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Facts About Bunion Surgery San Francisco Patients Should Know

By Jayne Rutledge


Bunions are common maladies of the feet which involve the inward shifting of the big toe joint, causing it to protrude painfully. The other toes may become crowded out when this happens and it can be uncomfortable walking or standing on one's feet for a long time. Women are more likely to develop them than men, due to the restrictive kinds of shoes they often wear. Fortunately this problem can be corrected surgically. Before deciding to undergo bunion surgery San Francisco patients should make sure they known what to expect.

If this condition is caught early, it may be reversed using a splint or brace and the discomfort may be lessened with corn pads, although these measures usually only provide temporary relief. Some types of specially made footwear can also help accommodate this anomaly or arch supports can also be helpful if the problem is caused by fallen arches.

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 procedure is known as an "osteotomy" and it involves separating the metatarsal bones of the big toe and putting them back together in their correct location using surgical screws or staples. The bony bulge of the bunion is removed, the joint is given strength and the upper part of the foot is narrowed as a result. A post-operative, protective shoe is worn on the affected foot to promote healing.

The bandaged foot can be expected to be painful and swollen following surgery, but these unpleasant sensations can be kept under control with appropriate pain relievers and keeping the foot in an elevated position as much as possible. Exercises should be carried out right away and on an ongoing basis to prevent stiffness, and the post-op shoe must be worn continuously, including in bed. In two week's time stitches can be removed.

Wearing the post-op shoe for about six weeks is usually necessary, and after this time, an adjustable, open-toed sandal can be worn. Six to eight weeks later, one can again wear normal footwear, and when it has been three to six months after the procedure, involvement in sports should be safe.

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.

Before having bunion surgery San Francisco patients should understand that this is a procedure which is recommended as a solution for pain and unmanageable symptoms. It is not advised for those who are merely trying to stave off further escalation of symptoms or simply for esthetic purposes.




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