Foot Focus Podiatry

Mon - Fri : 08:30 - 5:30   |   08 9258 4152
reception@footfocuspodiatry.com.au | Google Review
Mon - Fri : 08:30 - 5:30   |   reception@footfocuspodiatry.com.au
08 9258 4152 |
Google Review
Mon - Fri : 08:30 - 5:30
08 9258 4152
reception@footfocuspodiatry.com.au
Google Review
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Bunion Surgery Perth

Ready to book your bunion treatment?

We’re here to help you take the next step toward pain free feet. 

Exploring conservative treatment options?

Book an appointment online to discuss non-surgical
solutions with a podiatrist tailored to your needs,
or click here to read more about Conservative Options.

Considering Bunion Surgery?

Schedule a consult with our Podiatric Surgeon, Dr Reza Naraghi, to explore surgical treatment pathways and personalised care options.

Do you suffer from painful bunions?
Do your bunions stop you from normal daily activities?  
Please read on for how we can help you.

What is a Bunion?
Bunion (Hallux Valgus), is one of the most common forefoot problems.  It is a prominent bump on the inside of the foot around the big toe joint.  This bump can rub inside shoes causing pain and inflammation.

Before and after Bunion Surgery

Bunion-before-e1593135271573 Bunion / Hallux ValgusBunion-after-e1593138382552 Bunion / Hallux Valgus

Bunion treatment depends on the severity of the condition.  The discomfort of mild bunions can be relieved by simply changing shoes, medication, orthotics and physical therapy . Surgical treatment is usually reserved for cases that do not respond well to these measures.

We advise seeing one of our general podiatrists first for a complete medical and biomechanical assessment and explanation of any conservative treatments that may be performed prior to seeking a surgical opinion.

Surgery to treat bunions (see examples 1 and 2 below) is often used for severe cases, or after conservative treatment has been ineffective. There are several different surgical options available, depending on the cause and symptoms of the bunion.  Dr Naraghi has research publications in bunion surgery and management.

A New Measure of Tibial Sesamoid Position in Hallux Valgus in Relation to the Coronal Rotation of the First Metatarsal in CT Scans   is a study co-authored and supervised by Dr. Naraghi. This research has led to a new worldwide classification system for assessing and treating bunions, providing valuable understanding of why some bunions may return after surgery. Specifically, it highlights the importance of correcting the rotational alignment of the first metatarsal bone, which many traditional surgical methods have overlooked.

Bunions (hallux abducto valgus) result from changes in all three planes of the foot, yet previous surgical techniques have often focused on only one or two, sometimes leading to recurrence of the deformity. Thanks to these research advancements, several new surgical techniques have been patented, offering more reliable solutions for bunion correction.

During consultation, Dr. Naraghi can explain the latest and most effective surgical options, ensuring that the approach chosen considers both medical needs and individual preferences, such as footwear limitations or cosmetic concerns. After a thorough review of each patient’s medical history and x-ray images, Dr. Naraghi helps determine which procedure will be the best fit.

Modern bunion surgery has improved greatly, and most patients are able to walk on their feet immediately after the procedure, usually without the need for crutches or casts. Recovery time and discomfort vary depending on the procedure and patient factors, but most people experience minimal pain and can return to wearing regular shoes and everyday activities within about four weeks.

 

Examples of Before and After Bunion Surgery Results: 

Example #1:

Bunion-surgery-1-300x194 Bunion / Hallux Valgus

Example #2:

Before:

Bunion-surgery-2-e1582526790983-300x173 Bunion / Hallux ValgusBunion-surgery-4-e1570756348949-300x275 Bunion / Hallux Valgus

After:

Bunion-surgery-3-e1582526677571-300x254 Bunion / Hallux ValgusBunion-surgery-5-e1570756383453-203x300 Bunion / Hallux Valgus

Example #3:

Bunion-before-e1593135271573 Bunion / Hallux ValgusBunion-after-e1593138382552 Bunion / Hallux Valgus

