Bunion surgery is an option for those who have persisting pain and the condition is worsening. Surgery on a bunion can correct the bone deformity, increase function and relieve pain. Bunion surgery should not be considered lightly, the surgery is often successful but there is a rate of surgical failure. The big toe can move back into its previous place if the patient does not follow instructions, which will result in the pain returning. The surgical failure for bunions can be reduced greatly if activity restrictions are followed and proper footwear is worn after surgery. If allowed to progress, the condition can become worse. It does so because of the problem of obtaining a properly fitted shoe. The ball of the foot, with its bulbous outcropping of bunion, is considerably wider than the heel. The shoe with a snug heel that prevents slippage at its back might not fit the normal width of the ball of the foot at the front of the shoe. With the added growth of bunion, the width of the foot can no longer be considered normal. Thus, the proper fit at the ball of the foot leads to an angulation of the big toe. This deformity is a hallux valgus. If you have a painful swollen lump on the outside of your foot near the base of your little toe, it may be a bunionette (tailor's bunion). You may also have a hard corn and painful bursitis in the same spot. A bunionette is very much like a bunion. Wearing shoes that are too tight may cause it. Get shoes that fit comfortably with a soft upper and a roomy toe box. In cases of persistent pain or severe deformity, surgical correction may be necessary. will not entirely go away without surgical treatment. If the pain and swelling does not decrease through alternative methods, surgery may be the best option. People with bunions often experience pain. Wearing tight shoes can cause pain along the outside of the big toe joint. Furthermore, a person can experience pain when walking as the bunion enlarges. MayoClinic.com states that pain from a bunion can range from mild to severe. As the condition becomes more severe, a patient may begin to experience pain in the other toes as well. Many people decide to see a foot doctor or podiatrist when pain is persistent and finding shoes that fit properly becomes difficult. Medications or orthotics may be prescribed to relieve pain. Surgery may be needed if more conservative treatments do not relieve pain. B unions and foot pain have been discussed in the medical podiatry literature for more than 100 years. The term "bunion" is derived from the Latin word for turnip. Bunions usually occur on both feet with one foot usually worse than the other. In western countries, bunions occur more in women due to the type of shoes women wear. In countries where men and women do not wear shoes, the incidence of bunions in men and women has been found to be the same. However, the person's inherited or developed tendency to walk flat- footed has been shown to be the primary cause of bunion deformities. Since bunions are a bony structural problem, the most definitive treatment is surgery People, however, often postpone surgery due to their misconceptions. While some were once true and might be still in some cases, for the most part, they are no longer a consideration. The accumulation of the dead skin cells lead to corns on the foot, which causes the area to harden and thicken. These look like projections of the feet. It has a cone-shaped core with a point, which can press on a nerve below causing pain. read more Mechanical issues of the foot and leg are correctable. The use of a custom orthotic device is the most common way to correct the underlying mechanics that cause instability, weakness, pain , and ultimately deformities such as bunions. During an evaluation for custom orthotics, your podiatrist will take measurements to be able to identify and understand the forces causing the bunion deformity to form. He will then take a mold of your foot by wrapping it in plaster, using a foam mold, or walking across a computer force plate. The mold is sent to a lab with a specific prescription to have the orthotics made. On February 10 th , 2011 I had corrective surgery on the bunion of my left foot. Even though I’d had the same procedure performed on my right foot about ten years earlier, I thought that I might benefit from a refresher course on how best to manage on only one foot for several weeks. I scoured the internet in search of a first person account of the surgery but could find only general medical advice, so I decided to keep a diary of my own recovery while it was still fresh in my mind. It is possible that someone in a similar position might find my experiences useful.