Friday, April 19, 2024

Minimally Invasive Bunion Surgery Recovery Time

Southern Delaware Foot & Ankle Treats Conditions With Minimally Invasive Techniques

Minimally Invasive Bunion Surgery | Keyhole Bunions Recovery | Amazing Before & After Results

Southern Delaware Foot & Ankle offers minimally invasive foot and ankle surgery for the Millsboro and Seaford, DE communities. Our physicians specialize in minimally invasive foot surgery. We offer this for patients of all ages who experience bunion problems or other medical issues involving the foot or ankle. Our practice was one of the FIRST in the state to offer innovative, minimally invasive surgery to treat bunions. Call us today to schedule an initial appointment if you need care in this area.

How Is Minimally Invasive Surgery Performed?

Minimally invasive surgery is performed through small incisions less than half an inch long. These are significantly smaller than the typical open procedures with much larger incisions. This procedure allows for shortened recovery time, improved motion, less scarring. The minimally invasive surgery option is not for every procedure, but you should ask your surgeon if minimally invasive options exist for your condition.

Minimally Invasive Bunion Surgery

A is a condition in which your big toe has a protruding bump at its base on the inside of the foot. This bump occurs when your foot alignment changes and causes your big toe to move toward the smaller toes. Pain can occur as a result of pressure from the bump against your shoe and/or if your big toe rubs against your second toe. In addition, pain can sometimes occur in the ball of the foot as a result of the big toe’s poor alignment.

What Are The Common Symptoms Of A Bunion

As the bunion bump rubs against the shoe, the resulting pressure causes the overlying soft tissue to thicken. Redness, pain, calluses, and inflammation develop from constant shoe compression and friction. These symptoms can alter the way you step and cause the abnormal load to be placed on two tiny bones underneath the first metatarsal head. This can lead to arthritis and a restricted range of motion at the toe joint.

With nothing to stop them, most bunion deformities progress over time. Bunion pain and arthritis typically worsen, and patients can also develop corns between the first and second toes and even clawing of the second toe due to crowding from the big toe. They can also make existing conditions like plantar fasciitis worse and create new ones like a hammertoe, to name just a few.

There are a number of factors that can cause bunions. The most common include:

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Traditional Surgery With Them

  • Recovery Time: 8-12 weeks per foot, which includes a portion of non-weight bearing time off your foot
  • Scheduling: Needs to be scheduled far in advance, typically need to schedule both feet 12+ weeks apart
  • Anesthesia: General or regional with or without narcotics with patient asleep during surgery
  • Incision Size: 2-3 inches, requires stitches
  • Surgical Instruments: Hammers, chisels, saws, wires, pins, screws and more
  • Infection Risk: Higher

Bunion Surgery Recovery Time

Current Concepts In Minimally Invasive Bunion Surgery

Your feet is one of your most precious commodities. Therefore, its difficult to decide to have surgery on them. The long recovery time has people worried about having the procedure. Traditional foot surgery is no longer acceptable. Especially now there is a far better way to get rid of your bunions, hammer toe, and heel spurs.

A bunion is a common foot condition that affects up to 23% of 18-to 65-year-olds and 35% of people over the age of 65. Prior treatment involved invasive open foot surgery. This required a long recovery. But who can afford to have their foot propped up for six weeks? Its not workable.

Today, outpatient foot procedures are available. Bunions no longer require a long recovery. Doctors have found amazing ways to keep people moving, even after foot surgery. Different surgeries require different recovery times. Your procedure will depend on your specific case.

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The Positive Effect Of Lapiplasty

Americans are affected by a bunion deformity.

of Lapiplasty® patients maintained their 3D bunion correction at 13 months.4

average days for Lapiplasty® patients to begin bearing weight on their operative foot in a boot.4

clinical publications directly support the Lapiplasty® procedure.

