Your Guide to Recovery After Bunion Surgery

Bunion surgery is a big step toward healthier, pain-free feet. At Restore Foot and Ankle Specialists, we’re here to guide you through every stage of healing. Recovery is just as important as the surgery itself, and following your post-op plan will help ensure the best possible outcome.

Because not all bunion surgeries are the same, your recovery may look a little different depending on whether you had traditional open bunion surgery or a minimally invasive bunion procedure (MIS). Below, we outline what you can expect after both types.

1. Immediate Post-Operative Period (Days 1–7)

For Both Approaches:

• Rest & Elevation: Keep your foot elevated above heart level for 45–60 minutes at a time, several times a day. This helps control swelling and throbbing.

• Dressings & Bandages: Keep your dressings dry and intact. Do not attempt to change them unless instructed.

• Pain & Swelling Management: Take medications exactly as prescribed. Apply ice packs wrapped in a towel to the ankle (not directly on the incision) or behind the ankle for 15–20 minutes per hour.

• Bathing: Keep the surgical area dry. Use a shower protector or sponge bathe until cleared.

Traditional Bunion Surgery:

• Weight-bearing is usually more limited in the first week. Patients often need crutches, a walker, or a knee scooter.

• Pain and swelling can be more pronounced because the incision and bone work are larger.

Minimally Invasive Bunion Surgery (MIS):

• Many patients are allowed limited weight-bearing right away in a post-op shoe.

• Smaller incisions mean less swelling and pain in the first week compared to traditional surgery.

2. Early Recovery (Weeks 2–6)

For Both Approaches:

• Incision Care: Watch for redness, drainage, or warmth—signs of infection.

• Suture Removal: Stitches are typically removed at 2–3 weeks. Some stitches absorb into the skin, and don't require removal. 

• Activity: Avoid lifting, driving (if on pain medication or if the driving foot is involved), and long walks.

• Foot Hygiene: Once cleared, gently wash with mild soap and water. Avoid soaking until fully healed.

Traditional Bunion Surgery:

• Patients often stay in a surgical boot longer (sometimes 4–6 weeks).

• Mobility and return to daily tasks may take more time due to stiffness and swelling.

MIS Bunion Surgery:

• Patients may transition out of the surgical shoe earlier, often around 3–4 weeks, depending on healing.

• Faster return to normal walking and light activities.

3. Intermediate Recovery (Weeks 6–12)

For Both Approaches:

• Transitioning Footwear: Gradually move from a surgical shoe into a wide, supportive sneaker.

• Physical Therapy: Gentle toe stretches, ankle mobility work, and calf stretches help restore flexibility.

• Swelling Control: Compression socks may be helpful.

• Driving: Typically allowed once in regular shoes and off pain meds (confirm with your doctor).

Traditional Bunion Surgery:

• Swelling and stiffness may remain more noticeable through this stage.

• Physical therapy plays a bigger role in regaining motion and strength.

MIS Bunion Surgery:

• Many patients are already back in athletic shoes at this point.

• Swelling and stiffness are usually less severe.

4. Long-Term Recovery (3–6 Months and Beyond)

For Both Approaches:

• Activity Progression: Slowly reintroduce low-impact activities like walking, cycling, and swimming before returning to running or high-impact sports.

• Scar Care: Once the incision is fully healed, use silicone gel or vitamin E oil to minimize scar appearance.

• Footwear Choices: Stick with shoes that have good arch support and wide toe boxes.

• Monitoring: Report any persistent swelling, pain, or stiffness to your podiatrist.

Traditional Bunion Surgery:

• Full recovery may take up to a year, with swelling sometimes lasting 6–9 months.

MIS Bunion Surgery:

• Patients often reach full activity sooner, with many resuming most daily activities within 8–10 weeks and swelling resolving faster.

Additional Post-Op Care Tips

• Do not smoke – nicotine delays bone and tissue healing.

• Eat a nutrient-rich diet – protein, vitamin C, and calcium support healing.

• Stay hydrated – reduces swelling and aids recovery.

• Be patient – healing timelines vary, especially between MIS and traditional approaches.

• Stay connected – contact us right away if you have concerns about your progress.

Final Thoughts

Both traditional and minimally invasive bunion surgeries can provide excellent results. The difference lies in recovery time, pain, and scarring. At Restore Foot and Ankle Specialists, we personalize your treatment and recovery plan to fit your procedure and lifestyle, helping you get back to pain-free living as quickly and safely as possible. If you have any questions or concerns regarding your post-operative care, please contact our office today with Dr. Gireesh Reddy or Dr. Sirisha Pokala by calling (469) 573-3427 or by booking an appointment online.

Minimally Invasive vs. Traditional Bunion Surgery Recovery