A bunion is an often painful condition that arises when the joint of the big toe gets shifted excessively inwards, causing it to bulge out. When this happens, it can be uncomfortable standing for extended periods and even walking, and the other toes can get crowded out. High heels are often the culprit, making women more susceptible to bunions than men. It can be corrected surgically, but it's a good idea if before going ahead with bunion surgery San Francisco patients first find out all the details.
If treated early on with a brace or splint on the toe the condition can improve somewhat and if there is irritation to the adjacent toe, corn pads may be helpful, but most often they only relieve the pain temporarily. There are certain types of shoes which are more accommodating to bunions, and if fallen arches are an issue, arch supports can be worn.
Severe bunions will not likely improve unless surgery is performed. In cases where the patient has not responded positively to less invasive approaches and is struggling with pain, he or she is referred for surgery. This procedure is usually done on an out-patient basis, but occasionally it will be necessary to stay overnight at the hospital. A general anesthetic is given, but in combination with a local anesthetic so less general is needed.
The procedure is known as an "osteotomy" and it involves separating the metatarsal bones of the big toe and putting them back together in their correct location using surgical screws or staples. The bony bulge of the bunion is removed, the joint is given strength and the upper part of the foot is narrowed as a result. A post-operative, protective shoe is worn on the affected foot to promote healing.
Following surgery, the foot will be bandaged, swollen, and painful, but pain medications will be given and keeping the foot elevated helps reduce the swelling. The post-op shoe will need to be worn at all times, even when in bed. Stitches will be taken out after two weeks time, and it's important to exercise the toe starting right after the operation in order to prevent stiffness.
Patients must wear the post-op shoe for about six weeks, and then they can switch to an open-toed sandal with straps that can be adjusted. After another six to eight weeks, regular shoes can be worn and once three to six months have passed, sporting activities may be resumed.
Complications from the procedure include stiffness, toe sensitization, skin infection, blood clots, non-healing of the bone, surgical screw problems, and corn formation on the second toe caused by weight transfer, however these seldom occur. The majority of patients are pleased with the outcome.
Before having bunion surgery San Francisco patients should understand that this is a procedure which is recommended as a solution for pain and unmanageable symptoms. It is not advised for those who are merely trying to stave off further escalation of symptoms or simply for esthetic purposes.
If treated early on with a brace or splint on the toe the condition can improve somewhat and if there is irritation to the adjacent toe, corn pads may be helpful, but most often they only relieve the pain temporarily. There are certain types of shoes which are more accommodating to bunions, and if fallen arches are an issue, arch supports can be worn.
Severe bunions will not likely improve unless surgery is performed. In cases where the patient has not responded positively to less invasive approaches and is struggling with pain, he or she is referred for surgery. This procedure is usually done on an out-patient basis, but occasionally it will be necessary to stay overnight at the hospital. A general anesthetic is given, but in combination with a local anesthetic so less general is needed.
The procedure is known as an "osteotomy" and it involves separating the metatarsal bones of the big toe and putting them back together in their correct location using surgical screws or staples. The bony bulge of the bunion is removed, the joint is given strength and the upper part of the foot is narrowed as a result. A post-operative, protective shoe is worn on the affected foot to promote healing.
Following surgery, the foot will be bandaged, swollen, and painful, but pain medications will be given and keeping the foot elevated helps reduce the swelling. The post-op shoe will need to be worn at all times, even when in bed. Stitches will be taken out after two weeks time, and it's important to exercise the toe starting right after the operation in order to prevent stiffness.
Patients must wear the post-op shoe for about six weeks, and then they can switch to an open-toed sandal with straps that can be adjusted. After another six to eight weeks, regular shoes can be worn and once three to six months have passed, sporting activities may be resumed.
Complications from the procedure include stiffness, toe sensitization, skin infection, blood clots, non-healing of the bone, surgical screw problems, and corn formation on the second toe caused by weight transfer, however these seldom occur. The majority of patients are pleased with the outcome.
Before having bunion surgery San Francisco patients should understand that this is a procedure which is recommended as a solution for pain and unmanageable symptoms. It is not advised for those who are merely trying to stave off further escalation of symptoms or simply for esthetic purposes.
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When there is an urgent need to undergo bunion surgery San Francisco patients can trust our foot doctor to perform this procedure. For a consultation today, go to http://www.footanklesf.com.