Bunions may be treated by a change in your footwear, extra padding and shielding or orthotics which can be fitted by your Podiatrist. Also resting your foot and applying ice to the affected area. You can get bunion spacers, toe separators, and bunion splints. These treatments help with the symptoms but do not correct the deformity, only surgery may be necessary if the deformity is severe. But you will need an x-ray first to see the extent of the deformity. Surgery involves removing of the bony enlargement on the side of your foot, realigning and straightening of the big toe, also correcting any abnormal misalignment of your toe. If bunions are causing severe foot pain or inflammation and swelling that limits daily activities and doesn't improve with rest, medication and comfortable shoes, surgery may be required. More than 100 surgical options are available for painful bunions. Some realign the foot's anatomy by cutting notches from the metatarsal bone or the bone of the big toe. The bones can then grow back without the slant that promotes bunion growth. The operation is usually done on an outpatient basis, but afterward, you probably will have to stay off your feet for a few weeks. Recovery takes about six weeks. Surgery is not recommended for a bunion that doesn't cause pain. Bunions are irregular bony bumps that can form on the joint that is located at the base of your big toe. Bunions can cause minor or extreme discomfort, and are caused for the most part by ill-fitting shoes, but bunions can also be the result of a foot injury. Bunions affect women ten times more frequently than they do men, with tight-fitting shoes and high heels responsible for the disparity between the sexes. Bunions can make it painful to walk, and although treating them is sometimes as simple as changing to a wider shoe, surgery is often needed to alleviate the pain of a bunion. Rheumatoid arthritis (RA) is a systemic disease that affects about 2.1 million Americans, mostly women and has been show to attack multiple joints throughout the body. It is estimated that 1.5 million women and 600,000 men are victims of this debilitating disease. Of these affected, approximately 90% of the people with RA eventually develop foot or ankle symptoms and deformity. In fact, many of the early symptoms of RA often include foot problems. Foot problems are more common than symptoms to the hand and only second to knee problems. These symptoms can lead to serious disability. Dr. Jamshidinia at Tower Foot and Ankle Surgery is a board certified foot surgeon trained in all areas of foot and ankle surgery. He is Board Certified by the American Board of Podiatric Surgery and a Fellow of the American College of Foot and Ankle Surgeons. His expertise is in cosmetic foot surgery, minimally invasive hammertoe repair, cosmetic approach bunion correction, the newest surgical and non-surgical remedies for chronic diabetic foot ulcers, athletic foot and ankle injuries, sports medicine, the latest technology in custom orthotic arch supports, and joint replacement surgery for the arthritic joint One of the biggest concerns from patients is that foot surgery is very painful, even more painful than other surgeries. While pain is very much subjective, foot surgery is no more painful than any other surgery. In fact, with newer surgical approaches and postoperative management, patients often experience very little pain after the first 48 hours. These more modern techniques utilize smaller incisions and less extensive soft tissue dissection which in turn, minimizes pain and healing time. Most patients find that the initial postoperative discomfort is tolerable with a dedicated pain management program that includes pain medications. The surgical procedures that might be employed for the treatment of this condition include arthrodesis, resection arthroplasty, exostectomy, and osteotomy. Surgery might also involve the realignment of the tendons and ligaments surrounding the big toe joint. If one is experiencing severe pain, the orthopedic surgeon might perform arthrodesis. This procedure involves the surgical removal of the part of the joint damaged due to the bunion. Once the damaged joint surfaces are removed, wires, screws or plates are inserted in order to hold the joint together during the healing period. Exostectomy is another procedure which involves the removal of the bunion.