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Seven Reasons We Still Might Bomb the Oil Leak (Really)
By David Axe
Sick of this back-and-forth from BP and the Coast Guard on containment caps yet? After fears that leaks in the device could make the Gulf Coast spill even worse, national incident commander Thad Allen promised on Thursday that it was merely a "precursor" to plugging the oil. Then, miraculously, BP announced that "there's no oil going into the Gulf of Mexico." It's good news, to be sure, but if the cap doesn't hold (again), could the next best option be sending a mini-nuke into the water? Scientists and engineers tell The Politics Blog that the Department of Homeland Security is interested in bunker-busting techniques — not least of all because the plan could sidestep BP with existing U.S. government technology — and that inducing a massive explosion in the Gulf might not be as crazy as it sounds. Here's why:
1. It's worked before.
On at least three occasions in the '60s and '70s, the Soviets succeeded in burying small nuclear warheads to crimp and permanently seal leaking natural-gas wells on land. The blasts were meant to shift the rock strata, collapsing the well shafts. Using a nuclear bomb for anything these days — even tests — is politically unacceptable, but there are no such hang-ups about conventional explosives. "The physical principles of an explosion-induced shockwave are very good," says U.S. Marine Corps science advisor Franz Gayl, the main proponent of the bomb plan who's been making the rounds from the Pentagon and through blast modeling all the way up Capitol Hill.
2. We've got the hardware.
Back in the Gulf War, when the Iraqi army torched hundreds of Kuwaiti oil wells, Gayl started thinking about using bombs on oil leaks, too. An advance engineer who would later go to advise the Pentagon on drones for Afghanistan, his idea was to use several standard, 2,000-pound U.S. Air Force bombs dropped by a B-52. But Gayl has modified his scheme for the Gulf of Mexico, limiting warheads to one or two of the Air Force's special bunker-buster munitions, each weighing in at between 23,000 and 30,000 pounds. The (relatively) measured explosion, Gayl and other proponents say, should crimp the well.
3. We've crunched the numbers.
Make no mistake: Gayl is not acting on behalf of the U.S. military or government, but with scientists at the Department of Energy's Lawrence Livermore National Laboratories and defense consultant SAIC modeling the effects of his undersea blast plan, he's no mad scientist, either. "Results look good," one scientist told Gayl. In an interview with The Politics Blog, the same scientist, who spoke anonymously for fear of retribution within the Obama administration, said the bomb plan was not a "slam dunk" but that "the initial looks suggest it might be worth pursuing as backup should relief wells not work."
4. It's fast. (Maybe.)
As a fallback to cap containment, the bomb plan can be pulled off fairly quickly. The timetable all depends on whether — and how deep — engineers have to bury the bombs before triggering them. One variation of the scheme has a single bomb exploding directly over the leaking well in order to crimp the above-seafloor plumbing. That could happen with just a week's notice. A more complex plan — to simultaneously blow up two bunker busters in shafts extending 10,000 feet below the seafloor — might require a couple months.
5. It's cheap. (Definitely.)
BP has already spent more than $3 billion of its own money responding to the spill. But bunker-busting relies almost entirely in paid-for, standard-issue military equipment; the only new items would be what Gayl calls the "widgets" required to load munitions aboard a ship and lower them to the seafloor. For that, the government might have to rely on an oil company — and that oil company wouldn't have to be BP, Gayl said.
6. It's clean. (Relatively.)
Non-nuclear bombs are the "green" option, Gayl insists. There would be no radiation, no toxic chemicals, and — believe it or not—- very little impact on the seafloor and surface. That last point is a contentious one. Andy Radford from American Petroleum Institute told Reuters a blast could fracture the seabed and transform the leak into a flood. The administration holds that there is no current plan to use bombs "due to the obvious risks involved." But that's an "exaggerated fear," says Christopher Brownfield, a nuclear policy scholar at Columbia University. "They're incredibly stable formations, actually, which is why the oil is there in the first place."
