Being recommended for a surgical procedure always feels like a big deal. This may be because we automatically connect surgery with the rhythmic beep of life support machines, IV, needles, and hospital dramas.
If this is the first image that pops into your head after hearing you need a bunionectomy, then it’s natural to wonder whether it’s truly necessary. After all, bunions aren’t deadly, right? While rarely dangerous, bunions can be extremely painful. In these cases, bunion surgery can significantly improve your well-being — but it’s natural to have questions!
What is bunion surgery?
As the most important question of all, a quick one-liner will likely not be enough. So let’s examine the basics of bunion surgery first.
A bunionectomy is a surgery that aims to correct a bunion — which orthopedic specialists call hallux valgus.
Bunions are progressive bony bumps that poke out the base of one (or both) of your big toes. Occasionally, bunions can also affect the little toe, which is called a “bunionette.” From the outside, they may look like a lump or growth. In reality, they are caused by a misalignment of the first metatarsal bone, which sits right before the big toe joint.
Bunions are not just an esthetic problem. They are painful and tend to worsen with time. Severe bunions may push a second toe or any ligaments around, causing cramping, swelling, and even back alignment problems.
There are many ways to manage the pain caused by bunions. Nonsurgical treatments include pain medicines, physical therapy, and even special shows. Once they get large and painful enough, there is only one way to reverse them – and that’s through a bunion removal surgery.
Are you getting bunion surgery soon? Here are 13 important things to know
So foot pain is now unbearable, and you’ve exhausted all conservative options. Arm yourself with information before jumping into the pool!
1. What does bunion surgery entail?
Bunion correction surgeries use different techniques to correct the bunion deformity. This may include:
Repositioning your big toe back to its correct place
Realigning the tendons around the toe
Shaving off the protruding part of the bunion (exostectomy)
Removing the parts of the joint that were damaged by the bunion, and using screws to fix the joint (arthrodesis)
Inserting screws, splints, or pins to keep the joint in place (osteotomy)
Any good bunion surgeon will adapt and combine these techniques based on the current state of your health, the severity of the bunion, and your chances of bunion recurrence (or the joints slipping back out of place).
Either way, bunion surgery is a localized procedure. This means we won’t need general anesthesia. Instead, we will numb the area and give you a sedative, but you will remain awake.
Then, we will make a “main” incision along the toe. If we are inserting any screws or pins, we may make a few extra small incisions. Next, we will realign all the small bones and tendons, and secure them into place. Once finished, we will stitch any incisions and cover the area.
2. Is bunion surgery worth it?
This will be up to each patient. But in short, if your bunion pain was keeping you from walking, doing the activities you liked, or exercising regularly, then the surgery is worth it.
You won’t only regain the freedom of moving around pain-free, but you will also protect your future health. Feet and back pain can make exercise intolerable, and slowly drive you towards a sedentary lifestyle. This raises your chances of many other diseases later on.
3. What types of bunion surgery are available?
Nowadays, patients and podiatric surgeons may be offered the following types of procedures:
Traditional procedures. These combine an exostectomy (bunion removal), a joint realignment, and pins or crews
Minimally invasive (MIS) bunionectomy. Using special instruments and guided by an X-ray, an MIS bunion surgery uses very small cuts. This prevents bleeding, provides a shorter recovery period, and minimizes scarring.
Chevron procedures. This is a patented type of osteotomy that can re-align mild to moderate bunions.
Lapiplasty bunion correction. The “gold standard” for severe bunions, lapiplasty corrects the misalignment at the source, using special instruments and a CT scanner. Then, platelet-rich plasma (PRP) or stem cells can be used to speed up recovery.
4. Is bunion surgery covered by insurance?
Some insurance companies will cover bunion surgery, especially if the pain is causing you to limit your activities or if you are at risk for back or nerve damage.
Naturally, this will depend on your plan. Some insurance companies will only cover the procedure if you have a severe bunion, or if it is impacting other medical conditions. You will also need your podiatrist to certify that the procedure is medically necessary.
5. How long does bunion surgery take?
Depending on the techniques used, a bunionectomy may take as little as 45 minutes or several hours.
6. Is bunion surgery painful?
For bunion surgery, we generally use local anesthesia. This means you will be awake, but will not feel any pain or prodding during the surgery. With that said, you will likely experience some pain and swelling after the procedure.
For pain relief, you can use anti-inflammatory medication, a special weight-bearing boot, or a cold pack.
7. What is bunion surgery recovery time?
With a traditional or “open” bunionectomy, the full recovery time may take anywhere between 6 to 12 weeks.
For a minimally invasive procedure or lapiplasty, recovery may be significantly shorter. We can speed up the process further by using platelet-rich plasma (PRP) or stem cells.
8. What to expect after bunion surgery?
Immediately after bunion surgery, you will spend a couple of hours at a recovery room. After the last of the anesthesia has worn off, you’ll be free to be taken home.
Once at home, your recovery will go through several stages:
During the first day, you should remain off your feet as much as possible – ideally, in bed and with your leg elevated.
