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What is Bunionectomy?

It is a surgical procedure to excise, or remove, a bunion. A bunion is an enlargement of the joint at the base of the big toe and is comprised of bone and soft tissue. It is usually a result of inflammation and irritation from poorly fitting (narrow and tight) shoes in conjunction with an overly mobile first metatarsal joint and over-pronation of the foot. Over time, a painful lump appears at the side of the joint, while the big toe appears to buckle and move sideways towards the second toe.

Do I need physiotherapy after bunionectomy?

Yes. Most surgeons would prescribe physiotherapy for a procedure requiring so much healing time and immobilisation just like this procedure. The aim of physiotherapy is to restore the flexibility and strength of the big toe, reduce pain and improve your walking ability.

I have bunion, but I do not have pain, do I need surgery?

In general, if your bunion is not painful, you do not need surgery. Although bunions often get bigger over time, doctors do not recommend surgery to prevent bunions from worsening. Many people can slow the progression of a bunion with proper shoes and other preventive care, and the bunion never causes pain or other problems.

I have a painful bunion, but I do not want surgery. What do I do?

A very good alternative to surgery is physiotherapy. A Physiotherapist will help manage the pain and inflammation that comes with bunion; help restore your normal toe and foot range of movement and muscle length; assess your foot posture muscles and prescribe the best exercises specific to your needs; prescribe the best bunion splint to restore the alignment of your toe joint; and return you back to your desired activities.

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