There were callosities beneath the second and third metatarsal heads and splaying of the second and third toes. After lengthy discussions with the patient we elected to perform a lengthening Scarf osteotomy of the first metatarsal together with a medial closing wedge osteotomy of the proximal phalanx. Post operatively the alignment of the great toe and the transfer metatarsalgia were much improved. (Fig.2) Her symptoms failed to respond to conservative treatment and she underwent removal of the previous metalwork together with a fusion of the first MTPJ. (Fig.4) At her last follow up she was able to walk for more than five miles without any recurrence of her transfer metatarsalgia. Ingrown toenail is when the nail has grown in the skin causing pain, swelling, redness and infection. Cutting the nails too short or not straight across, injury to the toenail, and wearing tight shoes are culprits. If your case is mild, soak foot in warm water, keep it clean, and wedge a small piece of cotton under the corner of the ingrown nail and lift off the skin. Minor surgery remove all or part of the nail. ICD-9-CM 735.1 is a billable medical code that can be used to specify a diagnosis on a reimbursement claim. " width="12" height="12" src="/images/right.png" alt="" /> What happened in my case is that because it was left out of alignment, the toe bone hits the first metatarsal when it tries to bend back. The metatarsal side closer to the toe was raised as a result of the metatarsal center cut area where it meets healed too low. it's a rotational issue. I can feel it hit once I cleared away all of the scar tissue, its bone/bone. The side of my foot hurt also. One needs to be conscious of the four critical areas during the bunion surgery recovery time – these are medication, regular dressings, weight management, protective foot wear and proper exercise. Got my first bath since surgery. Oh boy. I'd advise everyone to have someone with you that you don't mind seeing you completely naked, gross, un-shaved, and who's strong enough to make up for one of your legs. Not getting it wet, despite the bags covering it, requires some serious ACME skillz! Looking everywhere online for other people's experiences but can't find anything. I need some help but I guess double osteotomies and bunionectomies aren't too common. NOTE TO everyone who's had a bunionectomy. YOU HAVE NO idea. Take note, this surgery is life changing, at least during the time you are healing. A bunion (nothing to do with onion really, but it does look like an onion sometimes) is a thickened swelling at the base of the big toe caused by a bone deformity. This kind of deformity is usually minor causing the joint at the base of the big toe to project outwards. This forces the tip of the toe to turn inwards towards the other toes on the foot. Another good option is to by sling pads or toe spacers from pharmacies. Placing these in between the big toe and the second toe will indeed take the pressure off the big toe. This will reduce the pain and discomfort. Just because you have this deformity does not necessarily mean you have to have treatment. In the asymptomatic or non-painful deformity it is more prudent to find the underlying cause of the deformity and make changes accordingly. In most cases a prescription orthotic device by a podiatrist will control the abnormal foot function that is aggravating the formation of the deformity. implant failure- in the case of a joint implant there is always the possibility it may have to be removed due to infection or reaction to the materials of the implant. Bunions ( Hallux Valgus ) are one of the most common causes of foot pain. It is characterized by a large, hard protrusion at the base of the big toe. It can become swollen and feverish. This is a condition that is usually caused by wearing shoes with pointed or narrowing toes. The bump is, in fact, a bone sticking out and turning toward the inside of the foot. The big toe often is found resting under or on top of the second toe which is called overlapping toes. The bunion or hallux valgus forms at the 1st metatarsal and proximal phalangeal joint. What Are The Causes Of Bunion Formation?