Bunion

Bunion Specialist
The physicians at Gotham Footcare, led by Miguel Cunha, DPM, offer the most advanced, most effective treatments for those throughout New York City who are dealing with bunions. At Gotham Footcare, patients can get assistance with orthotics insoles and even bunion surgery in Downtown and Midtown Manhattan, New York.

Bunion Q & A

What is a bunion?

A bunion is a deformity of the front of the foot and the great toe joint. It is often described as a bump on the side of the big toe. Several different things may cause bunions, such as:

  • Congenital deformities present at birth
  • Inherited structural or biomechanical factors
  • Mechanical factors such as high heeled or ill-fitting shoes
  • Inflammatory conditions or arthritis
  • General laxity (looseness) of ligaments

When the biomechanics of the foot are imbalanced it can worsen over time. They start when the big toe rotates sideways towards the second toe. The bones of the first metatarsal shifts in the opposite direction and gradually changes the angle of the bones. This produces the characteristic bump, which increases prominently over the years.

How are bunions treated?

At Gotham Footcare we pride ourselves on performing conservative treatment first before the need for surgical intervention.

Non-surgical treatment options include:

  • Shoe gear modification: Using wider shoes with larger toe boxes.
  • Splinting, strapping, cushioning, and padding of the bunion.
  • Custom orthoses to stabilize and slow progression of the deformity.
  • Avoidance of activities that aggravate symptoms.
  • Anti-inflammatory medication for periodic relief.
  • Physical therapy to calm the inflammatory process.

What if I need surgery?

Bunion surgery performed as an "outpatient" procedure, under monitored IV anesthesia. The primary goal of bunion surgery is to relieve the pain associated with the deformity. Bunion surgery consists of removing the pronounced bone, realigning the big toe, and balancing the foot so the bunion does not return. Dr. Cunha and the physicians at Gotham Footcare take pride in performing a more cosmetically pleasing incision performed on the inside of the foot rather than the typical bunion incision placed on top. The advantage of this technique is that one cannot see the incision looking straight down onto the top of one’s foot. It also helps to avoid casting or crutches and instead allows you to walk out of the operation in a post-operative boot or shoe.

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