Bunion Surgery
IN NYC

Millennium Podiatry, located in NYC, is a trusted destination for those seeking bunion surgery. We take a patient-centered approach, prioritizing comfort, precision, and individualized care throughout the surgical process. With advanced technology and a skilled team of board-certified doctors, Millennium Podiatry ensures that each individual’s needs are addressed. Our experienced surgeons are committed to achieving the best possible outcomes, ensuring patient well-being and a smooth treatment journey.

What Is
Bunion Deformity?

Bunion deformity, also known as hallux valgus, is a common foot condition characterized by a bony bump that develops at the base of the big toe joint. This problem occurs when the big toe begins to angle inward toward the second toe, causing the joint at its base to protrude outward. The misalignment leads to a progressive deformity that may cause the big toe to overlap with adjacent toes in severe cases. Bunions can develop gradually over time and are often associated with wearing tight, narrow shoes, genetic predisposition, or certain foot types. The condition may affect people of any age, though it is more commonly seen in women and older adults.

How Do I Know If I Have Bunion Deformity?

The signs and symptoms of a bunion include:

Consultation & Preparation for Bunion Surgery

Every bunion surgery begins with a comprehensive consultation with our podiatrist. During this initial meeting, we evaluate the deformity, review the patient’s medical history, and discuss any underlying conditions that might affect the operation. X-rays are typically taken to assess the extent of the bunion and help plan the surgical approach. Our podiatrist explains various treatment options and potential outcomes, including recovery time. Severe bunion deformities usually require surgical intervention to achieve excellent results.
Before treatment, patients may need to undergo routine medical tests and adjust their medications. They should also arrange post-operative care, including transportation home after the procedure and assistance during the initial recovery period. Proper footwear and assistive devices, such as crutches or a surgical boot, should be obtained beforehand to ensure a smoother healing process.

Bunion Removal Surgery: A Step-by-Step Guide

Bunion surgery, also known as a bunionectomy, corrects the misalignment of the big toe and the bone protrusion at the base of the toe joint. This operation aims to relieve pain, restore normal function, and improve the foot’s appearance. The exact procedure can vary based on the severity of the bunion, the specific approach, and the patient’s needs. Here is a general overview:

Step 1 - Anesthesia
Bunion surgery is typically performed under local anesthesia, which numbs the foot and allows the patient to remain awake during the procedure. In some cases, general anesthesia may be used, where the patient is put to sleep. The choice depends on the procedure’s complexity and our orthopedic surgeon’s recommendation.
To access the bunion, our surgeon makes an incision on the side of the foot, directly over the affected area. The size and location of the cut depend on the chosen technique. This incision allows our bunion surgeon to view the affected joint and surrounding structures to perform the necessary corrections.
The primary focus of this procedure is to realign the bones of the big toe. Our surgeon may cut and reposition the metatarsal bone to correct the deformity. The goal is to straighten the toe and realign the joint. Sometimes, part of the bone might be removed to reduce the protrusion. The bones are then secured in their new position using screws, pins, or plates to hold them in place while they heal.
If the bunion has damaged the joint, our surgeon can repair or reshape it as part of the procedure. This may involve removing affected tissue or bone spurs, which can alleviate pain and improve function. In more severe cases, joint fusion might be necessary, in which the bones are fused to prevent further misalignment and reduce discomfort.
Along with bone realignment, our surgeon may need to adjust the soft tissues around the bunion, including ligaments, tendons, and the joint capsule. Tightening or loosening these structures can help improve the alignment and function of the toe. This step might also be necessary to prevent the bunion from returning after surgery.
Once the bones and soft tissues have been realigned, our surgeon closes the incision with sutures. In some cases, absorbable stitches are used so they do not need to be removed. The incision is then bandaged, and the foot may be placed in a surgical shoe or splint to protect it during the initial stages of healing.
Sometimes, our bunion surgery specialists take X-rays to confirm that the bones are correctly aligned. This ensures the problem has been successfully corrected and the joints are appropriately positioned. The imaging may also help plan follow-up care and monitor the healing process.

What Can I Expect After Bunion Surgery?

