Monday, February 17, 2014

Information About Bunion Surgery San Francisco Patients Will Find Helpful

By Jayne Rutledge


A bunion is an often painful protrusion on the joint of the big toe which results when the angle of the toe is shifted inwards too much. The most common cause of this disorder is wearing tight-fitting shoes that place the toes in an abnormal position, leading to the misplacement of this joint which in turn can cause pain and make standing for long periods of time unbearable. There is an operation which can be effective, however it is advisable that before bunion surgery San Francisco patients learn what it entails.

If treated early on with a brace or splint on the toe the condition can improve somewhat and if there is irritation to the adjacent toe, corn pads may be helpful, but most often they only relieve the pain temporarily. There are certain types of shoes which are more accommodating to bunions, and if fallen arches are an issue, arch supports can be worn.

Those bunions which are more severe can only be remedied by a surgical procedure. If a patient has not responded well to non-operative measures and is considerably afflicted with pain, surgery is indicated. The operation is performed while the patient is given a combination of local and general anesthetic, with more of the former used so less of the latter is needed. It is often done as an out-patient procedure, but sometimes an overnight stay is necessary.

Called an "osteotomy", the procedure consists of dividing the metatarsal or big toe bone in two, repositioning it, and eliminating the bulge of the bunion. This effectively strengthens the joint and narrows the top of the foot. Surgical staples or screws hold the bones in place while it heals and a protective post-operative shoe is also worn.

Following surgery, the foot will be bandaged, swollen, and painful, but pain medications will be given and keeping the foot elevated helps reduce the swelling. The post-op shoe will need to be worn at all times, even when in bed. Stitches will be taken out after two weeks time, and it's important to exercise the toe starting right after the operation in order to prevent stiffness.

Patients must wear the post-op shoe for about six weeks, and then they can switch to an open-toed sandal with straps that can be adjusted. After another six to eight weeks, regular shoes can be worn and once three to six months have passed, sporting activities may be resumed.

Typically patients will experience a notable improvement following the procedure. There does exist a very low incidence of such complications as non-healing of the bone, problems with surgical screws, skin infections, blood clot, stiffness, toe sensitization, and corn formation from increased weight transfer to the second toe, but these problems are rare.

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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