Wednesday, February 12, 2014

Important Details About Bunion Surgery San Francisco Patients Need To Know

By Jayne Rutledge


Bunions are common maladies of the feet which involve the inward shifting of the big toe joint, causing it to protrude painfully. The other toes may become crowded out when this happens and it can be uncomfortable walking or standing on one's feet for a long time. Women are more likely to develop them than men, due to the restrictive kinds of shoes they often wear. Fortunately this problem can be corrected surgically. Before deciding to undergo bunion surgery San Francisco patients should make sure they known what to expect.

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.

Serious bunions will require surgery to repair them. Patients who have not experienced any improvement with non-surgical measures and are troubled by the symptoms a great deal will be advised to undergo this procedure. A combination of local and general anesthetics are administered, with more of the former given to reduce the amount of the latter which is necessary. While sometimes a patient may stay overnight at the hospital, it is normally an out-patient operation.

The procedure is known as an "osteotomy" and it involves separating the metatarsal bones of the big toe and putting them back together in their correct location using surgical screws or staples. The bony bulge of the bunion is removed, the joint is given strength and the upper part of the foot is narrowed as a result. A post-operative, protective shoe is worn on the affected foot to promote healing.

After the procedure, it is normal for the foot to be swollen and painful under its bandages. Medications can help control the pain and elevating the foot to heart level can ease the swelling. It is important to wear the post-op shoe continuously, even when sleeping. Two weeks later, stitches can be removed, and exercising the toe regularly starting with immediately after surgery can help prevent stiffness.

Wearing the post-op shoe for the first six weeks after the operation is typically required, after this time an open-toed sandal with adjustable straps can be worn instead. Regular footwear can be worn in another six to eight weeks, and once it's been three to six months since the procedure, the patient may once again engage in sporting activities.

Complications from the procedure include stiffness, toe sensitization, skin infection, blood clots, non-healing of the bone, surgical screw problems, and corn formation on the second toe caused by weight transfer, however these seldom occur. The majority of patients are pleased with the outcome.

When interested in the prospect of bunion surgery San Francisco patients need to understand that this operation is considered the last resort once all other attempts to manage pain and symptoms have failed. It isn't normally recommended as a means of preventing advancement of the disorder or to improve the appearance of the feet.




About the Author: