Monday, April 15, 2024

Tailor Bunion Surgery Before And After

Tailors Bunion Surgery Recovery

Best Bunion Exercises and Nonsurgical Treatment

Your post-op appointment will happen around 15-20 days following your procedure. During this appointment, your bandages will be reduced, and you will most likely be able to go back to wearing comfortable wide sole shoes and a surgical sock for 10-15 days to continue the rest of your recovery in.

45 days post procedure a follow-up x-ray will be arranged for your surgeon to assess the results of your procedure.

After 60 days, you will be able to return to physical activity such as sports and exercise.

Procedures Used In Tailors Bunion Surgery

Since a tailors bunion usually involves new bone being deposited around the metatarsal head and joint, part of the surgical procedure of removing a tailors bunion is concerned with getting rid of excess bone. This process is called arthroplasty the name comes from the Greek words for joint and construction . This procedure shaves part of the excess bone growth and sometimes also part of the joint itself. When it is performed on the toes or fingers the procedure is referred to as digital arthroplasty. The other main procedure used in the treatment of tailors bunions is termed arthrodesis. This comes from the Greek word meaning to fuse. Arthrodesis is also known as ankylosis or syndesis. Whatever you call it, it is the process of fusing the bones of the toe and foot together. This process pins, wires or screws bones in place restricting movement of the bones. This procedure is used when a bone has been severely damaged and the metatarsophalangeal joint cannot easily be reconstructed. Tailors bunion surgery can actually involve any of over 100 different surgical procedures, with each case assessed prior to surgery to determine which is likely to have the best results.

What To Expect The Day Of The Surgery

When you arrive for the procedure, youll check in with the nurse who will take you to the operating room. There, the doctor will give you an ankle block a local anesthetic procedure that numbs everything from the ankle down. The doctor will take a few minutes to let the general anesthesia take effect before starting the procedure.

The procedure duration will vary depending on the severity of your bunion, but typically the procedure lasts less than an hour. Since recovery can be long, doctors usually only treat one foot at a time. Once the procedure is complete, the doctor will apply a bandage to your foot.

Most bunion removals are performed as outpatient procedures, so you wont need to spend the night in the hospital. Bring someone who can drive you home after the procedure or make arrangements with a non-emergency medical transportation company.

After the procedure, youll be taken to a recovery room and will be allowed to go home once the anesthesia wears off. The nurse will monitor your blood pressure and other vitals before discharging you. Most patients spend an hour or two in the recovery room before heading home.

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Minvasive Minimally Invasive Bunionectomy Featuring The Crossroads Minibunion System

Latasha is a 54-year-old female with an active lifestyle. She had a painful and swollen bunion with difficulty in shoes. Latasha had a miniBunion Minimally Invasive Bunionectomy and was on her foot the day after surgery. She was back in shoes at 5 weeks and had no visible scar at 6 weeks. Latasha had an incredible range of motion and her bunion pain was completely gone. The after image was taken 12 weeks post-op.

What Are The Types Of Bunions


Bunions on the big toe are the most common. Other types include:

  • Congenital hallux valgus: Some babies are born with bunions.
  • Juvenile or adolescent hallux valgus: Tweens and teens between the ages of 10 and 15 may develop bunions.
  • Tailors bunion: Also called a bunionette, this bunion forms on the outside base of the little toe.

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Treatments For A Bunion From A Gp Or Podiatrist

A GP or podiatrist can advise you about:

  • things you can do to ease your symptoms
  • things you can buy or have specially made to reduce bunion pain, such as insoles , toe spacers and toe supports

A GP may refer you to a surgeon if your bunions are very painful or having a big effect on your life.

Surgery is not done just to improve how your feet look.

Chiropractic Care For Bunions

A bunion is a bony protrusion of the metatarsophalangeal joint at the base of the big toe. Once fully developed there is redness, inflammation, and stiffness that restricts motion of the big toe. The Latin name for this deformity is hallux valgus .

