Treatment Concept

Management realities


  • The most practical and effective method to help alleviate bunion pain is to wear whatever shoes feel comfortable.
  • Bunion deformity, unfortunately, does not have any proven methods to stop its natural progression.
  • Bunion deformity when necessary can only be corrected by surgery.

 

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, roomier, with softer upper, thick soles or 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 correcting the deformity. Toe straightening appliances may help for mild bunions but can be uncomfortable for more severe deformity and their benefits have not been proven. 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 SpreadersBunion-specific foot orthoticsToe Splint

 

Surgical treatment

There have been reportedly more than 150 different surgical techniques being described for bunion deformity correction and there are still more than 20 of them being practiced around the world. This larger than usual number of surgical methods 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.

Osteotomy Procedure


Click here for more bone breaking examples.
Akin Procedure
Akin Procedure
Chevron Procedure
Chevron Procedure
Hohmann Procedure
Hohmann Procedure
Wilson Procedure
Wilson Procedure
Lapidus Procedure
Lapidus Procedure
Ludloff Procedure
Ludloff Procedure
Mitchell Procedure
Mitchell Procedure
Reverdin Procedure
Reverdin Procedure
Scarf Procedure
Scarf Procedure