During the first two weeks, your foot will be protected by bandages and a special boot.
Your stitches will likely be removed one or two weeks after the procedure.
After the stitches come out, you’ll still have to wear the protective boot for a few more days.
Between four to six weeks after the surgery, you’ll leave the boot behind and start increasing your activity levels. However, you should still wear wide, comfortable shoes and avoid high heels for a couple more weeks.
9. When can I drive after bunion surgery?
If you had bunion surgery on your left foot, you will likely feel comfortable driving after a few days. However, sitting in an enclosed space for long periods may be painful. You may need to take frequent stops to elevate your feet for a couple of weeks.
If you had surgery on your right foot, you will need to stay off the wheels for longer. You’ll have to wait until the swelling has gone down and you have recovered most of your range of motion, so you can operate the gas and brake pedals safely.
10. Can you run after bunion surgery?
Eventually, yes. However, it may take a few weeks until the affected foot can handle the impact. This will depend on your constitution, the type of surgery you had, and your previous fitness status.
11. Can I wear heels after bunion surgery?
Yes, after your recovery is complete, you may even find heels to be more comfortable than before the surgery.
12. Are you put to sleep for bunion surgery?
No. Generally, bunionectomies are done under local anesthetic and don’t require you to stay overnight at a hospital or to “go under” completely.
13. What is lapiplasty?
A lapiplastly is one of the most advanced types of bunion surgery. During a lapiplasty, the surgeon will focus on realigning the tendons and ligaments from the base of the big toe. To guide these delicate movements, it uses CT scans during the surgery and minimally-invasive instruments.
Lapiplasty procedures usually cause less pain and inflammation than traditional techniques. When done properly, they can also completely prevent the recurrence of the bunion.
Why choose the Bunion Institute for your bunion treatment or surgery?
Our foot doctors are internationally recognized for their surgical expertise and experience with all types of bunion correction surgeries. Even though we’re surgeons, we believe that surgery should never be taken lightly and only pursued when other treatment options fall short or aren’t feasible.
To schedule a consultation, please call (855) 814-3600 or make an appointment now.
We are conveniently located throughout the Los Angeles area with locations in or near Santa Monica, Beverly Hills, West Los Angeles, Manhattan Beach, Northridge, Downtown Los Angeles, Westlake Village, Granada Hills, and Valencia.
The Bunion Institute Education Team is led by Dr. Bob Baravarian, DPM, FACFAS, Dr. Gary Briskin, DPM, FACFAS, and Dr. Justin Franson, DPM. They review all content published on this website, its blog, in-clinic patient materials, and all contributing writers’ content for medical and technical accuracy.
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Frequently Asked Questions
What post-op care does insurance cover?
Insurance typically covers post-op care for bunionectomy, like follow-up visits, physical therapy, medications, and any necessary medical supplies. Carefully review your insurance policy for specific coverage details. Contact your provider to confirm individual coverage.
How long to insure bunion procedure results?
The durability of a bunionectomy's results can vary depending on individual factors and post-operative care. Follow-up appointments and proper footwear are essential for long-term success. Regular monitoring and adherence to medical advice can help maintain the benefits of the procedure over time.
Do podiatrists recommend insurance for recovery?
Podiatrists do recommend wearing insurance for recovery after a bunionectomy surgery. They suggest using a special weight-bearing boot, anti-inflammatory medication, or a cold pack for pain relief. Additionally, they advise wearing wide, comfortable shoes, avoiding high heels, and gradually increasing activity levels during the recovery process.
What complications affect insurance coverage?
Complications may impact insurance coverage for a bunionectomy, leading to possible out-of-pocket expenses. It is essential to check with your insurance provider beforehand.
Are outpatient procedures more insurable?
Outpatient procedures are typically more insurable than inpatient surgeries due to lower costs. Most insurance plans cover outpatient procedures, making them more accessible and cost-effective for patients in terms of coverage and out-of-pocket expenses. Additionally, outpatient procedures often require less recovery time and have lower risks of complications compared to inpatient surgeries.
Do insurers value post-surgical therapy?
Insurers often value post-surgical therapy for bunionectomies as it plays a crucial role in the patient's recovery process. Post-surgical therapy helps ensure proper healing, reduces complications, and aids in regaining full function and mobility. It is typically recommended to support the patient's long-term health and well-being post-bunionectomy surgery.
Are minimally invasive options insurable?
Minimally invasive bunionectomy procedures are often covered by insurance, as they are considered a medically necessary treatment for severe bunions that have not responded to conservative measures. It is important to check with your insurance provider to confirm coverage and any specific requirements or restrictions that may apply.
Does age affect insurance approvals?
Age can influence insurance approvals for medical treatments, including bunion surgery. Insurance companies may consider age when determining coverage due to potential risks associated with surgery in older individuals. Discuss with your insurance provider to understand how age may impact insurance approvals for bunionectomy.
How do deductibles impact coverage?
Deductibles impact coverage by requiring individuals to pay a certain amount out of pocket before insurance kicks in to cover additional costs. Higher deductibles typically lead to lower monthly premiums but require more upfront expenses when medical care is needed.