Narrow shoes force toes into an unnatural position altering the normal structure of the MTP joint, the result is a bunion. This deformity gradually increases and can interfere in the ability to walk pain-free. Incorrect footwear places constant pressure on the bursa forcing it to become inflamed. Although anyone can get a bunion, they are more common in women.

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Our Bunion Surgeons Control Pain By:

  • Taking great care of the tissue with surgical precision. Never hacking away at the tissue. This takes years of training and effort to perform good dissection.
  • A stable fixation to immobilize the bones. Hypermobility in the bones is one of the main causes of swelling and pain after surgery. Through the use of screw and/or staple or plates, the bone is held properly in the area of correction resulting in less movement, less swelling and ultimately less painkiller use.
  • A proprietary long-acting local anesthesia cocktail. The longer a person is numb, the better the chance for them to get in bed, relax and heal.
  • Post-surgical anti-inflammation protocols and no major narcotics. In our hands, patients will rarely take more than one or two pain pills after surgery.
  • Fitting the patient with a stability boot to immobilize the foot. By holding the foot stable, there is less movement, resulting in less swelling and less pain.

What Complications Could Occur

What To Expect After Bunion Surgery

Pain following your operation.

Here at the Foot and Ankle Center of Washington we have years of experience managing post operative pain. We have a detailed pain management plan for each person and the best way to minimize your pain is by following your doctors recommendations after surgery.

At a minimum, your surgeon will encourage:

  • Icing intermittently
  • Elevating the limb with 1-2 pillows
  • Carefully prescribed appropriate pain medications

Infection of the surgical site.

It is important to catch a post operative infection early so call or make an appointment with your doctor if any increase or change in symptoms after surgery. If we detect the early signs of infection we will start you on the antibiotics to combat the infection. Most infections can be successfully treated but need to be caught early so do not delay intervention. A severe infection or complication can have severe consequences.

Signs of post operative infection include:

  • Redness and temperature around the bandage or surgical site
  • Unusual drainage from the surgical site
  • Swelling of the foot or leg
  • Significantly increased pain

Reduce your risk of infection by following the doctors recommendations carefully after surgery. Its very important to keep your surgical site clean, dry and covered with bandages until 3-4 weeks after surgery.

You should always contact your doctor if the bandage over your surgical site: becomes wet, falls off, or you can see blood or fluid leaking through.

A blood clot in your leg.

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Bunion Surgery Has Changed

A common misconception is that a bunion is simply a bump that can be shaved off. But, bunions are more than a bump they are complex 3D problems caused by an unstable joint in the middle of the foot. While the majority of bunion surgery is only 2D and fails to address the root cause, Lapiplasty® provides a 3D correction and secures the unstable joint.

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What Happens During Bunion Surgery

Bunion surgery may be done on an outpatient basis or rarely as part of yourstay in a hospital. Procedures may vary depending on your condition andyour healthcare providerâs practices.

Most bunion surgery is performed under ankle block anesthesia, in whichyour foot is numb, but you are awake. Occasionally, general or spinalanesthesia is used.

Generally, bunion surgery follows this process:

  • You will be asked to remove clothing and will be given a gown to wear.

  • An intravenous line may be started in your arm or hand.

  • The skin over the bunion will be cleansed with an antiseptic solution.

  • If a local anesthetic is used, you will feel a needle stick when the anesthetic is injected. This may cause a brief stinging sensation. If general anesthesia is used, you will be put to sleep using intravenous medicine.

  • The healthcare provider will cut, realign, and possibly remove portions of bone, ligaments, and tendons of the affected foot based upon the severity of the bunion.

  • The healthcare provider will close the opening with stitches and apply a sterile bandage or dressing.

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    How Long Is Recovery From A Tailors Bunionectomy

    It takes 6 months to recover from a Tailors Bunionectomy. Immediately post-operation, you will spend 2-4 weeks in a surgical shoe with a rocker sole to reduce any force placed through the joint.

