Minimally Invasive (Keyhole) Bunion Correction

Causes of Bunions

 

Genetics play a significant role in the development of bunions. If your family members have bunions, you are more likely to develop them as well. This genetic predisposition is related to the structure and function of the foot, which can be inherited from parents to their offspring. It's not the bunion itself that is inherited but rather the foot type that is more prone to developing a bunion.

 

Footwear that does not fit properly is another major contributor to the development of bunions. Shoes that are too tight, narrow, or have a high heel can force the toes into an unnatural position. Over time, this can cause the structure of the foot to change, leading to the formation of a bunion.

 

Treatment of Bunions

 

The treatment of bunions varies depending on the severity of the condition, whether arthritis is present and the goals and preferences of an individual.

 

Non-Surgical Treatment Options

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For many people, non-surgical treatments can effectively relieve the pain and pressure caused by bunions. These may include:

• Orthotic Devices: Custom orthotic devices provided by a podiatrist can help distribute pressure evenly across your foot, relieving the stress on the bunion. These are typically custom-made devices developed through consultation with a Podiatrist and include inserts which can be worn in footwear. Such devices may provide some symptomatic relief but most will not achieve any permanent correction of the bunion.​

• Padding and Taping: Protective pads can cushion the bunion, and taping the foot can help keep it in a normal position.​

• Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, can help reduce pain and inflammation.​

• Physical Therapy: Exercises can help maintain joint mobility and prevent stiffness or arthritis.​

• Footwear: Shoes with a wide toe box, soft leather, and low heels are recommended to reduce bunion pain.

 

When Arthritis Is Present

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If arthritis has developed in the affected joint, treatment focuses on managing the arthritis symptoms in addition to addressing the bunion. This may involve specific medications to treat arthritis, or corticosteroid injections. If this is ineffective, surgery may be necessary to both correct the alignment of the toe while simultaneously fusing the joint. This relieves pain at the expense of losing movement.

 

Minimally Invasive Surgery

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In individuals for whom non-surgical treatments are unsuccessful, minimally invasive (keyhole) surgery may be an option. This type of surgery involves making small incisions and using specialized instruments to correct the bunion. It is essential to have a thorough evaluation by a trained Orthopaedic Foot and Ankle surgeon to determine if this approach is suitable for your situation.

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What should I do about my Bunions?

 

Bunions are a multifaceted condition with genetic and lifestyle factors contributing to their development. While non-surgical treatments can be effective for many, those with significant symptoms may require surgical intervention. Individual goals and preferences need to be taken into consideration. Understanding the causes and exploring all treatment options, including minimally invasive surgery, can help individuals find the relief they need and return to their daily activities with reduced pain. If you suspect you have a bunion, seeking advice from a healthcare professional is the first step towards recovery.