I wouldn’t let someone talk you into foot surgery in their office as most surgical procedures are now being performed in outpatient surgery centers. With that being said, there are some simple minimally invasive procedures which can resolve a painful contracted or dislocated toe. I have performed an overwhelming majority of these types of procedures in my office providing relief to patients who have suffered many years with toe pain but didn’t want the long recovery periods that many orthopedic surgeons offer which require outdated use of complicated external pins.
Here is an example of a recent procedure performed on a patient with a dislocated second toe that was rubbing on her shoe creating severe pain and wound from irritation. She was told by other surgeons that this type of deformity would require a fusion of her big toe which she did not want to undergo as her previous foot surgeries had failed which created this problem.
A simple tendon release was performed in office requiring only a small incision and a single suture. A gauze splint is applied for 2 days and a follow up visit is required to remove the suture. At this point return to full unrestricted activity is allowed.
How can you tell if if this will work for you?
This will not work for every dislocated toe as I also perform fusion procedures to realign toes in more chronic and severe situations. If you are able to manually relocate your toe to a normal or straight position, than you may be a candidate for this surgery.
I have corrected bunions on all ages ranging from 14 year olds up to almost 90 year old patients. As long as the patient is healthy and has no health conditions that would prevent a risk for undergoing surgery or for recovery, then age is really not a factor.
Here’s the foot of a 74 year old who recently underwent successful bunion correction.
A bunion is nothing more than a dislocation of the great toe joint. As this happens, the joint articulates in an abnormal manner which eventually results in eroding of the joint cartilage- otherwise known as “bone on bone”. Read More
Patients routinely present to the office with a painful second toe (especially on the bottom of the joint) not realizing the cause of the pain or deformity. The toe is typically resting higher then the others and the patients complain that the toe is starting to “pop” up in the air.
Below is an example of a bunion correction and relocation of the 2nd toe that is 6 weeks post surgery. She was back to work and in a regular shoe at this point functioning well with no pain.
Bunion surgery is sometimes a feared procedure which many times end up a with a great result and reduction in pain for the patient. Sometimes the deformity can reoccur which may require a secondary procedure. Here are some examples of what can be done to correct a bunion that has reoccured. Read More
It’s never too late to fix your bunion. Too often patients will present with a severe bunion deformity asking for possible options to reduce the pain so they can be more functional and do the activities they would like to do, but will not consider surgery. Sometimes they think they are simply “just too old“. This is not true.
If the patient a is healthy enough to undergo anesthesia and has no serious medical conditions that would put them at risk, then even patients who are in their 80s can have corrective surgery to fix their bunion.
Here are two examples of patients who were in their 80’s and had undergone what is known as a Keller procedure to fix their deformity.
The surgery is out-patient and takes roughly 45 in a hospital or surgery center and the patient can bear weight in the foot in a walking boot the same day. The foot is kept in bandages which are changed weekly for 3 weeks. During this period the patient will keep a surgical shoe or walking boot on. By 4-6 weeks an athletic or casual shoe Can be worn.
So how do you know if you need to fix your bunion? If it’s preventing you from doing the things in life you want to do and enjoy doing, then it’s certainly an option.