Revision Techniques for Patients with Bunions

Bunions are a painful foot deformity that may require surgery. Unfortunately, the first surgery doesn’t always fix the problem. If you’re frustrated by recurring foot problems, it may be time to consider reconstructive foot surgery , commonly called revision surgery. Visit a knowledgeable and skillful podiatrist in Sugar Land to discuss whether reconstructive foot surgery might be right for you. There are several surgical techniques that may be appropriate, depending on your specific situation. bunion - feet

Fixing a Recurrent Bunion

It’s possible for a bunion to come back after the original corrective surgery. This may occur if the first foot surgeon failed to fully grasp the severity of the deformity or used an inappropriate surgical approach. People with particularly flexible feet may be more likely to have a recurrence. When this situation arises, the podiatrist performing the revision surgery might do a Lapidus procedure. The Lapidus approach involves the fusion of the first tarsal-metatarsal (TMT) joint . After realigning the bones, the surgeon fuses the joint to prevent the first metatarsal from moving too much. The Lapidus procedure should prevent the bunion from recurring again.

Addressing Overcorrection of a Bunion

Sometimes, the first foot surgeon might have overcorrected the bunion, such as by tightening the ligaments too much, removing the sesamoid bone, or removing too much of the other bone mass. To address the overcorrection, the reconstructive foot surgeon might make revision bone cuts or fuse the big toe joint in place.

Lengthening a Short Toe

When a foot surgeon must remove some of the bone in order to realign it, the toe becomes shorter. The same effect occurs when the TMT joint is fused. Although some shortening is to be expected, too much shortening can cause problems with the foot’s functioning. Foot pain may also develop. If this is the case, the revision surgery may involve making bone cuts to lengthen the toe. Sometimes, it’s necessary to add bone graft material to rebuild the bone mass.

Solving Post-Surgical Arthritis

Occasionally, bunion patients might develop arthritis in the toe after having the original surgery. Arthritic symptoms might be caused by improper positioning, bone spurs, or infection. Reconstructive foot surgery may be appropriate to remove bone spurs, fuse the joint, or realign the bones.

Signs You Have Plantar Fasciitis

Plantar fasciitis is a common and painful condition that affects the plantar fascia, the ligament that runs from the heel along the bottom of the foot. Although it frequently begins in one foot, over time, it may impact both feet. If you think you could have plantar fasciitis, see your foot doctor in Sugar Land as soon as possible for diagnosis. The earlier you begin treatment for plantar fasciitis, the easier it is likely to be to get relief. Consider making an appointment with your foot doctor if you have these symptoms. heel - pain

Stabbing Pain

The pain caused by plantar fasciitis is usually sharp and intense. It starts in the heel and may run along the bottom of the foot. The pain is at its worst after a period of rest, when the ligament gets stiff and needs to be stretched out again. For that reason, most people complain of significant pain when getting out of bed in the morning or after extended periods of sitting or standing still. Depending on the severity of the condition, the pain may go away completely after the ligament gets stretched out after periods of walking around, or it may persist throughout the day and interfere with mobility.

Burning

Burning sensations are also possible with plantar fasciitis. This kind of pain usually occurs along the bottom of the foot and may persist all day. Burning pain may be accompanied by numbness or tingling that may be relieved after walking to loosen the ligament.

Stiffness

Stiffness is a very common symptom of plantar fasciitis. The plantar fascia can get very right and stiff after periods of inactivity, causing stiffness that affects the whole foot. Swelling is also possible alongside the stiffness. If you have plantar fasciitis, your foot doctor may show you exercises you can use to reduce stiffness to help control some of your symptoms. Many people with plantar fasciitis must do these exercises as soon as they get out of bed in the mornings to reduce the intense pain they feel.

What Is a Plantar Wart

Sugar Land Plantar Warts Plantar warts are benign growths on the feet caused by infection with human papillomavirus, also called HPV. Although harmless, plantar warts can be extremely contagious. They may be passed from person to person, as well as transmitted indirectly via handling or touching common surfaces. Plantar warts are common among young children, who may touch playground or school items that have been handled by a child with an HPV infection. Swimmers are also at higher risk for HPV infection and the formation of plantar warts because they may pick up the virus from showers or pool decks if protective footwear is not worn. Plantar warts will disappear on their own; however, you should take care not to walk barefoot to avoid spreading the virus to others. If you are concerned about plantar warts or have questions about other aspects of your foot health, contact your podiatrist to schedule an appointment.

Advanced Foot & Ankle Specialists of Sugar Land offer treatment for plantar warts , athlete’s foot, foot and ankle injuries, and more. Contact us by calling (281) 242-3338 to discuss your needs with an experienced podiatrist. You can find more information about foot health on our blog.