Corrective bunion surgery is not a one size fits all procedure. A bunion is a structural deformity – not a cosmetic one. The human foot is a complex mechanism supported by 26 bones, 33 joints, and over 100 unique muscles, tendons and ligaments.
Although a bunion looks like a localized problem, it involves the entire foot, ankle, and calf. Choosing the wrong bunion surgeon could set you up for future pain, arthritis, and a recurring bunion. Fortunately, there many high-quality bunion surgeons who can provide individualized treatment for the best possible surgical outcome. How do you find a good bunion surgeon? Consider these tips while doing your research.
If you meet with a bunion surgeon and that that doctor performs just one type of bunion surgery, you want to run away and look elsewhere! There is no such thing as “one type of bunion surgery that is best for all types of bunions. Don’t accept a “cookie-cutter” approach to your foot and ankle care.
5 Questions for a Bunion Surgeon
1. How many bunion surgeries, and what types, have you performed?
You’ll want your surgeon to have plenty of experience and expertise in various types of bunion surgery.
If your surgeon uses the same procedure for all patients, they are not going to provide you with the individualized attention your unique condition needs. Make sure your surgery will be done on an outpatient basis. Also, if you’ll need general anesthesia, or if it will be performed with a regional anesthetic.
2. How often do your patients need a revision of your work?
Bunion surgeries might fail for several reasons. The bunion may be under-or over-corrected.
A failed surgery may result in complications like delayed bone union, malunion, or nonunion, a trapped nerve, stiffness in the joint, excessive shortening of the first metatarsal or, worst of all, chronic foot pain. What’s more, the bunion deformity may return, if it was never truly corrected in the first place.
3. Will you be using hardware, like screws or plates?
Surgical hardware can give the foot more stability, greater bone fixation, and generally helps patients walk and return to their daily activities more quickly. Many older surgeons who have not been trained in new techniques will not use screws or plates to correct bunions.
4. Do you use non-metal hardware in any of your surgeries?
Thanks to new state-of-the-art surgical technologies, there are now non-metal screw replacements for bunion correction that, over time, get absorbed into the bone and actually turn into bone. Is this an available option for your minimally invasive bunion surgery?
5. Will other areas of my foot be addressed in the surgery?
Bunions arise due to structural problems that must be addressed in surgery, or the bunion will return. Make sure your surgeon takes a whole-foot approach.
Where to Start
The internet is a great resource that enables you to cast a wide net. You can learn about almost any bunion surgeon’s credentials and experience by looking them up online.
Ask your social network. You might be surprised by how many of your friends, family members, and coworkers have had foot surgery.
Call your local surgery center or hospital and ask for their foot and ankle surgeons on staff.
You could also get a recommendation from your primary care physician. Depending on your insurance coverage, you may not be able to see certain specialists without your doctor’s referral
Make sure you only seek out board-certified surgeons. A surgeon certified by the American Board of Foot and Ankle Surgery has been recognized for his or her expertise in the field. An orthopedic surgeon may be certified by the American Board of Orthopedic Surgery.
9 Factors a Bunion Surgeon Should Consider
Your bunion surgeon should be taking these factors into consideration before presenting you with a surgical plan.
How severe is your bunion?
Do bunions run in your family?
What type of shoes do you wear, and what type of work do you do?
What type of work do you do? If you work in high heels, for example, your bunion deformity might be more painful than if you wear flats with orthotics designed to straighten the angle of your big toe joint.
Have you had any success with orthotics?
What is the shape of your feet? Do you have flat feet or high arches?
Do you have any other pain or abnormalities? Severe bunions often lead to big toe arthritis, which can be addressed at the time of your surgery by a well-trained surgeon.
How loose is your first metatarsal? Bunions form when the metatarsal loosens and shifts out of alignment at its base. Your surgeon will need to stabilize any laxity to prevent the bunion from coming back.
Is your big toe joint misaligned as well? In some cases, the toe needs to be straightened for the bunion to be corrected.
Final thoughts on finding the best surgeon for bunion treatment
Don’t get discouraged by a busy practice
A busy surgeon is one who has a great reputation and is highly sought-after. To get the most qualified surgeon sometimes you must be patient with delays in their accessibility. Look up patient testimonials attesting to a surgeon’s ability to provide not only great surgical outcomes, but also create an excellent patient experience. Finding the right surgeon is well worth the wait.
Is the practice a good fit for you?
Consider whether the surgeon and their staff provide courteous and compassionate care. Do they patiently explain the procedure well enough for you to understand the treatment? Are x-ray facilities and physical therapy services available at the same location to save you time and travel during pre- and post-op care? You should feel good about working with this practice over the long run.
