My Blog

Posts for tag: Bunions

By Raymond A. DiPretoro, Jr. D.P.M.
August 02, 2017
Category: Foot Care
Tags: Bunions  

Tired of that bunion? A bunion is a bony bump that forms on the joint connecting the big toe. Bunions can be extremely painful. Dr. bunionsRaymond DiPretoro Jr. and Dr. Aahba M. Suchak of Advanced Foot & Ankle Center, which has offices in Newark and Wilmington, DE, offer a range of specialized treatments for bunions. Read on to learn about four treatment options for bunions.

1. Taping and Padding- Taping and padding can ease your symptoms. Your foot doctor can pad and tape your foot in a normal position. This will reduce pain and stress on your bunion. Taping and padding also prevent bunions from getting worse.

2. Custom Orthotics- Orthotic devices are used to treat a variety of foot problems. Orthotic devices are molded pieces of rubber, leather, or other material that are inserted into a shoe. Orthotic devices can be helpful in treating bunions. They can help take pressure off your toes and alleviate your pain. You can get custom-made orthotic devices from your podiatrist.

3. Suitable Footwear- It is recommended that you wear flat or low-heeled, wide-fitting shoes if you have a bunion. High-heel shoes can make your bunion worse by putting excessive pressure on your toes. Footwear made from soft leather is ideal because it will relieve pressure on your bunion.

4. Bunion Surgery- Surgery may be recommended for your bunion if your symptoms are severe enough to warrant such intervention. The type of surgery performed depends on the severity of the bunion and the patient's general health, age, and activity level.

Say hello to healthy and happy feet! Call Advanced Foot & Ankle Center at (302) 355-0056 now to schedule an appointment in our Newark or Wilmington, DE office. We are committed to providing high-quality patient care using state-of-the-art technologies. We will provide all the relief you need.

By Raymond A. DiPretoro, Jr., D.P.M.
November 03, 2014
Category: Bunions
Tags: Bunion Surgery   Bunions   Bunionectomy  

Bunion SurgeryMyths About Bunion Surgery

6 Myths About Bunion Surgery
A bunion is a structural problem of the big toe joint causing a boney prominence. Surgery is commonly performed to correct the problem.

Surgery for bunions involves more than just simply shaving the boney protrusion. It typically requires that the bones have to be structurally realigned. Milder bunions are corrected with bone cuts close to the big toe joint. Larger bunions typically need a more "involved" bone cut or a fusion procedure to completely realign the problem. It takes approximately six weeks for the bones to heal in the corrected position.

Myth #1: Bunion Surgery Is Excruciatingly Painful

Bunion surgery is not particularly "more" painful than other surgeries. Foot surgery, in general, can lend itself to increased pain post-operatively because the foot is below the level of the heart and blood can rush to the area, causing a throbbing feeling. Also, the foot does not have much soft tissue surrounding the bones, so moderate postoperative swelling can aggravate the nerves, causing pain. Most patients find that the postoperative discomfort is tolerable with pain medication. 

Myth #2: Bunions Come Back Even After Surgery

A majority of patients are satisfied with their outcome after bunion surgery. Recurrence is possible, but not particularly likely.  The return of a bunion is not necessarily a complication, but something that can happen over time. Some patients have excessive motion in the foot that may predispose them to the bunion coming back.  Another possible reason for recurrence occurs when a procedure that was performed did not best suit the severity of the particular bunion -- so it's important to have the surgery tailored for your particular bunion and to make sure your surgeon has had experience and successful outcomes with bunionectomey surgery. 

Myth #3: Bunion Surgery = Cast and Crutches 

While this was true years ago, more modern techniques have allowed surgeons to mobilize patients quicker. Mild bunions typically involve walking in a surgical shoe for six weeks. Surgeons consider casting with crutches with larger bunions because setting the bones is more complex. Some surgeons have moved away from bone cuts and instead perform a fusion procedure that allows for realignment of the entire deviated bone. This fusion procedure is called the Lapidus Bunionectomy, and contemporary approaches allow for early protected walking at two weeks postoperatively. This is a procedure that Dr. Raymond A. DiPretoro, Jr. is well-versed in!

Myth #4: You Have To Be Off Work

This is simply not true,!  A patient can return to a  desk job within two weeks of the surgery, and varies based on surgeon protocol and type of bunionectomy performed. Jobs that require excessive walking, standing and physical activity may require a medical leave of absence -- which can be up six weeks up to two months depending on healing and job requirements. Getting around can be difficult and driving may be off limits if you have your right foot operated on and/or drive a manual.

