When should bunions be treated?

As a rule we do not treat bunions without good reason. 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 or supported by NICE the government agency on treatment methods. Be very careful of promises such as minimal incision surgery that offer a quick return to walking. Some adverts appearing in newspapers and other publications are paid for and are not necessarily the view held by organisations such as the College of Podiatry or the British Orthopaedic Foot and Ankle Society.

  • 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 (spongy swellings) arise
  • Nerve pain compression often know as ‘neurogenic bunion’ pain
  • Associated metatarsalgia
  • Degeneration of big toe joints
  • Some medical conditions such as rheumatoid arthritis
  • Chronic Infections including bone infection

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