Your Questions, Answered
Real People, Real Stories

How Long Does It Take To Recover From Bunion Surgery

The full recovery period depends largely on whether you have minimally invasive or open surgery. Typically, minimally invasive surgery patients can walk in normal sneakers after about six weeks with the PECA procedure or eight weeks with the MIS Lapidus procedure . From there, activity is increased as tolerated by the patient. Running and jumping are restricted for 12 weeks, but biking, spinning, walking and swimming are allowed to progress as the patient tolerates.

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Minimally Invasive Surgery Vs Standard Surgery

The primary advantage of minimally invasive surgical techniques is that they involve less tissue damage providing patients with a faster healing and recovery process. In standard or traditional techniques where large incisions are used, many layers of tissue have large incisions that need to heal in order for full recovery to occur. As a result, the recovery process can take much longer.

Minimally invasive techniques use small, targeted incision to minimize tissue damage for much faster healing, including far less swelling and discomfort. Plus, since the incision site is smaller, theres much less chance of infection to develop compared to standard large incision surgical techniques, and few or no stitches are needed to close the incision.

Some of the advantages of minimally invasive surgery are:

Smaller incisions

Can Bunions Grow Back After Surgery

Minimally Invasive Bunion Surgery

Even after successful surgery, the bunion recurrence rate is about 20% over a patients lifetime. Bunions are genetically inherited and may tamper with surgical results in some patients. Mild bunion recurrence may occur and is well tolerated by patients and tends to occur over a long period.

Recurrence may occur depending on the technique used and if the bunion was not fully corrected during surgery. Patients who do not follow the postoperative instructions carefully may also experience a recurrence. A surgery that corrects a misalignment issue that caused the bunion has a long-term success rate.

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How Can You Prevent A Bunion From Growing Back

Bunions are hereditary so certain conditions may make someone more prone to having the bunion come back. Any condition that causes hypermobility, or tissue flexibility, can be the cause of recurrence. If the bones dont heal properly, the bunion can recur as well. Wearing sensible shoes when possible may help maintain your bunion correction.

Posted: 1/20/2022

How Long Does It Take To Recover After Bunion Surgery

Out of all the things that are involved or required with getting bunion surgery, the post-surgical recovery probably causes the most anxiety. When will I be able to walk again? How long will I be off work? When do things go completely back to normal?

We wont lie to you: full recovery will take time. But the good news is that thanks to new and advanced surgical methods were now using in our office , the amount of downtime required after the procedure is shrinking quickly. In some cases, patients are back on their feet and walking only days after surgery !

Surprised? Lets learn a little bit more.

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Minimally Invasive Foot Surgery

During the 1990s, a new bunion procedure was developed minimally invasive surgery. Because of the major drawbacks of traditional methods, doctors were striving to come up with a procedure that wouldnt disrupt the lives of their patients. They knew if they could decrease healing time, they would simultaneously satisfy patients and mitigate risks. There is a multitude of benefits to modern, minimally invasive foot surgery. In fact, many patients find it almost unbelievable that they can walk out of the operating room. Especially compared to the alternative. Other advantages include the following:

  • Local, not general anesthesia: Patients never lose consciousness, nor do they need to have an IV.inserted into their arm.

A Dramatic Difference In Bunion Surgery

Current Concepts In Minimally Invasive Bunion Surgery

Aiken was familiar with bunion surgery. Her sister had had the procedure years earlier and been off her feet for four weeks afterwards. A fellow nurse who couldnt put weight on her foot for six weeks after bunion surgery had used a scooter to get around.

Dr. Parekh said he would remove my bunion using a new technique that could have me back on my feet much more quickly, Aiken said. At that point I was in so much pain I was ready to have any surgery, but I was relieved to hear my recovery might be easier than what my sister and co-worker experienced.

During traditional bunion surgery, which Dr. Parekh says is notoriously painful, surgeons make large incisions — sometimes nearly two and a half inches long. Then they cut the bone, realign the joint, and screw it in place.

With minimally invasive surgery, I make four or five poke-hole incisions that are only long, said Dr. Parekh. I shave away the bunion and make repairs with special tiny instruments and hardware, using a type of real-time imaging called fluoroscopy as my guide.

He adds that patients who have this minimally invasive technique typically have less pain and swelling after surgery, with a lower risk of infection.

