What Is a Bunion?

Signs and Symptoms of a Bunion
The main indication of a bunion is the pointing of the big toe towards the other toes of the foot. Other signs and symptoms include:
- Pain and swelling over the big toe that increase while wearing shoes
- Red, sore, and calloused skin at the base of the big toe
- A bony bump at the base of the big toe
- Restricted movements of the big toe
- Change in the shape of the foot
- A bony mass at the joint surface of the big toe
What Causes Bunions?
Although it is not clearly understood why bunions occur, possible causes include:
- Family history and genetics.
- Arthritis (inflammation of the joints), including rheumatoid arthritis, psoriatic arthritis, and gout.
- Neuromuscular conditions such as cerebral palsy (affects movement and coordination).
- Connective tissue disorders such as Marfan’s syndrome.
- Tight-fitting shoes, such as high heels.
How is a Bunion Diagnosed?
Non-Surgical Treatment for Bunions
Your GP may have already recommended conservative treatment measures with the goal of reducing or eliminating your foot pain.
Such measures can include:
- Medications for relieving pain and inflammation.
- Wearing shoes with a wide and high-toe box.
- Avoiding tight shoes.
- Using orthotics to realign the bones of your foot and ease pain.
- Ice applications several times a day.
Conservative treatment measures can help relieve the discomfort of a bunion and can prevent it from becoming worse.
Surgical Treatment for Bunions
The surgical correction of a bunion is known as a bunionectomy. The goal of bunion surgery is to relieve pain and restore the normal position and function of the big toe. Surgery is recommended when conservative measures fail to treat the symptoms of a bunion. It is performed under the effect of a light general anesthetic and a regional nerve block. When you wake up, you will not be in pain and will most likely be able to walk with a cast or boot on the same day as the surgery. Dr. Gary Driver offers four main types of bunion surgery, including:
Minimally Invasive Bunion Surgery
Minimally invasive bunion surgery is a corrective procedure in which smaller incisions are made than in an open surgery. It involves the use of specialized instruments to realign the bone with minimal damage to surrounding tissues. With this procedure, patients experience less scarring, reduced risk of infection, and faster recovery. This is an ideal option for many different types of bunions. This procedure allows you to walk the same day in a protective shoe or boot. Dr. Driver specializes in this type of procedure.
Arthrodesis
Arthrodesis involves fusing the two bones that form the big toe joint. It is used for severe bunions and when arthritis has set in. The mobility of your big toe will be reduced following this procedure, but it can alleviate pain and correct deformity.
One of the most effective forms of arthrodesis performed to correct bunions is the Lapiplasty procedure, which builds on the Lapidus procedure. This advanced surgical method involves making a small incision over the metatarsal bone. Surgeons then use a specialized tool to restore the metatarsal bone to its normal position by shifting and rotating it. Once the bone has been repositioned, titanium plates are used to stabilize the joint. The procedure usually takes around one hour.
While the Lapidus procedure can address a bunion by straightening the toe and narrowing the foot, a Lapiplasty or Lapidus procedure involves derotating the metatarsal and fusing it in place with plates and screws.
Akin Osteotomy
Akin osteotomy corrects the sideways deviation of the big toe. In this procedure, your surgeon makes a small cut in the proximal phalanx (base of the big toe) and removes a wedge of bone to straighten the big toe. The bony fragments are then stabilized using a screw or staples. This procedure is often used in conjunction with the other procedures below.
Risks and Complications of Bunion Surgery
As with any surgery, bunion surgery involves certain risks and complications. They include:
- infection
- recurrence of the bunion
- nerve damage
- unresolved pain and swelling
- Joint stiffness or restricted movement
- Delayed healing or healing in the wrong position
In rare cases, a second surgery may be necessary to correct complications.
Post-operative Care for Bunions
Patients should follow all instructions given by their orthopedic surgeon following surgery. These may include:
- Keeping your dressings dry and leaving them in place until your next outpatient appointment
- Avoiding walking where possible
- Elevating your foot for the first 6 weeks to minimize swelling
- Wearing specially designed post-operative shoes
Why Choose Dr. Gary Driver for Bunion Surgery in Fort Worth and Weatherford, TX?
