Tailor Bunion Surgery Miami

Tailor bunion is a foot disease, also known by the scientific name of Quintus varus. It is characterized by an enlarged prominence or bulge that appears near the fifth or little toe. A tailor bunion forms on the outside of the front of the foot, on the base of the fifth toe, on the lateral condyle of the fifth metatarsal. The deformation is accompanied by a “varus” deviation (twist) of the fifth toe. Hence its scientific name.

Anatomically, the tailor’s bunion is located on the fifth metatarsal bone, at the rounded end of this bone, that is, the lateral condyle of the fifth metatarsal. The metatarsal bones are the long bones that make up the foot before the toes. They articulate with the phalanges, which are the small bones that give shape to the toes. Each toe is made up of two phalanges, and one of them is attached to the corresponding metatarsal bone.

According to statistics, tailor bunion surgery has an 85% success rate. Of the remaining 15%, 12% improve, but still present some limitations in the use of certain types of footwear or to carry out some activities. The remaining 3% of patients who undergo tailor’s bunion surgery do not have any improvement, but their condition does not worsen either. This means that the success rate for tailor’s bunion surgery is quite high.

Although the condition caused by a tailor bunion is not always painful, sometimes it can be, and a lot. It is at this point that it is almost always decided to proceed with surgery to alleviate the symptoms. When the bump reaches a large size, it begins to become uncomfortable and hurt during walks. Tailor’s bunion makes moving a strenuous act. On the other hand, it causes discomfort because the shoes are tighter due to the pressure they exert on the bunion. A callus can also develop on the lower, outer area of the joint, which will cause further discomfort. With surgery, all these discomforts should cease.

Tailor bunion surgery typically takes between 20 minutes and 1 hour. The time depends on how complicated the patient’s deformity is. In addition, it is necessary to take into account the times of going into and leaving the clinic. Patients typically arrive 1 hour in advance so paperwork can be reviewed and preparations made before entering the operating room. When the surgeon enters the operating room, he will indicate the correct position that the patient must take on the stretcher. The rest will depend on the skill of the surgeon to surgically solve the tailor’s bunion.

Generally, a tailor’s bunion is very easy to diagnose, due to the very characteristic appearance that the foot acquires. Before surgery, some studies are performed, such as x-rays, to determine the cause of the disorder and the degree of foot deformity. Some other tests may also be done to determine the general health conditions of the patient.

Next, the surgeon will draw up a plan on how to perform the operation. It is important that patients indicate if they are allergic to metals or any substances, or if they have ever had a complication during surgery. You must also declare if there are problems with smoking, alcoholism, drug addiction, or any kind of substance or supplement.

After tailor bunion surgery, the physiotherapist will indicate the exercises to be performed in the different stages of rehabilitation. There are some movements to achieve with physical therapy, such as:

• Re-educate gait to walk well again after several weeks of rest.
• Exercises to restore mobility to the toes.
• Exercises to reduce inflammation.
• Exercises to decrease muscle tension and promote relaxation and flexibility.

The answer is yes. In some cases, the tailor’s bunion deformity can be corrected through conservative or non-surgical treatment. Non-surgical treatments are best implemented when the bunion is growing. This prevents it from hurting a lot (at which point surgery may be imminent). Some of the conservative measures that can be taken are as follows.

• Medication plan: Anti-inflammatory medications are a good help in improving the symptoms of chronic pain. However, this is not a long-term solution, because taking too much can affect other parts of the body, such as the stomach.
• Putting padding to the shoes: There are some accessories to padding the foot that can be found in pharmacies. This padding can relieve the pressure that the shoe puts on the bunion. They generally sit comfortably on their foot.
• Braces : Custom braces or orthotics are one of the most effective conservative methods of improving a tailor’s bunion. There is a wide variety of these devices (splints, correctors, separators, protectors, etc.) and the specialist doctor will be able to indicate which is the most appropriate.
• Arch supports for the sole of the foot: Wearing arch supports can help improve foot posture when walking. That will make it more comfortable to walk in shoes, without the need for surgical intervention.
• Wear comfortable shoes: The bunion bump creates pain when pressed with the shoe because that affects the nerve. The conservative treatment proposes replacing the use of narrow and high shoes with wider ones, with greater support in the sole, and that have a softer material, so that pressure can be avoided as much as possible.

There are home remedies that are also part of the conservative methods to improve the condition and pain of a tailor’s bunion. Let’s look at some:

• Placing ice: Put ice on the sore area for 5 to 10 minutes 1 to 3 times a day, preferably at night. It’s a great pain reliever. However, this method is not recommended for those with poor circulation or sensation problems.
• Stretch the shoes: You can take the shoes to a workshop where they stretch them. In this way, the pressure of the material on the bunion is decreased. There are also those who make a cross or X cut to the shoe in the exact area where the bunion rubs.
• Exercises: Calf stretching exercises can be done for 30 to 60 seconds on each leg, at least 2 times a day. This exercise consists of standing in front of the wall leaving an arm’s length away from the body. The gaze goes to the wall. Then one leg is stepped forward while the other is fully stretched back. The stretch should be done until the knee is straight and tension is felt in the calf.

Tailor bunion surgery is performed under general or local anesthesia, depending on the case. In addition, your foot is injected with a local anesthetic to make it numb after surgery. The objective of this last application of local anesthesia is to minimize postoperative pain for the patient.