Bunion Removal: Before Your Surgery (2024)

Bunion Removal: Before Your Surgery (1)

What is bunion surgery?

Bunion surgery (bunionectomy) repairs an area of enlarged bone or tissue near your big toe. The enlarged area is called a bunion. It forms on the joint where your big toe joins your foot. The surgery may also help straighten your big toe.

Your doctor will make one or more small cuts near your toe joint. These cuts are called incisions. The doctor will remove small pieces of bone and may straighten your toe. This is done by cutting the bone and setting it in a new position. Your toe may be held in place with pins, screws, wires, or staples. These may stay in your toe. Or they may be removed after a few weeks. The surgery will leave scars that fade with time.

The surgery may make walking easier. It may reduce stiffness, pain, or swelling in your toe joint. It may also improve the way your toe looks.

Your doctor will give you medicine to help you relax and to numb your foot before the surgery starts. Or you may get medicine that makes you sleep during the surgery.

You will probably go home on the day of your surgery. If your surgery is more complex, you may need to spend the night in the hospital.

How soon you can put weight on your toe depends on how complex your surgery is. It may take 6 weeks or longer before swelling goes down and you have healed enough to return to your normal routine. You may have some swelling and pain for as long as 6 months to a year.

How do you prepare for surgery?

Surgery can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for surgery.

Bunion Removal: Before Your Surgery (2)Preparing for surgery

  • You may need to shower or bathe with a special soap the night before and the morning of your surgery. The soap contains chlorhexidine. It reduces the amount of bacteria on your skin that could cause an infection after surgery.
  • Be sure you have someone to take you home. Anesthesia and pain medicine will make it unsafe for you to drive or get home on your own.
  • Understand exactly what surgery is planned, along with the risks, benefits, and other options.
  • If you take a medicine that prevents blood clots, your doctor may tell you to stop taking it before your surgery. Or your doctor may tell you to keep taking it. (These medicines include aspirin and other blood thinners.) Make sure that you understand exactly what your doctor wants you to do.
  • Tell your doctor ALL the medicines and natural health products you take. Some may increase the risk of problems during your surgery. Your doctor will tell you if you should stop taking any of them before the surgery and how soon to do it.
  • Make sure your doctor and the hospital have a copy of your advance care plan. If you don't have one, you may want to prepare one. It lets others know your health care wishes. It's a good thing to have before any type of surgery or procedure.

What happens on the day of surgery?

  • Bunion Removal: Before Your Surgery (3)

    Follow the instructions exactly about when to stop eating and drinking. If you don't, your surgery may be cancelled. If your doctor told you to take your medicines on the day of surgery, take them with only a sip of water.

  • Take a bath or shower before you come in for your surgery. Do not apply lotions, perfumes, deodorants, or nail polish.

  • Do not shave the surgical site yourself.

  • Wear clothing that is easy to put on and take off. You may have a large bandage on your foot.

  • Take off all jewellery and piercings. And take out contact lenses, if you wear them.

At the hospital or surgery centre

  • Bunion Removal: Before Your Surgery (4)

    Bring a picture ID.

  • The area for surgery is often marked to make sure there are no errors.

  • You will be kept comfortable and safe by your anesthesia provider. The anesthesia may make you sleep. Or it may just numb the area being worked on.

  • The surgery will usually take about 1 to 1½ hours. If you are having both feet done at the same time, it may take 2 to 3 hours.

When should you call your doctor?

Bunion Removal: Before Your Surgery (5)

  • You have questions or concerns.
  • You don't understand how to prepare for your surgery.
  • You become ill before the surgery (such as fever, flu, or a cold).
  • You need to reschedule or have changed your mind about having the surgery.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter Y831 in the search box to learn more about "Bunion Removal: Before Your Surgery".

Current as of: July 18, 2023

Author: Healthwise Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Bunion Removal: Before Your Surgery (2024)

FAQs

Bunion Removal: Before Your Surgery? ›

Preparing for surgery

What do you need to do before bunion surgery? ›

Prior to bunion surgery, it's important to prepare your home for an easy and more comfortable recovery. Create a recovery zone in your home and make it accident-proof by removing clutter and making sure you create a space for resting and elevating your foot. Make everything you need for recovery within easy reach.

How bad do bunions have to be before surgery? ›

You may need bunion surgery if you have severe foot pain that happens even when walking or wearing flat, comfortable shoes. Surgery may also be needed when chronic big toe inflammation and swelling isn't relieved with rest or medicines.