Myth #5: Don't Fix A Bunion Unless Painful

The concern with surgically correcting a non-painful bunion is that the surgery can result in longstanding post-operative pain that may not have been there prior. However, people do have surgery for non-painful bunions if the bunion interferes with activity, continues to become larger, or if they have difficulty wearing certain shoes and/or if the bunion is simply unsightly. Surgeons strongly prefer (or require) that patients have a painful bunion before they consider surgery. Fortunately, pain is the most common reason people seek treatment. 

Myth #6: Healing After Bunion Surgery Results In Unsightly Scars
Surgical healing is part of the process with any surgery, and bunion surgery is no different. Incisions can be minimized, or alternate surgical approaches may be used to hide surgical scars. Bunion incisions are either located on the top of the foot or on the side of the foot, and technique varies based on surgeon. A surgeon may perform a plastic surgery-type closure to keep scaring minimum. 
To learn more about bunion surgery visit the Advanced Foot and Ankle Center Inc. near you.  For your convenience, there are location in Wilmington, Newark and Glasgow, DE.  You can also find us online, or contact us by calling (302) 355-0056!
Photo Credit:  Leagun via
By Raymond A DiPretoro Jr., DPM
June 05, 2014
Category: Bunions
Tags: Bunions   Footwear  

High Heels often Cause even more Bunion Pain.Woo-hoo! It’s shoe shopping time. What? You’re not excited? Come on, everyone loves buying new shoes. Unless, of course, you have a bunion. A painful bump on the joint of your big toe can really put a damper on a trip to the mall. No worries, though. Finding comfortable footwear that doesn’t rub you the wrong way can be a challenge, but if you know what styles to steer clear of, you’ll find the fun in shoe shopping again. Here’s a guideline for shoes to avoid with bunions:

Bring it on down. High heels like stilettos put pressure on your forefoot and squish your toes together. Think about it—if your big toe is forced against your other toes, your bunion will be sticking out even more, and that invites friction to the party. No one likes an uninvited guest, especially one that causes pain!

Platform wedges and high-heeled boots cause the same problems. As a rule, get used to your natural height. Other shoes to avoid with bunions are ones that are too narrow and don’t give your toes enough room to spread out and relax.

Finally, back away from that stiff style, too. You need to find footwear that is made of a stretchable, conforming material, like the new canvas shoes that are all the rage right now.

You can still be fashionable when you have a bunion if you follow these helpful tips. For more ways to keep your pain from getting worse, visit Raymond A. DiPretoro Jr., DPM, FACFAS, at Advanced Foot & Ankle Center. There are three convenient locations to choose from in Glasgow, Newark, and Wilmington, DE. Call (302) 355-0056 for a consultation today.

Photo credit: Gualberto107 via

By Raymond A DiPretoro Jr., DPM
June 02, 2014
Category: Bunions
Tags: Bunions   Exercise  

Pick Shoes that Fit Well to help with Bunion Pain.Is your big toe bringing you down? Don’t let that bump cramp your style. With some extra measures, you can stay active with bunions, really—you can.

Before slipping on your running shoes, there are things you can do that can help prevent the friction that causes bunion pain. Pick up a toe separator at your local drug store, place it between your big toe and second toe and tape it in place. This will keep your joint in a more normal position. Also, you can try these exercises that increase blood flow to your big toe joint:

Sit with your knee bent and foot flat on the floor. Keeping your heel in place, lift your foot and pull your big toe to the side, away from the others. Repeat 10 times. Pretty easy, huh?

From the same position (you don’t even have to get up!), raise your foot and curl your toes down toward the ground. Gently push down on each toe to flex them. Again, repeat.

The shoes you wear make a big difference too. Be sure to select a style of running shoe that fits properly and offers a roomy toe box. Lastly, adjust your steps so that you plant your midfoot, not your toes.

Big toes don’t need to give you the blues. With a little TLC, you can stay active with bunions. To find out more ways to manage that painful bump, call (302) 355-0056 and talk to Raymond A. DiPretoro Jr., DPM, FACFAS, from Advanced Foot & Ankle Center. You can also visit our website or a location near you in Wilmington, Glasgow, and Newark, DE.

Photo credit: hyena reality via

Contact us 

Please call us at (302) 355-0056.
This is the quickest and easiest way to schedule an appointment and to have your questions answered! We look forward to hearing from you!

Our Locations

Newark, DE Podiatrist
Advanced Foot and Ankle Center - Neuroscience & Surgery Institute of DE.
774 Christiana Road, Suite #105, Newark, DE 19713
(302) 355-0056

Wilmington Office
1415 Foulk Road, Suite #101, Foulkstone Plaza, Wilmington, DE 19803
(302) 355-0056

Middletown Office
Middletown Medical Center 210 Cleaver Farm Road Building B, Suite 2 Middletown, DE 19709
(302) 355-0056