WHERE DOES IT HURT ?
A bunion (Hallux Valgus) is an enlarged or prominent bone on the side of the first, big toe joint. Most bunions are inherited and worsen as the joint responds to abnormal pressure on the foot from tight, restrictive or flat shoes without support. Pain ranges from dull to sharp depending upon the level of irritation and compression of the nerves that are around this area.
Below are videos that explain the origin of the bunion deformity, patient surgical experiences, before and after pictures and one of the advanced techniques we perform in the operating room (viewer caution advised).
Let’s be honest, bunion pain and the inability to wear dress shoes is enough to have this deformity corrected, but a cosmetic correction is becoming more common.
Why? The procedure is performed in an out-patient facility, the recovery is shorter than in the past, and health insurance usually covers this type of surgery.
Listen to what one of our patients had to say about her experience, log on to the website to watch the surgery performed live or ask us a question about your specific concerns.
A complete cosmetic foot surgery makeover in essence is specific to each patient. In this case, the bunion, bunionette, hammertoes, and skin / corn deformities that she had from birth were corrected on her right foot first.
This patient had a mild bunion where only the 'bump' or prominent portion of the first metatarsal head was hurting in her high heels. Although you could consider this a cosmetic foot surgery, we consider all of our bunion (or hallux valgus) surgeries both for structural (straightening the joint and reducing the size) and cosmetic (sculpting the inside portion and keeping a natural curvature to fit in shoes) outcomes.
Additionally the foot surgery techniques and equipment continue to advance to where these patients have less post-operative pain and are able to go back into shoes as early as 4 weeks. We used a non metallic pin (biologic bone material - TenFUSE) to fix the osteotomy (or surgical fracture) and stabilize the correction after it was shifted to a more normal position.
This is a 'moderate' hallux valgus deformity The right foot was corrected 2 years ago. Now the left that is starting to hurt her in shoes, but the image serves as a comparison of the cosmetic results after Bunion correction surgery on one foot.
This was a unique case where the right foot bunion deformity was actually was more severe than this left one is now presently. Not only was the quintessential second hammertoe overlapping and on top of the big toe, but the joint was dislocated and arthritic. In short, we did not move the bunion with the surgical fracture like the mild and moderate bunion surgeries, we had to replace the joint.
We used the "Primus" first great toe joint implant to correct both the arthritis and large bunion deformity. This problem with normal, healthy cartilage and no arthritis would usually be corrected with a different surgical technique (first metatarsal osteotomy or fusion - 'Lapidus').
Make sure that the shoe has enough room at the end about the width of your thumb and that the toe box (front of the shoe) is high enough to allow your toes to move freely.
Anti-inflammatory medication can help with the chronic pain, but are not much help with the acute pain
There are an array of over the counter pads that can be placed to relieve the pain.
Temporary arch supports or custom molded orthotics can minimize the pressure on the foot position causing the pressure. These devices can be a viable solution without surgical intervention.
The bone causing the pressure is remodeled or smoothed down and then repositioned to prevent re-occurrence. Incisions are minimal and vary (average 1.5cm to 3/4 inch) and sutures are removed at 2 weeks. The procedure is performed at an outpatient facility under sedation.
Partial weight bearing is allowed after 1 to 3 weeks of non weight bearing with crutches.
CAUTION: This is an actual surgery – Contains Graphic Material
This is a bunion correction surgery performed by Dr. Moore using the TenFUSE™ Nail allograft to fixate the chevron osteotomy. The TenFUSE nail is derived from 100% solid human coritcal bone (not crushed). It is also partially demineralized for osteoconductivity and osteoinductivity from Solana Surgical, LLC. All surgeries are covered by insurance. Dr. Robert Moore is a Board Certified Foot Surgeon.
These are links to more information on the subject, not intended to imply an endorsement.
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Our doctors have extended specialist medical training focused on the foot, ankle and lower leg. We are board-certified surgeons and experts in delivering care for complex foot and ankle disorders as well as cosmetic or reconstructive procedures and problems related to sports injuries and other medical conditions.
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