Extract
The painful bunion deformity is a common and relatively disabling condition
that affects individuals of all ages. More than 150 procedures have been
described for the treatment of hallux valgus, and the orthopaedic literature
has focused predominantly on surgical management of this condition; however,
successful treatment is often achieved with use of simple off-the-shelf
orthotic devices and appropriate shoe-wear modifications. Given the potential
for surgical complications, the substantial recovery period associated with
bunion surgery, and patients' occasional dissatisfaction with the results of
otherwise technically successful procedures, it is recommended that
nonoperative treatment be initiated prior to proceeding with surgery. It is
not uncommon for a patient with an asymptomatic bunion to actively seek
surgical correction because of cosmetic concerns or because of an inability to
wear fashionable shoes comfortably. While pain alone is not the only
indication for surgery, it is not recommended that surgery be performed for
cosmetic reasons alone. The American Orthopaedic Foot and Ankle Society has
issued a position statement reflecting
this1.