7. It's better than the alternative. (Probably.)
BP executives and government officials have been deluged with suggestions from private engineers and companies on how to cap the spill, and in many cases, as in the supertankers sent in this month for skimming purposes, it's either too late or too hard to organize. And while containment efforts are great, the hold on the leak might not last — even so, analysts liken relief-well drilling to "going 18,000 feet to hit a dinner plate," and a miss could lead to weeks or reorganization. The proponents of a kinetic option, of course, have one thing going for them: it's easy to keep dropping bombs. "After assessing the effects of the first detonation," Gayl told the BBC, "the technique could be repeated to further constrict residual flow." Now if only he could get someone to agree with him.
CLICK HERE FOR COMPLETE COVERAGE OF THE SPILL ON THE POLITICS BLOG >>
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Thailand organises first provincial election in six years
Thai voters on December 20 casted their votes to select leaders of the provincial administrative organisations (PAOs) and members of PAO councils.
VNA Sunday, December 20, 2020 15:45
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Saturday, December 19, 2020 15:35
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Bangkok (VNA) - Thai voters on December 20 casted their votes to select leaders of the provincial administrative organisations (PAOs) and members of PAO councils.
This is the first local polls to take place since the 2014 coup. The pools stared at 8am and will conclude at 5pm the same day. Due to impact of COVID-19 pandemic, voters were requested to wear masks.
According to the country's Election Commission (EC), 335 people have applied to be PAO chief candidates and 8,186 are seeking council seats. Buri Ram saw the most candidates — eight for chief and 344 for the council. Phetchaburi has the fewest candidates — one and 33 respectively.
A PAO is responsible for public services such as roads, bridges, sewage systems and electricity. It also maintains order, promotes tourism, preserves natural resources, and supports education and culture.
Up to 120,000 police officers have been mobilised to ensure things go smoothly and also prevent and arrest anyone involved in election fraud at the 96,000 polling stations throughout the country.
Provincial police in 10 provinces were on alert for potential violent incidents. These provinces are Nonthaburi, Pathum Thani, Chiang Mai, Nakhon Ratchasima, Sakon Nakhon, Nan, Phichit, Kanchanaburi, Nakhon Si Thammarat and Trang, according to Thai deputy national police chief Pol Gen Damrongsak Kittiprapat./.
Thai voters provincial administrative organisations (PAOs) COVID-19 pandemic Election Commission (EC) Vietnam Vietnam news Vietnam News Agenct Related stories Thailand
Indonesia aims to become world's largest vannamei shrimp producer
Indonesian Maritime Affairs and Fisheries (KKP) Minister Sakti Wahyu Trenggono is targeting to turn the country into the world's largest vannamei shrimp producer by pushing production to 16 million tonnes annually from the current figure of below one million tonnes.

redpajama_set_name: RedPajamaCommonCrawl


1 When Israel was a child, I loved him, and out of Egypt I called my son.
3 Yet it was I who taught E'phraim to walk, I took them up in my arms; but they did not know that I healed them.
4 I led them with cords of compassion, with the bands of love, and I became to them as one, who eases the yoke on their jaws, and I bent down to them and fed them.
8 How can I give you up, O E'phraim! How can I hand you over, O Israel! How can I make you like Admah! How can I treat you like Zeboi'im! My heart recoils within me, my compassion grows warm and tender.
9 I will not execute my fierce anger, I will not again destroy E'phraim; for I am God and not man, the Holy One in your midst, and I will not come to destroy.


The cosy double waistband of the Air Fleece Trousers from Nike will keep you comfortable and stylish whether at the gym or chilling with friends.
Our model is wearing size small joggers. She is 172.7cm (5'8") tall with a 81.3cm (32") bust, a 66.0cm (26") waist and 91.4cm (36") hips.


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Just Cause (1995)
A Harvard professor is lured back into the courtroom after twenty-five years to take the case of a young black man condemned to death for the horrific murder of a child.
