The Foot and Ankle Specialists at the Bunion Institute always try to avoid surgery whenever possible. Now why in the world would surgeons try to avoid doing surgery when that is their business?
The answer is simple, surgery is never something to take lightly. No matter how safe surgery is, no matter that we have an over 95% success rate, there are always risks involved. And if you truly do not need to take those risks, you simply shouldn’t.
Is surgery the only way to “fix” a bunion?
Technically, yes, though not all bunions require surgery! But if your bunion hurts or makes it difficult for you to walk, work, or wear shoes, you should make an appointment with us to explore treatment options.
Fortunately, bunions can often be addressed without surgery as long as they are treated early. A bunion is a slowly progressive condition – if ignored, the pain and deformity will only grow more severe over time.
Conservative non-surgical treatments can hamper a bunion’s progress considerably. There is a chance that your bunion may never need surgery,
How many different kinds of bunion surgery options are there? A lot!
Believe it or not, there are at least 44 different types of bunion surgeries that have been performed over the years, but today there are only a few that are proven, over time, to be truly effective.
Three of today’s most successful bunion correction procedures are:
Who it’s for: Patients with mild to moderate bunions and good to excellent bone quality
Minimally Invasive Bunionectomy, the after picture was taken six weeks post-surgery.
The downside to most minimally invasive (MIS) bunionectomies is the limited fixation options. Poor fixation can lead to malunion of the bone alignment, creating complications, and bunion recurrence.
That is why our foot and ankle surgeons have advanced the types of minimally invasive bunion surgeries and helped develop many of the techniques currently used across the world. Our advancements offer patients unparalleled success due to their advanced stabilization, quick recovery, immediate weight-bearing, and virtually no post-op pain or scarring.
In place of a weak small pin used in most minimally invasive procedures, our Bunionplasty technique uses stabilizing screws that are placed through micro-incisions. This results in quicker recovery times, reduced scarring, and less pain.
Who it’s for: For patients with a mild bunion and poorer bone quality or moderate bunion deformities.
Osteotomy bunionectomy performed with hammertoe correction. After picture was taken 8 weeks post-surgery.
The Chevron Osteotomy has been one of the most commonly performed bunionectomies over the years. How it works is a bone-cut is made on the head of the first metatarsal, just behind the big toe joint. This chevron or “V-shaped cut” allows the surgeon to laterally shift the first metatarsal toward the second metatarsal bone. Two screws hold the bones together in their newly corrected position.
New advances in fixation technology using the OSSIOfiber® Intelligent Bone Regeneration Technology (which University Foot and Ankle Institute helped develop) allows us to use non-metal screws that actually are integrated into, and eventually become bone. This not only removes metal crews from being a problem for our patients in the future and makes their bunion correction even more secure.
We helped revolutionized the traditional chevron osteotomy procedure resulting in less pain, no cast, and a faster recovery. It allows for immediate weight-bearing and most patients are in regular shoes within 4 to 6 weeks. Additionally, the incision is made on the side of the foot to avoid a large visible scar on the top of the foot.
Who it’s for: For patients with serious to severe bunion deformities but also those with poorer bone quality.
Lapidus bunionectomy and osteotomy tailor’s bunionectomy, after image was taken 3 months post-surgery.
Lapiplasty 3D bunion correction is widely regarded as the “gold standard” of bunion surgery. We took what many considered to be the perfect bunion surgery (the Lapidus Bunionectomy) and made it even better. From start to finish, we have thought of every step to make the procedure simple, pain-free, and as easy and rapid a recovery as possible.
We also often infuse the patient’s own stem and amniotic cells from their bone marrow during surgery. Our process performs a very stable fixation by correcting the deformity at the source. Our patients have a speedy recovery, less downtime, immediate or early weight-bearing, and reduced scarring.
We have a 99% fusion rate, significantly higher than the traditional Lapidus procedure, which is 95%. By correcting the deformity at the source there’s virtually no risk of bunion returning.
When you choose a bunion surgeon with extensive experience in the latest bunion correction techniques, your surgery and recovery can be virtually pain-free. Really.
Post-surgical pain results from movement and swelling. When we control these factors, we control our patient’s pain. Some of the ways we accomplish this include:
Taking great care of the tissue with surgical precision. Never “hacking away” at the tissue. This takes years of training and effort to perform a great dissection.