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  • Winograd procedure- This procedure will be done in hospital setting under local and or general anaesthesia and it is reserved upon failure of the phenolization or if there is significant amount of skin overlapping the nail with soft tissue growth. This procedure involves removing a portion of the skin along with the nail down to the level of the bone. Sutures (stitches) will be applied to close the surgical site. The procedure takes about 10-15 minutes to be performed and your foot will be bandaged. You will be seen within first 5 days and then the sutures will be removed in 10-14 days. Currently this procedure can only be performed by Reza Naraghi (podiatric surgeon).  He will prescribe appropriate pain medication for your post-operative pain management. You will be in open sandal and or post op shoe for 2 weeks. This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a Winograd then please click here.
  • Zadik Procedure- This procedure is used with permanent total nail removal is desired. The indications for the procedure are significant ingrowing nail on both borders, thickened and painful nails and bony growth under the nailbed. This procedure can be done under local with sedation and or under general anaesthesia at a hospital and or day surgery centre. Sutures will be applied and will be removed 14 days post surgery. You can not get your foot wet and your foot will be in a sterile bandage for 2-3 weeks. You may need pain medication post surgery. On average it will take six weeks for your nail bed area to heal. Following that you can wear most close shoes.
  1. This procedure involves:
  • Removing the nail partially or totally and ablating (destroying) the root using a weak acid called phenol.
  • The phenol cause permanent ablation of the root of the offending nail and prevent ingrown nail recurrence.
  • The procedure is successful 95% of the time. The procedure takes about 10-15 minutes to perform.
  • It can be done in our rooms using local anaesthesia with or without sedation.

2. Post operative care:

  • Soak your toe.
  • Apply a daily dressing.
  • Wear open toe shoes for at least 3-4 days.
  • You may be required to take oral antibiotics

3. Pain management:

  • Most patients do not require pain medication
  • If needed, Panadol is usually sufficient
  • You can return to regular shoes after one week
  • This procedure is not suitable for everyone, especially those uncomfortable with surgical procedure
  • For those interested in seeing a step-by-step process of a partial nail matrixectomy with phenolisation, click here.
  • Winograd procedure- This procedure will be done in hospital setting under local and or general anaesthesia and it is reserved upon failure of the phenolization or if there is significant amount of skin overlapping the nail with soft tissue growth. This procedure involves removing a portion of the skin along with the nail down to the level of the bone. Sutures (stitches) will be applied to close the surgical site. The procedure takes about 10-15 minutes to be performed and your foot will be bandaged. You will be seen within first 5 days and then the sutures will be removed in 10-14 days. Currently this procedure can only be performed by Reza Naraghi (podiatric surgeon).  He will prescribe appropriate pain medication for your post-operative pain management. You will be in open sandal and or post op shoe for 2 weeks. This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a Winograd then please click here.
  • Zadik Procedure- This procedure is used with permanent total nail removal is desired. The indications for the procedure are significant ingrowing nail on both borders, thickened and painful nails and bony growth under the nailbed. This procedure can be done under local with sedation and or under general anaesthesia at a hospital and or day surgery centre. Sutures will be applied and will be removed 14 days post surgery. You can not get your foot wet and your foot will be in a sterile bandage for 2-3 weeks. You may need pain medication post surgery. On average it will take six weeks for your nail bed area to heal. Following that you can wear most close shoes.

Matrixectomy with phenolization – This procedure involves removing the nail partially or totally and ablating (destroying) the root using a weak acid called phenol. This will cause permanent ablation of the root of the offending nail and prevent ingrown nail recurrence. This procedure is successful 95% of the time. The procedure takes about 10-15 minutes and can be performed in our rooms using local anaesthesia with or without sedation. Post operatively you will be required to soak your toe and apply a daily dressing. Wearing open toe shoes for at least 3-4 days is recommended. You maybe required to take oral antibiotics. Most patients do not require pain medication following the procedure, and if needed Panadol is sufficient for pain management. You can go back to regular shoes after one week.  This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a partial nail matrixectomy with phenolisation then please click here.