I am concerned about getting treatment for bunions

What potential complications are there from bunion surgery?

Although the operation produces good results in most cases, complications can occur. Even though great care is taken with the operation and during the post-operative period, a small number of people (10- 15%) may experience problems such as:

1. Recurrence of the bunion.
2. Over-correction of the bunion so that the big toe
    points inwards.
3. Sensitisation and pain in the foot due to damage
    to the small nerves or blood vessels in the foot.
4. Non-healing of the bone.
5. Fracture.
6. Stiffness of the big toe.
7. The screws become prominent and require removal
    at a later date.
8. Weight transfer to the second toe (a corn under
    the second toe).
9. Infection of the skin and very occasionally of
    the bone.
10. The complications that can occur with any
      surgery such as thrombosis (a blood clot)
      and anaesthetic problems.

Most problems post-operation can be treated by medication, therapy and, on occasion, by further surgery. However, surgery of this kind should not be undertaken lightly; the symptoms you are suffering with should be sufficiently troublesome to warrant the inconvenience and small risks inherent in having the surgery.

You can reduce the risk of complications by preparing yourself and your foot as described in our information pages, 'preparing for foot surgery'. If you are at particular risk of complications, preparing for surgery will be discussed with you. If you have any general or specific worries you should ask the doctor treating you.

What should I look out for post-operation?

Some problems, such as recurrence of the bunion or corn formation, become obvious with time. It is important that you notify a doctor if you get an increase in pain after you go home and, particularly, if the pain does not settle with elevation and mild painkillers, as this may indicate infection. Similarly, if you get swelling of the leg or foot which does not reduce when the foot is elevated above heart level, you should seek medical advice immediately.

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