This is one week post op. I had the Mis pros step lapidus using equipment from Stryker All I needed was the hardware and rotation of the big toe no Akin involved. I had general anesthesia with a nerve block. I only had bad pain one day after the nerve block wore off. Otherwise Tylenol Motrin and ice covered the pain. Now two weeks post op stitches out. and only take Tylenol when I over do it. I’m in a boot for two more weeks. I can almost fit into sneakers. I think I’m still in boot because I’m older female and we need to see X-rays next visit to make sure bones are healing properly
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Hello, I'm new to this group.
Hello, I'm new to this group. I am 34, just saw a podiatrist because someone noticed my bunions, and recommended I take care of them before they get worse. (I have very flat feet as well). I don't have pain now, but I recently noticed I have started to get big blisters and calluses on a lot of my toes (after things like going for an hour run or wearing certain shoes). The podiatrist who looked at my feet recommended I get the surgery as soon as possible and get it over with while I'm young. My questions are- Has anyone done the "puncture" bunion surgery (MIS)? Is it even worth considering surgery if I don't have pain? Will it definitely continue to get worse? Thanks!
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If you're not in pain, I personally would wait. I'm 25M and super active–like hiking 20+ miles and 5000' of elevation gain in a day, and had big bunions, much more deformed than yours, since I was 9 or 10 years old and crammed into tiny shoes. Originally I was hoping to wait it out until I was at least 40 or 50 and more settled; I actually didn't even see a doctor until 2 years ago, and for 3 reasons: -bunions started growing again to the point where I couldn't find shoes that would even fit, let alone not look prehistoric -I began having pain; deep, aching pains that often happened when I was resting, but also interfered with skiing and other activities I enjoy -Insurance coverage! I'm a grad student and in-network, most surgeries are just a $50 copay for hospital stay... Hope this helps, feel free to ask any questions!!
and here's the xray. (I had a bunion on my left foot, but it got better after a Rolfer bodyworker, showed my how to 'correct' it, by gently pulling out/up on the big toe while also gently hitting the bunion with closed fist, to push it back into alignment. The left foot worked, the right foot didn't budge. You might try that! but be careful !) Good luck with your decision!
If you decide to get surgery see a few different podiatrists and foot and ankle orthos for opinions. Ask them what procedure they’d recommend and why. You want to make sure they do elective bunion surgeries very frequently at least weekly or biweekly. And do not go with a surgeon who’s just telling you what you want to hear. I wouldn’t choose a doctor who tells me they can do both feet at once or tells me recovery will be less than 12 weeks.
Hi Esther, I'm going to have MIS bunion surgery in a couple of weeks... I'm 60, and am doing it now because I've had the bunion for over 40 years. It has given me pain while walking, hiking, and so I've limited my walking, for years...that sucks! I broke my little toe a few months ago, and the podiatrist saw the bunion, and suggested I go see the foot surgeon for a consult. I had an x-ray, and was shocked to see how the bones had misaligned in my foot! The Doc said that my arch was being distorted from the bunion, and the toe is starting to curl inward, and mess with my other toes. It doesn't hurt much if I don't move.......uhhhh, that's not a way to live! But I keep going back and forth, to do it or not...but in the last couple years, the bunion has begun to feel very hard, and hurts even when I walk around the block. I have insurance now and it will be covered, not sure how much longer that will be available to me! So, that's why I'm doing it. But I am having second thoughts every day... I don't want to trade one pain for another, don't want to end up with constant pain, I just have no idea how my body will deal with it! Except, my broken little toe, has healed up and doesn't hurt any more, so I know my bones will regenerate...The realignment with the MIS will be extensive though. So, my thoughts for you, have you had an x-ray to see what's actually going on in there? I would do that first for sure. Someone recommend I try physical therapy, but I'm pretty sure it wouldn't do anything at this point. Maybe for you though, you could try that first. You are pretty young, so, as long as you don't wait 50 years...you might be ok to wait a few years while trying other options and enjoying life.
Blisters forming are a decent reason to have it done but orthotics in your running shoes may alleviate that. I believe MIS is best and that’s the type of surgery I do, but don’t do it just because you’re young. I definitely don’t agree with that part. You’ll still be laid up from running for 3 months or so while the bone is healing.
Here's what my feet look like now...
No pain. Dont touch them. You might end up in pain after the surgery.
Hi Esther - I had MIS done on both feet 2.5wks ago and have zero regrets. I didn’t have pain but cosmetically was super unhappy and got calluses like you and was told they’d only get worse if I didn’t get them treated now while I’m young.
I did it with minimal pain but my bunion caused a hammertoe and that’s where the pain lies. I let it go two years too long and made my surgery two toes instead of just the bunion.
Miss spoke this is two weeks post op. And I have to get a bunion splint because my big toe is trying to slide back. MD wasn’t surprised but also not happy big toe is trying to slide back. One week post op the gap was bigger and md wants it back to one week post op position
that really helps so much. I was feeling deeply uncomfortable with my Dr's sales pitch of why I MUST do his mis puncture foot surgery.
how is your recovery going? Did you get the surgery on both feet?
yes!! I'm about 5 weeks out on left foot and 8 weeks on right. Originally was going to do the right foot first and wait until next spring, but timing and good insurance worked out well...one longer recovery, is all
smart I would've done the same. Your feet look amazing congrats on getting it over with🙌🏻
thanks, good luck to you!!
