Mr Stuart A Metcalfe BSc(Hons), MPhil, FRCPod(S)
CONSULTANT PODIATRIC SURGEON
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FELLOW ROYAL COLLEGE OF PODIATRY
Bunions and Bunions Surgery
A bunion is referred to "hallux valgus" and involves the big toe moving position so that it points inwards toward the second toe. Patients with bunions may also notice that their foot becomes wider as it begins to splay. The main problem is that these changes are progressive and typically worsen with time. If you think you might have a bunion then you should seek early advice. If your bunion is treated early you might be able to avoid not only the pain associated with severe bunions but also have a much better chance of a cure.
There are many different types of bunions surgery. I have provided detailed information on some of the more common operations which you can access by clicking the links provided.
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Frequently Asked Questions
Why not just leave the bunion alone?
One of the biggest problems in not treating bunions is that they almost always get worse with time. While the bunion is progressing the joint can become further damaged a bit like driving a care when the wheel is out of alignment leading to the car tyre wearing down on one side.
So why does it matter if the bunion gets worse?
One of the problems is that the bunion may become so bad that a more complicated operation may become necessary and this increases your recovery time. With my technique you are normally back into normal shoes within three weeks or so and you can place weight on your heel straight-away.
Is it right the bunion will probably just come back after surgery?
In my experience it is very rare for a bunion to come back. This can occur in young children but as I say it is uncommon in adults. What we do know is that if you leave the bunion untreated it will most likely get worse and cause other problems.
Can I have the operation under local anaesthetic?
Yes most patients can decide to have their bunion surgery under local anaesthetic if they wish. Alternatively we can offer sedation with local or a light general anaesthetic with local in combination. This is something I would discuss with my patients during the preoperative meeting.
Will I be in pain after surgery?
Understandably many patients are concerned they may have terrible pain after surgery, no doubt fuelled by the stories from their friends and family. In truth with my patients bunion surgery should not be a major problem because we take measures to reduce this right from the time you arrive at the hospital for your bunion operation.
Will I need crutches?
Yes, we will provide you with a postoperative shoe and crutches for you to use after surgery. One of my team will show you how to use your crutches safely.
Can I go home the same day, and how long will it be before I can drive?
All bunion surgery is carried out as a Day Case procedure nowadays and so you are able to go home afterwards. Most patients can drive within four weeks of their operation.