Orthopaedic Surgeon Questions Orthopaedic Surgeon

How bad does a bunion have to be for surgery?

I have a bunion on my left foot. I want to fix it. How bad does a bunion have to be for surgery?

10 Answers

Pain and loss of function.
Bunion pain is the main reason for bunion surgery. An evaluation is needed to determine the cause of the pain. Is it the toe prominence? Is it arthritis? Is it a combination of problems? The non-surgical treatment is to wear wider shoes and use anti-inflammatory medication. There are a variety of surgical options and a discussion as to what is best specifically for your problem is essential. You need to understand the postoperative care so you will have the best outcome.

There are a lot of technical conditions, but the bottom line is this: if the patient has pain that stops them from doing normal activities, if the pain wakes you up at night, if you have to take pain meds for the bunion pain or if wearing shoes is painful due to the deformity, then it is time.
IF you have 2 of these 4, then it is time for surgery. Hope this helps!!
Is it bothering you? Then go to your surgical podiatrist or foot and ankle doctor.
Depends on how it bothers you. If you don’t want to live with it it’s time. There are minimal incision techniques now available. Recommend an orthopedic surgeon trained in foot and ankle surgery.
There is no reason to wait to fix a bunion, which is mis alignment of the big toe joint. The earlier it is re aligned, the less complicated it'll be with compensation of other toes and joints. earlier it is fixed, the less invasive the procedure needed. in my office, bunion surgery is done in the office, under only local anestheisa, no hardware, and patients walk on the same day. Please look into my social media and website to see the testimonials of patients benefited from this technique.
So long as the bunion is irritating or painful in shoes and you're interested in surgery you could get a surgical consultation with a podiatrist to determine the best surgical plan with risks, benefits, alternatives and complications discussed prior to surgery. Essentially, so long as you are aware of your expectations for surgery and you have an irritating bunion you can have surgery for a bunion.
That is up to your and your surgeon’s discretion. If it bothers you, have it evaluated and then make a plan for surgery with the physician of your choice. I have fixed both small abd large bunion deformities. Every patient is different.
Pain for indication, that’s it.
Any condition that requires surgery when it is limiting your daily activities. I recommend you make an appointment with a foot and ankle surgeon (podiatrist) to discuss diagnosis and treatment options