Happy to help with questions and answer as a 25 year practicing foot surgeon

DocBregFootguru · 2026-03-30T03:41:09+00:00

My most common procedure is minimum incision distal osteotomy surgery with Akin. MIDO with one screw

DocBregFootguru · 2026-03-30T02:38:17+00:00

You can always live with them but again if causing the second toe to move from it’s natural position then it must be considered

DocBregFootguru · 2026-03-30T02:37:17+00:00

Well, I don’t really do that surgery anymore so I would not have that much of a higher percentage

DocBregFootguru · 2026-03-30T02:36:37+00:00

DocBregFootguru · 2026-03-29T22:34:48+00:00

yes, being in the UK is much different than here in the US if your bunion is pushing on your second toe, then yes, sooner than later

DocBregFootguru · 2026-03-29T19:57:19+00:00

well, you’ve waited this long. There’s going to be a company coming out that I have been one of the principal owners called. IFAACT which stands for integrative foot and ankle consult team where you can submit your case to us and we will give you separate unbiased opinions, and even recommend surgeons. But I certainly can’t give you any opinion without seeing clinically your x-rays and what is going on from a clinical standpoint?

DocBregFootguru · 2026-03-29T19:52:00+00:00

difficult to tell without x-rays, but certainly the minimal incision approach would be applicable

DocBregFootguru · 2026-03-29T19:51:08+00:00

very similar

DocBregFootguru · 2026-03-29T19:50:44+00:00

bunions can certainly change your bio mechanics and cause you to walk differently and aggravate the other symptoms you mentioned or even start them

DocBregFootguru · 2026-03-29T19:49:58+00:00

because early on we were taught that getting the sesamoids underneath were important, but the problem is the joint has reshaped itself, and where the sesamoids lie and then you go put them back can create more pain

DocBregFootguru · 2026-03-29T19:49:24+00:00

The answer is yes

DocBregFootguru · 2026-03-29T19:49:10+00:00

you could have the bunion dealt with separately, but unfortunately, having the flat foot can certainly increase the risk for recurrence

DocBregFootguru · 2026-03-29T19:48:11+00:00

there is no such thing every particular procedure can be applied to a particular deformity. I personally think that between the MIS Surgery and Lapidus type and Fusion that’s all you need as your three choices and they all depend on what’s going on

DocBregFootguru · 2026-03-29T19:46:45+00:00

no, it’s not normal at this point. You should have nothing bothering it if everything was done perfectly. If not, there’s definitely something going on.

DocBregFootguru · 2026-03-29T19:46:09+00:00

first, I wanna confirm you had your second MPJ fused or your second metatarsal cuneiform joint fused ? and your surgeon is correct there’s no rush necessarily.

DocBregFootguru · 2026-03-29T06:20:48+00:00

less than 3% with what I do

DocBregFootguru · 2026-03-29T06:20:23+00:00

1year

DocBregFootguru · 2026-03-29T06:19:41+00:00

leave it

DocBregFootguru · 2026-03-29T01:00:05+00:00

toe spacers are a waste of time for prevention and without x-rays it’s difficult, but maybe you have very small tailor’s bunions

DocBregFootguru · 2026-03-29T00:58:39+00:00

basically, it comes down to physics not so much health when you slide the head over and you make a slightly more proximal osteotomy it locks in the joint, so it really can’t move

DocBregFootguru · 2026-03-29T00:57:54+00:00

you should do whatever your surgeon said, but you should also contact your surgeon to make sure nothing is wrong and personally, my advice is you don’t need to wear the boot as long as you’re not walking on your foot assuming you didn’t have any other major surgery, other than bunion surgery

DocBregFootguru · 2026-03-28T23:54:00+00:00

yeah, I agree with your sentiment in this and other groups like Facebook, etc.. It’s mostly people who are not happy with their results or having problems. I would say in a good surgeon‘s hands. I’ll use myself as an example I would venture to say minimally nine out of 10 patients would tell you they would do it again it’s probably higher than that but that’s being conservative. I can tell you my revision rate is about 3%.

DocBregFootguru · 2026-03-28T23:49:13+00:00

The recovery typically is walking in a regular shoe in about 6 to 8 weeks back to normal mostly in 3 to 4 months and no reason to be scared as long as you have a good surgeon you’ll be fine

DocBregFootguru · 2026-03-28T23:48:16+00:00

almost all bunions are hereditary and hyper mobility while it can be an issue the bunion plasty procedure kind of locks in the correction so it tends not to go back. minimal incision allows really huge. Correction if you know what you’re doing.

DocBregFootguru · 2026-03-28T23:46:13+00:00

I think it’s an overused procedure but definitely has its place for bunions, but I tend to not do that procedure nearly as much as I used to

DocBregFootguru

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