Sports Podiatry Podiatric Medicine and Surgery

Posts for: February, 2016

By Dr. Kenneth Meisler
February 04, 2016
Category: Foot Care
Tags: Bunion Surgery  

Find out more about bunion surgery and whether it’s the right option for your feet.

Bunions are a common disorder that affects the joint at the base toe, causing it to stick out. A bunion can continue to grow slowly over bunion surgerytime until you start to notice pain or discomfort when wearing your normal shoes. While bunion symptoms can often be managed with more conservative care, if nonsurgical treatment options have been exhausted and you aren’t finding the relief you need, then it may be time to talk to your podiatrist in New York City about bunion surgery. Reasons for considering bunion surgery include:

  • Severe foot pain that prevents you from going about your daily activities. You may even find walking to be a painful challenge.
  • Persistent swelling and inflammation of the big toe that icing and medications don’t treat.
  • Having a toe deformity in which the big toe is leaning on the other toes.
  • Toe stiffness that makes it impossible to move the toe.
  • Not experiencing any pain relief from over-the-counter NSAIDS like ibuprofen or even prescription-strength pain relievers.

Remember that bunion surgery is not just designed for cosmetic reasons and its main purpose is to correct as much of the foot deformity as possible while also optimizing the amount of pain relief you experience.

Bunion Surgery

Nobody’s feet are the same. When you come in for a consultation, we can examine your feet and determine the root cause of your bunion and how to correct it. Surgery’s main goal is to realign the joint to provide as much pain relief as possible. Common types of bunion surgeries include:

  • Big Toe Tendon/Ligament Repair: Shortening loose tissue and lengthening tight tissue can improve the foot imbalance that causes the big toe to lean against the other toes
  • Arthrodesis: Removing parts of the damaged joint and placing wires or screws to hold the joint together until it heals (ideal for those with severe arthritis or a severe bunion)
  • Osteotomy: Cutting and realigning the joint
  • Resection Arthroplasty: Removing a damaged part of the joint (often used in older patients or those with arthritis)

Are you dealing with persistent or severe pain related to your bunions? Then it’s time you called our New York City podiatry office to schedule a consultation with us. 

Foot surgery is the final remedy for many different kinds of pain in the foot and ankle caused by bunions, hammertoes, and arthritis, just to name a few. Though these problems can cause severe pain in some patients, relief can often be found through alternative treatments. It is only in extreme cases--when these alternative treatments aren't  effective--that there is a need for foot surgery.  Your podiatrist will work with you to determine the best treatment option for your ailments.

Bunion Surgery

Bunion surgeries fall into two major categories:

  • Head procedures that treat the big toe joint
  • Base procedures concentrate on the bone near or behind the big toe joint. 

Most bunion surgeries are performed on an outpatient basis at a surgical center or hospital. It is important to set aside an entire day for your surgery, even though you may be in the facility for only half a day. Bunion surgery is usually performed with a local anesthetic that can be combined with a sedation medication to put you into a “twilight” sleep so that you are fully relaxed for the procedure.  

After surgery, patients are often given a long-acting anesthetic and pain medication, which is why someone else must drive you home. The type of procedure you have will determine the degree to which you can put weight on the foot immediately after the surgery. Some patients may have to use crutches, while others may be sent home wearing a surgical shoe.  

During the first week after surgery, you will need to keep your foot elevated as much as possible. Ice packs should also be applied for the first three to four days to reduce swelling. Limited walking is often required over the first two weeks to promote healing. Your podiatrist may also instruct you on some basic exercises that need to be performed daily.

Ankle Surgery

Ankle surgery may be required to correct a serious deformity of the ankle and its bone structure. Injury, birth defects, or changes throughout the course of life are the usual culprits. Disease, such as diabetes, rheumatoid arthritis, and neuromuscular conditions, may cause severe foot and ankle deformities that, over time, cause pain and difficulty walking. Surgeries of the ankle emphasize the realignment of the structure either around or after removal of the deformity.

Various kinds of internal and external fixation devices are often required to maintain the appropriate alignment during, and beyond the healing process. Varying in complexity and severity, many ankle surgeries are conducted on a same-day, outpatient basis.  Patients need to arrange for another person to take them home after surgery and to stay with them for the first 24 hours following the surgery. Post-operative instructions provided by your podiatrist will give you the information needed to care for your recovering ankle following surgery.  

When foot problems occur, your feet deserve your full attention and the care of your podiatrist. Foot surgery can often be avoided with conservative treatments, but if your foot pain is excessive foot surgery may be the best solution. Contact your podiatrist in today for further consultation and treatment of your foot ailments.