What are bunions, and what do they look like?

Written in association with: Mr Harbhajan Plaha
Published:
Edited by: Conor Lynch

Top Doctors recently spoke to Mr Harbhajan Plaha, a highly experienced consultant orthopaedic surgeon, to find out what bunions are, what symptoms patients with bunions typically experience, and how they are treated.

What are bunions, and what do they look like?

They are basically a deformity of the joint in one’s big toe. The big toe tends to move towards the outer side of the foot, so with bunions, a large bump will be present on the inner part of the foot.

 

As time goes by, patients often report their second toe getting pushed away by their big toe. Quite often, patients with bunions are uncomfortable when wearing shoes.

 

What symptoms are associated with bunions?

Patients with bunions will often say that the front of their foot has become quite wide. In patients with a bunion, the big toe will curl outwards and away from the rest of the toes on the foot. Patients can often also suffer from infection and inflammation of the big toe.

 

Do bunions get worse with age?

Yes. As time goes by, the toe deformity progresses and worsens.

 

What happens if bunions are left untreated?

If left untreated, they gradually progress over time, which will often result in severe inflammation and infection of the big toe

 

How are bunions treated? Is surgery needed?

In the initial stages when the bunions are beginning to form, symptoms can quite often be effectively treated. A splint can be used to separate the big toe and the second toe, so the second toe isn’t affected as much. However, this is just a temporary measure.

 

This is a highly effective option for those who do not wish to undergo surgery or for those who are unfit for surgery. Having said that though, surgery is the most recommended treatment option.

 

What is involved in bunion surgery, and how long does it take to recover?

It is generally performed as a day-case procedure, and is done under a general anaesthetic. There are various procedures that can be performed. The basic procedure is aimed at realigning the toe. So, quite often, you need to divide the bone which is just before the big toe (the metatarsal).

 

Once the bone is realigned, it needs to be fixed through the use of a bandage, which will stay on for six weeks after surgery. Patients should stay at home and rest as much as possible, keeping their foot elevated wherever and whenever possible.

 

Mr Harbhajan Plaha is a highly accomplished Brentwood-based consultant orthopaedic surgeon who specialises in bunions and bunion surgery. Make a consultation with him today via his Top Doctors profile.

By Mr Harbhajan Plaha
Orthopaedic surgery

Mr Harbhajan Plaha is a top consultant orthopaedic surgeon based in Brentwood with over 40 years of experience. His areas of expertise lie in hip and knee replacement, hand surgery, foot and ankle surgery, knee arthroscopy and soft tissue and joint injections.

He began his post-graduate medical training in 1972 in India, obtaining his fellowship from the College of Physicians & Surgeons of Bombay in 1975 and masters in surgery from the University of Bombay. He received broad general, paediatric and vascular surgery training whilst working in major trauma centres in Bombay. He also obtained knowledge in plastic surgery, maxillo-facial surgery and the management of upper and lower limb injuries, building up a comprehensive understanding of different surgical specialities before pursuing a career in orthopaedics.

After moving to England, he continued training in orthopaedics where he obtained an FRCS Edinburgh, FRCS England & FRCS (Orth) Edinburgh. He finished his training in orthopaedic surgery in many different hospitals in London.

Mr Plaha is now a leading consultant orthopaedic surgeon practising in various private hospitals in the UK. He has a special interest in both hand and foot surgery and lower limb reconstructive surgery. He often performs very complex hip and knee revision surgery.

Mr Plaha published widely and frequently attends training courses in the UK and around Europe to stay up-to-date with new techniques.

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