(Removal of bony prominence)

Aim Of This Article

To provide you with information to assist you in making an informed choice, whether or not to undergo foot surgery.

Aims Of This Procedure

Relief of pain or deformity by removal of prominence of bone (exostosis). If this is from under the toe nail it may be referred to as a subungual exostectomy.

The Procedure

An incision is made by the bony prominence. This could be at the tip or side or through the top of the toe if the nail is removed.This procedure requires stitches.

Approximate procedure time 20-40 minutes.

Approximate Recovery Times

Week 0-1 Heel or flat foot walking only with minimum pressure on the toe or operation site. Rest with your foot elevated.
Week 1-2 Reduced walking only. Elevate your foot when possible. Sutures are removed around this time.
Week 3-4

Swelling should start to subside. Gradual return tonon-sporting activities (work) as felt comfortable. Return to driving in normal shoes when it is safe to.

Week 6-8 Continued improvement. Swelling and stiffness should be subsiding.
Month 6-12 For most people the full benefit of surgery is by now.

Specific Risks Of This Operation

  • Regrowth of the bone spur.
  • Permanent loss of part, due to circulation damage.
  • Possibility of permanent loss or distortion of toenail.

General Risks Of Surgery

  • Infection minor or major
  • Delayed healing of soft tissues or bone.
  • Swelling, short or long term.
  • Numbness, short or long term.
  • Scar problems, Pain Thickening Discolouration.
  • Chronic (long term) Pain Syndromes.
  • Anaesthetic and medication complications.
  • Damage to Circulation. Haematoma (Bleeding into the skin)
  • Blood clots, DVT and Thrombosis, Heart attack.
  • Failed procedure, Deterioration, Fatality from complications


We specialise in providing Regional Local Anaesthesia. We use injections to numb your foot, so you do not have to be put to sleep.

Going Home

You are able to go home the same day, but you must be driven home and have a responsible adult to stay with you.

Further Information

If you have any questions please ask the team Consultant or a member of the Podiatric Surgical Team during your consultation.

This leaflet should be read in conjunction with Patients Pre-Op Information Booklet available at the Practice