    Depending on your surgeon, you usually begin to wean out of the surgical boot between weeks 3-6 and begin Physical Therapy with a full recovery around 4-6 months.

    Minibunion Osteotomy Bunionectomy With Hammertoe Correction And Plantar Plate Repair

    My Hammertoe &  Tailors Bunion revision journey!

    Fariba is a 56-year-old female with extensive foot damage. She had a severe bunion with plantar plate tears and hammertoes of the 2nd and 3rd toes. She is very active and travels and walks extensively. Fariba required our trademarked MinVasive Osteotomy Bunionectomy and hammertoe corrections with metatarsal osteotomy and plantar plate repair of the 2nd and 3rd toes. She was able to walk on her foot right after surgery and was back in shoes at 6 weeks post-surgery. Fariba took no pain medication and had no visible scars three months after surgery. After picture was taken 12 weeks post-surgery.

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    What Are The Advantages Of The Tailors Bunion Surgery Technique

    • Our bunion removal procedure is exclusive to The Private Clinic.
    • We perform over 1,200 procedures each year with a success rate of 98%
    • No screws, plates, wires, or metal fixtures are used in surgery.
    • Keyhole surgery is used which means no big scars.
    • Minimal downtime with no need for crutches.
    • No overnight stay required.
    • Premium aftercare support.
    • Our bunion treatment has been featured in Tatlers, Harpers Bazaar, , Net Doctor and The Daily Telegraph.

    What Should I Expect After The Surgery

    The first thing most people want to know about is pain management. While every patient is certainly unique in their own pain tolerance, most patients pain is well managed with prescription pain medications that your surgeon gives to you following the surgery. Between acetaminophen, NSAID medications and temporary low dose opioid medications patients usually have very tolerable pain over the days following their surgery.

    • If you have experienced adverse reactions with either NSAIDS or opioid medications it is important to discuss them with your surgeon before surgery. Your pain management is unique to you, and your doctor should always understand that.
    • Swelling after surgery is one of the main causes of pain. Keeping your foot elevated 1-2 pillows with an ice pack placed behind your knee after surgery reduces swelling that naturally occurs after the operation. You need to make sure you do not freeze your skin with the ice pack. Remember excessive elevation may decrease blood flow your foot.

    During the surgery small screws may have been placed in the bone to stabilize the bone cuts. Most patients will not be able to feel them, and they can remain in the bone indefinitely. If the screws do cause any discomfort after the bone is fully healed, they can be removed in a second very minor surgery through small cuts in the skin.

    When can I start walking again?

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    What Are The Symptoms Of A Tailors Bunion

    The symptoms of a tailors bunion are similar to those experienced with a bunion and can vary in severity, from mildly uncomfortable to painful. You may experience pain, inflammation and redness near the base of the small toe where the bony protrusion is. You may become more aware of these symptoms when wearing tight shoes, as the shoe continuously rubs against the skin.

    While a tailors bunion wont usually pose any threats to your health, it may affect your quality of life. The good news is that it can be easily addressed with non-surgical or surgical treatments.

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    How Do I Prepare For Bunion Surgery

    1st Postop visit after bunion surgery
    • Your healthcare provider will explain the procedure to you and offer you the chance to ask any questions that you might have about the procedure.

    • You will be asked to sign a consent form that gives your permission to do the procedure. Read the form carefully and ask questions if something is not clear.

    • In addition to a complete medical history, your healthcare provider may perform a complete physical exam to make sure that you are in good health before undergoing the procedure. You may undergo blood tests or other diagnostic tests.

    • Tell your healthcare provider if you are sensitive to or are allergic to any medicines, latex, tape, and anesthetic agents .

    • Tell your healthcare provider of all medicines and herbal supplements that you are taking.

    • Tell your healthcare provider if you have a history of bleeding disorders or if you are taking any anticoagulant medicines, aspirin, or other medicines that affect blood clotting. It may be necessary for you to stop these medicines before the procedure.