Research your surgeon’s reputation online
Try to ignore patient complaints about cost: a good surgical outcome is an investment in your future free of pain. Instead, focus on the surgeons whose patients are happy with their outcomes. You can also see if your surgeon has published research which is proof of his expertise in this area. Perform a search for his or her name at the National Library of Medicine in the National Institutes of Health Database.
If you can afford it, don’t be afraid to travel
Many of the best bunion surgeons live in major metropolitan areas and are happy to work with out-of-towners.
Thank you for all your care and support. After 5 years of being in pain, you finally took care of things permanently for me. I can’t tell you what a joy it is to be able to walk, or even simply pick up my kid and not be in pain. I’m forever grateful that you were my doctor…
Why choose the Bunion Institute for your bunion surgery?
If you’re experiencing bunion pain, we’re here to help. Our nationally recognized foot and ankle podiatry experts offer the most advanced bunion solutions and the highest success rates in the nation. We are leaders in the research and treatment of all bunion conditions.
To schedule a consultation, please call (855) 814-3600 (24 hours a day) or Make an appointment 24 hours a day / 7 days a week.
We are conveniently located throughout the Los Angeles area with locations in or near Santa Monica (on Wilshire Blvd.), Beverly Hills, West Los Angeles, Manhattan Beach, Northridge, Downtown Los Angeles, Westlake Village, Granada Hills, and Valencia California, to name a few.
27421 Tourney Road, Suite 200 Valencia, CA 91355, (661) 306-9290
The Bunion Institute is an affiliate of the University Foot and Ankle Institute. TO REQUEST A CONSULTATION ONLINE, Click here or Call Us at (855) 814-3600
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Proper post-op care is vital for recovery following bunion surgery. This includes keeping the foot elevated, following the surgeon's instructions for weight-bearing, wearing any prescribed splints or supports, and attending follow-up appointments for monitoring progress and addressing any concerns promptly. Consistency in care and adhering to the post-operative plan are essential for successful healing and long-term outcomes.
How to identify a reliable foot specialist?
When looking for a reliable foot specialist, consider their experience with bunion surgeries and types performed. Ensure they prioritize patient outcomes and have a record of successful procedures. Check for board certification, patient testimonials, and innovative surgical techniques for optimal results.
What anesthesia is used during toe realignment?
The type of anesthesia used during toe realignment will depend on the specific case. It can vary from general anesthesia to regional anesthesia based on individual factors and the surgeon's recommendation.
What follow-up steps are essential post-surgery?
After surgery, essential follow-up steps include regular check-ups, monitoring for any signs of infection or complications, adhering to the prescribed post-operative care plan, attending physical therapy sessions if recommended, and contacting your surgeon if any concerns or issues arise.
Who qualifies for corrective foot surgery?
Corrective foot surgery is typically recommended for individuals experiencing severe bunion deformities that cause significant pain or restrict daily activities. Such surgeries are performed by specialized surgeons after a thorough evaluation to assess the patient's specific needs and potential benefits of the procedure.
Are orthotics beneficial for bunion relief?
Orthotics can be beneficial for bunion relief by helping to straighten the angle of the big toe joint, especially when paired with proper footwear. They can reduce pain and discomfort associated with bunions by providing additional support and alignment to the foot.
How to manage pain after toe surgery?
Proper pain management after toe surgery involves following your surgeon's instructions, taking prescribed medications on schedule, applying ice packs to reduce swelling, keeping your foot elevated, wearing comfortable shoes, and avoiding activities that put stress on the surgical area.
What's the healing timeline for toe realignment?
Healing timelines for toe realignment can vary depending on the extent of the procedure, ranging from several weeks to several months for full recovery. Post-operative care, follow-up appointments, and adherence to rehabilitation guidelines all play a crucial role in the healing process.
How does physiotherapy aid bunion recovery?
Physiotherapy aids bunion recovery by focusing on strengthening the foot muscles, improving flexibility, and restoring proper foot mechanics. It also helps reduce swelling, increase range of motion, and enhance overall functional mobility.
Are there minimally invasive options available?
Yes, there are minimally invasive options available for bunion correction, such as non-metal screw replacements that are absorbed into the bone over time. These procedures offer quicker recovery and better outcomes than traditional open surgeries.
How long until walking is comfortable post-op?
The time frame for walking comfortably post-op varies by individual but typically ranges from a few weeks to a few months, depending on the extent of the surgery and individual healing process. Physical therapy and following post-operative care instructions are crucial for a successful recovery.
What footwear helps with bunion prevention?
Wearing comfortable shoes with wide toe boxes can help prevent bunions from forming and alleviate discomfort caused by existing bunions. Properly fitted shoes with arch support and cushioning can also reduce pressure on the foot, promoting overall foot health.
Does insurance typically cover corrective procedures?