After bunion surgery, patients receive post-operative instructions to ensure the best possible results. They may need to attend follow-up appointments to evaluate their healing. The length of recovery varies depending on the extent of surgery. Here is a typical timeline:

Week 1-2
The primary focus in the first two weeks is managing pain and reducing swelling. The patient is advised to keep the foot elevated and apply ice regularly. Crutches or a walker are usually necessary to avoid putting weight on the foot. The surgical site is monitored for signs of infection, and follow-up appointments are typically scheduled within the first week to check the incision and remove any bandages. Pain is managed through prescribed medications, and a surgical shoe or boot is worn to protect the treated area.
Patients may start bearing weight on the foot in one month, although this is done gradually and cautiously. Swelling and pain should be significantly reduced, but some discomfort might persist. Depending on our surgeon’s recommendation, patients begin transitioning to regular footwear. Physical therapy or gentle exercises are introduced to improve flexibility and strength. Follow-up appointments ensure that the bones are correctly aligned and healing as expected.
Patients can resume light activities after 2-3 months and gradually increase weight-bearing. Swelling should continue to decrease, although it may still be noticeable after prolonged standing or walking. Patients can wear regular shoes, but high-impact activities are typically avoided during this period. Physical therapy may be continued to improve foot strength and mobility. Patients should be able to perform most daily tasks without significant limitations.
By six months, the foot is usually fully healed. Swelling and pain are minimal or absent, and patients can generally return to most activities, including sports or exercise, depending on their recovery progress. Minor swelling might still occur after extended periods of activity, but overall recovery is typically complete. Regular follow-up visits with our surgeon ensure the long-term success of the procedure.

Additional Treatment: Custom Orthotics

Patients with bunion deformities may sometimes benefit from additional treatments, such as custom orthotics. These specialized shoe inserts are designed to provide optimal support and cushioning, improving foot alignment and reducing pressure on the affected area. Custom orthotics can help alleviate pain, prevent the bunion from worsening, and support the overall foot structure. They are especially beneficial for patients who experience discomfort while walking or standing for prolonged periods.
After a thorough evaluation, our foot and ankle surgeons take precise measurements of the foot and design orthotics tailored to the individualā€™s specific needs. While this treatment may not correct the deformity, it can significantly enhance comfort and help manage symptoms, especially when combined with other non-invasive options.

Candidates for Bunion Surgery

Bunion surgery is often considered when conservative treatments fail to relieve pain or when the deformity significantly impacts daily activities. Various groups of people may be suitable candidates for the procedure.

Benefits of Our Minimally Invasive Bunion Surgery

Bunion surgery can offer significant improvements for those suffering from persistent pain and functional limitations due to deformity. The procedure provides both physical and emotional relief for many patients. Here are the main benefits:

Pain relief from persistent or intermittent discomfort

Improved foot function and mobility

Restored toe alignment for better aesthetics

Increased ability to wear regular shoes without discomfort

Prevention of further deformity progression

Reduced risk of complications like arthritis or joint damage

Enhanced quality of life with greater comfort and activity levels

How Much Does Bunion Surgery Cost in NYC?

The cost of bunion surgery in NYC ranges from $3,500 to $12,000, depending on the complexity of the procedure, the doctor’s experience, and the type of anesthesia required. Additional expenses may include pre-surgical consultations, post-operative care, and medical tests or imaging. Patients should check with our healthcare provider to understand the full scope of fees involved and whether insurance coverage applies.

Millennium Podiatry Is a Top Destination for Surgical Bunion Correction

With a state-of-the-art facility in the heart of New York City, Millennium Podiatry offers an exceptional setting for bunion surgery. Our team of experienced, board-certified podiatrists, led by renowned specialists Dr. Suzanne Levine and Dr. Adam Landsman, provides cutting-edge treatments tailored to each patient’s needs. Millennium Podiatryā€™s commitment to personalized care and advanced technology ensures a comfortable, successful experience, from consultation to recovery. There is simply no better place in New York to receive foot and ankle surgery.

Bunion FAQs

Can a bunion go away?
Bunions cannot go away without proper treatment. If you suspect you have this problem, we encourage you to schedule an evaluation. Because the symptoms could worsen, our team recommends timely treatment to help slow this progressive condition.
The amount of pain varies for each person. Generally, patients may experience some soreness for the first 3 ā€“ 5 days. To help with healing and comfort, our team provides detailed aftercare instructions that help minimize the pain and reduce swelling.
Before undergoing bunion surgery, we will try more conservative options first. This usually includes orthotics or injections. For more severe cases that cause chronic pain, patients may need surgery to remove the bunion.
Sometimes, the joint swells, causing a cyst with fluid to develop. This often happens after wearing tight or unfitting shoes. Pain may also occur because of gout, which causes the bunion to become inflamed or swollen. At an appointment with one of our podiatrists, we can help diagnose the underlying condition.

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