Reasons for Bunion Surgery

A bunion appears as a bump on the inside edge of the toe and forms when the big toe points toward the second toe. Bunions often run in families, develop as a result of poor-fitting shoes and occur along with arthritis. Bunions happen over time and non-surgical treatments typically provide relief, though a doctor may recommend surgery if relief isn’t obtained and the bunion worsens.

Ineffective Non-surgical Treatments

The New York Times Health Guide notes that taking proper care of the feet upon the first sign of a bunion often solves the problem and prevents the need for any further treatment. Non-surgical treatments provide relief from the discomfort that a bunion causes if preventative care fails. Non-surgical treatments include wearing shoes that fit or ones with a wide toe box that make room for the bump caused by the bunion; stretching shoes professionally to make them larger; applying bunion pads over the bunion to cushion and alleviate the pain; avoid activities that cause pain, such as standing on the feet for long periods of time; take over-the-counter pain relievers, such as acetaminophen or non-steroidal anti-inflammatory drugs like ibuprofen; apply ice for relief from inflammation and pain; and use custom-made orthotic shoes. The doctor suggests surgery if the non-surgical treatments fail in providing relief or if the bunion worsens.

Severe Deformity

Bunions actually change the alignment of the bones in the foot and a severe deformity results, describes the Cleveland clinic. The surgery repairs some foot deformity, but doesn’t necessarily promise a perfect-looking foot. A surgeon repairs the bunion by making certain tendons or ligaments shorter or longer; using a procedure called arthrodesis, which involves taking out the damaged part of the joints and replacing it with screws, wires or a plate that holds the joints together; shaving off the bump on the toe joint; or performing a procedure called an osteotomy by cutting parts of the bones on each side of the toe joint, and putting them in their proper position

Extreme Pain

Bunions cause extreme physical pain and can also affect walking. Surgical removal of the bunion facilitates physical activities by alleviating the pain. However, the outcome depends on factors such as age and activities, and the severity of the bunion.