Bunions are one of the most common complaints that foot and ankle specialists confront on a daily basis. Patients often express foot discomfort when wearing normal close-toed shoe gear. The gradual mal-alignment of the toes and subsequent widening for the forefoot is due to a muscular imbalance during normal walking. The foot attempts to compensate for the muscular imbalance by altering the alignment of the bones of the forefoot in order to provide the most stable position possible. In turn the resulting position of the foot is far more unstable and uncomfortable
In early stages of the deformity the best treatment is conservative. The conservative treatment is most often over the counter or even custom fitted orthotics. Toe splints have also been prescribed to slow the progression of the deformity. Although these conservative remedies do aide in the quality and function ability of daily walking, they do not prevent the evolution of the foot problem. In more advanced stages of the bunion, in which the foot is unable to fit in normal shoe gear or pain is consistent and preventing normal daily activities; surgery is commonly required.
Bunion surgery is an extremely common procedure preformed by podiatric physicians. The surgery often entails a small incision on the top of the joint behind the big toe where the bones are reoriented into the proper position and fixed in that place with screws. The screws stay inside the foot and patients rarely have any problems with them. The post-operative course is often partial weight-bearing to operative foot with a post-operative shoe for two weeks. During this time the dressings are kept in place and remain clean and dry until visitation to the podiatric surgeon for inspection, after which the patients progress to more activity and transition into normal shoes.
If you have any further questions about bunion surgery please visit Dr. Schorr or Dr. Feder at Palm Beach Podiatry in Boynton Beach or Wellington.