Director: Arne Glimcher,
Actors: Blair Underwood,Kate Capshaw,Laurence Fishburne,Sean Connery,
Exit Wounds (2001)
Maverick cop Orin Boyd always brings down the domestic terrorists he tracks, but he ruffles feathers with his unorthodox techniques — and soon finds himself reassigned to the toughest district…
Country: USA, Canada,
Sidekicks (1992)
Barry is an asthmatic kid having trouble in life. He lives with his father, a computer programmer, in Texas. Barry is struggling to get by in life, dealing with his…
Genre: Action, Adventure, Comedy, Drama
A young undercover FBI agent infiltrates a gang of thieves who share a common interest in extreme sports. A remake of the 1991 film, "Point Break".
Country: China, Germany, USA, Austria, Italy, Canada,
Genre: Action, Adventure, Crime, Sport, Thriller
Volcano (1997)
An earthquake shatters a peaceful Los Angeles morning and opens a fissure deep into the earth, causing lava to start bubbling up. As a volcano begins forming in the La…
Genre: Action, Drama, Sci-Fi, Thriller
The Kitchen (2019)
The mobster husbands of three 1978 Hell's Kitchen housewives are sent to prison by the FBI. Left with little but a sharp ax to grind, the ladies take the Irish…
A bank robber tries to turn himself in because he's falling in love and wants to live an honest life…but when he realizes the Feds are more corrupt than him,…
Windtalkers (2002)
Joe Enders is a gung-ho Marine assigned to protect a "windtalker" – one of several Navajo Indians who were used to relay messages during World War II because their spoken…
Unknown Origins (2020)
In Madrid, Spain, a mysterious serial killer ruthlessly murders his victims by recreating the first appearance of several comic book superheroes. Cosme, a veteran police inspector who is about to…
Country: Spain,
Strait Jacket (2007)
It is the world where magic and science coexist. Rayotte Steinberg, a lone wolf "tactical sorcerist", fights against monsters. They used to be human beings, but they had overused forbidden…
Genre: Action, Animation, Fantasy
Based on the hit video game series, Batman must find a bomb planted by the Joker while dealing with a mysterious team of villains called the Suicide Squad.
Genre: Action, Adventure, Animation, Crime, Sci-Fi, Thriller
Genre: Action, Adventure, Animation, Comedy, Family, Fantasy, Musical, Sci-Fi
Death Wish (2018)
A mild-mannered father is transformed into a killing machine after his family is torn apart by a violent act.
Trailer: Just Cause (1995)


Maintenance arm of Abu Dhabi carrier bets big on new technologies.
Etihad Airways Engineering recently received the first EASA certification for Part 21G production granted to a Middle Eastern airline MRO.
Previously, Etihad could only provide replacement parts for repairs while aircraft were in its hangars, undergoing a maintenance event. This was fabrication under Part 145 repair approval, and no spare parts were allowed to be made. "Now we can make unlimited quantities and sell them to our customers around the world," Wilkinson stresses. "We expect additional revenue out of this opportunity." In addition, Etihad customers will benefit from its retrofit engineering services, combined with parts at competitive prices, which they can install where convenient for their operation.
The current EASA approval covers interior soft furnishings such as dress covers, curtains and carpets, composite parts such as floor panels, cargo linings and decompression panels, metallic structure parts such as brackets and other secondary structures and decals for interior and exterior markings. The EASA approval is for all commercial aircraft types in the CS25 category, including Airbus, Boeing, Embraer and Bombardier models.


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Health Department Officials Strongly Recommend Seeley Lake Evacuation – But Most Choose To Stay
Peter Christian Published: August 11, 2017
Missoula City County Health Department officials met with residents of Seeley Lake on Thursday night and recommended with the strongest language possible how important it was to evacuate due to historically toxic wildfire smoke.
Air Quality Specialist Sarah Coefield said she attempted to communicate just how dangerous the air is that community members are breathing.