    • If you are pregnant or suspect that you are pregnant, you should notify your healthcare provider.

    • You may be asked to fast for 8 hours before the procedure, generally after midnight.

    • You may receive a sedative before the procedure to help you relax. Because the sedative may make you drowsy, you will need to arrange for someone to drive you home.

    • Based on your medical condition, your healthcare provider may request other specific preparation.

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    What Is Bunion Surgery

    Bunion surgery is done to reduce the pain and correct the deformity caused by a bunion. A bunion is an enlargement of the bone or tissue around a joint at the base of the big toe or at the base of the little toe. This one is called a “bunionette” or “tailor’s bunion.” Bunions often form when the joint is stressed over a prolonged period. Most bunions form in women, primarily because women may be more likely to wear tight, pointed, and confining shoes. Bunions may be inherited as a family trait. Bunions may also result from arthritis. This often affects the big toe joint.

    Before surgery is considered, your healthcare provider may recommend first wearing comfortable, well-fitting footwear . He or she may also suggest using splints and orthotics to reposition the big toe and/or provide padding. For bunions caused by arthritis, medicines may help reduce pain and swelling.

    If these treatments don’t help, your healthcare provider may suggest surgery. This often resolves the problem. The goal of surgery is to relieve pain and correct as much deformity as possible. The surgery is not cosmetic and is not meant to improve the appearance of the foot.

    Other related procedures that may be used to help diagnose foot disorders include X-rays of the bone and foot. Please see these procedures for more information.

    How To Prepare For Bunion Surgery

    The day of the surgery or a few days before, a doctor will check your vital signs to make sure youre healthy enough to undergo the surgery. The doctor may take x-rays or perform an electrocardiogram to evaluate your heart and lung function. They may also draw blood or ask for a urine test to rule out any underlying medical conditions that may cause complications.

    A few days before the bunion procedure, you may need to stop taking certain medications including blood thinners. Your doctor may also ask you to stop eating or drinking for a number of hours before the procedure starts. Follow the doctors instructions to avoid complications or delays in your surgery.

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    Lapidus Forever Bunionectomy And Hamertoe Correction

    Amanda is a 37-year-old mother who could not take much time off her foot and needed correction of a very large bunion that had also resulted in a hammertoe and partial discoloration of the 2nd toe joint. Amanda had a Lapidus Forever Bunionectomy and was back on her foot at 2 weeks after surgery and able to take care of her young children while she healed. Her bunion correction results are amazing, and her foot is fully back to normal.

    Treatment Of A Bunionette

    Before and After Bunion Surgery Photos

    Typically, non-surgical options are the first choice of treatment for a Tailors bunion. The surgeon may try out any or a combination of the following to treat the condition.

    • Wear a shoe with a wider toe box and avoid narrow and pointed shoes with high heels.
    • Apply silicone padding and/or cushioning over the Tailors Bunion to relieve pain.
    • Wrap ice dressings to the affected area for 5 to 10 minutes up to 3 times per day.
    • Take nonsteroidal anti-inflammatory drugs to reduce swelling and pain.
    • Use orthotic devices in combination with calf stretches two times per day.

    Additionally, if the condition does not improve, the doctor may consider corticosteroid injections to the little toe joint to reduce swelling and inflammation. All of these options, however, can help relieve the pain but cannot get rid of the lump.

    If the pain and swelling do not go away, surgery can be considered. Bunionette surgery is normally performed as an outpatient procedure. Under anesthesia, the surgeon may shave off the bony tissue that is sticking out. A part of the bone in the little toe may also be removed . This is done to realign the fifth metatarsal bone and straighten out the toe so that it does not point outwards. The repositioned bone will be held in place with a screw or a plate, or a piece of steel wire.

    Occasionally, a Tailors Bunion can recur after surgery. Often, this can be attributed to the use of narrow shoes after surgery, which makes the bunionette more likely to come back.

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