Lawrence Silverbergthe Internet home of Drs. Emanuel Sergi and Lawrence Silverberg, the most compassionate and skilled foot doctors in the New York City Metro area and the country.

Dr. Silverberg is Board Certified by the American Board of Podiatric Surgery. Our office is conveniently located in Midtown Manhattan near Grand Central Station.

We take great pride in providing excellent medical care along with great bedside manner and take the extra time to explain your problems and the treatment options in detail.

At City Footcare we treat all problems related to the foot and ankle. We use state of the art diagnostic and therapeutic equipment.

The doctors believe in patient education, and patient participation in their care. We take pride in spending time with our patients and listening to them. Our patients never feel rushed. We also take the time to explain patients’ problems in detail and spell out explicit treatment plans.

When your problem requires surgery, you can rest assured that you are in the hands of competent and highly trained surgeons. Drs. Sergi and Silverberg have been called the best foot surgeons in NYC and the best bunion surgeons in NYC. The doctors perform all foot and ankle surgery including traditional open surgery, minimally invasive surgery, laser surgery, radio frequency surgery and extra-corporeal shock wave therapy. Drs. Sergi and Silverberg are experts in all aspects of foot surgery. They are very detail oriented from start to finish. A good surgical outcome starts prior to entering the operating room. After expertly diagnosing patients’ conditions, they plan out the procedures with great skill. In the operating room they are skillful and precise. They also take into consideration aesthetics with incision planning and plastic surgery type suturing techniques.

They are hospital and surgery center affiliated.

To resolve all of your foot and ankle problems, simply look around this site and make an appointment with Drs. Sergi and Silverberg today. Your feet will be glad you did!

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Painful Tailor’s bunion, surgical correction of Tailor’s bunion.

Tailor’s Bunion Surgery

Today a young lady came in with a complaint of a large bump behind her fifth toe and added that her fifth toe is turning under her fourth.  She has pain when she runs and works out.  This has been getting progressively worse over the past six months.

I diagnosed her with a Tailor’s Bunion (also called a Bunionette).  See picture below: (click any picture to enlarge)


Tailor’s bunion is a prominence of the fifth metatarsal bone at the base of the little toe. The deformity received its name because tailors sat cross-legged all day with the outside edge of their feet rubbing on the ground. This constant rubbing led to a painful bump at the base of the little toe.

Usually a tailor’s bunion is caused by an inherited faulty mechanical structure of the foot. In these cases, changes occur in the foot’s bony framework, resulting in the development of an enlargement. The fifth metatarsal bone starts to protrude outward, while the little toe moves inward. This shift creates a bump on the outside of the foot that becomes irritated whenever a shoe presses against it.  Sometimes a tailor’s bunion is actually a bony spur (an outgrowth of bone) on the side of the fifth metatarsal head.

In the case of this patient, the fifth metatarsal bone was angulated toward the outside.

Treatment for tailor’s bunion:  I informed her all about the surgical correction of Tailor’s Bunion where I make a small incision On the side of the foot and access the bone.  I then cut a small wedge in the bone to change the angle toward the inside of the foot. After the bone wedge is removed, I placed a tiny titanium screw in order to hold it in place to heal.

Recovery from tailor’s bunion surgery: For people with a desk job I can do the surgery on a Friday and send them back to work on Monday in a surgical shoe or boot. This patient, however, has a job in which she is on her feet doing sales. I advised her that she would need to take 2-3 weeks off of work or work at a desk if possible.  She chose to wait until the Fall to perform her surgery when her work schedule is lighter and she can work in the office, rather than on her feet doing sales calls.

© Copyright 2010
Best Podiatrist NYC
Lawrence Silverberg, DPM
City Footcare, PC
20 E 46th Street
New York, NY 10017
Specializing in foot surgery, bunion surgery, hammertoe surgery, cosmetic foot surgery, general podiatric surgery.
14 Responses to Painful Tailor’s bunion, surgical correction of Tailor’s bunion.
  1. sonje
    January 12, 2011 | 6:55 am

    Hi. I have a tailors bunion on the outer of each foot. Is this less surgery time/recovery than a regular bunion? Also I live overseas so would have to travel to US for the surgery, what amount of time would I need to be there, and what would be the approx total cost I would need to budget for? thanks.

