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Advice abour Bunions
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Advice abour Bunions
The time has come for me to have surgery to take care of a painful bunion. I have
consulted with Dr. Roger Mann, MD and Dr. Mark Wolpa, DPM and am trying to decide who
to have perform the surgery. Has anyone had bunion surgery with either of these
doctors? I am interesed in both positive and negative feedback. I am also interested
in any thoughts on wether it is better to have an MD or a podiatrist perform the
surgery, or is the individual, not the degree, more important. Thank you
In February of 1992, I had the bunions (both side of little toe & big toe)
of my left foot removed by Dr. Roger Mann. Three months later, he did the
same to my right foot. There has been no regrowth!! And, I had been in
constant pain for years prior to surgery. I decided to do one foot at a
time for recovery reasons. Only suggestion, is to make sure you have
adequate pain relief following surgery. Dr. Mann broke & realigned both
big toes, among other surgery methods. I am very satisfied with his
treatment of my bunions.
I just saw a new podiatrist in Berkeley - Dr. Schmugler at ''For Feets
Sake'' on Milvia, near Dwight. She was amazing - she spent nearly 40
minutes with me, explaining my issues (bunions, among others), treatment
options, observed me walk, and also took some time to trim down some
callouses that were problematic. I previously saw another podiatrist
several times, who was extremely perfunctory, gave me a canned spiel about
bunion treatment, and got me in and out in about 5 minutes. Not that I
particuarly like to spend a lot of time with any medical person - but this
was incredibly refreshing - Dr. Schmugler truly seemed to know her stuff
and to focus on how she could best help me (rather than seeing me as a
quick insurance payment, which would be understandable considering how
little doctor receive from insurance companys for these routine visits).
Anyway, I highly, highly recommend this office if your are looking for
bunion surgery or any podiatric treatment. Also - very easy to get in for
an appointment. Parking right there. And a website to boot:
www.forfeetsake.com. I'm really not associated with them in anyway
...just a very enthusiastic first time patient!
I am not seeking medical advice, but wondered if any of you with bunions
have had any success keeping them from getting worse over time. My
situation: Age late forties. Over the past few years, a worsening
bunion on just one foot (for now). I NEVER wear/wore high heels, so
this isn't an issue. I almost always wear shoes, and try to stick to
those that fit well most of the time, so probably not the cause, either.
I am starting to get a fair amount of pain, especially when I walk or
exercise (weight-bearing) a lot; also some cramping/numbness in my
middle toes at the same time.
I have previously seen two podiatrists (both recommended by others here)
- about other issues - and was not terribly impressed (one hardly
looked at my foot, made a quick diagnosis, and at the follow-up visit,
declared a function improved when he had never looked at it, and it was
never a problem; the other wanted to take tons of x-rays, using what
looked like an ancient x-ray machine, and offered just a tiny lead
shield. I decided to forgo the x-rays, and the problem resolved
So my questions: Is there a great, holistic podiatrist who can really
help me figure this out? Do other professionals deal with bunions
(chiropractors? PT? Other?) Have you used other products or techniques
that helped? Thanks for your help.
Dr. Rodger Mann, oakland google him you can rest easy, he is the Man, I
have done all the research! 4 years later and I couldn't be happier with
Learn to love your feet... After having children I researched bunions to
see what, if anything, I could do to prevent them from developing
bunions. The various studies of night-time foot aids and custom-molded
daytime footbeds all concluded that you can't stop nature. At least not
After going to a doctor at Kaiser Richmond to get options for a very
painful bunion and hearing only surgery as a solution, I opted for an
outside doctor. Steven Subotnick was great. He is a podiatrist and also a
homeopathic doctor. He shot cortisone into my foot and I was instantly
pain-free. The cortisone lasted about six months. Over about two years
he gave me shots every six months then said that was all I could have
without endangering my health in other ways. He referred me to a great
podiatrist in Kaiser Walnut Creek--Dr. Silvani. I did end up with the
surgery. Apparently bunions are hereditary. My foot is not perfect now,
but is pain free and maybe 85% normal. My youngest sister is now up for
her bunion surgery.
