At Brighton Foot and Ankle, we offer comprehensive treatment for bunions.
What is a Bunion?
Bunions are a boney enlargement commonly found at the base of the big toe. They form when the bones supporting the big toe and forefoot become misaligned. The importance of conservative care cannot be understated, and is firmly believed in and practiced at Brighton Foot and Ankle.
However, conservative care does not always provide patients with adequate pain relief or allow for full return to activity. Since this is a bone-related problem, bunion correction may require surgery as conservative care cannot restructure the foot’s bones. Surgery is warranted when bunions are painful, limit activity, or prevent wear in normal shoes.
- A bulging bump on the outside of the base of your big toe
- Swelling, redness or soreness around your big toe joint
- Corns or calluses — these often develop where the first and second toes rub against each other
- Ongoing pain or pain that comes and goes
- Limited movement of your big toe
Schedule an appointment today with Dr. Bryant Cestelein, DPM – Podiatry Specialist
Bunion Correction Surgery
Dr. Castelein completes all bunion procedures in an outpatient setting, either at a hospital or surgery center. He is able to operate at many of the area facilities.
Typically, the patient will go to sleep during the procedure, but Dr. Castelein works closely with the anesthesia team to determine the least amount of anesthesia necessary to keep the patient comfortable.
Bunion Surgery Details
There are a few basic types of surgery used to correct a bunion, each is based on the needs of the patient and foot structure. All procedures involve rebalancing the soft tissues surrounding the big toe. Boney work is determined by the degree of the bunion.
- Mild bunions typically need shaving or removal of the bump causing irritation at the base of the big toe.
- Moderate bunions require a boney realignment. This is done by reshaping the long bone in the foot called the first metatarsal. This bone is returned to a more natural shape. Many times, a pie-shaped wedge of bone is also removed from the big toe.
- Severe bunions and flexible bunions require additional stability. This is achieved by joining two bones of a joint to create one long bone. Typically, this is done in the middle of the foot and performed on a joint that naturally has minimal motion and maintains normal function of the foot.
- When a bunion is combined with arthritis, fusion may be the best option. Often, this involves the joint found at the base of the big toe. The fusion is completed in a manner that allows for proper foot function. The goal of big toe fusion is to alleviate the joint pain by removing joint misalignment.
After Surgery Care
After surgery, each patient is continuously monitored for healing, swelling, and pain. Dr. Castelein always attempts to have his patients return to regular activity as quickly as possible. The vast majority of procedures allow the patient to starting walking the same day of surgery. In rare cases, a short period of non-weightbearing before initiating walking may be required.
Minimally invasive bunion corrections are becoming increasingly popular. They offer powerful correction with smaller incisions. Dr. Castelein is trained in these techniques and welcomes bringing them to Brighton and the surrounding communities.
Schedule An Appointment
& Exceptional Doctors