Common questions & brief summary.

When should bunions be treated?

As a rule we do not treat bunions unless there are definite concerns. There are some golden rules or indications that might be worth considering. Professional advice from someone who deals with this problem is important as some internet information may not be backed by professional expertise. Be very careful of false promises such as minimal incision surgery, or ‘lunchtime surgery’ often popularised by small incisions and performed with quick return to walking. Please look at Clinical Fact sheets on my website under Educational Information; Nos. 7,16,50,52,106

  • Where recurrent skin breakdown arises (ulcers, chilblains, corns)
  • A high chance of worsening in older age
  • Where secondary problems are likely e.g. dislocation of smaller toes
  • The foot is so broad that footwear is difficult
  • After foot growth has finished ideally
  • Where soft tissue problems such ganglia arise
  • Nerve pain compression often know as neurogenic bunion pain
  • Some medical conditions such as rheumatoid arthritis
  • Chronic Infections including osteomyelitis

All surgeries carry risks and these must be fully understood and explained to you before consenting for surgery. Treatment fact sheets

Be very careful of false promises such as minimal incision surgery, or ‘lunchtime surgery’ often popularised by small incisions and performed with quick return to walking. Refer to NICE guidelines an official site on surgeries for toes which are approved. www.nice.org.uk

Fellows of the College of Podiatry (FCPodS) are qualified and regulated by the HCPC to perform foot surgery in the UK