Bunion is a bony bump that forms on the inner side of the foot at the base of the big toe. The skin over the bony bump usually appears red. The bony bump is usually a manifestation of a change in the alignment and structure of the foot with the big toe pointing outwards towards the 2nd toe. If left untreated, the bunion usually worsens and becomes unsightly and painful.
If the bump occurs on the outside of the foot at the base of the little toe, the condition is called bunionette.
- Hard bony swelling of the big toe joint
- Redness and pain around the big toe joint
- Corns or callus where the big toe rub against the 2nd toe and under the big toe and 2nd toe
- Crossing over/overlapping 2nd toe
- Stiffness of the big toe joint if condition is advanced with arthritis
Bunions may be hereditary, where a patient is born with a bunion prone foot. Inappropriate footwear that is too small or tight with a narrow toe box or high heels may also worsen the condition; hence women are more prone to having this condition. People with lax ligaments, flat feet and rheumatoid arthritis are also more likely to suffer from this condition.
- The orthopaedic doctor will ask you about your symptoms and examine your foot
- He will also order an x-ray of your foot to determine the severity of the condition
For mild and early cases, you may be advised to take the following steps to prevent further deterioration of your condition. These include:
- Proper footwear with wide toe box and avoiding high heel shoes
- Use of orthotics such as bunion pads, bunion splints and toe spacers to temporary correct the alignment and reduce pain
- Over-the-counter pain medications that can reduce the pain and swelling around the affected big toe
For severe cases, if you have a lot of pain on walking despite the measures described above, bunion surgery is the only effective way to treat the condition.
Call us to evaluate if you may need a bunion or bunionette treatment in Singapore today!
Bunion surgery, also known as hallux valgus correction, involves removing the bony bump and correcting the alignment of the big toe joint. Small cuts in the bones will be performed and fixed with small titanium screws to restore the alignment.
Precision Orthopaedics offers ‘Keyhole’ Minimally invasive surgery for mild to moderate bunions. It has the advantage of smaller scars and lesser pain and downtime.
Open surgery is recommended for severe cases with very bad malignment.
Call us to discuss the optimal bunion surgery for you today!
After the bunion surgery, you will be fitted with a special post-operative shoe to protect the bunion correction and allowed to walk.
You should keep your foot elevated as much as possible for the first few days after surgery to reduce swelling. It is common to have some swelling in your foot for a few months after bunion or bunionette surgery.
Full recovery may take up to 3-4 months. During this recovery period, you should follow your doctor's instructions about weightbearing, and avoid strenuous physical activities such as running and dancing until he has given you the green light to do so.
Dr Seng Chusheng is a Consultant Orthopaedic Surgeon with specialised expertise in minimally invasive foot and ankle surgery, sports and reconstructive surgery, as well as treatment for orthopaedic trauma. Dr Seng holds an MBBS and MMed (Orthopaedic Surgery) from the National University of Singapore, and is a Fellow of the Royal College of Surgeons of Edinburgh, UK (Orthopaedic Surgery).
To schedule a quick appointment, Call or WhatsApp 9898 5280
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