Here is what makes Dr. Gary Driver’s treatment options effective and reliable:
- Advanced Treatment Techniques: Dr. Gary Driver performs minimally invasive bunion correction that allows patients to walk on the same day as the surgery in a surgical shoe or walking boot. The procedure only requires small keyhole incisions, ensuring a cosmetically pleasing outcome. Most patients can return to wearing regular shoes early on in their recovery.
- Patient-Centred Care: Dr. Gary Driver prioritizes a personalized treatment approach to meet his patients’ unique medical needs. He will explain every aspect of bunion surgery so that you can make an informed treatment decision.
- Convenient Locations: Dr. Gary Driver operates in Fort Worth and Weatherford clinics, providing his patients with convenient access to treatment. All you have to do is call and schedule an appointment at whichever location is closest to you.
- Fellowship-Trained Foot and Ankle Surgeon: Dr. Gary Driver is a board-certified fellowship-trained foot and ankle surgeon who specializes in addressing bunions and other foot deformities. With his exceptional medical expertise and knowledge, you can rest assured you are in capable hands.
Get Effective Bunion Treatment in Fort Worth and Weatherford, TX
A bunion can prevent you from living a pain-free and active life. With Dr. Gary Driver’s expertise and patient-centered care, you can regain foot mobility and find lasting relief. To make an appointment with Dr. Gary Driver, for bunion surgery in Fort Worth & Weatherford, TX, call his office or fill out the online booking form on his website.
Frequently Asked Questions (FAQs)
What are the different types of bunion surgery?
The main types of bunion surgery include:
- Osteotomy: Osteotomy is a minimally invasive surgical procedure that involves removing the bony lump on the side of the foot and realigning your big toe joint. This procedure is categorized into three types: akin osteotomy, chevron osteotomy, and scarf osteotomy.
- Arthrodesis: This procedure is performed if arthritis in your feet has caused a bunion to form. It involves removing any parts of the big toe joint that have arthritis and placing screws in the bones to fuse them together. This arthrodesis surgery is usually only recommended for severe cases.
- Lapidus: This surgery is also recommended for severe cases. It involves removing the bunion and realigning the foot by fusing the joint between the first metatarsal bone and the medial cuneiform bone for lasting stability.
- Exostectomy: This surgery involves shaving off the bunion. Most cases requiring surgery are severe enough that additional procedures, such as an osteotomy, are necessary.
What is the cost of bunion surgery in Fort Worth and Weatherford, TX?
The cost of bunion surgery in Fort Worth and Weatherford depends on the type of surgical procedure required. Dr. Gary Driver offers flexible payment options so you can focus on recovery without the stress of upfront medical bills.
Does insurance cover bunion surgery?
Yes, most insurance providers cover bunion surgery. Make sure to check your insurance plan to see if coverage applies.
What should I expect during the recovery period?
Recovering from bunion surgery takes time, but by following your surgeon’s guidelines, you can speed up the process. During this period, you may experience some swelling and soreness. Your surgeon may provide you with gentle exercises and stretches to help you restore your foot’s strength and mobility.
Can a bunion come back after surgery?
Yes, there is a chance that a bunion can come back after surgery. The chances of recurrence depend largely on the type of surgical procedure you undergo, the severity of your condition, and your post-surgery care. Dr. Gary Driver goes above and beyond to offer effective bunion treatment that ensures lasting recovery and minimal recurrence.
Is bunion surgery painful?
No, bunion surgery is not painful. Your surgeon will put you under general anesthesia to make sure the surgery is pain-free. However, you may experience some post-surgery pain and swelling, which can be managed with painkillers and anti-inflammatory medication.
Are there non-surgical alternatives to bunion surgery?
Yes, there are some non-surgical treatment options for bunions when they are in their early stages. Non-surgical treatment can involve changing shoes, taking pain medication, using shoe inserts, applying ice, and splinting. However, these conservative treatment methods may not be able to address a severe bunion effectively.
How can bunions be prevented?
Most bunions can be avoided by adopting the following preventive measures:
- Always wear shoes with a wide toe box to avoid toe crowding and prevent joint misalignment.
- Avoid wearing high heels, as they force the toes forward and can cause deformity of the metatarsal bones.
- Use orthotics as recommended to help distribute weight evenly.
- Whenever possible slip off your shoes and stretch your feet for a few minutes at a time throughout the day.
- Maintain a healthy weight, as obesity increases stress on the joints of your feet.
- Exercise regularly to strengthen the muscles that stabilize the feet.