Bunions

A bunion is a deviation of the long bone behind the big toe producing a bump on the side of the foot. Bunions can occur on one or both feet. They tend to be hereditary but can occur without a family history. They are not caused by shoes but are often aggravated by shoe gear. Abnormal movement of the joints just below the ankle joint causes the deformity. This results in the front portion of the foot splaying or widening. As a result the big toe starts to drift toward the second toe and the long bone behind the big toe starts to drift outward. This deformity gradually gets worse with time, making it more painful and difficult to wear shoes. Because the bunion deformity is progressive, it should be evaluated early. Treatment options range from a recommendation on shoes, and possibly inserts for shoes called orthotics, which are used to control the cause of the bunion and halt its progression. In many instances surgery is recommended.

Our recommendations are based upon the pain associated with the bunion, the patient's lifestyle, and the degree of the deformity. As the bunion worsens, it becomes more difficult to treat surgically and the healing time is often increased significantly. Over time, the joint in the big toe can become arthritic, lose its flexibility, and become painful with nearly every step. At this stage the surgical treatments are limited, and a joint replacement may be required.

Both Dr. Garrison and Dr. Koepsel are board certified in foot and ankle surgery. They are trained in all the latest techniques for the surgical repair of bunion deformity. The selection of the procedure to be used is based upon the degree of the deformity, the underlying biomechanical cause of the bunion, and the procedure that will get the patient back to activity in the shortest period of time. There are no magic procedures and no shortcuts to healing time. Your safety and the final satisfactory outcome of your surgery are paramount to the doctors of Bay Area Podiatry Associates. If you have further questions, please make an appointment for consultation.

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