"I don't think they actually understood the magnitude of what they're looking at explained to them," Coefield began. "I started by saying on a good day, the fine particulate matter in the air would be about five micrograms per cubic meter in an hour, but yesterday morning it was over 950. They are so far beyond what we consider to be hazardous, we don't really even have words for the category to describe the type of air they're living in right now."
Coefield said the topography of the town in relation to the Rice Ridge Fire will continue to bring a huge volume of smoke into the valley every day.
"And, it's going to keep happening," she said. "I'm not sure they really had that laid out to them. That's why we so strongly recommend that they all leave the area. I know that some people have sent family members away, but others, some even with health problems, have chosen to stay."
Coefield said the situation is so bad in Seeley lake that she can no longer recommend that people simply stay indoors, because the indoor air quality, without a sophisticated HEPA air filtration system, is just as noxious inside as it is outside.
"I am concerned that concerned that there's a general sense in parts of the population that it's not that bad," Coefield said. "It's not that 'it's not that bad', it's worse. It's the worst we've ever seen."
On the question of whether the health department has the power to order a mandatory evacuation, such as when the sheriff's office evacuated homes in the path of the fire, she referred KGVO News to the health department director, Ellen Leahy.
KGVO News reached Director Leahy with the question of whether the health department had the power to order evacuations due to the wildfire smoke.
"We do have police powers, some police powers, but I don't know just how that would play out," Leahy said. "I'm not looking at a mandatory evacuation due to smoke for a couple of reasons. We have to look at the feasibility when we issue an order, and so we went with recommendations, because the feasibility is that there are different risks and different work and living arrangements for different people. So, the strongest recommendation is get out of that airshed, but if you can't or don't want to do that, then stay somewhere else in the evening and in the morning when the smoke is really bad."
Leahy also recommended that residents create a safe space in the home with a HEPA filtration system, because as long as the Rice Ridge Fire burns, the town of Seeley Lake will be known as having the worst air pollution in the state.
"We will keep at this," she said. "We have never seen levels like this and so everyone around Missoula knows to stay indoors, but with these levels in Seeley Lake, we can't say that staying indoors is protective. We can't give out information that is probably not going to protect you in this environment, so we upgraded and strengthened our recommendations."
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Cancellations within three hours of your scheduled pick up time will be charged in full.


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Few Comparative Lines on COVID 19 and Other Past Pandemic Outbreaks
While COVID 19 is spreading its disastrous waves, it is quite natural to compare it with earlier outbreaks that created havoc in short period of time. No pandemic ailments are similar in causes, symptoms and in its treatment. However, they are fatal and need to be curbed soon to save million people lives.
Comparing COVID 19 with other massive outbreaks:
Influenza occurred in the year 1918.
It is even known as Spanish flu epidemic that spread its tentacles over one third population of the world. It was new deadliest flu that was infectious and claimed millions lives like COVID 19 is doing at present. The outbreak went on as there were no effective treatments for the influenza. The symptoms mainly experienced were fever, body ache, nausea and diarrhea. The connective link was through respiratory droplets. The main fact was that lack of advanced medicines, unhygienic conditions and low immunity in people. It mainly affected people aged between 20 to 40 years.
SARS in the year 2002 to 2004.
Sever Acute Respiratory Syndrome is a kind of coronavirus that began its journey from China like its new kind COVID 19. SARS claimed millions of lives, but was reduced naturally because of high immune system of people, unfavorable climatic conditions and unable to survive long in human body. The major symptoms of SARS were fever, cough and respiratory system failure. The illness transferred through respiratory droplets and contaminated places. Aged people were most affected and anti-viral medical dosage were little effective.
H1N1 Flu pandemic in the year 2009.
The ailment mainly effected people in the United States and wasn't controllable as no effective vaccines were available during those times. The common symptoms observed were fever, body ache, cough and chillness. Children were most affected and people already suffering from respiratory issues were most troubled during the flu season. The end came almost after a year until then many people had lost their lives and antiviral treatments were effective for people having good immunity system.
Ebola presence felt in the year 2014 to 2016.