Is it worth it to get a bunion removed? ›

Is bunion surgery worth it? This will be up to each patient. But in short, if your bunion pain was keeping you from walking, doing the activities you liked, or exercising regularly, then the surgery is worth it. You won't only regain the freedom of moving around pain-free, but you will also protect your future health.

What I wish I knew before bunion surgery? ›

Fast: Your doctor will give you exact instructions to stop eating and drinking prior to surgery. If you do not follow these orders, your surgery may need to be postponed. Clean Up: The bath or shower you take prior to your surgery will be your last for a few days. Do not use any lotions or deodorants on your foot.

Can you walk immediately after bunion surgery? ›

Mild Bunion Operation – when the bump or spurs are just removed. Patients can immediately walk in a walking boot and will stay on for two weeks.

How many hours does a bunion surgery take? ›

The operation usually takes 30 minutes to an hour. Your surgeon will discuss with you which of the following procedures the operation is likely to involve. Removing the bunion. Releasing the tight ligaments and tightening stretched ligaments.

Why is bunion surgery not recommended? ›

Prolonged swelling, infection, and deep vein thrombosis can result from this treatment. Some of the other possible complications include over- or under-correction, loss of correction, joint stiffness, and nerve entrapment.

How long is bed rest after bunion surgery? ›

Individuals who undergo traditional bunion surgery can first expect to take several days off for the surgery and the subsequent hospital stay. Then, for the next two weeks, they'll be unable to walk or get off their feet. Finally, they will likely have to wear a cast or use crutches for the following several months.

What does a severe bunion look like? ›

Symptoms often progress as the bunion becomes more severe with a more prominent bump and big toe deviation under or over the smaller toes. However, the treatment of bunions is more complex than removing the bony growth you can visually see. Surgical correction is necessary to get you back on your feet.

What happens if you don't remove bunions? ›

If left untreated, a bunion can cause arthritis, especially if the joint in the big toe has sustained extensive, long-term damage. Bunions may cause the cartilage in the joint to deteriorate. While bunions can be remedied through surgery, arthritis and the possibility of chronic pain are not curable.

What are the cons of bunion surgery? ›

One potential downside of bunion surgery is the risk of complications such as recurrence of the bunion, nerve damage, and continued pain, as well as the possibility of overcorrection leading to the big toe extending away from the other toes.

How can I shrink my bunions naturally? ›

  1. Massage and Exercise Your Feet. One of the simplest ways to treat your bunions without surgery is to, in fact, exercise your feet. ...
  2. Take a Paracetamol. ...
  3. Soak Your Feet in a Foot Bath. ...
  4. Ice Your Feet. ...
  5. Put Your Feet Up! ...
  6. Try Castor Oil. ...
  7. Try Bunion Pads. ...
  8. Try Bunion Splints.
Jul 20, 2022

Does insurance cover bunion surgery? ›

Bunion surgery costs depend on the type of surgery you have, where you have the procedure, your health insurance or Medicare coverage, and more. Generally, if your bunion pain is leading to physical limitations, and surgery is deemed medically necessary by your podiatrist, insurance will cover the procedure.

What is the best time of year to have bunion surgery? ›

One could say summer is the best time for surgery since open-toed shoes, sandals and flip-flops are easier to squeeze a swollen foot into than a heavy winter boot. But, that's not true if you enjoy swimming, biking or water skiing. The best time to have bunion surgery is when it fits your lifestyle.

Do they break the bone during bunion surgery? ›

This requires a surgeon to break the bone or cut into the bone and reposition the first metatarsal, which can lead to a long recovery period of six-to-eight weeks, during which patients cannot bear any weight on the foot and must use crutches.

What are the must haves for bunion surgery recovery? ›

What Items Do I Need to Recover From Bunion Surgery
  • 3) Cast protector or bag to keep foot dry in shower (can be provided by Dr. ...
  • 4) Two pillows to elevate surgical foot when at rest and sleeping.
  • 5) Crutches or walker, knee scooter is optional but recommended to use for longer distances, and ease of use.
Aug 18, 2020

How long do I have to wear a boot after bunion surgery? ›

How long do you wear a boot after bunion surgery? This protective footwear will be part of your wardrobe for at least three to six weeks after surgery – but could be used for several months.

Do you sleep in boot after bunion surgery? ›

You may sleep without your boot once you are 4 weeks from surgery. after surgery you will be allowed to bear weight on your foot as tolerated in your boot. This may change based on skin healing or other added procedures.

How long should you stay off your feet after bunion surgery? ›

How long should you stay off your feet after bunion surgery? For every foot surgery, patients should stay off their feet and rest for the first two weeks. Typically, it is recommended that you keep the surgical area elevated 80% of the time during the first week and 50% of the time in the second week.

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