    • drsilver
      May 24, 2011 | 7:47 pm

      The recovery from Tailors bunion surgery depends on how severe the problem is and that determines which procedure a podiatrist will do. The recovery from simply shaving off a bump of bone is easier than cutting the bone, moving it and placing a screw in it to heal. I’d have to see x-rays and a foot in order to make that determination. When we cut and move the bone, the recovery is very similar to the recovery from bunion surgery of the great toe.

      To answer your questions about travel time and expenses, please email me directly.

      Dr. Silverberg

  2. Michael Weisbrot
    January 20, 2012 | 11:27 pm

    I have two tailor bunions. The left foot doesnt hurt usually but feels uncomfortable. The right foot now is starting to hurt. This is after at least 10 years since diagnosis.

    If you just shave the bone can i go back to work where I sit at a desk most of the day. I have to stand to set up machines for my workers. Can I stand some?
    How much pain is it after you shave the bunion or if you have to cut the toe and reposition it?


    • drsilver
      August 20, 2012 | 1:48 am

      Hi Michael.

      If I just shave the bone for a tailors bunion a patient can do the surgery on Friday go back to work sitting down, on Monday. If work requires standing and walking, then three to four weeks are required in most cases.

      Dr. S.

  3. Taylor
    January 23, 2012 | 1:12 am

    hi,uhmm i dont know if i have a tailor bunion theres a lump on the side of each off my pinky toes and kinda my big toe it hurts to walk on it…would i need surgery? and if so does that also mean i wear a cast or the boot thing on it? and for how long? please reply to my email…girardtaylor@aol.com

    Thank You, Taylor:)

    • drsilver
      August 20, 2012 | 1:45 am

      If the bump is behind the little toe, more on your foot an the toe, then most likely it is s tailors bunion. If its on the toe itself then it’s likely a hammertoe with a corn.

      Surgery for tailors bunion requires a surgical shoe for four weeks for smaller procedures and a cam walker boot for four weeks if the metatarsal bone requires cutting a eschewing for larger tailors bunions.

      Dr. S.

  4. Phyllis
    March 16, 2012 | 1:37 pm

    I apparently have a tailors bunion on both feet. I have a simple lump about two inches down the side of my foot. It is not at a joint. Is it the same type of thing. The pain is getting worse in both

    • drsilver
      July 30, 2012 | 1:12 am

      Hello Phylis, if you mean two inches from the end of the little toe, then yes it likely is a tailors bunion.

  5. michelle
    March 21, 2012 | 6:13 pm

    hi if i sent you some pictures via email on my feet would you be able to tell me what could possibly be wrong with my feet i have seen a foot dr in the past and all he said was my feet arent broke but i have extreme pain from wearing shoes even wide shoes. the pain is located on the outsides of my feet where my pinkie toes are and my little toes point inwards i think its a tailors bunion but im not 100% sure im hoping you could just give me your thoughts and thats all im not asking for a offical diagonisis because i know that you can not do that because you have never seen me before but any suggestions will be greatly apprciated. thanks.

    • drsilver
      July 30, 2012 | 1:11 am

      Hi Michelle, it does souund like tailors bunions are the cause of your problem. I sent you an email and look forward to your reply.

  6. Adele brown
    March 31, 2012 | 10:45 pm

    I have what looks like a tailors bunion, it doesn’t really hurt at the moment, but is there any other treatment other than surgery to help it as reading other comments I can’t really take 3 weeks off work.

    • drsilver
      July 23, 2012 | 2:17 am

      Hi Adele. Unfortunately there are not many non surgical treatments for tailors bunions.

      Most are common sense. Wear wider shoes. More supportive shoes. Orthotics in the shoes sometimes help.

      I often say, “change the shoe r change the foot”.

  7. Lisa Nichols
    April 25, 2012 | 1:07 am

    I have a tailors bunion on my left foot. I went to a podiatrist in Springfield Missouri. He told me recovery time would be around 8 weeks. I want to check around and see all the options.

    • drsilver
      July 23, 2012 | 1:45 am

      Hi Lisa. The recovery for tailors bunion varies depending on which type of surgery is done. This ranges from just shaving the bone to cutting it and moving it with screw or pin fixation. Hte bigger the surgery the longer the recovery.

      Also, the concept of recovery time varies. It depends on the persons activty and work functions. It depends on how you define recovery. Gettng back into shoes during recovery is differnt than getting back to running and training. These are questions to ask your surgeon based on the patients individual needs.

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