A bunion is an often painful protrusion on the joint of the big toe which results when the angle of the toe is shifted inwards too much. The most common cause of this disorder is wearing tight-fitting shoes that place the toes in an abnormal position, leading to the misplacement of this joint which in turn can cause pain and make standing for long periods of time unbearable. There is an operation which can be effective, however it is advisable that before bunion surgery San Francisco patients learn what it entails.
If treated early on with a brace or splint on the toe the condition can improve somewhat and if there is irritation to the adjacent toe, corn pads may be helpful, but most often they only relieve the pain temporarily. There are certain types of shoes which are more accommodating to bunions, and if fallen arches are an issue, arch supports can be worn.
Severe bunions will not likely improve unless surgery is performed. In cases where the patient has not responded positively to less invasive approaches and is struggling with pain, he or she is referred for surgery. This procedure is usually done on an out-patient basis, but occasionally it will be necessary to stay overnight at the hospital. A general anesthetic is given, but in combination with a local anesthetic so less general is needed.
The proper name for the procedure is an "osteotomy". The bone of the big toe, called the metatarsal bone is divided and put back into its normal position and the bony protrusion is trimmed away. Strength is restored to the large toe and the upper foot is effectively narrowed. The bones will be held together with surgical screws or staples until it heals fully and a special type of post-operative shoe is worn to protect it.
After the procedure, it is normal for the foot to be swollen and painful under its bandages. Medications can help control the pain and elevating the foot to heart level can ease the swelling. It is important to wear the post-op shoe continuously, even when sleeping. Two weeks later, stitches can be removed, and exercising the toe regularly starting with immediately after surgery can help prevent stiffness.
Patients must wear the post-op shoe for about six weeks, and then they can switch to an open-toed sandal with straps that can be adjusted. After another six to eight weeks, regular shoes can be worn and once three to six months have passed, sporting activities may be resumed.
Overall, there is a marked improvement in most patients. Very rarely a complication may occur such as skin infection, blood clot, toe sensitization, stiffness, problems with surgical screws, non-healing of the bone, or a problem with weight being transferred to the second toe and a corn forming on it as a result. These incidents are very uncommon though, and most people enjoy good results.
Prior to deciding in favor of bunion surgery San Francisco patients need to be aware that this procedure is one intended for those who are bothered by persistent pain that cannot be alleviated any other way. It isn't generally performed to simply prevent symptoms from worsening or for cosmetic reasons.
If treated early on with a brace or splint on the toe the condition can improve somewhat and if there is irritation to the adjacent toe, corn pads may be helpful, but most often they only relieve the pain temporarily. There are certain types of shoes which are more accommodating to bunions, and if fallen arches are an issue, arch supports can be worn.
Severe bunions will not likely improve unless surgery is performed. In cases where the patient has not responded positively to less invasive approaches and is struggling with pain, he or she is referred for surgery. This procedure is usually done on an out-patient basis, but occasionally it will be necessary to stay overnight at the hospital. A general anesthetic is given, but in combination with a local anesthetic so less general is needed.
The proper name for the procedure is an "osteotomy". The bone of the big toe, called the metatarsal bone is divided and put back into its normal position and the bony protrusion is trimmed away. Strength is restored to the large toe and the upper foot is effectively narrowed. The bones will be held together with surgical screws or staples until it heals fully and a special type of post-operative shoe is worn to protect it.
After the procedure, it is normal for the foot to be swollen and painful under its bandages. Medications can help control the pain and elevating the foot to heart level can ease the swelling. It is important to wear the post-op shoe continuously, even when sleeping. Two weeks later, stitches can be removed, and exercising the toe regularly starting with immediately after surgery can help prevent stiffness.
Patients must wear the post-op shoe for about six weeks, and then they can switch to an open-toed sandal with straps that can be adjusted. After another six to eight weeks, regular shoes can be worn and once three to six months have passed, sporting activities may be resumed.
Overall, there is a marked improvement in most patients. Very rarely a complication may occur such as skin infection, blood clot, toe sensitization, stiffness, problems with surgical screws, non-healing of the bone, or a problem with weight being transferred to the second toe and a corn forming on it as a result. These incidents are very uncommon though, and most people enjoy good results.
Prior to deciding in favor of bunion surgery San Francisco patients need to be aware that this procedure is one intended for those who are bothered by persistent pain that cannot be alleviated any other way. It isn't generally performed to simply prevent symptoms from worsening or for cosmetic reasons.
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When there is an urgent need to undergo bunion surgery San Francisco patients can trust our foot doctor to perform this procedure. For a consultation today, go to http://www.footanklesf.com.
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