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Painful Tailor’s bunion, surgical correction of Tailor’s bunion. | Best Podiatrist NYC – Lawrence Silverberg, DPM 20 E. 46th St. New York, NY 10017 The best bunion surgery & hammertoe surgery in NYC




Painful Tailor’s bunion, surgical correction of Tailor’s bunion. | Best Podiatrist NYC – Lawrence Silverberg, DPM 20 E. 46th St. New York, NY 10017 The best bunion surgery & hammertoe surgery in NYC

Today a young lady came in with a complaint of a large bump behind her fifth toe and added that her fifth toe is turning under her fourth. She has pain when she runs and works out. This has been getting progressively worse over the past six months.

I diagnosed her with a Tailor's Bunion (also called a Bunionette). See picture below: (click any picture to enlarge)

image

Tailor's bunion is a prominence of the fifth metatarsal bone at the base of the little toe. The deformity received its name because tailors sat cross-legged all day with the outside edge of their feet rubbing on the ground. This constant rubbing led to a painful bump at the base of the little toe.

Usually a tailor's bunion is caused by an inherited faulty mechanical structure of the foot. In these cases, changes occur in the foot's bony framework, resulting in the development of an enlargement. The fifth metatarsal bone starts to protrude outward, while the little toe moves inward. This shift creates a bump on the outside of the foot that becomes irritated whenever a shoe presses against it. Sometimes a tailor's bunion is actually a bony spur (an outgrowth of bone) on the side of the fifth metatarsal head.

In the case of this patient, the fifth metatarsal bone was angulated toward the outside.

Treatment for tailor's bunion: I informed her all about the surgical correction of Tailor's Bunion where I make a small incision On the side of the foot and access the bone. I then cut a small wedge in the bone to change the angle toward the inside of the foot. After the bone wedge is removed, I placed a tiny titanium screw in order to hold it in place to heal.

Recovery from tailor's bunion surgery: For people with a desk job I can do the surgery on a Friday and send them back to work on Monday in a surgical shoe or boot. This patient, however, has a job in which she is on her feet doing sales. I advised her that she would need to take 2-3 weeks off of work or work at a desk if possible. She chose to wait until the Fall to perform her surgery when her work schedule is lighter and she can work in the office, rather than on her feet doing sales calls.
(C) Copyright 2010Best Podiatrist NYCLawrence Silverberg, DPMCity Footcare, PC130 E 35th StreetNew York, NY 10016212-871-0800www.cityfootcare.comcityfootcare@gmail.comSpecializing in foot surgery, bunion surgery, hammertoe surgery, cosmetic foot surgery, general podiatric surgery.


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