I really appreciate your response🙏🏻 the podiatrist didn't tell me I can't run for 3 months 😥🤯 he said healing is 6-8 weeks
sorry I personally would drop the podiatrist and see an orthopaedic surgeon
I disagree with this advice! There are plenty of podiatrists that perform way more bunion surgeries than orthos, which is important because you want a doctor with the most experience and who performs the type of surgery that you need regularly.
6-8 weeks is the time it takes for bones to fully heal, but you won’t be feeling back to running until around 3 months. I had MIS in Oct and was back to running mid-January. It takes a while for your body overall to catch up after a surgery like this- I was amazed by how exhausted I got when I started to get into more activity - even just walking or running errands. Honestly if you don’t have pain, and it’s not affecting your other toes, I would hesitate on surgery. They won’t necessarily get worse, or incredibly worse, with time. If you wear the right shoes (wide toe box, not restricting) and good insoles/orthotics, you should be able to prevent or at least slow progression as the years go on! That said, I’m happy I had the surgery (mine were painful), but the downtime and recovery is a lot.
you are welcome to disagree! In Australia, where I am from, bunion surgery is only recommended (by Medicare) when performed by orthopaedic surgeons, not podiatrists
oh I see! That makes sense then.
that's really good information thank you🙏🏻 I made an appointment with a pt to help me choose shoes and decide what to do ☺️
you’re obviously uneducated about the extensive surgical training of podiatrists
you will be back to most daily activity by then, but not high impact exercise like running.
thank you 🙏🏻
you don’t need to be rude! I also respectfully said ‘in my opinion’. Please also see my earlier comment above re the context of being in Australia where surgery by podiatrists are not recognised by our public health system
also check out some barefoot brand shoes- they’re nice and wide, and you can wear an orthotic with them if you need to. Most ship worldwide.
thanks! How are you feeling now 2.5 weeks later? Were you awake for the surgery? Cosmetically I don't care, calluses can so easily be removed. but I certainly don't want to have issues later on😥
It was the appearance of the bunions I couldn’t stand! I’m doing really well. I’m in sneakers now and starting to slowly walk heel to toe again, but it takes time. Still have some pain too and need to elevate a lot. But this is normal and I’m noticing improvements every day. I had a general anaesthetic
I'm so glad you're recovering well! It's nice to hear from satisfied people after my last half hour of scrolling through such horror stories on here🙈 I'm a runner. I'm concerned about the length of time I'm going to have to hold off on running for each surgery. What did they tell you about when you will be able to exercise again?
Everyone is different, but they have said 3-6 months to me. The way I see it is that it might feel like an eternity at the time, but in the scheme of your existence it’s not long and you will reap the benefits for the next 40 + years! As long as you get yourself a good surgeon too (who does this procedure a lot). Many of the horror stories I’ve read also seem to relate to the more traditional bunion surgeries, not MIS But your bunions look super mild to me. Mine were moderate but caused me a lot of anxiety. So you just need to weigh up things.
thanks I tried to Google this but can't find any info, what does this do?
Yup! On the outside the incisions are tiny but it requires more bone healing. You might be full weight bearing initially but it’s still 3 months (maybe less) before you’re cleared to run or do high impact.
How to perform foot doming: Find a comfortable position: You can do this exercise seated or standing. Flat foot contact: Ensure your heel and toes are firmly in contact with the ground. Raise the arch: Imagine shortening the foot and drawing the ball of the foot towards the heel, creating a doming effect. Maintain the dome: Hold the arched position for a few seconds, focusing on engaging the foot muscles. Repeat: You can do 10-15 repetitions on each foot, gradually increasing the hold time as you get stronger.
How to perform foot doming: Find a comfortable position: You can do this exercise seated or standing. Flat foot contact: Ensure your heel and toes are firmly in contact with the ground. Raise the arch: Imagine shortening the foot and drawing the ball of the foot towards the heel, creating a doming effect. Maintain the dome: Hold the arched position for a few seconds, focusing on engaging the foot muscles. Repeat: You can do 10-15 repetitions on each foot, gradually increasing the hold time as you get stronger.
if you think about it a flat foot leads to a c collapsed arch. If you are doing an exercise that contracts the arch muscle in the foot your arch is getting stronger. A stronger arch can only help the bunions. You may also want to go into Altra shoes because they are foot shaped. Barebarics are too. Most shoes have raised heel and narrower toe box even shoes marked wide size. Let those feet spread out. Oh and you might want to look at the company called correct toes. They have exercises and toe spreaders. I'm not saying you wont' need surgery I don't know that. But having your feet in a more natural position and strengthening the arch can't hurt
I so appreciate all the info!! I definitely will buy those sneakers and toe spreaders🙏🏻 will look up the exercises too. Thank you so much
I just wanted to thank you for your excellent advice. I saw a physical therapist yesterday and he gave me that exact exercise which I already knew how to do ☺️









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