think it used to be a big operation but now it is less invasive and the recovery time is a lot quicker.... there was a post on this years ago miht be worth a look... otherwise check this out....
HALLUX VALGUS is commonly known as a BUNION, and is a very common cause of FOOTPAIN. The condition is most commonly seen in females.
HALLUX VALGUS is a progressive condition and causes the foot to become wider with the big toe joint rubbing against the shoe. The big toe will deviate into the next toe and may eventually lead to deformity of the lesser toes.
X-Ray Can Bunions be corrected without Surgery?
There is no evidence in the medical literature to support the use of splints or foot supports to correct BUNIONS. Children with BUNIONS may experience a reduction in pain following the use of night splints; however the deformity will still progress and enlarge.
Patients may simply wear wider shoes to accommodate the painful BUNION. If changing the footwear is not acceptable then the patient may elect to have corrective surgery.
Surgery
Before embarking on the bunion surgery route, you should consider the following:
How much pain is the bunion causing?
Are you prepared to rest after the operation in order to obtain the best results and a speedy recovery?
Can you have time off work to recover?
The surgical correction is now very successful when performed by a surgeon who specialises in foot surgery. The operation can be performed using a LOCAL ANAESTHETIC (you will be awake) and is now a DAYCASE procedure (you will go home on the day of the operation).
Common Questions and Answers
Will I be in plaster after my operation?
NO. It is not normally necessary to have your foot in plaster after a bunion operation. Most BUNIONS are now treated by a Metatarsal Osteotomy, with tiny screws used to hold the bones in the corrected position. The use of screws inside the foot and the design of the operation used means that a plaster cast will not be necessary. Your foot will be wrapped in a bulky dressing and you will be given a special shoe to wear until your foot is healed.
Will I have stitches in my foot?
YES. It is common practice to use absorbable stitches to close the incision. These stitches do not need to be removed as they are absorbable.
Will my big toe be stiff after the operation?
NO. It is not necessary to fuse (stiffen) the big toe joint to correct the bunion.
Can I walk on my foot after the operation?
YES. You will walk into the hospital and walk out weight bearing on your heel. However, it is important that your rest for the first two weeks after your operation, and only take weight through your foot when necessary. REST AND ELEVATION OF THE FOOT IS ESSENTIAL.
How long will I be off work?
Most patients return to work at four to six weeks after the operation.
When can I drive?
You can normally drive after three weeks.