It was a deadly illness taking lives of half the people who felt its impact. It spread through body fluids like sweat and blood. This contagious virus affected people living in ten countries. Although troublesome, it was easy to isolate the affected people. Children of all ages were the most affected and there were no vaccines to fight Ebola.
Yes, there is no doubt that COVID 19 has beat all other pandemics in every way. It started to show its effect on humans at the end of 2019 and creating a havoc in almost all countries. People are maintaining social distancing and wearing 3 ply masks, which prevents the respiratory droplets of the affected person coming in contact with people nearby. You get the best affordable masks prepared considering all norms from online vendor customearthpromos.com. They are the best makers of eco friendly products thus you won't have to worry about the allergic reactions while wearing the masks designed by the best mask sellers worldwide. Wear your mask and remain safe!
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Kallstrom must wait for Gunners bow
The 31-year-old midfielder moved to the Emirates Stadium on a loan deal until the end of the season on Friday and his arrival was the only incoming business concluded by the Gunners during the transfer window.
Reports in Sweden on Saturday morning suggested the former Lyon man had suffered a long-term injury during his first training session, claiming he could miss a large part of his temporary stay at Arsenal.
But it is understood the back problem was reported ahead of Kallstrom's medical on Friday, rather than being a fresh injury suffered during his maiden session at Arsenal's London Colney training centre.
With the injury being assessed it remains unclear when Kallstrom will be fit to make his debut - but he will definitely miss the Barclays Premier League match against Crystal Palace on Sunday.
Arsenal will be hoping to have him available as soon as possible, with fellow midfielders Jack Wilshere and Aaron Ramsey also injured and Mathieu Flamini serving a four-game ban.
Arsene Wenger's side enter an important month in their search for silverware and, after the home game against Palace, they face a daunting schedule including Premier League and FA Cup tussles with Liverpool, a league visit from Manchester United and the opening leg of their Champions League tie against holders Bayern Munich.


Dr. Baravarian outlines what you should know about when choosing a bunion surgeon.
Bunion surgery may be recommended when less invasive treatment options aren't successful. The primary goal of a bunionectomy is to correct the big toe deformity and the eliminate foot pain.
There are over 40 different types of bunion surgeries. It is important to find a surgeon that is experienced in a variety of bunion surgery techniques so they can tailor your procedure to your unique condition.
Bunion surgery can be performed on an outpatient basis, and the right surgeon can leave minimal or no scarring with a virtually painless recovery.
What happens when Bunion Surgery Fails?
Q: I am from out of state and I want a bunionectomy at UFAI. When can I go home?
Q. For a Lapidus bunionectomy, does UFAI use a titanium plate and 2 screws in the midfoot?
Q: I read about a minimally invasive bunion procedure that removes the bunion by shaving down the bone. Is this an effective option for bunion removal?
Q. I have a mild case of bunions on both feet. Can you perform surgery on both feet at the same time?
Q. I just had bunion surgery. what can I put on the incision to help it heal and be less visible?
Lapidus bunionectomy and osteotomy tailor's bunionectomy performed with hammertoe correction of the second toe. After image taken approximately 3 months post surgery.
Severe foot and bunion pain when walking, even when wearing comfortable shoes.
It's critical to pick the right surgeon to perform the right type of surgery with a virtually painless recovery.
We use stable fixation so the bones don't move, which results in less swelling and pain.
We inject long acting local anesthesia and a proprietary mix of cocktail that controls swelling and pain.
The boot we use allows for stability and less movement with less pain.
We use anti inflammation protocols after surgery that reduce pain and swelling without the need for major narcotic use.
Our patients rarely take more than one or two pain pills unless it is an extensive surgery. Most patients control pain with over-the-counter anti-inflammatory medication and Tylenol.
Browse our patients' before and after photo gallery of bunion surgeries.
UFAI's Dr. Baravarian discusses benefits of the lapidus bunionectomy in Podiatry Today.
The lapidus bunionectomy is considered the Gold Standard for bunion surgery. For the right patient, this procedure has the highest success rates with essentially a 0% chance of the bunion returning.
