Dr. Coscino is proud of his 25 years experience with successful bunion surgery outcomes. Surgical treatment for the vast majority of bunion patients allows for ambulation with a surgical shoe, without crutches or a cast, on day one. In addition, a cosmetically-placed incision insures little to no visible scar after surgery, and, surprisingly, far less post-operative discomfort than is typically expected. All of this adds up to an experience that can be a pleasant surprise resulting in happy, satisfied patients.

A bunion is the enlargement of bone and soft tissue around the joint at the base of the big toe. This causes the first joint of the big toe to slant outward, resulting in excessive width to the foot, poor shoe fit, and abnormal wear to the joint surfaces. Additionally, the big toe often angles toward the other toes, causing contracture and distortion to additional toes (hammertoes). Although bunions are generally hereditary, they may erupt because of shoes that are too narrow in the forefoot and toe. Conservative as well as surgical treatment options are available.

A hammertoe is characterized by an unnatural or excessive curvature or contracture to a toe. The result is chafing, redness, shoe pressure and pain to either the tip of the toe or the top of the toe. Painful corns can sometimes result. A surprising variety of treatment options are available, ranging from comfort measures, maintenance care, custom-molded arch supports, or surgical treatment to varying degrees of intervention. Recovery is often quicker and less painful than typically expected.

In some cases, an undesirably long toe can result in excessive shoe pressure hitting the tip of the toe and causing pain. This condition can make it very difficult for that person to fit in shoes, walk and exercise comfortably. Similarly, sometimes toes, either from birth or over time, bend excessively to the left or to the right, resulting in a less than cosmetic foot and/or pain. Relatively simple office-based procedures are often performed under a local anesthetic to help these toes look and feel their very best.

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