Insurance typically covers corrective bunion procedures, but it's essential to check your specific policy for coverage details and any requirements like referrals. These procedures may include surgery and post-operative care, often considered medically necessary. Contact your insurance provider for more information.
When should one consider surgical correction?
Surgical correction for bunions should be considered when conservative treatments fail to provide relief, and the deformity significantly impacts daily life. Consulting with a board-certified bunion surgeon to discuss individualized treatment options and potential risks is crucial before making a decision.
What lifestyle changes can prevent recurrence?
To prevent a recurrence of bunions, you can make lifestyle changes like wearing proper footwear, utilizing orthotics, avoiding high heels, maintaining a healthy weight, and doing exercises to strengthen and stretch the feet and toes. Regularly consulting with a podiatrist can also help in managing and preventing future bunions.
Do bunions always require medical intervention?
Bunions don't always require medical intervention. In some cases, they can be managed with conservative measures like proper footwear, orthotics, and padding. However, if the bunion is causing severe pain, deformity, or difficulty walking, surgical intervention may be necessary. Consulting with a specialist can help determine the best course of action for individual cases.
What signs indicate surgical intervention is needed?
Signs that indicate surgical intervention is needed for bunions include persistent pain, difficulty wearing shoes, decreased quality of life, and inability to perform daily activities. Surgical correction may be necessary when conservative treatments fail to provide relief and the bunion continues to worsen.
Are toe spacers effective for symptom relief?
Toe spacers can be effective for symptom relief by helping to realign toes and alleviate pressure on bunions. They can promote better foot posture and reduce discomfort, especially when worn with proper footwear. Consulting a podiatrist for personalized advice is recommended.
How to differentiate a bunion from arthritis?
A bunion is a deformity at the base of the big toe, causing it to point towards the second toe. Arthritis typically affects the joint itself, leading to pain with movement. A bunion may also result in swelling, redness, and a visible bump on the side of the foot.
What exercises aid in post-surgery recovery?
To aid in post-surgery recovery, gentle exercises such as ankle pumps, toe scrunches, and calf stretches can help improve circulation and promote healing. It is essential to follow your surgeon's guidelines and gradually increase activity levels to ensure a successful recovery.
How soon can daily activities be resumed?
Patients can often return to daily activities relatively quickly after bunion surgery thanks to surgical hardware providing stability and better bone fixation, allowing for a faster recovery process.
What's the average downtime after toe surgery?
The average downtime after toe surgery can vary depending on the type of procedure performed and individual healing rates. In general, patients may experience some discomfort, swelling, and limited mobility immediately after surgery, with most returning to normal activities within a few weeks to a few months.
Can dietary changes impact bunion formation?
Dietary changes can impact bunion formation by promoting overall foot health through weight management. A balanced diet rich in anti-inflammatory foods may reduce inflammation that could exacerbate bunion discomfort and potentially slow progression. Adequate hydration can support joint health and flexibility, possibly affecting bunion development.
When is walking without support possible post-op?
Patients can typically resume walking without support post-op once the surgeon clears them, usually after a few weeks. It's crucial to follow the post-operative instructions provided by the surgeon for a successful recovery.
How to prevent complications after foot surgery?
To prevent complications after foot surgery, follow post-operative care instructions diligently, attend follow-up appointments, keep the foot elevated, avoid putting weight on the foot as directed, and report any unusual symptoms promptly to your surgeon.
Is it necessary to wear a post-op boot?
Wearing a post-op boot is often necessary after bunion surgery to protect the foot, promote healing, and provide support. It can help reduce swelling, prevent further injury, and enhance the recovery process. Your surgeon will advise you on the specific post-operative care plan tailored to your needs and the type of surgery performed.
Can children undergo corrective foot procedures?
Children can undergo corrective foot procedures depending on the specific condition and recommendation of a qualified healthcare provider. It is essential to consult with a specialist in pediatric foot care to determine the most appropriate treatment plan for any foot-related issues in children.
Are there genetic predispositions to bunions?
Bunions can have a genetic predisposition. Certain foot structures or shapes that run in families can increase the likelihood of developing bunions. Regular evaluation and preventive measures can help manage this risk.
What are common misconceptions about treatment?
Common misconceptions about bunion treatment include thinking surgery is the only option, assuming all surgeries are the same, overlooking the importance of post-operative care, and believing that a bunion will never return after surgery. It's crucial to consult with a specialized surgeon to address these myths effectively.
How does weight influence bunion development?
Excess weight can put additional pressure on the feet, contributing to bunion development. The increased stress can exacerbate the deformity, leading to pain and discomfort. Maintaining a healthy weight can help reduce the risk of developing bunions and alleviate symptoms for those already affected.
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