[News] There’s More to Bunion Surgery Than THIS Cosmetic Treatment

Posted by Dr. Jeffrey L. Adler

Aug 30, 2016 5:18:47 PM

bunionBunions are painful – finding out after bunion surgery that there was a permanent solution to your problem instead of just a cosmetic solution can hurt even more.

CBS New York recently reported about minimally invasive bunion surgery. While this is a good procedure, ultimately it’s just a cosmetic solution and the bump will regrow. We’d like to offer some additional information related to the news excerpt below and tell you about a real minimally invasive surgical procedure called HyProCure® that has changed people’s lives for the better.

Posted by: CBS New York

Cutting Edge Bunion Treatment a Big Step Toward Ending Suffering

Imagine having pain with every step you take.

Millions of people experience that with bunions. But they often put off surgery because of the long and painful recovery. Now, as CBS2’s Jessica Moore reported, a cutting-edge procedure can have those people back on their feet fast.

Nisha Bhagad was among those living the painful reality of a bunion. “We must have purchased so many shoes to make my feet comfortable, but nothing helps,” she said. “You can really see her bunion pretty good here. When you put weight on it, it’s very raised,” said podiatrist Dr. Andrew Glass.


Traditional bunion surgery for Bhagad would have meant breaking a bone in her foot, inserting pins and staying off her feet for at least six weeks. But Glass has a different approach.

“We’re going to make one incision, one stitch right here and then another incision, one stitch right here, remove all the extra bone that’s there and just shave it down,” he explained. “No broken bones, no pins, no screws.”

[Continue to original article]

The type of procedure Dr. Glass is referring to is minimally invasive bunion surgery, an outpatient procedure that uses small, jeweler-type instruments to make a miniscule incision – about the size of a pinprick – on your toe. It’s not as painful as the traditional type of bunion surgery you often hear about on talk shows or from celebrities that have received the treatment – but there is more you should know about.

Origination of Minimally Invasive Surgery

The news clip mentions that “the procedure is popular in Europe and Asia, but it’s not as common in the United States because doctors haven’t trained for it and don’t have the proper equipment.”

We’d like to clarify that minimally invasive bunion surgery is not a new procedure – it actually originated in the United States in the early 1960s, popularized by Dr. Al Brown, Dr. Milt Roven, Dr. Ed Probber and Dr. Merwin Adler (Dr. Jeffrey Adler’s father).

These “Founding Fathers” of minimally invasive bunion surgery originally began with the procedure (a modified Silver bunionectomy) highlighted in the WCBS piece featuring Dr. Glass.

However, the modified Silver bunionectomy’s usage has been limited because it only treats one of the symptoms of a bunion (the bump) and doesn’t address the deviation of the big toe-joint issues. Nor does the Silver procedure address the cause of the bunion problem.

The Actual Cause of the Bunion

The underlying cause of the bunion is an improper walking pattern, usually due to a dislocation of the Talo-Calcaneal joint, any issues in the big toe joint, and foot misalignment caused when the ankle bone slips off the heel bone and rolls excessively inward.

A bunion is the result of the bones in the back of the foot (formally called the subtalar joint) dislocating forward and to the side. This adds additional pressure to the outside of the big toe and produces increased bone growth that leads to the bunion bump formation. Once you put the subtalar joint below the ankle into alignment, many bunions get better.

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Long Term Solution for Bunion Treatment

Instead of a short term cosmetic solution like the modified Silver minimally invasive bunion surgery, a long term solution is HyProCure®. This procedure also uses a minimally invasive technique that places a small titanium stent into the naturally occurring space between the ankle and heel bone, stabilizing the ankle to correct the inward rotation and realign the feet.

Additionally, the HyProCure® procedure has the patient back in closed shoes and walking in 3 to 4 days, not a week like the modified Silver minimally invasive bunion surgery – quicker recovery with better long-term results.

A study indicated that there is a 40% to 50% reduction in both the size and pain level of bunions for patients after receiving the HyProCure® procedure. In addition, it was shown that 30% of smaller bunions go away without any other form of treatment once a patient has HyProCure®.

Dr. Adler is a Professor of Minimally Invasive Surgery by the Academy of Ambulatory Foot & Ankle Surgery and trains doctors from all over the United States and overseas on minimally invasive surgical procedures.

We hope this information was helpful. If you’re suffering from a painful bunion or other foot problems, contact the best podiatrists in NYC at Adler Footcare. We believe feet shouldn’t hurt and neither should their treatment.

Topics: Bunion, Bunion Surgery, foot surgery