When the pain of a bunion interferes with daily activities, it's time to discuss surgical options. Together you can decide if surgery is best for you. Recent advances in surgical techniques have led to a very high success rate in treating bunions. A variety of surgical procedures are performed to treat bunions. The procedures are designed to remove the "bump" of bone, correct the changes in the bony structure of the foot, as well as correct soft tissue changes that may also have occurred. The goal of these corrections is the elimination of pain. In selecting the procedure or combination of procedures for your particular case, Dr. Sheff will take into consideration the extent of your deformity based on the x-ray findings, your age, your activity level, and other factors. The length of the recovery period will vary, depending on the procedure or procedures performed.
All surgeries are performed on an out-patient basis at Newport Hospital. The bunionectomy procedure is one of the most common operations performed by Dr. Sheff. Recovery depends specifically on what type of bunion operation is best for you and may involve the use of crutches but more commonly only requires the use of a surgical shoe and limited activities for the first two to four weeks. However, every patient is an individual and will heal at different rates.
Various types of anesthesia are available to the patient, including general anesthesia, spinal anesthesia, iv sedation, or local anesthesia. Most bunion operations can be done with a combination of local anesthesia and IV sedation. This is the same anesthesia that one receives for a colonoscopy. It is also referred to as "twilight anesthesia," for the patient falls asleep once the medication is introduced and wakes up after the procedure without the untoward effects often associated with general anesthesia (nausea, grogginess, etc.).