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  • heelandtoepodiatry

The All Mighty Bunion!

Doctor Johnston has been caring for bunions for over 10 years. Bunions can be unsightly, painful and cause a lot of difficulty walking, standing, working and most notably finding shoe gear that fits. There are not a lot of conservative treatment options for painful bunions. Most advertised treatments such as splints, braces and pads do not provide long lasting improvement in the condition.

Bunions are a structural and functional problem and often are passed down through the generations. They typically require some form of structural correction to provide long lasting improvement in the condition.

For decades, podiatrists have focused on performing foot narrowing procedures out towards the big toe. These procedures typically have a history of shifting the head of the first metatarsal towards the outside of the foot, often times making a straight bone a curved bone. From Dr. Johnston's experience treating patients who had a bunion 20-30 years ago with these techinques, the condition often returns.

Doctor J has long felt that these more distal procedures missed the boat on treating the area of the foot that is deforming and causing the bunion in the first place.

The trending philosophy on treating bunions is now focusing on the joint behind the first metatarsal (the long bone behind the big toe) instead of the more distal procedures. This is commonly performed by fusing a joint called the first tarsometatarsal joint. (First metatarsal Bone, at the base fusing to the Medial Cuneiform bone behind it). This procedure has been around for many years known as the Lapidus Bunionectomy, but has been recently become the in vogue mode of treating bunions.

Multiple companies have now come up with very precise new techniques for the lapidus bunionectomy. Most notably the Lapiplasty procedure. The lapiplasty technique utilizes multiple guides and jigs to provide very consistent results.

Dr. Johnston was recently trained on the Lapiplasty Technique and has been very successfully performing the procedure.

Do you have painful Bunions? If so, give Dr. Johnston a call for an evaluation to see if you are a candidate for bunion correction


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Aug 30, 2023

You'll never find a nicer doctor. Dr. Johnston is the best.

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