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The response to the question below was authored by Marc Mitnick DPM

post bunionectomy pain

by Josi
(Greece)

Three months ago I had surgery to remove a bunion and straighten two hammer toes.

The surgeon cannot tell me what proceedure he used but cut bone in two places and inserted a wire in my big toe and the 2nd and 3rd toes. I was nwb for 6 weeks when I had another op to remove the wires. Since starting to walk I have had severe pain in the ball of my foot behind the big toe which affects the whole toe joint making me limp and I cannot walk far. The big toe only moves down about 2mm. No other movement. My physio cannot find the big tendon and believes it was removed. The two other toes are rigid and do not move. There is extreme pain in the 3rd toe when manually moved.
I have had 10 sessions of ultra sound to reduce the inflammation under my foot but as soon as I walk it returns.
I am only 56 and at least could walk 6k before. Now I cannot walk 600 metres.
I was using one crutch but am now trying to walk without any aid although I limp and have to put weight more on the outside of my foot. I got fed up of people commenting that I was still using a crutch indicating they thought I was putting it all on.
What do I do now.
Thanks
Josi

Hi Josi,

Does you surgeon have amnesia? How can he not remember what type of procedure he performed. It is always difficult to assess a post operative foot without actually examining it, but since he put wires in the 2nd and 3rd toe I assume he did a fusion which would explain why those two toes are stiff.
As far as the bunion goes, since you were nonweight bearing for six weeks you have stiffness in the joint which is substantiated by the fact that you cannot bend the toe upwards. If the extensor tendon was removed, that is not by design but rather a mistake; we never purposely cut the tendon that brings the big toe upwards.
It sounds like you have been going through physical therapy for a period of time and if you are still having problems (or at least not dramatically improved) you may have a problem.
I think it would be wise to get a second opinion by someone who will be able to tell you what kind of procedure you actually had.
Marc Mitnick DPM

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Jan 30, 2009
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Try Bunion Aid Splint for you pain
by: Andrea Fuller

Hi Josi,

You might try Bunion Aid to help with the pain and help you walk. It's a day/night hinged splint for mild-moderate bunions you can wear in a shoe. It helps to correct the bunion and eliminate the pain. You will be walking again!

You can find out more on the web at http://www.alphaorthotics.com.

Good luck with your recovery!

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ADDITIONAL REFERENCES

Mayo Clinic

Johns Hopkins Medicine

MedlinePlus

Arthritis Foundation

University of Rochester Medical Center

Harvard Health

Drugs.com

American Academy of Pediatrics

Penn State Medical Center

National Institutes of Health

Columbia University Department of Rehabilitation

ScienceDirect

Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician

Cedars-Sinai

University of Maryland Medical Center

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Unknown location

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location unknown

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Evansville, IA

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San Diego, CA

Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!

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Albany, NY

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Colorado

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Colorado

Wonderful advice

by: Anonymous

This is the best site for foot problem info.

Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

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location unknown

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Canada

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location unknown

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Wisconsin

Thank you for your response. You have provided some great insight (to my question)....

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location unknown

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North Carolina

Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown

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Bessie Mae

Florida

Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

location unknown

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New Jersey

Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

location unknown

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Lenoir, NC

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Bellevue, WA

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Jodi

location unknown

post bunionectomy pain

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