Bunions can be quite painful and become a hindrance to everyday life. While there are some conservative measures that may provide some temporary relief the only long term solution is surgery.
First it is important to understand what a bunion is. A bunion is when the 1st metatarsal shifts out of place. This shifting gets worse with time and the bunion gets bigger. The visual result is the big toe starts to overlap the 2nd toe and the protuberance you see at the base of the big toe is the 1st metatarsal. To fix the bunion the 1st metatarsal needs to be realigned.
The realignment of the 1st metatarsal can happen in two ways. The first being you cut the bone and reposition it anatomically. This is probably the most common bunionectomy performed in the United States. It usually involves about 4-6 weeks in a walking boot and has great outcomes for smaller bunions. The next most common would be a fusion of the tarsometatarsal joint. This is a procedure that is for larger bunions or people with unstable foot structures. This surgery usually requires a period of non-weight bearing for 3-6 weeks. Both of these procedures can have great outcomes when utilized appropriately.
How do you know which bunion surgery is best for your foot? There are many factors to take into account. The overall foot structure, any other foot pathologies, lifestyle, recovery and age. I recommend seeing a foot and ankle doctor that operates on a lot of bunions.
If you have a bunion and would like a consultation I can help. Please call 425-391-8666 or make an appointment online with Dr. Nelson.
Sincerely,
Board Certified Physician & Surgeon
Issaquah’s Top Podiatrist & Foot/Ankle Surgeon
