What you should do after bunion surgery (2024)

Treatments • Mon 24 Feb 2020

As a Podiatrist, I have helped many clients who struggle with their sports and normal activities due to bunion pain.

For some, bunion surgery is the only way to stop them from being in pain day in day out.

While surgery corrects the position of the big toe joint, the forces that created the bunion in the first place are still there.

Therefore, to prevent any complications from developing, the right rehabilitation after your surgeryis vital for you to get the best results.

What you should do after bunion surgery (1)

When should I start bunion surgery rehabilitation?

The rehabilitation process begins the minute you leave the operating theatre.

You will be fitted with a post-operative offloading sandal and have follow-up appointments with your surgeon to check that the area is healing well.

"So when should you book in to see a Podiatrist?" I recommend that you book in to see your Podiatrist 6 weeks after your surgery.

At this stage, you will be moving out from your post-operative sandal and into awide fitting comfortable shoeto start putting more load through your foot, so getting a full biomechanical assessment from your Podiatrist is essential.

How can a Podiatrist help after bunion surgery?

Podiatrists are the experts in lower limb function and movement.

Our Podiatrists will provide you with a detailed management plan for the next stages of your rehabilitation.

This includes:

1. Asses the results of your bunion surgery

We will perform a comprehensive assessment to determine if you are overloading any joints and or muscles and see if you are left with any restrictions in the range of motionof your joints after your surgery.

During the assessment, we will review if you are getting enough range of motion through your big toe joint and if you are moving correctlywhen you are walking.

2. The right shoes to wear after bunions surgery

6 weeks after your surgery you will transition out of your post-operative sandal into awide fitting supportive shoe.

Your big toe joint may still be swollen and any pressure from tight shoes can cause irritation and painand may slow down healing.

Your current shoes may need to be changed if they are too tight or too flat and don't give your foot enough support.

3. Orthoses help with bunion pain

Depending on your biomechanical assessment orthoses may be required.

Orthoses work by altering the forces generated when your foot hitsthe ground.

Different tissues (bone, ligament, fascia, tendon, etc) cope with different forces in different ways and, if some of the tissues in your foot or leg are damaged or deconditioned these ‘normal forces’ can cause pain and problems.

Orthoses when prescribed correctly work best by moving load away from painful areas and improving joint function.

After surgery it is important to protect your big toe joint from being overloaded and damaged, this is where orthoses will help.

What you should do after bunion surgery (2)

Orthotics can help to help the joint fom being overloaded

4. How to strengthen your feet after bunion surgery

After bunion surgery and 6 weeks in a post-operative shoe, your muscles in your foot especially surrounding your big toe joint weaken and stiffen up.

This in combination with swelling surrounding the joint reduces the range of motion in your big toe joint.

To begin with, your Podiatrist will prescribe you gentle semi weight-bearing exercises and mobilisation exercises to help restore some strength and range of motion into your big toe joint.

What you should do after bunion surgery (3)

Then depending on how you tolerate these exercises and the level ofswelling you will be able to progress these to weight-bearing exercises to help strengthen your big toe in more of a functional way.

Two great exercises for bunion prevention and rehabilitation post-surgery are big toe joint rotations (hallux mobilisation) and arch strengthening exercises (targeting abductor hallucis muscle).

The button below is a handout explaining these exercises:

Bunion Exercises.pdf

We Are Here To Help

If you have had a bunion surgery or are experiencing pain in your big toe joint, the first thing to do is bookan appointment with one of the Podiatrists at Complete Podiatry for a comprehensive assessment to identify your stage of rehabilitation post bunion surgery.

Once this is done, we will develop a structured management plan that outlines our best advice for rehabilitation after bunion surgery and help you to return to doing the things you love to do.

I'm so confident we can help with your rehabilitation post bunion surgery that I'd love to chat with you personally, it's what I'm passionate about!

Call us on 8330 0004 orBook Online

What you should do after bunion surgery (4)

Tagged # Foot Surgery, Common Problems, Treatments

Alex Taylor
Podiatrist at Complete Podiatry

What you should do after bunion surgery (2024)

FAQs

What you should do after bunion surgery? ›

Elevating your foot for 55 minutes in each hour and taking regular painkillers for two weeks after surgery will help to keep pain at a minimum. Using extra pillows and cushions in bed and while resting on the sofa will help to keep your foot elevated.

What not to do after bunion surgery? ›

You may need to refrain from driving for a week or more after surgery. Exercises or physical therapy may be recommended to help the foot recover its strength and range of motion after surgery. High heels should be avoided for at least 6 months after surgery.

