Metatarsal Surgery

The human foot is a complex structure, consisting of multiple bones, joints, and soft tissues. The metatarsal bones, which are found in the middle part of the foot and connect the toes to the ankle, play an important role in supporting the body’s weight and facilitating movement. However, when the metatarsal bones are misaligned or damaged, they can cause a range of painful conditions, from bunions and calluses to ulcers and arthritis.

Fortunately, metatarsal surgery can provide relief for many of these conditions, allowing patients to return to their normal activities with minimal discomfort. Let’s take a closer look at what metatarsal surgery involves, who needs it, and what to expect from the procedure.

The most common type of metatarsal surgery is performed on the first metatarsal bone, which is located behind the big toe, and is typically done to correct bunions. Bunions are bony bumps that form on the joint at the base of the big toe, causing pain, swelling, and inflammation. They can be caused by a variety of factors, including genetics, arthritis, or wearing tight shoes.

During bunion surgery, the metatarsal bone is cut just behind the toe, and then repositioned to correct the alignment of the joint. The bone may be held in place with screws, pins, or wires, and the soft tissues surrounding the joint may be tightened or repositioned as well. Most patients can go home the same day as the surgery, although they may need to wear a cast or a special shoe for several weeks to protect the foot while it heals.

Surgery on the second through fifth metatarsal bones is less common but may be necessary to treat painful calluses on the bottom of the foot or non-healing ulcers on the ball of the foot. These conditions are often caused by pressure or friction on the foot, which can be related to foot deformities, ill-fitting shoes, or underlying medical conditions such as diabetes or neuropathy.

During surgery on the other metatarsal bones, the bone is cut and realigned in a similar way to bunion surgery. In some cases, the surgeon may also remove the painful callus or ulcer at the same time, although this is usually done on an outpatient basis under local anesthesia.

Patients with rheumatoid arthritis may also require metatarsal surgery if the condition has caused significant damage to the joints or bones in the foot. In these cases, the surgery may be more extensive, involving removal or fusion of multiple bones in the foot or ankle.

As with any surgery, there are risks and potential complications associated with metatarsal surgery, including infection, bleeding, nerve damage, or improper healing of the bone. However, these risks are generally low, and most patients experience significant improvement in their symptoms after the surgery.

If you are experiencing foot pain or discomfort, especially in the ball of the foot or around the big toe, you may benefit from seeing a foot and ankle specialist such as Dr. Gilbert Huang DPM. Dr. Huang has extensive experience in treating foot and ankle conditions, including bunions, calluses, and arthritis, and can help you determine whether metatarsal surgery is the best option for your particular situation.

In conclusion, metatarsal surgery can provide relief for a range of painful foot conditions, from bunions and calluses to ulcers and arthritis. While it may sound intimidating, the surgery is generally safe and effective, and most patients can return to their normal activities within a few weeks. If you are experiencing foot pain or discomfort, don’t hesitate to seek medical advice from a foot and ankle specialist who can help you find the best treatment for your needs.