I am the unhappy possessor of a bunion on my left foot, and,
primarily because I cannot be immobile for six weeks, I'd like to
put off the surgical solution for as long as possible. I've had
The Bunion for seven years (ever since my last pregnancy), but
it's lately become more painful, i.e., I'm feeling some pain
every time I walk, and my big toe is steadily moving under my
other toes. Yes, yes, I need to get shoe inserts, but since my
miserable health insurance won't cover anything anyway, I'd like
to try some alternative therapies. Massage? Sacro-cranial work?
Chiropractic? Has anyone in the BPN group had any success in
reducing foot pain through these kinds of therapies--or others
that I haven't thought of?
Bunions are like bursitis and can be addressed successfully by looking
causes such as contributors to inflammation (which any -itis is). I
have used an anti-
inflammatory diet, anti-inflammatory herbs and supplements plus body
address my own bunions which now are non-existent. I may have caught
on. Two things to mention: standing yoga asana poses help a lot when
done with toes
lifted (improves circulation) and a form of body work called Jin Shin
recommend Pam Reynolds, L.Ac, for the latter: 510-548-0126 as she gives
self-care to continue the healing process.
try yoga toes, they are available through amazon.
Absolutely there are alternatives--I was in the same boat 4 years ago,
and am still
pain-free (nearly) and surgery-less. I got body work done with Nany
and Peggy Dey (don't have her # at hand), got some advice about what
kind of shoes to
wear (from them), and I go back for a session or two very occasionally
(1-2 year). I
exercise regularly, go running, and I'm fine. Good luck.
I inherited bunions from both parents and one foot ended up
being extremely painful. The Kaiser doctor I first saw gave me
no options but surgery which, like you, I could not manage at
the time. I went to see Steven Subotnick for a second opinion
and he said we could try cortisone. I was pain-free for six
months and he referred me to another Kaiser doctor that he
knew. After getting maxed out on cortisone shots I ended up
with the surgery (about 3 years later). NOTHING ELSE WORKED.
My understanding is the tarsal bone is too long and as it hits
the joint, bone grows. My foot is much better now--no pain
under ordinary circumstances, but am limited in shoe wear.
I have had a bunion on my right foot for at least 10 years, and
I have not yet had to have surgery (and my foot does not hurt)
because I wear Birkenstocks that allow my foot to spread out
flat. [I am sure there are other good shoe manufacturers but I
prefer Birkies.] I also wear arch supports when I wear dress
shoes (get rid of your high heels!), and a podiatrist can
prescribe them or you can buy a custom made pair at one of the
stores that sell them (there's a store on College near
Telegraph, I believe). ''Orthotics'' are considered durable
medical equipment (DME), and depending on your insurance
coverage, you may be reimbursed 50 to 100% of cost. You can
also buy inexpensive Dr. Scholl's or other arch supports at
your local Target, Longs, etc.
Another thing is that feet get bigger as we age (among other
things) and you may need to wear a larger/wider shoe. I used to
wear 7-1/2 AA and now I wear 8 or 8 1/2 B. The wider the toe
box the better. It does sound like your toe is worse than mine,
but if you get those aids I mention, you can at least relieve
the pain. I would not put off getting an evaluation, though,
because you can be doing lots of other damage to your spine by
limping around, favoring the other foot, etc. At least you will
know whether you can put the surgery off.
Call Stephen Zuber in Berkeley, on Webster St I think, anyway, near alta
Podiatrist extraordinaire...i think he only charges $50 or 75 for an
appt and he is
REALLY good. not alternative, but just plain REALLY good.
I'm considering having surgery to remove the bunions on both my
feet. Has anyone had this surgery? Would you recommend it?
I've heard your bones grow back the same way, is that true?
I'm also relatively new to the area and don't know of a good
podiatrist. Recommendations would be appreciated. I live in
the Lake Merritt area, but am willing to travel for a good
Though my bunion surgery story is old, it went so well I had to write. I had
both bunions fixed in 1985 at the age of 25. I had had foot problems all my life
and I have not had a moment's pain or trouble with bunions since. The
podiatrist's name is Eugene Spector and his number is 415-923-3082 (in SF).
Definitely worth a call--though I understand he and his practice have probably
changed in nearly 20 years! Back then it meant a 3-day hospital stay (which
was great), which I doubt is the case today. I had both done at the same time,
was in a wheelchair for a while, then crutches. After 5 weeks I had the okay to
do aerobics, etc. , but things were still pretty tender. It's not a small deal, but if
your problems are major, it's worth it. Everyone's situation is different and
there are a variety of different surgeries and I'm sure many new practices have
come up. I still wear specially made orthotics in my shoes so the bunions
haven't come back.