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What Are The Benefits Of Minimally Invasive Bunion Surgery

As weve mentioned, minimally invasive procedures are less painful and easier to recover from compared to traditional surgical approaches. This makes them the first choice for treating bunions if the condition isnt extremely severe. In most cases, minimally invasive surgery can do the job perfectly and fix the deformity, thus bringing patients satisfaction and outstanding results.

  • Since the incisions are very small, there isnt much damage to the soft tissue, which means less pain and faster recovery.
  • The scarring both internal and external will be minimal. Sometimes, you cant even see the scar from the surgery. If it is present at first, it fades over time in most cases.
  • Your joint wont be rigid, and the swelling and inflammation will go down way faster than when the traditional surgery is at play.
  • Returning back to walking and running, or any other kind of day-to-day activities will be possible in a short amount of time.

Minimally Invasive Bunion Surgery Provides Reduced Pain Faster Recovery

Before and after X-rays show how minimally invasive bunion surgery realigns bones to their natural position.

When conservative treatment no longer provides relief of a bunion deformity and pain becomes so severe it affects a persons lifestyle, patients have turned to two surgeries that require a large incision: open or joint fusion. A North Kansas City Hospital orthopedic surgeon, Angela Walker, DO, offers a minimally invasive technique that realigns the bones to their natural position with three tiny versus one large incision.

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Do Bunions Grow Back After Surgery

The recurrence rate is about 20% over a patients lifetime. A mild bunion recurrence is well-tolerated by most patients. Significant bunion recurrences that cause problems and require further surgery are much less common. Recurrence may happen if the bunion isnt fully corrected at the time of surgery or if the wrong bunion procedure was used. It may also occur if patients dont follow the postoperative directions carefully. Overcorrection is also a risk, but much less common. Either recurrence or overcorrection may require a second operation .

What Is Minimally Invasive Bunion Surgery

Minimally Invasive Bunion Surgery

Instead of a large opening, minimally invasive bunion surgery refers to any surgical procedure performed through small incisions. You will probably have a faster recovery time and less pain than conventional open surgery, but with the same advantages as traditional surgery because your surgeon will make smaller incisions.

Your surgeon will make several small incisions in your skin during minimally invasive bunion surgery, typically a couple of millimeters long. An endoscope will then be inserted into one of the incisions by your surgeon. Images from the endoscope are sent to the operating room’s monitors so that your surgeon can see clear, magnified images of the area that needs minimally invasive bunion surgery.

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What Happens During Minimally Invasive Bunion Surgery

Tiny multiple incisions are made through the skin of the foot then the metatarsal bone is cut using a burr instead of a saw, unlike traditional techniques which make long incisions. The tiny incisions ensure minimal disruption to soft tissues leading to reduced swelling and pain after surgery.

Minimally invasive surgery allows for immediate weight-bearing and faster healing enabling patients to resume their usual activities quickly. Depending on the severity of the condition, our surgeon at Dynamic Foot and Ankle performs two types of minimally invasive surgery, including:

  • The Percutaneous Chevron Akin technique for mild to moderately severe bunions involves cutting the big toe and the metatarsal bone to reposition and realign them.
  • The minimally invasive Percutaneous Lapidus technique for severe bunions involves repositioning and fusing a joint close to the arch and cutting the toe bone. This technique is perfumed using a burr and placing screws through micro incisions.

Both techniques allow you to get back on your feet quickly, have early weight-bearing, minimal pain, aesthetic appeal, and lower the risk of postoperative infections.

Recovery And A Return To Activity

Aikens bunion surgery took place on a Thursday, then she took the entire next week off. By the following Monday, she was back at work with few limitations.

I had to wear a walking boot for about 10 weeks to keep me from flexing my toe or putting too much weight on it too soon, said Aiken. But that didnt prevent me from doing my job. My only concern was finding a shoe to wear on the other foot that was the same height as the boot.

Six months after surgery Aiken is as active as ever, with no scars or pain. She is exercising again and has resumed her frequent walks with her husband and three dogs.

