Bunion Specialists 

Bunion Specialists

Your Guide to Diagnosis and Treatment

 Bunion Specialists often encounter patients dealing with this widespread foot disorder that impacts an estimated 20-30% of the general population. Bunions manifest as an unusual protrusion at the side of the big toe’s joint, frequently leading to pain and irritation. As the deformity escalates, it’s typical for patients to observe their big toe veering towards their smaller toes.

In turn, this continues to exacerbate the deformity and you may notice your big toe and second toe begins to cross over each other. The bump on the inside of the foot continues to enlarge and become more painful. Patients may notice redness, swelling, limited movement of the joint and an inability to wear certain shoes. It is important to understand that bunions are a progressive disorder, although it is difficult to predict the rate of progression.

Development of a bunion is multifactorial and not necessarily the same for each patient. It is generally understood that genetics play a role in most cases. Other causes may include arthritis, history of trauma, flat feet, and a tight Achilles tendon.

Comprehensive Bunion Diagnosis by our Bunion Specialists

 Our specialists are experts at evaluating and managing bunion disorders. Diagnosis typically starts by obtaining x-rays of your feet. A thorough clinical and biomechanical evaluation is then performed to assess the bunion and any accompanied deformity. Advanced imaging studies such as MRI or CT may be recommended to get a better appreciation of your underlying pathology. After a comprehensive assessment is obtained, our specialists will then devise a customized treatment regimen. Initial treatment may involve nonsurgical, conservative measures. If you have previously failed these measures or your deformity is already in advanced stages, surgical intervention may be discussed. It is important to consider the impact that this disorder if having on your quality of life and on your desired lifestyle.

Bunion Specialists Offering Customized Treatment Options.

 Did you know that there are over a hundred different type of bunion procedures described? Rest assured, our providers at Florida foot and ankle specialists are experts at bunion reconstruction. We strongly believe that every patient is unique and that their recommended treatment should be unique as well.

The goal of surgery is to restore the anatomic position of the big toe, remove the bump, reduce pain, and improve function. This is commonly accomplished with a bunionectomy (realignment, remove bone growths, and rebalancing of muscles, tendons, and ligaments), osteotomy (making a cut through the bone to realign the joint properly), arthrodesis (fusion of the bones comprising the joint such as a Lapidus or a first metatarsophalangeal joint fusion), or arthroplasty (removing the damaged joint and inserting a joint replacement).

Understanding Bunion Procedures: Most Common Bunion Surgical Procedures Q&A

Q: Is bunion surgery right for me?

A: Deciding the best procedure for bunion correction is vital and requires the expertise of a skilled foot and ankle surgeon. We specialize in various techniques, from minimally invasive to traditional approaches. Rest assured, your surgeon will consider all patient factors when recommending the best option for you.

Q: Will I have a lot of pain after my bunion surgery?

A: Not necessarily! Many patients worry about post-surgery pain, but it is possible to experience a pain-free procedure. Our specialists will guide you through our unique post-operative pain protocol, designed to minimize discomfort and swelling, expediting your recovery.

Q: What can I expect during my recovery?

A: Dr. Jason Spector will discuss your recovery period with you, ensuring you understand what to expect moving forward. All surgeries come with potential risks and complications, and our priority lies in your health and education. We are here to help you weigh the pros and cons for an informed decision.

Expected Recovery Times for Specific Procedures

Bunionectomy

• Q: How soon can I start walking again?

A: Recovery varies depending on the procedure type. With an osteotomy, usually with distal metatarsal osteotomies, patients often bear weight within the first week or two. Supportive shoes can follow in 4-6 weeks.

Osteotomy

• Q: Does it differ from a bunionectomy?

A: Often included with a bunionectomy, osteotomies help correct the deformity in the first metatarsal. The recovery times are similar to those for bunionectomies.

Arthrodesis (Lapidus or joint fusion)

• Q: What is the recovery like for this procedure?

A: Most patients stay non-weightbearing for about two weeks, then gradually progress to walking in a boot over the next month. Supportive shoes can typically be worn around 6-10 weeks once there is good fusion.

Arthroplasty

• Q: How soon can I return to normal activities?

A: Following joint replacement of the big toe, patients usually start with protected weightbearing in a boot immediately. Supportive shoes are usually an option by 4-6 weeks post-surgery, and a quick return to full activities can be expected.