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Foot & Ankle Problems Message Board


Foot & Ankle Problems Board Index


I'm doing some research because this week I decided that I could no longer stand my ugly and painful bunions....so I decided that I would see a doctor and find out what my options are. My first dilemma was what kind of doctor should I go to? an Orthopedic Surgeon who specializes in feet....or a Podiatrist who specializes in bunions??? So I went to both. They were both very nice, but they had 2 different recommendations.

The Orthopedic Surgeon talked about a bone fusion which would be the once and done solution. The downside to this procedure is long recovery (walking in a big...up to your knee boot for 4-6-months.....with complete recovery in a year) and no range of motion afterwards (i.e., no ability to "push off"). He did not suggest any other option.

The Podiatrist talked about fusion, but recommended Interpositional Arthroplasty (and I'm not sure I understand what it is at all). The upside to this procedure is shorter recovery (walking in a short cast for 2-3 weeks) and full range of motion afterwards. The downside is that my big toe may "flop" (I don't even know what that means....I should have asked, i.e., will that affect my balance, or walking?)...and that over time I may (or may not) still need to have the bone fused. I guess this option is less painful and less invasive. I've done a little research on the "floppy big toe" and for some people it seems pretty debilitating.

Now that I have seen 2 docs, I think before I make my "final" decision, I should ask one or both of them all the questions that I can think of....so I was hoping that I could get some advice on the options that they mentioned from those on this board who have gone through it.

Thanks for reading this and thanks in advance for your advice:wave:





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