cut in the bone, which is stabilized with a screw.There are video’s showing common bunion surgeries.As bunions develop they also cause secondly problems like hammertoes, pain in tendons around the foot and ankle,bunionette, pain between toes on the ball of the foot.The pressure with narrow shoes cause the joint to develop a fluid-filled sac around the bunion which can cause the symptoms to get worse. Bunion pain can be caused by arthritis in the joint and from rheumatoid arthritis.

A bunion is an enlargement of the bone at the base of the big toe, and it can occur on both feet. The problem is progressive and can get worse the longer treatment is avoided. This condition normally gets worse with age, and it is commonly very painful.

Bunions can be made worse depending on the type of shoe worn on the foot. Extremely tight fitting shoes can exacerbate the problem. In addition pointed heel shoes and high heels can also make bunions worse.

If treated early, bunions can usually be dealt with without surgery. This is usually done with possibly a custom orthotic in the shoe. In addition, oral anti-inflammatory or topical cream can treat the joint pain associated with bunions. The pain can also be treated with injections at the joint site.

If pain is not improved through non-surgical means, then surgery is necessary. A bunionectomy is a removal of the bunion enlargement and a correction of the big toe deviation through a cut in the bone, which is stabilized with an implanted screw.

What is the evaluation process for bunion surgery ?

When a patient comes into the office with a severe bunion deformity i physically examine the patient and make the diagnosis, At that time we make a drawing on the patient’s foot explaining the anatomy to them of the internal structure of the foot and the angle that has caused this severe bunion deformity between the first and second metatarsal. We then take an x-ray, we use digital x-rays and can print these on a piece of paper we review the procedure and write down questions a patient may have. We use also and instructional video that is animated explaining the procedures, so the patient thoroughly understands the procedure. Most severe bunion deformities are hereditary with foot and ankle problem contributing to the problem. They generally occur on both feet with one worse. When surgery is indicated, and we have thoroughly reviewed the procedure and post-surgical care. The surgery is set up through my office we work with your insurance for pre-certification. The surgery is done on an outpatient basis under a Twilight type sleep which is a form of sedation. You are breathing on your own, so it is not a general anesthetic. The foot is numbed when you’re sedated so you do not feel the injection. The procedure is performed it takes approximately one hour. X-rays are taken before and after to show the correction and a copy is given to you. Most patients must stay off their foot with no weight bearing for a few weeks so using crutches or a small scooter is beneficial the patient should elevate the foot and put ice on the ankle to ease the any pain and swelling. The patient is given appropriate pain medication and any anti-nausea medication if the patient has had a problem in the past. I will call the patient that evening to make sure they’re doing well to review any instructions or questions with them. Thus, they will have my cell number so that if there are any questions or problems, they can contact me directly. Patients are recommended the stay off their foot an elevated to relieve swelling and inflammation. A patient will normally change their bandage a few days later. The sutures which are within the skin need to be removed within 10 to 14 days this type caused minimal scarring when removed.

The patient is seen within 10 to 14 days after surgery the patient is then given a Cam Walker to slowly start bearing some weight bearing on the foot. This process is slow, but you can slowly increase activities at this point. After surgery Orthotics which are custom-made arch supports are sometimes necessary for support of the arch along with making sure you have early range of motion of the joint so it does not become stiff, I will review this with you and if necessary will use physical therapy. If you have this particular problem, look forward to seeing you in the office to review treatment options. We have office’s in Overland Park and North Kansas City off Barry Road.

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