Are second opinions insurance-covered?
Insurance coverage for second opinions varies, and it's best to contact your insurance provider to confirm coverage for seeking a second opinion before proceeding. Many insurance plans do cover second opinions, but it's crucial to verify your specific coverage to avoid unexpected costs.
Do bunions recur post-surgery?
Bunions can recur post-surgery, depending on the surgical technique, individual healing, and aftercare. Recurrence rates vary, and it's essential to follow post-operative instructions carefully to minimize the chances of bunions redeveloping. Regular follow-ups with your healthcare provider can help monitor and address any potential recurrence.
Are fast-track surgeries worth it?
Fast-track surgeries can be worth it for those seeking quicker recovery times, reduced scarring, and minimal postoperative pain. Consistent follow-up care is essential to ensure proper healing and successful outcomes.
Do surgeons guarantee successful outcomes?
Surgeons do not guarantee successful outcomes due to varying factors. There are no assurances in surgery, and results may differ. Success depends on individual circumstances, such as health status, the severity of the condition, and post-operative care.
What anesthesia type do insurers cover?
Insurance typically covers local anesthesia for bunion surgery. General anesthesia may require additional out-of-pocket costs. It's essential to check your specific insurance policy for coverage details.
Are bilateral surgeries covered simultaneously?
Bilateral surgeries are often covered simultaneously by insurance, depending on the specific policy. It's recommended to check with your insurance provider for accurate coverage details for the particular procedure.
Do insurers require conservative treatments first?
Yes, some insurers may require trying conservative treatments like physical therapy, pain medications, or special shoes before approving a bunionectomy. This step helps ensure surgery is necessary for the patient's condition and validates the need for more invasive procedures.
Can diabetic patients ensure coverage?
Diabetic patients can typically receive insurance coverage for necessary bunionectomy surgery. However, coverage specifics may vary based on individual insurance plans and medical necessity evaluations. It's advisable to consult with insurance providers for detailed information on coverage and potential out-of-pocket costs.
Are specific surgeons preferred by insurers?
Insurance preferences for specific surgeons vary. Insurers may have networks or preferred providers, but the choice often depends on factors like quality, experience, and cost. It's recommended to check with your insurance provider for specific details on coverage and preferred surgeons.
Do insurers cover custom orthotics?
Some insurers may cover custom orthotics, depending on the individual policy and medical necessity. It is recommended to check with your insurance provider for specific coverage details regarding custom orthotics.
Are recovery aids covered expenses?
Recovery aids may not always be covered expenses. It's important to check with your insurance provider to see if they will cover items like crutches, boots, or other recovery aids related to your bunionectomy surgery.
Does coverage vary by state?
Yes, coverage for bunionectomy surgery can vary by state due to different insurance plans, regulations, and providers. It's essential to check with your specific insurance company and healthcare providers to understand the coverage available in your state.
Can nurses advise on insurance?
Nurses can provide general information about insurance, such as coverage details and benefits, but they cannot give specific insurance advice or make policy recommendations. It's best to consult with an insurance professional for personalized guidance.
Do insurers cover surgical dressings?
Insurance coverage for surgical dressings varies. Check with your specific insurance provider for details on what type of dressings are covered and the extent of coverage for surgical supplies. It's important to verify coverage before undergoing any procedure to avoid unexpected expenses.
Are pain management options covered?
Pain management options, such as anti-inflammatory medication, weight-bearing boots, and cold packs, are available post-bunionectomy for relief. Consultation for specific coverage should be addressed with the healthcare provider or insurance company directly.
What pre-op exams are insurable?
Pre-op exams that are typically insurable include blood tests, EKGs, and chest X-rays to assess overall health before surgery. Other specialized tests may be covered based on medical necessity and insurance provider policies. It's important to check with your insurance company to confirm coverage for specific pre-operative exams.
Do insurers discount for in-network?
Insurers typically offer discounts for using in-network providers to manage healthcare costs, ensuring lower out-of-pocket expenses for patients. Utilizing in-network services contributes to maximizing insurance benefits and minimizing financial burdens on patients seeking medical care within their insurance network.
Are follow-ups covered by insurers?
Insurance coverage for follow-up appointments after a bunionectomy can vary depending on your insurance provider and individual policy. It is advisable to check with your insurance company to confirm coverage for post-operative care and follow-up visits to ensure you are prepared for any potential out-of-pocket costs.
How do co-pays affect surgery?
Co-pays can impact surgery costs, potentially leading to financial strain on patients. Patients need to consider and budget for these expenses in addition to the overall cost of surgery. Failure to pay co-pays could result in delayed or canceled surgeries.
Is post-surgery physical therapy covered?
Post-surgery physical therapy may be covered by insurance, depending on individual plans. Contact your insurance provider to verify coverage.
Are private rooms insurance covered?
Private rooms are usually not covered by insurance unless medically necessary. Check with your insurance provider to confirm coverage details for private room accommodations during your stay.
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