Recovery after bunion surgery is a process rather than a single date. The exact timeline depends on the procedure, fixation, bone quality, medical history, work demands and how the foot responds during healing.
After an Austin or Chevron osteotomy, many patients are allowed to walk in a specialised postoperative shoe, usually with instructions to keep pressure controlled and elevate the foot regularly. Some patients require crutches or another walking aid initially. The dressing must be kept clean and dry, and wound reviews are arranged according to the operative plan.
The first two weeks are primarily about protecting the wound and controlling swelling. Elevation is important, particularly during the early days. Pain is usually managed with an individual medication plan, but discomfort varies and should not be described as absent or trivial.
Sutures are commonly reviewed or removed around two weeks, depending on wound healing. The postoperative shoe is generally continued while the osteotomy consolidates. Follow-up X-rays may be used to assess alignment and bone healing before progression into ordinary footwear.
Return to work depends heavily on the job. Seated work may be possible sooner if the foot can be elevated and travel is manageable. Jobs involving prolonged standing, walking, lifting or safety footwear usually require a longer period away or modified duties.
Swelling commonly lasts much longer than the initial wound healing. It can fluctuate for several months and often increases towards the end of the day. Shoes may need to be wider or more adjustable during this period. Return to exercise should be gradual and guided by healing, strength, movement and symptoms rather than by a fixed promise.
Driving depends on which foot was operated on, the type of vehicle, medication use, footwear and the ability to perform an emergency stop safely. Patients should also consider insurance and local legal requirements before resuming driving.
Rehabilitation may include range-of-motion exercises, gait retraining, swelling control and progressive strengthening. Following the postoperative plan is an important part of protecting the correction and achieving the best functional result possible.