Bunion Surgery

Conveniently located to serve Portland, Lake Oswego, & West Linn

Boutique Podiatry Oregon Institute of Foot Care Lake Oswego
Hallux valgus, bunion in foot on white background

What Does Bunion Surgery Involve?

Dr. Manson specializes in the most effective method of treatment for bunions, offering a permanent correction while utilizing plastic surgical techniques! Surgical correction is the most effective method of treatment for bunions and is usually a permanent correction. The bunion surgical procedure is performed at a surgical center or hospital. The anesthesia is typically Monitored Anesthesia Care (MAC), which means you are sedated and sleeping through the procedure, but breathing on your own. This is done through an I.V. and allows you to be not only pain-free, but also not recall the surgical experience itself.
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No visible scar from the top of the foot.

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Minimal pain post-surgery.

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Walking on foot in a surgical shoe from day 1.

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No cast or crutches required.

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Most people are back in regular shoes after 2-3 weeks.

What To Expect

The procedure involves realigning the bones in the foot. This may be accomplished by cutting the affected bones and realigning the big toe joint. Dr. Manson may also need to release, transfer, or lengthen tendons and ligaments to correct any muscle imbalances.

Following surgery, you do not require the use of crutches, and there are no bulky casts. Generally, no scarring or stitches are visible at the incision site. At Oregon Institute of Foot Care, we not only care about the health of our patients, but also the cosmetic outcome of your surgery. Dr. Manson utilizes plastic surgical techniques for closing the surgical site to avoid visible scarring.

Bunion surgery is always followed with custom orthotics at Oregon Institute of Foot Care. Custom orthotics help to correct the cause of the bunion in the first place and help to prevent the recurrence of the bunion deformity.

podiatrist examines a bunion

Frequently Asked Questions

What is the recovery and aftercare process?
Limited walking is permitted the same day of surgery, generally in a surgical shoe that is worn from one to three weeks after surgery. Sutures are generally removed at 2 weeks, and at this time most patients are able to wear a supportive shoe, like a running shoe. Patients can get the surgical site wet in the shower after the sutures are removed. Limited activity is usually recommended for 8-12 weeks after surgery.
What is the cost of bunion surgery?

Bunion surgery is usually fully or partially covered by insurance if it is painful for you. Coverage by insurance is always checked prior to performing the surgery so you are aware of any costs to you.

What is a bunion?

A bunion is a bump that forms on the side of the foot near the big toe or the little toe at the metatarsal phalangeal joint. Due to the position of the bump, a bending of the big toe occurs, which may lead to crossing of the toes, or worse, a painful arthritis will form.

How do bunions form?

Bunions typically become noticeable and painful in early adulthood between the ages of twenty and forty, and become more pronounced with age and activity. Usually bunions are caused by a genetic muscular imbalance and not by wearing improper shoes; however, improper shoes will make the bunion hurt. In third world countries, where shoes are not worn, bunions are still frequently seen reinforcing that shoes do not cause bunions. In most cases, bunions are hereditary, and may occur with other foot problems. If your parents or grandparents had problems with bunions, you may likely get them as well.

What are bunion symptoms?

Patients with bunions might notice redness, swelling, pain and an angular protrusion at the side of the foot by the big toe. Crossing of the first and second toes may occur.

Patients may also experience cramping and overall fatigue in the arch of the foot.
The longer you leave a bunion untreated, the more harm it will cause. Arthritis may form in the joint and a deformation of the foot may follow, causing pain.

Are there diagnostic tests for bunions?

Generally, X-rays of your feet and a physical exam are the only tests required.

Is there a non-surgical treatment approach?
If your bunion is not painful or you catch it early in its development, a non-surgical or conservative treatment plan may be effective. This usually includes good supportive shoes with the addition of custom orthotics – a custom-made arch support worn in your shoes. The orthotics will provide support to the structures of the foot (bones, muscles, and ligaments) and will balance your feet while walking. By supporting the muscular imbalance of the foot, we may be able to slow the progression of the bunion deformity. Custom orthotics are used to reduce pain and slow or stop the progression of the bunion deformity. Orthotics will not correct the bunion, and no bracing or devices have been proven to correct bunions.

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About

At Oregon Institute of Foot Care, we care about healthy, happy, beautiful feet. We strive to provide personalized foot care and achieve the outcomes, both functionally and cosmetically, that our patients desire. What sets OIFC apart is our dedication to providing the highest quality care available, utilizing the latest medical techniques and technologies, educating patients to make well-informed health care decisions, and restoring foot and ankle function as quickly and beautifully as possible. Our mission is to give you healthy, happy, beautiful feet.

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