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How a Podiatrist Can Help with Custom Orthotics and Footwear
September 11, 2025Living with bunions can be a painful experience that makes even simple activities like walking feel difficult. A bunion is a bony bump that forms on the joint at the base of your big toe, causing the toe to push against the next one. While many people find relief with non-surgical treatments like changing footwear or using padding, some find that the pain and deformity persist. For those individuals, surgical intervention may be a path toward relief. Exploring the various surgical options can help you understand what to expect and how to proceed.
When Is Surgery Needed?
A doctor may suggest surgery for bunions when non-surgical treatments no longer provide relief from pain. If you have tried wider shoes, orthotic devices, and pain relievers without success, surgery could be the next step. The goal of surgery is to relieve pain and correct the deformity of the foot.
The decision to proceed with surgery often comes down to how much the bunion affects your daily life. If chronic pain limits your ability to walk, stand, or participate in activities you enjoy, it may be time to discuss surgical options with a specialist. The procedure aims to realign the toe joint, which can reduce discomfort and improve foot function. Your specialist will evaluate your specific situation to determine if surgery is an appropriate choice for you.
Which Procedures Are Available?
Bunion surgery offers multiple approaches, tailored to the severity of the deformity, your age, and activity level. The goal is always to realign the joint, correct the deformity, and relieve pain. Below are some common procedures used to treat bunions:
- Osteotomy: The surgeon cuts and realigns the bone of the big toe. Screws or plates may be used to secure the corrected position.
- Exostectomy: This involves removing the bony bump from the toe joint. It’s often combined with an osteotomy for proper alignment.
- Arthrodesis: For severe bunions or arthritis, this involves fusing the joint to eliminate pain and deformity.
Your surgeon will determine the most suitable approach based on your condition. Each procedure is designed to enhance function and alleviate discomfort, enabling you to return to an active, pain-free lifestyle.
What Results Can Patients Expect?
Following bunion surgery, patients typically experience a significant reduction in pain and an improvement in the alignment of their big toe. The primary objective is to restore function and allow a return to daily activities without discomfort. The recovery process varies depending on the type of procedure performed.
Most patients will need to wear a special shoe or boot for several weeks to protect the foot as it heals. Physical therapy might be part of the recovery plan to help restore strength and flexibility to the foot and ankle. While the foot’s appearance will improve, the main benefit reported by patients is lasting pain relief. Adhering to post-operative instructions is key to a successful outcome.
Consult a Bunions Specialist
Understanding the surgical options for bunions is key to finding relief, as every foot is unique and requires a personalized approach. A specialist can evaluate your condition, discuss your lifestyle needs, and explain the potential outcomes of different treatments. They provide clear guidance to help you make an informed decision. If persistent bunion pain is affecting your daily life, scheduling an appointment with a foot and ankle specialist can help you find a practical solution to get back on your feet comfortably.



