Posts for tag: bunion surgery Charleston
Bunion deformities are one of the more common foot conditions that we see in our practice. Bunions typically are inherited. You may remember a time when your parents or grandparents complained about Bunions or Tailor Bunions when you were growing up. Several years ago the standard of care was hospitalization for a few days following bunion surgery with a prolonged post operative course. Techniques have changed over the years with respects to bunion surgery. More minimally invasive techniques have been utlilized in recent years that makes the post operative course faster and easier to recover from.
We would let to set your mind at ease and say that for some of our patient population bunions can be managed conservatively without surgery. Change in shoe gear, NSAIDS, lower impact exercises, and custom foot orthotics can manage some milder cases of bunion deformities. If bunion surgery is needed then the standard of care is oupatient surgery at a surgery center or hospital. The procedure depending on the radiographic and clinical findings takes about one hour and patients are usually weight bearing in a walking boot within a couple of days and go home the same day of surgery. Mild narcotic and anti-inflammatory medication controls pain for the first few days. Our foot specialists use long acting local anesthestics the keep your comfortable following surgery.
The most common procedure that are foot surgeons utilize for mild to moderate bunions is the Austin Bunionectomy which is a "V" shaped bone cut in the metatarsal bone that moves the bone over to correct the bunion and is fixated with a wire or screw internally. Patient's are typically in a walking boot for 6-8 weeks and then transferred into a sneaker. Our foot specialists have state of the art digital x-ray in each office to obtain clear x-ray images of the foot and ankle during your visits.
For larger bunions a "Lapidus procedure" is performed which would involve patients being non-weightbearing for 4-6 weeks.
The trend in our profession is moving towards more minimally invasive procedures that lessen the amount of recovery time for patients while still obtaining the desired results. Dr. Brown and Dr. Saffer stay current in these reconstructive foot techniques through various reconstructive foot and ankle national meetings and seminars.
For more information on bunions please refer to our website: carolinafootspecialists.net
Our foot specialists at Carolina Foot Specialists see a larger number of patients who have bunion and tailor bunion deformities. We would like to ease your anxiety if you feel as if you have a bunion deformity and talk about how you get them as well as all conservative and surgical treatment options in the next few blogs this month.
Bunions are typically an inherited condition and is more often found in women. Bunions can become larger over time and become painful in tight shoe gear such as a high heel shoe. A bunion and a tailor bunion is a prominence on the inside of the foot (head of first metatarsal with great toe deviating in) and outside of the foot (fifth metatarsal head deviating out). A majority of our patients that we see have bunions but do not have pain. Half the battle is selecting proper shoe gear that has a wider toe box. Upon your first visit we will take digital x-rays to not the angular position of the bunion and discuss a conservative treatment plan to try to avoid surgery and slow the progression of the bunion.
If surgery is needed techniques have changed over the years which affords the patient to be weight bearing in a surgical shoe or boot following the surgery in most cases. Our foot specialists use internal screw fixation which allows patient to begin weight bearing right after surgery. The surgery is outpatient under local and IV sedation and takes about 45 minutes to an hour. Healing time is 6-8 weeks and patients are followed weekly during until the bone has healed. Detailed programs to resume light activity is reviewed with our patients. Bunion surgery would be the most common surgery that our foot specialists perform at Carolina Foot Specialists.
We have a nice video on our home page that discusses bunion surgery for your information.
Please contact our offices if you have bunions or tailor bunions. If the bunions are asyptomatic it may be good to at least get a baseline x-ray in order to evaluate the progression of the bunion in the future.
Look out for more blogs about Bunion surgery in the next few weeks.