Skip to main content

Do Bunions Always Require Surgery?

Do Bunions Always Require Surgery?

bunion is a bony lump that forms at the base of your big toe joint. It’s an extremely common foot deformity that often leads to symptoms like pain, swelling, and difficulty walking.

Many people with bunions are able to manage their symptoms with conservative treatments, including ice therapy, pain medication, and orthotics. But sometimes, bunions get so severe that surgery is the best option.

Bunion surgery, also known as bunionectomy, is a procedure that removes your bunion and realigns your big toe. Guillermo Duarte, MD, specializes in bunionectomy at Manhattan Orthopedics, and he can help you determine if you need bunion surgery.

What to do if you have bunion 

Not all bunions require surgery. Conservative care can be highly effective to manage symptoms of small bunions and keep them from getting worse. No matter your symptoms, it’s important to get a thorough evaluation by a foot and ankle specialist.

Dr. Duarte examines your foot and asks questions about your symptoms. He considers factors like the size and location of the bunion, the severity of the deformity, and the presence of any other foot problems. Then, he takes X-rays to determine the extent of the bunion.

After your exam, Dr. Duarte discusses the best course of treatment for your needs. He usually recommends trying nonsurgical treatments first. These may include:

If you have a severe bunion, or conservative treatments fail to provide relief, it might be time to start thinking about bunion surgery.

When to consider bunion surgery

There are several different types of bunion surgery, and Dr. Duarte chooses the best procedure for you based on the severity of your bunion and the underlying cause. Some common indications for bunion surgery include:

Persistent pain

If your bunion is causing chronic pain, and conservative care doesn’t improve your symptoms, surgery may be your best option for lasting pain relief.

Difficulty walking or doing everyday tasks

A bunion can make it difficult to walk or balance properly, especially if it is large or particularly painful. If your bunion is interfering with your daily activities, surgery may be necessary to improve your mobility.

Significant foot deformity

A bunion can make your big toe point inward toward your other toes, which can lead to additional problems like hammertoes or calluses. In these cases, surgery can correct the deformity and help prevent further complications.

Related foot problems

Bunions can sometimes contribute to other painful foot problems, like arthritis or bursitis. If your bunion is causing other issues, surgery can help alleviate the associated pain and inflammation to improve your overall foot health.

What to expect with bunion surgery

Dr. Duarte and our team typically do bunion surgery on an outpatient basis, meaning you will be able to go home the same day as the procedure. The surgery typically takes one to three hours, and we may use local or general anesthesia.

After surgery, you need to keep your foot elevated and use crutches or a walking boot to help you get around. You can expect some pain and swelling in the first few days, but this should gradually improve. Along with your regular follow-up appointments, we may recommend physical therapy to help you regain strength and mobility in your foot.

Most people are able to return to their normal activities within a few weeks after bunion surgery, although it may take several months to fully recover. Be sure to follow Dr. Duarte’s instructions for post-surgery care to ensure a successful recovery.

When bunion pain interferes with your daily routine, surgery can provide significant relief and improve your quality of life. Schedule a consultation with Dr. Duarte at one of our office locations in Astoria, Brooklyn, and Manhattan, New York to get started today.

You Might Also Enjoy...

Are PRP Injections the Secret to Healing Knee Pain Faster?

Knee pain can be debilitating, whether it's due to injury, arthritis, or chronic wear and tear. PRP injections are an innovative treatment option that harnesses your body's natural healing abilities, offering a potential solution for faster recovery.

Does Scoliosis Get Better Naturally with Age?

If you or your child has scoliosis, you may wonder whether the condition will improve on its own with time. Although some mild cases remain stable, scoliosis typically doesn’t resolve naturally — and treatment can help prevent worsening curvature.
Why Your Neck Pain Keeps Coming Back

Why Your Neck Pain Keeps Coming Back

Chronic neck pain can disrupt your life and make daily activities challenging. If you have neck pain that keeps coming back, start here to learn more about possible causes — and find out how specialized care can help you find lasting relief.
Conditions You Might Also Have with Bursitis

Conditions You Might Also Have with Bursitis

Bursitis can cause significant pain and discomfort, making everyday movements challenging. Understanding the condition — and its potential connections to other joint or inflammatory issues — is essential to finding effective treatment.
Does Spinal Stenosis Always Get Worse Without Treatment?

Does Spinal Stenosis Always Get Worse Without Treatment?

Spinal stenosis is a degenerative condition, and it can worsen over time — but did you know proactive treatment isn’t always invasive? Learn how nonsurgical options like physical therapy can help manage symptoms and improve your quality of life.
How to Accelerate Healing After a Rotator Cuff Tear

How to Accelerate Healing After a Rotator Cuff Tear

A rotator cuff tear can be a painful, debilitating injury that makes everyday tasks next to impossible. Healing can take time — but innovative options like PRP therapy can help you recover faster and regain shoulder function. Here’s how it works.