Bunion Pain: From Shoe Changes to Surgical Options
tmillermd
A bunion is a change in alignment around the big toe joint. It can cause shoe pressure, soreness or crowding of the smaller toes, but a large bump is not always painful and a small one can still be troublesome.
Measures that reduce pressure
Roomier footwear, protective padding and changes to aggravating activities may improve comfort. Orthotics can help some associated mechanical symptoms. These approaches do not usually reverse the underlying bone alignment.
Pain at the big toe joint can also involve arthritis or another problem. An examination and appropriate X-rays help distinguish the source of symptoms.
When to discuss correction
Surgery may be considered when pain continues to limit walking, daily activities or comfortable footwear despite appropriate nonsurgical care. The purpose is to address symptoms and alignment rather than to meet a cosmetic standard.
The choice of operation considers the size and flexibility of the deformity, joint arthritis, earlier surgery and the rest of the foot. Dr. Miller performs minimally invasive bunion correction when the technique fits the problem.
Look beyond the incision
Minimally invasive surgery uses small incisions and specialized instruments, but still involves bone work and healing. Restrictions depend on the specific correction and your health.
Ask about the planned alignment correction, fixation, protection, wound care and return to work or exercise. Discuss risks and the possibility of persistent symptoms or recurrence before choosing an operation.
A bunion is a change in alignment around the big toe joint. It can cause shoe pressure, soreness or crowding of the smaller toes, but a large bump is not always painful and a small one can still be troublesome.
Measures that reduce pressure
Roomier footwear, protective padding and changes to aggravating activities may improve comfort. Orthotics can help some associated mechanical symptoms. These approaches do not usually reverse the underlying bone alignment.
Pain at the big toe joint can also involve arthritis or another problem. An examination and appropriate X-rays help distinguish the source of symptoms.
When to discuss correction
Surgery may be considered when pain continues to limit walking, daily activities or comfortable footwear despite appropriate nonsurgical care. The purpose is to address symptoms and alignment rather than to meet a cosmetic standard.
The choice of operation considers the size and flexibility of the deformity, joint arthritis, earlier surgery and the rest of the foot. Dr. Miller performs minimally invasive bunion correction when the technique fits the problem.
Look beyond the incision
Minimally invasive surgery uses small incisions and specialized instruments, but still involves bone work and healing. Restrictions depend on the specific correction and your health.
Ask about the planned alignment correction, fixation, protection, wound care and return to work or exercise. Discuss risks and the possibility of persistent symptoms or recurrence before choosing an operation.