What are bunionettes?
A bunionette, also known as a tailor’s bunion, is a bony prominence that forms on the outside of the foot at the base of the little toe. This condition is similar to a bunion, which occurs at the base of the big toe but affects the fifth metatarsophalangeal joint. Bunionettes develop when the fifth toe deviates outward, and the metatarsal bone shifts inward, causing the bone to protrude. This misalignment can be exacerbated by factors such as wearing tight or ill-fitting shoes, genetic predisposition, or foot abnormalities.
Bunionette symptoms
The symptoms of a bunionette can vary, but common signs include:
- Pain: Discomfort or pain on the outside of the foot, especially when wearing certain types of footwear.
- Swelling: Inflammation and swelling around the bony protrusion.
- Redness: The skin over the bunionette may become red and irritated.
- Calluses: Thickened skin or calluses may form over the affected area due to friction.
- Difficulty walking: Pain and discomfort may make walking or standing for long periods challenging.
How does Dr Abramson treat bunionettes?
Dr Michael Abramson treats bunionettes using a personalized approach that begins with conservative management. He often recommends footwear modifications, such as wearing wider shoes or using custom orthotics, to relieve pressure on the bunionette and alleviate discomfort. Padding or special orthotic devices may also be used to cushion the bump and reduce irritation. For pain management, Dr Abramson may suggest nonsteroidal anti-inflammatory drugs (NSAIDs) to help with inflammation and discomfort.
If conservative treatments are ineffective and the bunionette continues to cause significant pain or interfere with daily activities, Dr Abramson may recommend surgical intervention. Bunionette surgery typically involves realigning the toe joint and removing the bony bump. The specific surgical technique used depends on the patient’s condition, but it may include osteotomy (cutting and repositioning the bone) or exostectomy (removal of the bony prominence). After surgery, Dr Abramson provides comprehensive post-operative care, which includes detailed instructions for recovery, immobilization, and physical therapy to ensure a smooth and successful rehabilitation. Through this tailored approach, Dr Abramson aims to relieve pain, restore foot function, and improve the quality of life for his patients.
FAQ’s
What can I expect during recovery from bunionette surgery?
Recovery from bunionette surgery typically involves:
- Post-operative Care: Keeping the foot elevated, managing pain with prescribed medications, and following wound care instructions.
- Rehabilitation: Physical therapy may be recommended to restore strength, flexibility, and mobility in the foot.
- Recovery Time: Most patients can expect a recovery period of several weeks to a few months, depending on the complexity of the surgery and individual healing rates. (Can take up to 6 months for all forefoot work)