First, what is a Bunion, and Hammer Toe?
A "bunion" is when the bones in your foot called the 1st, and 2nd metatarsals drift apart over time which can widen the foot. This creates increased pressure to the base of the big toe when wearing shoes. The big toe then tries to stay with the lesser toes and drifts the opposite direction. Often the big toe then pushes on the 2nd toe causing it to bend upward which creates a "hammer toe." The hammer toe then becomes painful at the top of the knuckle, and on bottom, or ball of the foot.
Why surgery for bunions and hammer toes?
There are only a few conservative options for painful bunions and hammer toes which often fail to resolve the pain. These would be wider shoes with larger toe box, or wearing a protective silicone barrier ... that's it. Braces simply do not work. Surgery is typically indicated.
The Problem with
Traditional Foot Surgery
This image says it all. Foot surgery is notoriously painful and debilitating because foot surgeons have adopted use of large orthopedic hardware which requires anesthesia for large incisions, and painful metal implants. This in turn requires lengthy downtimes where you cannot walk on your foot loosing valuable time with your family and job, all the while taking narcotics because it is so painful ... It doesn't have to be this way.
Minimally Invasive Foot Surgery is the Solution
The differences are clear:
Keep walking immediately after surgery!
Better Cosmetic Result!
- we do this without permanent screws, plates, large incisions, and without the surgery center! We perform this in our office!
Watch our patient talk about her experience with our minimally invasive procedure!
We perform these procedures in our private office! Afterwards you will be provided a direct phone line to call, or text the surgeon, and priority appointments. You will also follow-up with us weekly to receive laser therapy for any pain or swelling. A truly concierge service.
Don't miss your opportunity to see if you're a candidate for this procedure. Book your consultation today!
Other Problems We Treat with Minimally Invasive Surgery:
Hallux Limitus / Rigidus
60 second video why you should choose us for
Minimally Invasive Foot Surgery
$1,875 - $2,875*
*Depending on your problem the cost is within this range.
Package Pricing Includes:
$125 consultation fee deducted.
Concierge 24/7 contact with surgeon.
Surgery & all follow-up appointments.
Laser therapy (for inflammation) as needed.
Everything to care for your foot following surgery.
Frequently Asked Questions
Is this 3D correction like the lapidus, and do you do lapiplasty?
Yes, this is a 3D correction just like the lapidus. Our minimally invasive approach completely moves the big toe joint in a 3-dimensional plane. However, too much forced fixation (as done traditionally) can cause new problems. Our procedure allows immediate weight bearing which allows the new joint position to adapt to too much pressure creating a natural position where the joint should be. We believe this is better than lapiplasty for most people given all the reasons mentioned above. Lapidus has its uses, and is designed for specific bunion types which most people do not have.
How long does it take to recover from minimally invasive foot procedure?
Because there is less trauma to the foot with minimally invasive surgery the recovery is much faster! During your entire recovery you will be able to walk and continue to work with limitations (due to wearing of a surgical shoe). If able most people are back to work in a matter of days. Under normal circumstances you will be back in a regular gym shoe in about 4-6 weeks! However, activity will still be limited up to 8-12 weeks after surgery depending on the procedure. After this exercise may resume as tolerated.
Does minimally invasive bunion surgery work?
Absolutely! Minimally invasive bunion surgery is almost as old as the profession of podiatry and has been perfected for decades! There are multiple studies performed over the years proving it is as effective as traditional open bunion surgeries. A randomized clinical trial comparing the two surgeries found that they are identical in clinical performance, but "patient satisfaction was significantly superior in the MIS group 12 weeks post-operative":
What is the pain like with minimally invasive foot surgery?
Minor. In fact, narcotics are not needed. We also provide laser therapy to manage any excess pain during follow-up appointments.
What is it like having surgery at your office?
Have you ever had a dental procedure? Its very similar. Your entire experience will be about 2-3 hours. You may have a light meal prior to your surgery (unlike other surgeries where you must be fasting). You will arrive and relax in our exam room. Vitals will be taken (no IV, or needle inserted as you will be awake for the procedure). The foot will be numbed with a local anesthetic. We use nitrous oxide to help you relax, and have less discomfort during the numbing process. The actual procedure may take 1 hour. After the procedure is complete you will relax in an exam room for a short time to be monitored. Once deemed stable we will provide a post-surgical kit, and you will be able to walk out with a surgical shoe and drive yourself home if able. Though we recommend someone to be with you. You will then follow-up with us weekly!
Do you take (xyz) insurance?
No. However, our prices are very competitive because we don't take insurance. Our prices are low because we perform this in our office without sedation. Also, this may be covered by any "out-of-network" coverage you may have, and we can submit an out-of-network claim for you (in most cases). Typically we see a 50% reimbursement if your deductible is met. Click here to see what benefits you have.
Dr. Andrew Alward DPM
A native of Illinois, after completing his medical training in Chicago, IL Dr. Alward relocated to Chattanooga, TN with his wife for the love of the outdoors, great hospitality, and community of Chattanooga! He is honored to serve the area!
Doctor of Podiatric Medicine Rosalind Franklin University North Chicago, IL
Podiatric Medicine & Surgery Residency Sts Mary & Elizabeth Medical Center Chicago, IL
Board Certified American Board of Podiatric Medicine
Fellow of the American College of Podiatric Medicine
Special Interest & Post-Graduate Education in Minimally Invasive Foot Surgery