Cheilectomy Is Worth It


The procedure known as a cheilectomy removes bone spurs on the top surface of the big toe joint bones. This procedure may sound invasive; however, it is worth it to restore proper movement and reduce pain in the big toe joint. Luckily, our podiatrist, John Schilero, DPM, at the Palm Beach Orthopaedic Institute, can perform this procedure and help your big toe joint get back to a healthy state. Call us at 561-694-7776 EXT. 41 or visit us at our West Palm Beach, Jupiter, Wellington and Palm Beach Gardens, Florida locations to learn more this condition.

A Cheilectomy (also referenced in our Patient Education section) is additionally known as the big toe joint or “first MTP”. This procedure reduces pain and restores mobility caused by spurs. These bone spurs that necessitate this procedure develop from arthritis of the big toe which gets progressively worse without treatment. The bone spurs then block motion and cause pain that is exasperated with direct pressure from footwear.

Prior to undergoing this surgical procedure, other methods may be used to prevent it from happening such as orthotic inserts or medications. When surgery is however required, the spurs on the top of the bones will be removed through an incision on the top of the first MTP joint without touching the tendon that lengthens the big toe. The big toe joint is thereafter cleaned out of any debris. After the procedure, the foot is dressed in a soft material and must be kept elevated for several days to curtail swelling. Regular activities and footwear can be used as swelling dissipates. Exercises and therapy will also be used to help the toe regain strength.

This procedure does have the risk of complications that are associated with many types of surgery such as infection, nerve or blood vessel damage and blood clots. The risk unique to this procedure however is numbness along the big toe or an incision that doesn’t heal correctly. To avoid risky complications, please contact our offices today so that we can determine if you are a proper candidate for this procedure.