I had my bunion surgery done in Davis so I can't recommend a
specific doctor, but I can comment about the effectiveness of
the surgery. I have very high arches and had moderate bunions
on both feet when I was in my mid-20's. I began wearing
orthotics about 5 years before, but still had occasional (but
sharp) pain in my right big toe joint. Although I could have
waited another 10 years before having the surgery, I decided to
have it done then and be done with it. That was 6 years ago
and I have not had any pain since. Mine bunion has not come
back but I wear my orthotics religiously (actually I have to
otherwise I have severe foot pain from plantar fascitis).
The surgery I had entailed shaving off the bunion and resetting
(ie breaking) the metatarsal (?) to straighten the big toe so
it didn't turn in. If you have orthotics, wear them in your
surgery shoe from the beginning. My doctor didn't tell me to
and I didn't for the first week and my big toe turned in
alittle. I was awake during the surgery. It didn't hurt
except fot the shot to numb the area. Actually I was alittle
bored. I found the recover quite painful though. The way the
bone is broken and reset, you can walk on it immediately (there
is a metal pin placed in your foot for 6 weeks to stabilize
it). I spoke to one person who had both feet done at once by
the same doctor and said it wasn't that painful. Since I only
had one foot done, I rented crutches and used them for the
first week. Cindy
I am considering having surgery on my poor feet - I have severe
bunions on both feet. But I've not yet had children, which we do
plan in the next few years. How much will my feet change due to
pregnancy such that - if I have surgery now and heal fine, will
my feet change while pregnant and I would have been better to
wait? If you've had the surgery, how long were you unable to get
around - I'm concerned that if we have a couple little ones, I'll
be unable to care for them after surgery so really I either get
the procedures now or 10 years from now! I've talked with a
surgeon who thinks I'll be helped by the surgery but I'm
concerned about when to time it with other life activities! thanks!
want to be straight toed mama
I am someone who ''didn't have time'' for bunion surgery before I
had kids. Now I have no idea when I will be able to make time for
surgery - when my kids can drive themselves to school? I can't
speak to the medical aspect of your question, but I can just tell
you I wish I would have the surgery before I had kids.
By all means, have the surgery before the kids! I almost
couldn't walk because of bunion pain when I was in my
mid-thirties and decided to have surgery. I have been almost
pain-free in that foot for more than 10 years! During that
ten-year interval, I had two full-term pregnancies, and of course
my feet have spread (everything has ...). With a four and an
eight-year-old, I cannot now conceive of having the other bunion
fixed, although I would dearly love to. The one week of absolute
post-surgical pain and swelling (yeah - it will hurt, and badly),
coupled with the six weeks or so of not being able to drive, put
surgery out of the question with two kids to take to two
different schools - to say nothing of being in a
less-than-stellar mood due to the physical limitations of a sore
foot. I am SO GLAD that I had the one bunion fixed when I did.
And glad that I did so before having kids. My sincere advice is
to fix your feet now.
I had surgery done on both feet at the same time to remove
bunions. I was in bed for 2 weeks. Everytime I lowered my feet
they throbbed. Even when back on my feet, I had to sit with
them elevated. It took a full 6 months before I felt normal
again. I do not regret the surgery, my feet are great now and
always ached prior to bunion removal. However, recovery process
is long and painful. As a mother of a one year old....my advice
is to have this surgery b/f you have a child. Unless you have a
full time care-giver for your child there is NO WAY to recover
from bunion surgery while caring for a new/young baby/child.
I had bunion surgery before going off to college about 15 years ago. I was
off my feet for 2 weeks, and had to wear orthopedic shoes for another
month or so. I don't think you have to wear the shoes anymore. It felt like a
long recovery, and I ended up having a bone spur and had to get it
removed. HOWEVER - you really should get the surgery before you get
pregnant. My feet have never been so sore as they were when I was
pregnant, and I cannot imagine having the pain of bunions on top of the
swelling and spreading of pregnant feet. If you do decide to wait on the
surgery, make sure you've got a partner who's willing to give you lots of
this page was last updated: Mar 12, 2009
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