Forefoot Surgery

Forefoot Surgery

When is forefoot surgery necessary?

Forefoot surgery refers to surgery performed on the toes to provide relief from bunions, stiff big toes join, metatarsalgia pain, claw toe, hammer toe or other issues caused by rheumatoid treatment for your toes to alleviate problems caused by rheumatoid arthritis.

Symptoms that May Call for Forefoot Surgery

  • Redness
  • Swelling
  • Pain and difficulty walking
  • Deformities (toes bending strangely, lumps growing on the sides of the foot)
  • Calluses

Surgery is rarely the first remedy. Most physicians will attempt to resolve the symptoms with orthotics.


Typically, forefoot surgery will be performed in a hospital under general anesthesia. One example of this surgery is big toe fusion, resulting in greater strength. Sometimes, smaller toes will be straightened. By removing a small piece of bone from the top of the toe, the toe will move to a flattened position. Ligaments and tendons may be repaired, depending on the individual's situation. The foot will be wrapped and pain medication will be prescribed.


The foot will be dressed for a few weeks and the dressing will be frequently changed. Your physician will likely instruct you to keep your foot elevated. In cases where the big toe is fused, you will need to walk on your heel until the toe heals. A brace may be recommended or a cast applied. A return to normal activities will depend on the rate of recovery.