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    Bunion treatment and surgery

    Auteur: Podiatre Montreal

    Bunion is a common condition also known as hallux valgus. It is a deformity in the front of the foot affecting the big toe that deviates abnormally towards the second toe with consequences on the big toe joint. Hallux valgus is characterized when the joint between the metatarsus and the 1st phalanx becomes dislocated and deviated, often resulting in inflammation of the area. This deformity will lead to the formation of bursitis, a kind of pocket that will form to protect the joint, but which will sometimes be very painful to the point of causing difficulty putting on shoes and sometimes walking.

    The bunion, or hallux valgus can have genetic and therefore hereditary origins like the flat foot valgus, but it can also be due to wearing unsuitable shoes such as heels and pumps or shoes that are too tight. The pain will be sharp and generally localized on the inner part of the foot, it will often be amplified by walking. Today there are many options available to treat bunions on the feet, however, it is sometimes necessary to go through surgery. Indeed, to remove a bunion from the foot, surgery is in some cases essential, in which case it is advisable to consult a foot surgeon who will be able to answer many questions.

    • When is it necessary to have an operation?
    • Which technique should be preferred?
    • What is the price of a hallux valgus operation in Montreal?
    • What happens after the operation?

    When is surgery necessary?

    Sometimes the bunion at the foot may be asymptomatic, but the discomfort may be mainly cosmetic. In this case, it is not necessary for the bunion to be treated surgically. The decision to treat the bunion with surgery usually depends on the severity of the injury and pain. Indeed, there are several degrees in the development of the bunion. Only a health professional specializing in foot health will be able to evaluate it, which is why it is essential to consult a Podiatrist. The latter will conduct a clinical examination and may prescribe x-rays to determine the origin of the hallux valgus, its stage and propose the most appropriate treatment. Indeed, foot pain resulting from a bunion may be due to the wearing of unsuitable shoes. In this case, you will often be advised to use functional orthotics and make changes in your activities to preserve your joint.

    Conservative treatments are most often offered as first-line treatment, such as wearing conventional or custom-made orthotics, but also ice applications or injection treatment. However, when hallux valgus is at an advanced stage and causes pain to the point that it affects your well-being and creates a real handicap in your daily life, surgical treatment may be proposed. In this context, there are several types of interventions, the choice of the onion operation will depend on several factors and the Podiatrist will be able to indicate the technique to be preferred according to each person’s situation.

    The different types of bunion surgeries

    If conservative treatments prove to be insufficient, there are several surgical techniques to treat onions in a sustainable manner. The objective of these operations is to remove the bunion from the foot. To do this, the deformed and deformed joint must be realigned, which will significantly reduce the pain.

    A distinction is generally made between two main types of bunion surgery: classic or “open” hallux valgus surgery and minimally invasive bunion surgery, also known as laser bunion surgery. Both can be metatarsal head surgery, metatarsal base surgery or bunion removal. In the first technique, the surgeon will make large incisions to have a complete view of the joint in order to perform the osteotomy necessary to reaxify the joint. This consists of a section of the bone of the big toe and/or the bone at the base of the big toe (first metatarsal bone). The surgeon will use screws, staples or metal pins, which are very well tolerated, to maintain the new orientation of the joint and then perform stretching movements to relax the tendons and ligaments around the joint that have generally retracted as the hallux valgus forms.

    Laser bunion surgery is often referred to on the net as a laser bunion operation, but it is actually a minimally invasive or percutaneous operation. The basic principle of this bone surgery remains basically the same; namely an osteotomy, i.e. a section of the bones of the joint followed by a lengthening of the soft tissue. The bunions of the feet treated with this so-called “laser” operation are therefore treated in the same way, but this surgery will only use small incisions of 2 mm to pass the necessary tools specially developed for this type of operation. Since the surgeon does not have a direct view of the joint, he relies on intraoperative radiography with low irradiation (fluoroscopy) to perform his procedures. Moreover, this technique does not require the use of fixation screws; the joint is initially maintained with a dressing that is carefully applied at the end of the operation. Nevertheless, the operation of the bunion of the foot known as “laser” is a highly technical act that must be performed by experienced surgeons who are familiar with this exercise.

    There is also a third option: mixed surgery, which is inspired by percutaneous surgery to reduce the size of the incisions made, but will borrow the use of screws from “open” surgery.

    Course of the operation and post-surgery

    Depending on the technique used, the procedure will differ somewhat, but it is most often performed on an outpatient basis and under local anaesthesia. This bunion surgery has a certain price in Quebec, a clinic will be able to tell you about it in full transparency. Moreover, the ideal place for a hallux valgus operation in Quebec is certainly to trust a podiatric clinic, it will be the best able to take care of you in terms of pain, anesthesia and post-operative care. This type of clinic is indeed perfectly equipped for this type of operation and has in particular the scalpels and anesthetics adapted to perform this delicate surgical procedure which will have to leave minimal scars.

    Nevertheless, as this operation generally consists of cutting the bone of the big toe, the convalescence as well as the recovery can be long. Pain medication is therefore often necessary, as is the use of foot orthotics after surgery. All these elements must be treated rigorously by competent podiatrists. If you suffer from a painful and disabling bunion, don’t waste time and contact us today to make an appointment at our clinic in Montreal.

    Sources:
    https://www.revmed.ch/
    https://www.ncbi.nlm.nih.gov/
    https://www.researchgate.net/
    https://www.revmed.ch/

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      Podiatre Montréal
      1826 Sherbrooke O,
      Montreal, QC H3H 1E4
      514-931-6111