Bunion surgery / Bunionectomy

What Is a Bunion? bunions brooklyn foot doctor podiatrist bunionectomy tailor's bunion

A bunion is an enlargement of the joint at the base of the big toe–the metatarsophalangeal (MTP) joint – that forms when the bone or tissue at the big toe joint moves out of place. This forces the toe to bend toward the others, causing an often painful lump of bone on the foot. Bunions are a progressive disorder. They begin with a leaning of the big toe, gradually changing the angle of the bones over the years and slowly producing the characteristic bump, which continues to become increasingly prominent. Usually the symptoms of bunions appear at later stages, although some people never have symptoms.

Since this joint carries a lot of the body´s weight while walking, bunions can cause extreme pain if left untreated. The MTP joint itself may become stiff and sore, making even the wearing of shoes difficult or impossible. Bunions – from the Latin "bunio," meaning enlargement – can also occur on the outside of the foot along the little toe, where it is called a "bunionette" or "tailor´s bunion."


Bunion Symptoms

bunion diagram, foot doctor in bensonhurstDevelopment of a firm bump on the outside edge of the foot, at the base of the big toe. Redness, swelling, or pain at or near the MTP joint. Corns or other irritations caused by the overlap of the first and second toes. Restricted or painful motion of the big toe.  



What Causes a Bunion?

bunion caused deformed toe, surgery neededBunions form when the normal balance of forces that is exerted on the joints and tendons of the foot becomes disrupted. This can lead to instability in the joint and cause the deformity. They are brought about by years of abnormal motion and pressure over the MTP joint. They are, therefore, a symptom of faulty foot development and are ususally caused by the way we walk, and our inherited foot type, our shoes, or other sources.  

Although bunions tend to run in families, it is the foot type that is passed down not the bunion. Parents who suffer from poor foot mechanics can pass their problematic foot type on to their children, who, in turn, are also prone to developing bunions. The abnormal functioning caused by this faulty foot development can lead to pressure being exerted on and within the foot, often resulting in bone and joint deformities such as bunions and hammertoes.


Other causes of bunions are foot injuries, neuromuscular disorders, or congenital deformities. People who suffer from flat feet or low arches are also prone to developing these problems, as are arthritic patients and those with inflammatory joint disease. Occupations that place undue stress on the feet are also a factor; ballet dancers, for instance, often develop the condition.foot doctor in brooklyn does bunion surgeries

Wearing shoes that cause the toes to be squeezed together is also a common factor, one that explains the high occurrence of the disorder among women.

What Can You Do For Relief?

See your podiatrist or call to make an appointment at (718) 266-1986. Your doctor may apply a non-medicated bunion pad around the bony prominence. He/she may ask you to wear shoes with a wide and deep toe box. If your bunion becomes inflamed and painful, you may need to apply ice packs several times a day to reduce swelling, or avoid high-heeled shoes over two inches tall. See the list below for more detailed conservative treatments. Definitely contact your foot doctor if pain persists.

Conservative Non-Surgical Treatment For Bunion Pain

Big Painful Bunion, swelling, redness, brooklynTreatment options vary with the type and severity of each bunion, although identifying the deformity early in its development is important. Brooklyn Foot doctor's medical attention should be sought at the first indication of pain or discomfort because, if left untreated, bunions tend to get larger and more painful, making nonsurgical treatment less of an option.

The primary goal of most early treatment options is to relieve pressure on the bunion and halt the progression of the joint deformity. A podiatrist may recommend the following treatments:

Padding & Taping

Often the first step in a treatment plan, padding the bunion minimizes pain and allows the patient to continue a normal, active life. Taping helps keep the foot in a normal position, thus reducing stress and pain.


Anti-inflammatory drugs and cortisone injections are often prescribed to ease the acute pain and inflammations caused by joint deformities.

Physical Therapy

Often used to provide relief of the inflammation and from bunion pain. Ultrasound therapy is a popular technique for treating bunions and their associated soft tissue involvement.


Custom shoe inserts may be useful in controlling foot function and may reduce symptoms and prevent worsening of the deformity.

When early treatments fail or the bunion progresses past the threshold for such options, podiatric surgery may become necessary to relieve pressure and repair the toe joint.

Surgical Treatment - Bunion Surgery - Bunionectomy

A variety of surgical procedures are performed to treat bunions. The procedures are designed to remove the "bump" of bone, correct the changes in the bony structure of the foot, as well as correct soft tissue changes that may also have occurred. The goal of these corrections is the elimination of pain.

In selecting the procedure or combination of procedures for your particular case, your Brooklyn foot surgeons, Dr. Tabari and Dr. Mantzoukas will take into consideration the extent of your deformity based on the x-ray findings, your age, your activity level, and other factors. The length of the recovery period will vary, depending on the procedure or procedures performed.


Bunion, Bunionectomy, After Surgery Photos, Podiatrist Brooklyn Foot DoctorSeveral surgical procedures are available to the podiatric physician. A simple bunionectomy, in which only the bony

 prominence is removed, may be used for the less severe deformity. Severe bunions may require a more involved procedure, which includes cutting the bone and realigning the joint.

Recuperation takes time, and swelling and some discomfort are common for several weeks following surgery. Pain, however, is easily managed with medications prescribed by your podiatric physician.

Together with your doctor you can decide if surgery is best for you.  Recent advances in surgical techniques have led to a very high success rate in treating bunions.

***This material is only provided as helpful information and not as medical advice and you should consult with your foot doctor for a professional diagnosis. ***

For more information on bunions or to make an appointment with the Brooklyn Bunion Podiatrist Foot Doctor Surgeon, or to treat your bunions, please feel free to contact today by calling (718) 266-1986 or clicking here to make an appointment.