From the Research
Bunions should be initially treated with non-operative management, including accommodative footwear, nonsteroidal anti-inflammatory drugs, orthotics, splints/braces, and toe spacers, as recommended by the most recent study 1. When treating bunions, it is essential to prioritize conservative measures to alleviate symptoms and prevent further deformity.
- Key components of non-operative management include:
- Wearing comfortable, wide-toed shoes with good arch support to reduce pressure on the bunion
- Using nonsteroidal anti-inflammatory drugs to manage pain and inflammation
- Orthotics, splints/braces, and toe spacers to provide cushioning and help realign the toe
- According to the study 1, these measures may not provide long-term relief, and referral to an orthopaedic surgeon is recommended if the patient has a painful prominence, has exhausted non-operative treatment, and is a suitable operative candidate.
- It is crucial to note that cosmesis alone is not an indication for operative management, and smoking is a relative contraindication to surgery, with cessation recommended before undergoing surgery 1.
- In cases where conservative management fails, surgery (bunionectomy) may be considered, but this should be reserved for severe cases that cause significant pain or difficulty walking.
- The goal of treatment is to improve the patient's quality of life by reducing pain, improving mobility, and preventing further complications, as emphasized by the study 1.