Bunion pain can be debilitating and bunion surgery can be a scary decision most people would rather put off. I know. I’ve been there and I’ve learned that IF you know what to expect ahead of time and what questions to ask your doctor, you will lessen your fear, make better decisions, and increase your success with bunion surgery and bunion surgery recovery. No matter how good your podiatrist or bunion surgeon is, the truth is, no one knows exactly what’s right for you except you and that’s what can make your decision so scary. What if the surgery doesn’t really fix the problem, and like others you read about or hear about, you end up worse off than before? It’s not always clear what to do, but with the right information, questions, and support, it can be an easier decision for you.
By far the most common cause of bunions is the prolonged wearing of poorly fitting shoes, usually shoes with a narrow, pointed toe box that squeezes the toes into an unnatural position. Bunions also may be caused by arthritis or polio. Heredity often plays a role in bunion formation. But these causes account for only a small percentage of bunions. A study by the American Orthopaedic Foot and Ankle Society found that 88 percent of women in the U.S. wear shoes that are too small and 55 percent have bunions. Not surprisingly, bunions are nine times more common in women than men.
SymptomsThe most common symptoms associated with this condition are pain on the side of the foot. Shoes will typically aggravate bunions. Stiff leather shoes or shoes with a tapered toe box are the prime offenders. This is why bunion pain is most common in women whose shoes have a pointed toe box. The bunion site will often be slightly swollen and red from the constant rubbing and irritation of a shoe. Occasionally, corns can develop between the 1st and 2nd toe from the pressure the toes rubbing against each other. On rare occasions, the joint itself can be acutely inflamed from the development of a sac of fluid over the bunion called a bursa. This is designed to protect and cushion the bone. However, it can become acutely inflamed, a condition referred to as bursitis.
Your family doctor or chiropodist /podiatrist can identify a bunion simply by examining your foot. During the exam, your big toe will be moved up and down to determine if your range of motion is limited. You will be examined for signs of redness or swelling and be questioned about your history of pain. A foot x-ray can show an abnormal angle between the big toe and the foot. In some cases, arthritis may also be seen. A X-ray of your foot may help identify the cause of the bunion and rate its severity.
Non Surgical Treatment
A range of treatments is available for bunions, including painkillers, modifying footwear, orthotics, such as insoles, bunion pads and toe spacers. Surgery may be considered if a person’s symptoms are severe and do not respond to non-surgical treatment. The type of surgery used will depend on the level of deformity, the severity of any other associated symptoms, the patient’s age and any other associated medical conditions. Bunion surgery is usually effective, with up to 85% of cases resulting in improvement to symptoms. However, the deformity can sometimes return after bunion surgery.
Surgical options, such as a bunionectomy, can remove the bunion and realign the toe. There are several types of surgeries to fix the bunion. The type of bunion you have along with other factors such as the degree of severity and underlying cause of the bunion will determine which approach would be most beneficial for you.