Osteoarthritis of the metatarsophalangeal joint of the big toe can cause pain, stiffness, and reduced mobility. A bunionectomy (cheilectomy) may be a treatment option when these symptoms interfere with daily life; the goal is to relieve pain and preserve as much mobility as possible in the big toe.
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Osteoarthritis of the metatarsophalangeal joint of the big toe can cause pain, stiffness, and reduced mobility, making it difficult to walk and put weight on the foot. When nonsurgical treatment no longer provides sufficient relief, a cheilectomy may be an option. The purpose of the surgery is to remove the worn-out parts of the joint and create more space, thereby reducing pain and improving mobility.
Most patients are first treated with non-surgical measures such as custom-fitted footwear, orthotics, and pain relief. If the pain persists and affects daily life, bunion surgery may be the right solution. During the surgery, the worn-out parts of the big toe’s metatarsophalangeal joint are removed, and the joint is cleaned out. The goal is to reduce pain and preserve as much mobility as possible in the big toe. It is important to note that the surgery does not always eliminate all symptoms, and that further treatment may be necessary in some cases.
Before the surgery, you will be examined by a specialist, who will assess your symptoms and examine the base joint of your big toe. If osteoarthritis is causing persistent pain and reduced mobility, and non-surgical treatment has not been effective enough, a bunionectomy may be the right solution.
During the surgery, the surgeon removes the bone spurs and worn-out tissue that limit movement in the metatarsophalangeal joint of the big toe. The goal is to reduce pain, improve mobility, and make it easier to put weight on the foot during daily activities. The procedure is performed under local or general anesthesia, depending on what was agreed upon during the preoperative evaluation.
Most patients experience significant pain relief and improved mobility after surgery. However, there may be swelling and tenderness for some time after the procedure, and it may take several months before the final result is achieved. A good rehabilitation program helps ensure the best possible function of the big toe.
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