Through an incision (cut), the bunion (part of the bone that sticks out) is removed with a surgical saw or chisel. In some cases this might be enough to correct the deformity. However in more severe cases, extra correction (osteotomy) is needed. A cut is made at the head of the first metatarsal. This allows the bone to be repositioned. Before realignment is complete, tendons that attach to the big toe may need to be cut, or released, to relieve the inward pull on the toe. Normal activities can usually be resumed, after the bones and soft tissue have healed (normally within six to eight weeks). Bunionectomy with Wedge Osteotomy Pain relievers are given to patients with extreme cases of bunions. Sometimes these bunions along with them have blisters, and this could be very painful. However, these bunion treatments are not permanent. Sometimes, surgery would be recommended. Though they are low risk, they are expensive. Symptoms, like pain and inflammation, occur most often when wearing shoes that crowd the toes - shoes with a tight toe box or high heels. This may explain why women are more likely to have symptoms than men. Spending long periods of time on your feet can also aggravate the symptoms of bunions. Treating your Bunion This article reports the outcomes of bilateral corrective surgery for hallux valgus in a selected patient population. Materials and Methods Forty consecutive patients (80 feet) who presented to the outpatient surgery unit at our institution for surgical correction of bilateral hallux valgus were prospectively evaluated. Suitable patients were selected from those attending a specialist foot and ankle service with bilateral symptomatic hallux valgus. Patients underwent preoperative clinical scoring using the American Orthopaedic Foot & Ankle Society (AOFAS) hallux assessment scoring system in addition to radiological assessment by dorsoplantar, oblique, and lateral weight-bearing radiographs of the feet (Figure 1). Preoperative pain scores were also recorded. On X-ray, the angle of the bend and the amount of bone growth can be more specifically determined. These observations are written down, and monitoring is done to watch for how quickly the angle changes and how the bunion grows. Depending on the angle of the hallux valgus, it can also cause the bones in the second toe to shift and become painful. This is a separate condition called hammer toe. It is important to know that these problems are often interrelated. Seeing a Doctor Hammer toes are the result of a tendon imbalancedue to foot mechanics or structure. Other causes include shoes, neuromusculardisorders, congenital disorders, and injury. Pain while running signals that a bunion is being aggravated. An increase in symptoms such as redness, swelling and inflammation is likely. The friction can thicken the skin around the bunion over time as well. Bunions, which angle the big toe toward its neighboring toe, create pressure and friction between the two digits. Running increases friction, and in combination with foot sweat, corns and calluses easily develop between the big toe and second toe. Restricted big toe movement and ongoing pain while walking can also result from the aggravation. Prevention There is also a condition called adolescent bunion, which tends to occur in 10-to-15-year old girls. How are bunions diagnosed? The type of anesthesia used in this type of surgery ranges anywhere from local anesthesia where just the foot is put to sleep, to intravenous sedation (twilight sedation) with local anesthesia, to general anesthesia. The vast majority of my patients are done under local anesthesia with intravenous sedation on an outpatient basis. I prefer this type of anesthesia because the patient feels no pain, is not having general anesthesia and all the potential risks associated with general anesthesia, and tends to be awake shortly after surgery with less chance of being "sick" from the anesthesia during the following 24 hours. Are you suffering from bunion pain and missing out on your favorite activities? Have you missed memory making opportunities, because your feet hurt so badly you have to find a place to sit down? This is common place among people with this type of foot deformity, but help is readily available. What’s stopping you from finding relief? The pain and discomfort from an inflamed bursa next to the metatarsophalangeal joint may be relieved by oral anti-inflammatory medication such as ibuprofen. Before taking anti-inflammatories, check with your doctor first if you are taking any other prescription medication. And always take them as directed. Ice packs provide relief as well.