In some very mild cases of bunion formation, surgery may only be required to remove the bump that makes up the bunion. This operation, called a bunionectomy , is performed through a small incision on the side of the foot immediately over the area of the bunion. Once the skin is opened the bump is removed using a special surgical saw or chisel. The bone is smoothed of all rough edges and the skin incision is closed with small stitches. There are quite a number of bunion relief home remedies which can cure bunion pain, like mixing Epsom salt in lukewarm water or using an ice pack. Several studies have shown that about 85-90% of patients are satisfied with their bunion surgery and no longer have foot pain. On the other side of the coin, 10-15% of patients are not happy with their surgical outcome. Therefore, surgery is a last resort and should be avoided for solely cosmetic reasons. Bunions are also hereditary according to research. These people may need surgery to get rid of a bunion permanently. Despite any other causes of bunions, it is mainly the footwear which people choose to wear, so it's very important to choose the right shoes and the right size to prevent bunions from occurring. The condition most commonly manifests itself in patients aged 50 or over; however, it also frequently occurs when the patient is a teenager or in their early 20s. The patient experiences increasing pain and swelling on the inner side of the big toe producing a red, painful, tense swelling. This usually causes pain on walking and can even cause pain at rest. The deformity also means that the ball of the big toe is not positioned properly on two small bones (sesamoid bones) beneath the sole. These sesamoid bones act like two mini-knee caps for the big toe joint and normally allow the flexor tendons to act across its axis. A bunion may cause someone little or even no problem at all, and in such a case there will be no need for treatment to be given. However, it is likely that a bunion will get worse over time, so it is always a good idea to seek medical advice when a bunion starts to develop. While these measures may alleviate the pain, the only way to actually correct a bunion is with surgery. There are different types of procedure available, with the most common method being an osteotomy. This involves a surgeon cutting and removing the bony prominence before realigning the bones. Previously, surgical procedures have been described for the treatment of hallux valgus. 1-4 No strong scientific evidence exists to determine the optimal technique to correct this deformity. The popularity of minimally invasive techniques for the treatment of hallux valgus in recent years is consistent with recent studies that have shown satisfactory results. 5-7 Our preliminary results with the techniques described in this article have been satisfactory and are under evaluation (Figures 9 and 10). Sep 08, 2010 By Marcia Veach Photo Caption A bunion is a bump that develops at the base of the big toe. Photo Credit left foot image by jimcox40 from Fotolia.com Bunions occur more commonly in women and can sometimes run in families. People born with abnormal bones in their feet are more likely to form a bunion. Wearing narrow-toed, high-heeled shoes may lead to the development of a bunion. The condition may become painful as extra bone and a fluid-filled sac grow at the base of the big toe. A doctor can usually diagnose a bunion by looking at it. A foot x-ray can show an abnormal angle between the big toe and the foot and, in some cases, arthritis. This really should go without saying but comfort counts, so treat your feet right with well fitting and comfortable shoes. After about two weeks, depending on the healing conditions and nature of the wound, the dressings and the stitches will be removed. There will be a visible splint put on the toe for protection – this can be removed while bathing. In this condition, you are more mobile and can walk around with crutches. After about four weeks, another check up and x-ray should reveal if the bunion is treated and the splint may be removed from then on. In case none of the code descriptors precisely reflect the documented procedure, see in case there are any Category III codes that apply before resorting to an unlisted-procedure code. Pain in the smaller toes can be alleviated with pads and toe straighteners. Wide, soft shoes are helpful if they give the toes enough space. Once hammer toes or claw toes have developed, however, surgery is necessary. In our experience, insoles are effective for alleviation of metatarsalgia ( 7 ). They must feature a pad that pushes the metatarsals upward proximal to the pressure-sensitive heads. It often suffices to advise the patient to wear shoes with soft soles and without excessively high heels (no more than 4 cm). The malposition of the great toe, of course, cannot be corrected with insoles alone.