Nail deformities are also sometimes associated with small bone spurs under the nail, which also can be removed in office procedures. Spurs, which are an overgrowth or enlargement of bone, can occur elsewhere, and ordinarily can be removed in similar fashion. Generally, a patient is able to bear weight on the feet following such surgery, but the podiatrist will probably schedule a return visit in a few days to check bleeding and healing. Bunions are deformities of the joint at the base of the big toe, in which a bony growth causes the big toe to turn inward toward the other toes. The joint bows out at a 'V' angle, and becomes irritated and swollen.
Bunions have a strong hereditary basis, and seem to be more common among women than men.
They can be aggravated by shoes that are too tight across the toe box. There are several different surgical procedures which can be used to correct a bunion, and depending on the degree of severity, a procedure might be performed in an office, a clinic, or a hospital outpatient facility. As with all bone surgery, individuals may differ in the actual time necessary for healing, which could range from three weeks to six or eight. Hammertoes often accompany a bunion, although they occur on their own, as well. Most frequently they involve the second toe, but the other smaller toes can also be afflicted.