Tight fitting shoes are the cause of bunions in majority of patients. Bunions are first treated with adaptive footwear. Surgical approach is necessary only if other treatments are not sufficient to relieve pain and other symptoms. If you have pain every day, in every pair of shoes you own and have undergone conservative therapy without any relief, a bunion surgery is to be considered. There are many advances in bunion surgery and varied procedures depending on your foot type, the stage of your deformity, your activity level, your medical history and your age.
This involves an incision in the top or side of the big toe joint and the removal or realignment of soft tissue and bone to relieve pain and restore normal BUNIONECTOMYalignment to the joint. If the joint is severely deformed, it may be stabilized suitabily using tiny wires, stitches, screws, or plates. In cases where symptoms are only present when wearing shoes, suitable footwear will be sufficient for the treatment. The ligaments on the outside of the toe are tightened and that on the inside ate loosened to adjust the tension to have the toe in the proper direction. Shoes are generally adjusted to accommodate where the bunion is enlarged or irritated.
A Local anesthesia is used for the procedure. A mild sedative can be used during the procedure if needed. The procedure takes an hour or more, depending on the type of surgery and extent of correction required. Bunion repairs are usually done on an outpatient basis.
The common types of bunion surgery are:
Recovery typically varies between 6 weeks to 6 months, depending on the amount of soft tissue and bone affected. Complete healing and total recovery may take as long as 1 year. There are chances that the Bunion may reappear after some time. Most people will be on crutches, at least until the initial pain has subsided.
Car has to be taken to keep the foot covered and dry. In general stitches are removed in 1 to 3 weeks. Any fixtures implanted would be left in certain cases for ipto 6 weeks. You may be reocmended to wear special shoes for a period of upto 12 weeks after surgery. In certain procedures care has to be taken to avoid weight on the foot for 6 to 8 weeks. During weeks of partial weight-bearing, the foot is enclosed in a special boot to steady the bones and soft tissues as they heal.
The size of the foot remains the same and the width reduces by about 1/8th of an inch and the toes will be straighter.
The surgery can be considered when:
Nonsurgical treatment has not relieved your bunion pain.
You have difficulty walking or doing normal daily activities.
The other Orthopedic Procedures are:
Few Major Hospitals for Bunionectomy are:
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