Most bunion surgeries require screws or plates (or a combination). It’s important during bunion surgery, in order to get full correction and realign the bones and joints, the bone is typically resected or effusions are done to realign the first metatarsal.  This requires hardware such as plates and screws. Once the hardware has done his job and the bone has healed and maintained the new corrected alignment and position, many of our patients elect to have hardware removed. The hardware can be medical grade stainless steel or titanium. These are the most common metal/metallic implants used. 

Sometimes the head of the screw causes minor irritation or part of the threads protrudes enough that there is irritation with some of the adjacent soft tissue. 

In other instances some patients seem to be sensitive to having a foreign body or a non-human item in the body. Some patients have minor skin manifestations although this isn’t common.  In general patients feel better once the hardware is out. 

If you are experiencing bunion pain, give us a call at 425-391-8666 or make an appointment online today. 

People with a painful bunion often begin to contemplate bunion surgery. Bunion surgery is a great option for patients who are wish to relieve symptoms cause by bunions.

There are many different types of bunion surgeries. Bunion surgeries are based on the size of the bunion and the individual foot structure. The majority of bunion surgeries require and incision on the top of the big toe joint. The procedure then involves removing and realigning bone and soft tissue of the big toe joint. If any other foot issues are present, like a flatfoot, these should be fixed at the same time.

Scheduling an appointment to have your bunion evaluated is the first step. Dr. Nelson will discuss your x-rays and all of your options. He will present both conservative and surgical and help you determine what is best. Some common questions include:

-Surgery is done one foot at a time

-The majority of bunion surgeries are less than 2 hrs

-Patients are sedated during the procedure and this is done in the office

-Pain medication will be prescribed for when the nerve block wears off

-Walking without crutches is possible for most people

The recovery can vary from patient to patient. However, most people can bear weight after the procedure. It is important to follow all post-op instructions carefully. If you have a painful bunion and want to know what options are available and live in Issaquah, Sammamish, Snoqualmie, Bellevue, Seattle, Kirkland or Maple Valley give us a call so we can help.

Give us a call today at 425-391-8666 or make an appointment online. 

Bunions or even tailor's bunions can be extremely painful and difficult to find fitted shoe gear. There is a definite genetic component to the development of bunions themselves. In addition we see certain shoe gear or activities can increase can increase the size of bunions. Anything that puts increased forefoot pressure creates increased force to the bunions themselves. I often times will recommend a course of conservative care for people that have not tried these options for their bunions.

At our clinic, we created a special protocol for bunion patients and have extremely successful options for conservative bunion care. There are many great stretching and strengthening exercises for the foot structure. In addition there is a plethora of options including prescription orthotics that our clinic specializes in to control the development of the bunion. In addition we have many different options for bunions that are starting to produce pain and arthritic deformities of the foot. Our clinic takes the latest scientific research in conjunction with years of experience to maximize the outcome of conservative bunion options. If you continue to suffer from bunion pain and wanted to explore conservative options, give us a call at 425-391-8666 or schedule an appointment online.

Most bunion problems involve an alignment issue with the underlying bones. The first metatarsal and the great toe become out of typical alignment. The joint itself become subluxed and is then prone to arthritis and adaptive changes.

Bunions can develop an early age. This is called juvenile onset. This involves the first metatarsal shifting away from the adjacent second metatarsal and the foot becomes wider.  In some cases this involves a splayfoot. Also there is more risk of bunion formation when there is underlying metatarsus adductus.  This is a genetic inherited foot structure.  It is common to see other family members that have a bunion. Often times you can look to let say your mother or grandmother and find that they also have a bunion, because of this genetic pattern.

Tight shoes can speed the process up and make things worse!  However, in general, you are born with a foot type that is prone to a bunion. 

If you have concerns about a bunion, give us a call at 425-391-8666 or make an appointment online! 

Dr. Timothy Young and Dr. Brandon Nelson.

Bunion surgery in the past was only performed in a hospital setting and patients often stayed the night at the hospital. Things have really changed and now patients do not stay the night in a hospital and most bunions are performed in a surgery center. The average bunion surgery takes less than 2 hours and patients will only require IV sedation as opposed to general sedation. This type of sedation makes for a much quicker recovery from anesthesia and often less side effects. I like to provide all my patients with a nerve block so they will get a good night's sleep the evening of surgery.  The majority of patients will be pain free the first night. 

The next day most patients will have pain that is well controlled with pain medication. Often patients will just take prescription pain medication for the first 24-48 hours and then switch to over the counter pain control.  We utilize advanced techniques that allow all our bunion patients to walk after surgery thereby minimizing down time and speeding recovery.  We have protocols to help get your ankle and toes moving right after surgery to decrease stiffness and swelling. Additionally, we will provide patients with exercise guidelines to help them stay fit and active during the recovery phase. One of the best aspects of our practice is we perform bunion surgery every single Monday and have fixed 1000’s of bunions.  Another enormous advantage of our clinic is an onsite surgery suite that will save patients thousands of dollars on the surgery as we have special discounted pricing compared to other doctors that must take you to a hospital or surgery center. Do not let your bunion keep your from wearing a normal shoe or enjoying the activities you love give us a call at 425-391-8666 or make an appointment online so we can help.

Lapiplasty refers to a type of jig or guide that is used to preform bunion surgery. Issaquah Foot & Ankle Specialists has been executing the Lapidus bunion procedure for greater than 20 years. We have extensive experience with bunions and bunion surgery. We make all our recommendations of bunion surgeries based on our years of experience and thousands of procedures that we have performed. The Lapiplasty is the #1 bunion product in the US right now and helps to guide the surgeon in the correct cut, compression and fixation. The technique involves the surgeon:

1. Make the correction of the bunion before they cut

2. Preform precision cuts

3. Achieve controlled compression of joint surfaces

4. Apply multiplanar fixation for robust stability

The idea with the use of this system is to get reproducible results and the best possible outcomes for patients. If you have a bunion and are interested in getting the best possible results, give us a call at 425-391-8666 or schedule an appointment with us to see if you are a candidate for the Lapiplasty.

Dr. Timothy Young explains bunion surgery.