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Do You Need Bunion Surgery?

South Chicago Suburbs Guide to Knowing When

Surgical Decision Making

As board-certified podiatrists serving the South Chicago suburbs for nearly three decades, we understand how confusing and stressful it can be to decide whether bunion surgery is right for you. At ASG Foot & Ankle Clinic, we see patients every day who are struggling with bunion pain and wondering if surgery is their only option.

The truth is, bunion surgery (bunionectomy) is not always necessary. Many patients can manage their symptoms effectively with conservative treatments. However, when conservative measures fail and quality of life is significantly impacted, surgery may be the best path forward. This guide will help you understand when bunion surgery might be appropriate.

Understanding Bunions and When They Require Surgery

What Causes Bunions

Bunions develop when the big toe joint becomes misaligned, causing the big toe to lean toward the second toe. This creates a bony bump on the side of the foot and can cause significant pain and difficulty wearing shoes.

Common Risk Factors:

  • • Hereditary foot structure
  • • Tight or narrow shoes
  • • Arthritis or gout
  • • Previous foot injuries
  • • Flat feet or high arches

Progressive Nature

Bunions tend to worsen over time. What starts as a minor cosmetic concern can develop into significant pain, inflammation, and functional limitations.

Stages of Bunion Development:

  • • Mild: Minimal deformity, occasional pain
  • • Moderate: Noticeable bump, frequent discomfort
  • • Severe: Significant deformity, constant pain

Conservative Treatments We Try First

Before recommending surgery, our South Chicago suburbs podiatrists always start with conservative treatments. Most patients (about 85%) can manage their bunion symptoms effectively without surgery.

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Proper Footwear

Wide toe box shoes with good arch support. Avoid narrow, pointed shoes that squeeze the toes.

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Ice Therapy

Regular icing reduces inflammation and provides temporary pain relief during flare-ups.

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Orthotics

Custom orthotics redistribute pressure and support proper foot alignment.

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Medications

Anti-inflammatory medications and pain relievers for symptom management.

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Padding

Protective padding and toe spacers reduce friction and pressure on the bunion.

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Exercises

Gentle stretching and strengthening exercises to maintain toe mobility.

When Bunion Surgery May Be Necessary

1

Severe, Persistent Pain

When bunion pain becomes constant and severe enough to limit daily activities, interfere with work, or prevent wearing comfortable shoes, surgery may be appropriate.

Pain indicators:

  • • Pain that doesn't respond to conservative treatments
  • • Difficulty walking or standing for long periods
  • • Pain that wakes you up at night
  • • Inflammation that doesn't subside
2

Significant Functional Impairment

When the bunion deformity prevents normal toe function or causes secondary problems like hammertoes, corns, or difficulty finding shoes that fit properly.

Functional problems:

  • • Inability to wear desired footwear
  • • Development of secondary deformities
  • • Difficulty with athletic activities
  • • Balance or gait problems
3

Failed Conservative Treatment

When you've diligently tried conservative treatments for 6-12 months without adequate relief, surgery may be the next appropriate step.

Treatment timeline:

  • • Proper footwear changes (3-6 months)
  • • Orthotics and padding (3-6 months)
  • • Physical therapy and exercises (2-3 months)
  • • Medication management (ongoing)

Bunion Surgery Options at ASG Foot & Ankle

Minimally Invasive Surgery

Small incisions, faster recovery, less scarring. Best for mild to moderate bunions.

  • • Smaller incisions (less than 1 inch)
  • • Local anesthesia often sufficient
  • • Faster return to normal activities
  • • Less postoperative pain

Traditional Open Surgery

Larger incision for complex cases. Provides direct access to correct severe deformities.

  • • Better for severe deformities
  • • More predictable long-term results
  • • May require internal fixation
  • • Longer recovery period

What to Expect: Recovery and Results

1-2

Weeks

Initial healing with limited weight-bearing. Boot or surgical shoe required.

3-6

Weeks

Gradual return to normal activities. Physical therapy begins.

3-6

Months

Full recovery and optimal results. Return to all activities.

Why South Chicago Suburbs Patients Choose ASG for Bunion Surgery

Advanced Techniques

Minimally invasive surgery options and modern fixation methods for faster recovery.

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Extensive Experience

Thousands of successful bunion surgeries performed in the South Chicago suburbs.

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Comprehensive Care

From diagnosis through full recovery, we provide complete bunion care locally.

Get Expert Guidance on Your Bunion Treatment Options

Our experienced podiatrists in the South Chicago suburbs will evaluate your specific situation and recommend the most appropriate treatment plan, whether that's conservative care or surgery. Don't let bunion pain control your life - get the expert help you need.