What is the fastest way to recover from bunion surgery? ›

Resting during your recovery

Keep your affected foot and leg elevated as much as possible, propping your foot up with pillows as needed. This reduces the overall amount of swelling and pain you have to cope with. Limit your walking as you recover after bunion surgery.

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.

How to walk properly after bunion surgery? ›

Weight-bearing in your boot with crutches or walker as tolerated for short distances in home, long distance a knee scooter is recommended. Patients will walk flatfooted on surgical side in boot, never advancing the good foot beyond the surgical foot. Think the traditional slow walk brides used to walk down the aisle.

Should I wiggle my toes after bunion surgery? ›

Operation to two weeks

You should wear the postoperative shoe, day and night. You can wiggle the toes, but the aim of this fortnight is to rest and get the skin wounds soundly healed. If you are sitting raise the foot on a chair, or by sitting across a sofa – this will reduce the swelling.

What happens if you accidentally put weight on your foot after bunion surgery? ›

Putting any weight on an operated foot or ankle can damage the repair that's been done. Bones need time to heal. Plates or screws that may have been added during surgery need the bones to heal around them. Adding weight too soon can interrupt this important internal healing process.

How should I sleep after bunion surgery? ›

Keep Your Foot Elevated While Sleeping

This helps reduce swelling and pain and speeds up the healing process. The best way to elevate your foot is to prop it up on a pillow. You can also use a special bunion surgery recovery sock, which helps to keep your foot in the correct position.

Can you feel the screws after bunion surgery? ›

Screws used in minimally invasive bunions surgery are not placed near the joint, they just hold the bunion correction. Patients will not be able to feel the screws as they are placed within the bone. Screws are titanium alloy which are inert to the human body in the vast majority of cases.

How fast can a bunion come back after surgery? ›

So about 1 in 100 patients have their bunion return after 2 years. Whilst this percentage may increase over time, I have confidence that this is unlikely because of the power of correction possible when performing keyhole bunion surgery.

How can I shrink my bunions naturally? ›

How to Shrink Bunions Naturally: A Step-By-Step Process
  1. Step 1: Assess Your Footwear. ...
  2. Step 2: Use Bunion Pads and Splints. ...
  3. Step 3: Incorporate Toe Exercises and Stretches. ...
  4. Step 4: Apply Ice and Heat Therapy. ...
  5. Step 5: Consider Custom Orthotics. ...
  6. Step 6: Embrace Foot Soaks and Massages. ...
  7. Step 7: Maintain a Healthy Weight.
Feb 15, 2024

Are Crocs a good shoe after bunion surgery? ›

Crocs are considered to be a therapeutic shoe because they offer long-term relief of foot pain after surgery. Patients are encouraged to wear crocs after surgery especially when the feet have swollen.

What helps after bunion surgery? ›

After the first day or two you may take an over the counter anti-inflammatory. An average sized adult may take three 200 mg ibuprofen (Advil/Motrin) tablets every 8 hours, or Aleve two tablets twice a day, with food for a period of two weeks.

How do you sit after bunion surgery? ›

Prop up your foot and leg on a pillow when you ice it or anytime you sit or lie down during the next 3 days. Try to keep it above the level of your heart. This will help reduce swelling.

How painful is bunion surgery? ›

Is the surgery painful? The amount of pain experienced after bunion surgery is different from one person to the next. Most patients will experience discomfort for three to five days. If you closely follow your foot and ankle surgeon's instructions, you can help minimize pain and swelling after your bunion surgery.

Can I go barefoot after bunion surgery? ›

The recovery period after bunion surgery can vary between individuals. You may have your stitches removed after a couple of weeks. The average patient may spend approximately six weeks wearing a post-operative shoe or using crutches. It is really important to not walk around the house barefoot during this time.

Can screws move after a bunionectomy? ›

Fixation issue: Small screws are used during the bunion surgery to hold the toe in place. The body can reject these screws or they may move placement, there is a 2% risk of a fixation issue.

Can you elevate your foot too much after bunion surgery? ›

Yes, it is possible to elevate an injury too much. Elevation is a technique commonly used to treat many musculoskeletal injuries ranging from foot fractures to tendinitis in your knees. Elevating injuries in your legs or arms can encourage blood flow to inflamed tissue and reduce swelling.

How to prevent bunions from coming back after surgery? ›

After surgery, many podiatrists will recommend wearing a splint to help the bones learn to align correctly. This can help prevent a bunion from forming after it has been corrected. Wearing shoes that do not constrict your feet and have plenty of room in the toe box can help your feet learn to adjust properly as well.

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