My recovery was easier than I expected, even knowing in advance there were benefits to minimally invasive surgery, she said. I have a small bunion developing on my other foot, and if it ever becomes an issue I wont hesitate to go back to Dr. Parekh.

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What Are The Benefits Of Minimally Invasive Versus Open Bunion Surgery

Minimally invasive bunionectomy involves less pain, a faster recovery, and better cosmetic results due to the small incisions. Open surgery, however, is a more powerful correction for very severe bunion deformities. It also reduces the risk of recurrence in severe bunions.

I have noticed that my patients who have the minimally invasive technique take less pain medication, have better range of motion of their big toe, and are back in regular shoes in half the time than are my patients who undergo the open technique.

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Current Concepts In Minimally Invasive Bunion Surgery

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The Lapiplasty® Patient Call Center is for patient questions related to our product and procedure only.As a medical device manufacturer, Treace Medical Concepts, Inc. cannot provide any opinions or other medical advice to patients. For medical advice please contact your doctor.

1. Kim Y, et al. Foot Ankle Int. 2015. 36:944-52.2. Okuda R, et al. JBJS. 2007. 89:2163-72.3. Jeuken RM, et al. Foot Ankle Int. 2016. 37:687-95.4. Ray J, et al. Foot Ankle Int. 2019 Aug 40:955-960.

Important Risk Information: Only a surgeon can tell if the Lapiplasty® Procedure is right for you. As with any medical treatment, individual results may vary. There are potential risks and recovery takes time. For more information about recovery from the Lapiplasty® Procedure, see the recovery information and discuss the post-surgery recovery process with your doctor. Potential risks include infection, pain, implant loosening, and loss of correction due to improper bone healing. For more information about risks, see the Patient Risk Information. For information about how we handle your information, see our Privacy Policy.


1. Kim Y, et al. Foot Ankle Int. 2015. 36:944-52.2. Okuda R, et al. JBJS. 2007. 89:2163-72.3. Jeuken RM, et al. Foot Ankle Int. 2016. 37:687-95.4. Ray J, et al. Foot Ankle Int. 2019 Aug 40:955-960.


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What Makes Prostep Mis Minimally Invasive

Your PROstep MIS surgery is minimally invasive thanks to the specialized techniques Dr. Rambacher uses during the procedure. Unlike traditional open bunion surgery, the minimally invasive techniques use tiny surgical tools to make micro incisions that correct your bunions.

The percutaneous micro incisions Dr. Rambacher makes are only 0.3 to 0.5 cm long. As a result, your soft tissues are less disrupted during the procedure, allowing you to get back on your feet quickly, experiencing less swelling, pain, and significantly lowering your risk of post-operative infections.

How Can I Prevent Another Bunion

Having bunion surgery that fully addresses the severity of the bunion is the best way to avoid a recurrence. It is essential to follow your podiatrists recommendations carefully after surgery and heed follow-up advice. Additionally, since bunions are inherited, a recurrence is likely.

Bones that do not heal properly, conditions causing hypermobility or tissue flexibility can also cause a recurrence. Patients are advised to wear comfortable flat shoes to help maintain their bunion correction surgery. Other methods to avoid recurrence include customized physical rehabilitation, avoiding wearing tight shoes, wearing removable splints, and custom orthotics.

If you have been experiencing bunion pain, book an appointment with Dynamic Foot and Ankle Center for a thorough, minimally invasive bunion correction. We provide the best foot and ankle solutions at any of our branches in Virginia. Contact us today or book online now.

Dynamic Foot and Ankle Center

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What Is The Surgery For Bunion Correction

The corrective surgery for bunion is known as a metatarsal osteotomy or bunionectomy. There are multiple techniques, but all involve cutting the bones and repositioning them with metal screws to straighten the big toe and reduce the bump on the side of the foot.

Traditionally, bunion surgery can be quite painful and involve a long recovery. However, some patients can benefit from newer, minimally invasive techniques that have significant advantages. Historically, these procedures have been performed through large incisions, but at HSS, I have perfected two special techniques to correct bunions through tiny incisions.

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