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Hallux valgus, commonly known as a bunion, is a deformity in which the big toe deviates toward the other toes and a characteristic prominence develops on the inner side of the forefoot. The condition may cause pain, skin irritation, difficulty finding suitable footwear, and a gradual reduction in everyday activity.

If conservative treatment does not provide sufficient improvement, surgery may be considered. The procedure is planned individually based on the type and severity of the deformity, the patient’s symptoms, physical examination, and imaging findings.

What Does Bunion Surgery Involve?

Surgery involves correcting the alignment of the big toe and the first metatarsal bone. Depending on the deformity, the orthopedic surgeon may perform an osteotomy, which is a controlled bone cut and realignment, followed by fixation with appropriately selected implants. The operation may also include soft-tissue correction, removal of a painful bony prominence, or additional procedures within the forefoot.

There is no single technique suitable for every patient. The orthopedic surgeon selects the method after evaluating the entire foot, because removing the visible prominence without addressing the underlying deformity may not provide lasting improvement.

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How to correct bunions?

Sometimes bunions can be corrected using non-invasive methods. Wearing comfortable shoes for bunions often helps to reduce swelling and pain. The footwear should be well-fitted, comfortable and soft. You can also try using toe spacers for bunions. There are, however, some cases, in which those methods are not enough to help the patient. If You have already tried non-invasive treatments, but still feel pain when walking (even in flat shoes), bunion surgery might be the best option for You.

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    During bunion surgery, the surgeon removes the enlarged part of the bone. He shifts the bones in Your foot back into the right place. Sometimes the physician has to reposition the muscles, tendons, and ligaments surrounding the joint. The extent of the operation depends on the severity of Your bunion. The main goal of the procedure is to relieve You from the pain caused by the hallux valgus. This surgery is not a cosmetic one. Instead, it has a therapeutic effect and is supposed to make Your life easier.

    What Outcomes Can Be Expected?

    Properly planned surgery may contribute to:

    reduced pain and irritation around the big toe,

    improved alignment of the big toe,

    easier walking and footwear selection,

    improved forefoot function,

    greater freedom during everyday activities.

    Improvement develops gradually as the bone and soft tissues heal. The foot may not regain a perfectly straight or ideal shape, and the final outcome depends on the deformity, surgical technique, healing process, and adherence to postoperative instructions.

     

    Preparation includes an orthopedic consultation, a physical examination, and imaging, usually weight-bearing X-rays of the foot. The surgeon evaluates the deformity, discusses the planned procedure, and explains postoperative recommendations.

    Before surgery, the patient may be asked to:

    complete the required laboratory tests and additional consultations,

    provide a complete list of medications and supplements,

    discuss medications that affect blood clotting with the physician,

    undergo an anesthesiology consultation,

    prepare postoperative footwear or walking aids if recommended,

    reduce or stop smoking because nicotine may interfere with wound and bone healing.

    Detailed instructions, including fasting requirements, are provided by the medical team. Patients should not discontinue any medication without medical advice.

    After surgery, the foot is protected with a dressing, and special postoperative footwear is often required. The permitted level of weight-bearing depends on the procedure and fixation method. During the first days, rest, elevation of the limb, and prescribed medication are important.

    Follow-up appointments allow the surgeon to assess the wound and bone healing. Swelling may persist for several months, so the return to regular shoes, driving, work, and sports is determined individually. Increasing weight-bearing too quickly may delay healing.

    A personalized physical therapy program may support the recovery of big-toe mobility, muscle strength, and a more natural gait pattern. KCM Clinic patients receive a 10% discount on postoperative rehabilitation or physical therapy.

    Bunion surgery may be considered in patients with:

    persistent or increasing pain in the big toe or forefoot,

    progressive hallux valgus deformity,

    pain and skin irritation over the prominence,

    difficulty walking or performing everyday activities,

    difficulty finding comfortable footwear,

    overlapping toes or accompanying deformities of the lesser toes,

    insufficient improvement after conservative treatment.

    Surgery is not recommended solely because of the appearance of the foot. Symptoms and functional limitations are the main considerations, and final qualification is made by an orthopedic surgeon.

     

    Good to Know

    Bunion surgery is not performed solely for cosmetic reasons. Its purpose is to reduce symptoms and improve foot function. The correction method, fixation, and pace of return to weight-bearing are selected individually. Full improvement may take several months, and following instructions concerning postoperative footwear, follow-up visits, and physical therapy is important for recovery.

    About the procedure

    During bunion surgery, the surgeon removes the enlarged part of the bone. He shifts the bones in Your foot back into the right place. Sometimes the physician has to reposition the muscles, tendons, and ligaments surrounding the joint. The extent of the operation depends on the severity of Your bunion. The main goal of the procedure is to relieve You from the pain caused by the hallux valgus. This surgery is not a cosmetic one. Instead, it has a therapeutic effect and is supposed to make Your life easier.

    What Outcomes Can Be Expected?

    Properly planned surgery may contribute to:

    reduced pain and irritation around the big toe,

    improved alignment of the big toe,

    easier walking and footwear selection,

    improved forefoot function,

    greater freedom during everyday activities.

    Improvement develops gradually as the bone and soft tissues heal. The foot may not regain a perfectly straight or ideal shape, and the final outcome depends on the deformity, surgical technique, healing process, and adherence to postoperative instructions.

     

    Preparation

    Preparation includes an orthopedic consultation, a physical examination, and imaging, usually weight-bearing X-rays of the foot. The surgeon evaluates the deformity, discusses the planned procedure, and explains postoperative recommendations.

    Before surgery, the patient may be asked to:

    complete the required laboratory tests and additional consultations,

    provide a complete list of medications and supplements,

    discuss medications that affect blood clotting with the physician,

    undergo an anesthesiology consultation,

    prepare postoperative footwear or walking aids if recommended,

    reduce or stop smoking because nicotine may interfere with wound and bone healing.

    Detailed instructions, including fasting requirements, are provided by the medical team. Patients should not discontinue any medication without medical advice.

    Convalescence

    After surgery, the foot is protected with a dressing, and special postoperative footwear is often required. The permitted level of weight-bearing depends on the procedure and fixation method. During the first days, rest, elevation of the limb, and prescribed medication are important.

    Follow-up appointments allow the surgeon to assess the wound and bone healing. Swelling may persist for several months, so the return to regular shoes, driving, work, and sports is determined individually. Increasing weight-bearing too quickly may delay healing.

    A personalized physical therapy program may support the recovery of big-toe mobility, muscle strength, and a more natural gait pattern. KCM Clinic patients receive a 10% discount on postoperative rehabilitation or physical therapy.

    Precautions

    Bunion surgery may be considered in patients with:

    persistent or increasing pain in the big toe or forefoot,

    progressive hallux valgus deformity,

    pain and skin irritation over the prominence,

    difficulty walking or performing everyday activities,

    difficulty finding comfortable footwear,

    overlapping toes or accompanying deformities of the lesser toes,

    insufficient improvement after conservative treatment.

    Surgery is not recommended solely because of the appearance of the foot. Symptoms and functional limitations are the main considerations, and final qualification is made by an orthopedic surgeon.

     

    Good to Know

    Bunion surgery is not performed solely for cosmetic reasons. Its purpose is to reduce symptoms and improve foot function. The correction method, fixation, and pace of return to weight-bearing are selected individually. Full improvement may take several months, and following instructions concerning postoperative footwear, follow-up visits, and physical therapy is important for recovery.

    Contact the coordinator
    +48 75 645 2022

    Leave us a message
    orthopedics@kcmclinic.com

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