A stable fixation to immobilize the bones. Hypermobility in the bones is one of the main causes of swelling and pain after surgery. Through the use of fixation technology, the bone is held properly in the area of correction resulting in less improper movement, less swelling, and ultimately less pain medicine.
By using a proprietary long-acting local anesthesia cocktail. The longer a person is numb, the better the chance for them to get in bed, relax and heal.Our time-tested post-surgical anti-inflammation protocols require no need for major narcotics. In our hands, patients will rarely take more than one or two pain pills after surgery.
Fitting our patients with a stability boot to immobilize the foot. By holding the foot stable, there is less movement, resulting in less swelling and less pain.
The very best bunion surgeons never rely on painkillers to keep their patients comfortable. Narcotics cause constipation and can be addictive. Unless surgery is extensive, our patients rarely take over two pain pills after surgery and then need nothing more than Tylenol and an anti-inflammatory in recovery.
Have some bunion surgery procedures outlived their usefulness?
Yes, absolutely!
As time, technology, and research advance, we feel that certain types of bunion surgeries should no longer be performed. There are various reasons for each one, but they all have been replaced by far better procedures that all have greatly improved long-term results. Read more about deprecated bunion surgery techniques.
Why choose the Bunion Institute for your bunion care?
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. Our doctors of Podiatric medicine (DPMs for short) have years of experience and are leaders in the research and treatment of all bunion conditions.
To schedule a consultation, please call (855) 814-3600 24 hours a day / 7 days a week.
We are conveniently located through 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.
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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Frequently Asked Questions
What improves bunion surgery outcomes?
Utilizing fixation technology in bunion surgery helps stabilize the bone for better outcomes. Minimizing improper movement and swelling results in reduced pain, faster recovery, and less need for pain medication. Advanced techniques ensure superior fusion rates and long-term results.
Are newer techniques more successful?
Newer bunion surgery techniques have proven to be more successful, offering advancements in stabilization, quicker recovery, immediate weight-bearing, reduced scarring, and virtually no post-op pain. Through innovations like MIS procedures and non-metal screws, successful outcomes have increased.
How long until normal activity resumes?
Recovery times vary per individual but many patients resume normal activities within a few weeks after bunion surgery. Consult with your healthcare provider for personalized guidance. Listen to your body and follow post-op instructions for optimal healing.
Any alternative treatments to surgery?
If you're seeking alternative bunion treatments without surgery, schedule a consultation with us to explore options. Treatment may include non-surgical methods such as orthotics, padding, activity modification, or physical therapy. Find relief and discuss your needs with our team.
What complications could arise post-surgery?
Complications post-bunion surgery may include malunion of bone alignment, leading to bunion recurrence, poor fixation issues, and potential risks related to traditional procedures. Our advanced techniques, using stabilizing screws and innovative fixation technology, minimize these risks for a smoother recovery and improved outcomes.
Are surgeries covered by insurance?
Surgery coverage varies by insurance plan; check your specifics for details. Generally, insurance may cover bunion surgery if deemed medically necessary by a healthcare professional and meets the plan's criteria. Contact your insurance provider for precise information on coverage.
Is corrective footwear effective postoperatively?
Corrective footwear can be effective postoperatively by providing support and alignment for the foot during the healing process. It aids in maintaining proper foot positioning and reducing strain, contributing to a successful recovery after bunion surgery.
How to select a surgeon?
To select a surgeon, consider their experience, success rates, and patient reviews. Ensure they use advanced techniques, provide pain management, and offer personalized care. Look for board certification, specialization in your condition, and clear communication throughout the process.
Are there nonsurgical bunion treatments?
Yes, there are nonsurgical bunion treatments available, including conservative options to help manage bunion pain and slow the progression of the deformity. It is essential to consult with a specialist to explore these treatment options before considering surgery.
Can surgery correct foot alignment?
Surgery can correct foot alignment, improving function and reducing pain. Many different types of surgeries exist, with advanced procedures offering fast recovery times and minimal scarring. It is essential to consult with a specialist to find the most suitable surgical option for individual needs.
What postoperative care is required?
Postoperative care includes follow-up visits, adherence to prescribed medications, and following activity restrictions. Monitoring for signs of infection and proper wound care are essential. It's crucial to elevate the foot, apply ice, and avoid putting weight on the foot as directed by your surgeon.
How to manage post-surgical pain?
To manage post-surgical pain effectively, rest and follow prescribed pain medication. Utilize ice packs to reduce swelling and discomfort. Elevate the operated area and stay hydrated. Engage in gentle movements recommended by your healthcare provider, and maintain proper wound care to aid healing.
Are surgical results permanent?
Surgical results are permanent and show significant improvement in pain and deformity over time.
Can surgery prevent bunion recurrence?
Although surgery can correct the initial bunion, proper post-operative care, including wearing supportive footwear and custom orthotics, helps prevent bunion recurrence. Regular foot exams and addressing any underlying issues can also reduce the likelihood of bunion return.
What to expect during recovery?
Recovery from bunion surgery typically involves minimal pain, quick healing, and immediate or early weight-bearing. Advanced stabilization techniques, non-metal screws, and minimal incisions contribute to reduced scarring and swelling. Most patients only require minimal pain medication post-operatively and benefit from a faster, less painful recovery process.
How soon can driving resume?
Following bunion surgery, you may resume driving once you are no longer taking pain medications, have fully recovered from the anesthesia's effects, can comfortably wear shoes, and feel confident and safe operating a vehicle. Consult with your healthcare provider for personalized guidance.
Can surgery improve shoe fit?
Surgery can improve shoe fit by correcting the bunion deformity, reducing pain, and allowing for better shoe options. It's essential to consult a specialist to determine if surgery is necessary and to discuss the potential benefits for shoe comfort.
Does surgery relieve all discomfort?
Surgery can alleviate discomfort but carries risks. Explore conservative treatment options first. Successful bunion surgeries provide pain relief, improved function, and minimal scarring.
What anesthesia options are available?
Various anesthesia options are available for bunions. Discuss your preferences with the surgeon - options like local anesthesia, regional anesthesia, sedatives, or general anesthesia will be tailored to your needs, ensuring comfort and safety during the procedure.
How to minimize surgery scars?
To minimize surgery scars, follow doctor's post-op instructions precisely, keep the area clean and moisturized, protect the incision from sun exposure, avoid picking at scabs, and consider using scar-reducing ointments or silicone sheets.
Could bunions redevelop after surgery?
Bunions can potentially redevelop after surgery if proper post-operative care and lifestyle changes are not followed. Complications or bone misalignment can also contribute to recurrence. Regular follow-ups and adherence to medical guidance can help reduce the risk of bunions returning post-surgery.
What footwear is recommended post-surgery?
Properly fitted shoes that offer ample room to accommodate swelling and gently cushion the surgical site are recommended post-bunion surgery. It's essential to avoid shoes that are too tight or restrictive, opting for supportive, comfortable options to aid in the healing process.
Can physical therapy aid recovery?
Physical therapy can aid recovery by improving mobility, reducing pain, and restoring function. Therapists tailor exercises to individual needs, optimizing healing and preventing future injuries.
Are custom orthotics necessary afterward?
Custom orthotics may be necessary after bunion surgery to support the foot, aid in proper alignment, and prevent further issues. Consult with your healthcare provider to determine if custom orthotics are recommended for your specific situation.
How to prevent infection post-surgery?
To prevent infection post-surgery, follow all post-operative care instructions, keep the surgical site clean and dry, monitor for signs of infection like increased pain or redness, take prescribed antibiotics as directed, and attend follow-up appointments.
What's the hospital stay duration?
Hospital stay duration depends on the specific bunion surgery performed and individual healing. Recovery time ranges between a few hours to a few days, with some surgeries allowing immediate weight-bearing. It's best to consult with the surgeon for personalized advice post-surgery.
Can bunions return post-surgery?
Bunions can return post-surgery if poor fixation leads to malunion of bone alignment. Choose a bunion surgeon experienced in advanced stabilization techniques for lower risks of recurrence.
How long is the surgery?
The bunion surgery procedure typically takes about one to two hours, depending on the complexity and specific techniques used. It is important to consult with your surgeon to get a more precise estimate based on your unique case.
Is patient age a surgery factor?
Patient age is a surgery factor, as younger patients generally have better outcomes due to faster healing, while older patients may have other health issues affecting recovery. Surgeons take age into account for assessing risks and expected results.
When can exercise resume post-surgery?
You can usually resume exercise post-surgery within a few weeks or as directed by your surgeon, starting gradually to avoid complications or setbacks. It's essential to follow the specific post-operative guidelines provided to you for a safe return to physical activity after surgery.
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