Non-surgical (conservative) treatment
Bunion and bunionette pain is best and most practically managed by wearing whatever shoes feel less discomfort. These more comfortable shoes are usually flatter, wider, roomier, softer material, thick soled and open-toe shoes. Anti-inflammatory pain killer can help relieve pain but only temporarily.
Physiotherapy exercises may help prevent and possibly regain some of the lost function of the big toe but not correct the deformity. Toe straightening appliances may help big toe look straighter temporarily but not narrow the forefoot for shoes. Purpose-built foot orthotics for bunion condition can help reduce metatarsal calluses, metatarsal pain (metatarsalgia) and hopefully also slow down the progression of bunion deformity.
|Toe Spreaders||Bunion-specific foot orthotics||Toe Splint|
There have been reportedly more than 150 different surgical techniques being described for bunion correction. There are not just few but still more than 15 different bunion surgeries being practiced around the world today. This larger than usual number of surgical procedures for one single condition serves an indication that surgeons were and are still not quite satisfied with the best available surgeries yet.
The ultimate objective of Bunion Surgery
The ultimate objective of all bunion surgeries is to restore normal function of the big toe and thus to also lessen the associated pain and other secondary problems.
Traditional bunion surgery: bone-breaking procedures
As all surgeons know that the primary structural change responsible for the bunion formation is displacement of the first metatarsal bone and thus the primary goal for all bunion surgeries is also to re-align this displaced but normal first metatarsal bone. To do so, the most popular approach has been using the many different "break-n-shift" techniques. The reason for the need of so many different break-n-shift techniques is due to each technique’s limitations and to cater to surgeons’ different preferences.
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