As a patients, who has been advised to go for bunion removal surgery, you may get anxious or stressed as the term ‘surgery’ is often associated with lifelong side effects. Well, bunion surgery is considered one of the safest surgeries of carried out well, and by medical experts. Although some cases of bunion are genetic, most of them are caused by wearing tight fitting shoes or irregularly shaped shows which exert too much pressure on the big toe.
Some bunions hurt and are painful while others are not. Whether it hurts or not, patients need to seek medical treatment whenever you notice the development of bunion since it tends to get sores with time. The size of the bunion is also not related to degree of pain. While some large bunions are totally not painful, some small bunions will produce excruciating ache and pain.
In medical circles, bunion refers to the condition that develops when the big toe in the foot tends to deviate or deform towards second toe. Among the myths about bunion is that it develops as a result of bone overgrowth. While there are some people to whom bunion develops due to unusual growth of the bone, in most case, bunion represents subluxation or dislocation of the joint of the big toe which causes it to bulge against skin. Bunion refers to the resultant bony prominence. In some cases, the areas affected by bunion can get callused, red or irritated and may appear swollen.
In addition to the physical observation, doctors will normally perform an x-ray of the affected area to establish the extent of deformity and degree of the bunion. Important to note that is that, although in most cases bunion is treated through surgery, some cases may be treated conservatively. In some cases where the bunions are painful, the patients will be required to take some medications to deal with bunion pain treatment. Some non-surgical interventions include modification of activities, use of orthotics to help correct the bunion, and wearing wider shoes.
Bunion bone surgery is mostly performed on outpatient basis. Thus, for most of the time, the patient goes home the same day the surgery is performed. The surgeon in most cases will administer localized anaesthesia on the area affected by the bunion. Since bunions vary in terms of shape and size, the correct surgery for bunion correction should be designed specifically for that bunion.
The surgical procedure involves combination of bone work in order to realign the deformed section of the foot, and soft tissue process to balance tendons and ligaments. To ‘shave’ the bunion, soft tissues, ligaments and tendons are incised through a process known as exostectomy.
The realignment of bones involves bone fusion or cuts in the first metatarsal. The extent of the bone fusion or cuts depends on the severity of the bunion. The small and mild bunions can be corrected through minor surgery close to the joint of the big toe unlike large ones which need more intensive surgery procedure.