Detailed evaluation
Clinical examination and weight-bearing radiographs define the bunion and identify related foot problems before anything is decided.
BUNION BOSSPalm Beach CountyPALM BEACH GARDENS, FLORIDA
Bunion correction through incisions a few millimeters wide. For appropriate candidates, most patients walk out the same day in a surgical shoe.
Minimally invasive bunion surgery is an excellent option for a wide range of deformities, including many moderate and severe ones. But the best operation depends on the deformity and the condition of the joint. Our surgeons evaluate alignment, rotation, instability, arthritis, prior surgery, health factors, and activity goals before recommending treatment.
If minimally invasive correction is the wrong choice for your foot, we will say so, and explain what we would recommend instead.
A traditional bunionectomy requires an incision several centimeters long over the big toe joint, with the soft tissue opened to expose the bone. In a minimally invasive correction, the first metatarsal is reached through portals a few millimeters across. A high-speed burr under live fluoroscopic guidance reshapes and repositions the bone, and the correction is held with screws placed percutaneously.
The soft tissue envelope, the joint capsule, and the blood supply to the bone are largely left undisturbed. Less soft tissue trauma generally means less post-operative swelling and a smaller scar — without correcting the deformity any less completely.
Clinical examination and weight-bearing radiographs define the bunion and identify related foot problems before anything is decided.
We explain nonsurgical care, minimally invasive technique, and other reconstructive options in language you can use to make a decision.
Weight-bearing and return-to-activity instructions are matched to the procedure, bone healing, symptoms, and follow-up imaging.
Your timeline depends on the severity of your deformity, your bone quality, and how well you follow the post-operative protocol. For a typical minimally invasive correction:
Residual swelling in the forefoot can persist for several months after the bone has healed. This is normal and resolves.
You may be a good candidate if you have pain with shoes or activity that has not responded to wider footwear, padding, or orthotics; your big toe joint still has reasonable motion and cartilage; and you can follow a weight-bearing protocol and keep the foot elevated early on.
Additional evaluation is needed if you have significant arthritis in the big toe joint, which may call for a different procedure; you have had prior bunion surgery on the same foot; you have peripheral vascular disease, poorly controlled diabetes, or a history of delayed bone healing; or you use nicotine in any form, which meaningfully impairs bone healing.
When anatomy calls for a different approach — a Lapidus procedure, revision surgery, or additional correction — that is what we recommend.
Orlando Cedeño, DPM, FACFAS brings more than 25 years of bunion surgery experience. He is board certified by the American Board of Foot & Ankle Surgery, with fellowship training in trauma and reconstructive surgery. Isin Mustafa, DPM, MSHS, FACFAS provides personalized, evidence-based foot and ankle care with a conservative-first philosophy.
Meet the Bunion Boss surgical team →
Percutaneous correction with internal screw fixation is the least invasive approach in current use — the bone is reshaped and repositioned through portals a few millimeters across under live imaging, without a long open incision.
Minimally invasive correction with percutaneous screw fixation is the current evolution of bunion surgery. Instrumentation and fixation have improved substantially over the last decade, which is what makes reliable same-day protected weight bearing possible.
Age alone does not disqualify anyone. Bone quality, circulation, and activity goals matter far more than the number. We regularly correct bunions in patients in their sixties and seventies.
Bunion correction is generally a covered medical procedure when the bunion is symptomatic and conservative care has failed. Our office verifies your benefits before scheduling and reviews your expected out-of-pocket cost with you.
11380 Prosperity Farms Rd, Suite 204
Palm Beach Gardens, FL 33410
Mon–Wed 8 AM–4:30 PM · Fri 8 AM–2 PM
Saturday by concierge appointment
Also correcting bunions at our Jupiter office. For foot and ankle care beyond bunions, see our full practice at Abacoa Podiatry & Leg Vein Center.
Bring your questions. We will take weight-bearing X-rays, walk you through your deformity on the images, and tell you plainly whether minimally invasive correction is right for you.
Book an EvaluationIndividual results vary. This page is for general education and is not medical advice. Surgical candidacy is determined only after an in-person examination and imaging.