Where to Get the Best First Metatarsal Surgery?

Where to Get the Best First Metatarsal Surgery?

Regarding foot health, the first metatarsal plays a crucial role in balance, movement, and overall functionality. If you’re experiencing pain or dysfunction in this area, you may be considering surgery as a viable solution. But how do you determine the best place for this important procedure? At the Foot and Ankle Center of Arizona, we prioritize providing you with the information and care you need to make informed decisions about your health. Dr. Kris A. DiNucci, a highly skilled Podiatric Foot and Ankle Surgeon, is dedicated to offering top-notch surgical care to address your first metatarsal issues.

Understanding the First Metatarsal

The first metatarsal is the long bone in your foot that connects to the big toe. It plays a pivotal role in supporting your body weight and enabling efficient movement. Issues with the first metatarsal can lead to significant discomfort and mobility problems, making it essential to address any conditions promptly.

Common First Metatarsal Conditions

Several conditions can affect the first metatarsal, including:


  • Bunions: A common deformity causing the big toe to deviate towards the other toes, leading to a prominent bump on the first metatarsal.
  • Fractures: Breaks or cracks in the first metatarsal bone, often resulting from trauma or overuse.
  • Arthritis: Degeneration of the joint at the base of the big toe, causing pain and stiffness.
  • Hallux Limitus/Rigidus: Limited motion in the big toe due to joint abnormalities or arthritis.

When is Surgery Necessary?

Surgery is often considered when conservative treatments such as orthotics, physical therapy, or medication fail to alleviate symptoms. Key indicators that surgery may be necessary include chronic pain, significant deformity, and impaired function.

Choosing the Right Surgeon

Selecting the right surgeon for your first metatarsal surgery is paramount. Here are some factors to consider:

  • Experience and Credentials: Ensure the surgeon is board-certified and has extensive experience in foot and ankle surgeries.
  • Patient Reviews and Testimonials: Look for positive feedback from previous patients to gauge the surgeon’s expertise and patient care quality.
  • Technology and Techniques: Modern surgical techniques and equipment can significantly improve outcomes and recovery times.

Why Choose the Foot and Ankle Center of Arizona?

At the Foot and Ankle Center of Arizona, we pride ourselves on offering exceptional surgical care for first metatarsal issues. Dr. Kris A. DiNucci is a leading expert in the field, utilizing the latest techniques and technology to ensure optimal outcomes for our patients. Our Scottsdale location provides a convenient and welcoming environment for all your foot and ankle needs.

The Surgical Procedure

Understanding the surgical procedure for first metatarsal issues can help alleviate concerns and set realistic expectations. The specific approach will depend on the condition being treated, but common procedures include:


  • Bunionectomy: Removal of the bony bump and realignment of the first metatarsal.
  • Osteotomy: Cutting and repositioning of the first metatarsal to correct deformities.
  • Arthrodesis: Fusion of the joint to alleviate pain and restore function.

Recovery and Rehabilitation

Post-surgery recovery is a critical phase to ensure successful outcomes. Here’s what to expect:


  • Immobilization: Use of a cast or boot to protect the surgical site and facilitate healing.
  • Physical Therapy: Essential for restoring strength, flexibility, and range of motion.
  • Follow-up Appointments: Regular check-ins with your surgeon to monitor progress and address any concerns.

Benefits of First Metatarsal Surgery

Surgery on the first metatarsal can offer significant benefits, including:


  • Pain Relief: Reduction or elimination of chronic pain.
  • Improved Function: Enhanced mobility and ability to perform daily activities.
  • Corrected Deformity: Aesthetic improvement and prevention of further complications.
  • Risks and Complications
  • As with any surgical procedure, there are potential risks and complications. It’s important to discuss these with your surgeon to make an informed decision. Common risks include infection, nerve damage, and issues with bone healing.


Q: How long is the recovery period?

A: Recovery can vary, but most patients can expect to resume normal activities within 6-8 weeks, with full recovery taking several months.

Q: Will I need physical therapy?

A: Yes, physical therapy is crucial for regaining strength and mobility after surgery.

Q: Is the surgery painful?

A: Pain is managed with medications and decreases significantly within the first few days post-surgery.

Q: Can I walk immediately after surgery?

A: Limited weight-bearing is typically allowed with the help of a cast or boot. Full weight-bearing usually resumes gradually.

Q: What are the success rates of first metatarsal surgery?

A: Success rates are high, with most patients experiencing significant improvement in pain and function.


Choosing the best place for first metatarsal surgery is a crucial decision that can significantly impact your quality of life. At the Foot and Ankle Center of Arizona, we are committed to providing the highest standard of care to ensure successful outcomes for our patients. Dr. Kris A. DiNucci and our dedicated team are here to guide you through every step of the process, from initial consultation to post-surgery recovery. If you’re struggling with first metatarsal issues, don’t hesitate to reach out to our Scottsdale office to schedule an appointment and take the first step towards better foot health.


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