With UFAI's trademarked Forever Bunionectomy, our bunion surgeons have improved the traditional lapidus procedure by infusing stem cells and amniotic cells during surgery. These advanced techniques speed up recovery and reduce scarring. Non-weight bearing and time in a cast is reduced from 8-12 weeks to 2-3 weeks. Immediate weight is possible but there is usually better healing with two weeks of no weight.
Our on-site CT scan allows us to see the fusion earlier, which gets patients moving faster. Additionally, our physicians work directly with our physical therapists offering our advanced PT protocol that allows for improved range of motion with less stiffness and pain.
The MinVasive procedure is our trademark system developed by UFAI's own bunion surgeons.
The prominence of the joint has been removed and great toe joint is now realigned After image taken approximately 2 months post surgery.
With the MinVasive procedure, our surgeons combined the best points of open bunionectomy (the fixation) and the best parts of traditional minimally invasive bunionectomy (the repositioning options and small incision). This makes the MinVasive bunionectomy an ideal bunion procedure with the best potential outcomes.
Traditional minimally invasive bunion procedures have had limitations of fixation options, which result in poor bone healing and malunions of the bone alignment. The MinVasive bunionectomy has been designed to deal with all of the underlying complications of traditional bunion surgery and also to allow for adequate fixation through a minimally invasive approach. This results in excellent healing and limitation of risk factors associated with traditional minimally invasive bunion surgeries.
The ideal bunion surgery needs to correct the bunion in three planes. The bone also needs to be corrected in an up and down position and rotated to sit properly over the two seed bones under the great toe called sesamoids. While this is not possible with traditional osteotomy procedures without a through and through cut of the bone, this can be accomplished with the MinVasive bunionectomy.
Our MinVasive procedure allows for immediate weight bearing in a boot without crutches. Time in the boot is reduced and patients are a surgical shoe 4 weeks and normal shoes in 6 weeks.
Osteotomy bunionectomy performed with hammertoe correction. After image taken approximately 2 months post surgery.
This is one of the most commonly performed bunion surgeries. An osteotomy, or bone cut, is made on the metatarsal head, just behind the big toe joint. This "V" shaped cut (when viewed from the side) allows the first metatarsal to shift laterally toward the second metatarsal bone. The bones are held together in their newly corrected position with two screws. Although the screws may not be needed after the bone is healed, they are often left in place to avoid a re-occurrence of the bunion.
Our surgeons have revolutionized the osteotomy procedure and allow for immediate weight bearing, no cast and a faster recovery. In most cases, patients are back in regular shoes in 4-6 week post surgery. Additionally, by making the incision on the side of the foot, we can avoid a large scar on the top of the foot.
This is a strong and predictable procedure and is commonly used on active patients younger than 50 years, with mild to moderate hallux valgus.
This surgery is most frequently done as an adjunctive procedure and is rarely done on its own. In some cases the angulation deformity of the great toe is so severe (big toe is bowed out) that an adjunctive procedure is needed. Once the initial surgery is completed, the surgeon examines the great toe. They will ensure that it is straight enough and appropriately spaced from the 2nd toe.
If additional correction to the big toe is needed, an Akin osteotomy is performed. Using an angular cut, a triangular wedge of the big toe bone is removed. The wedge is then closed allowing the big to shift away from the 2nd toe. The bones are stabilized with a screw while the bone heals. This additional procedure does not add to the healing time of the main surgery.
A bone cut is made along the first metatarsal and a wedge of bone is placed in the bone cut to correct and close the abnormal angle between the 1st and 2nd metatarsals. Donor bone graft or bone harvested from the patient can be used for this correction. A special small plate with screws is used to stabilize this correction. Post surgery, patients are usually in a cast non-weight bearing on crutches for six weeks.
In some cases the bunion deformity is so severe that need a more complex surgery is needed. But if a non-weight bearing, long recovery and is not an option for the patient. then a Tightrope procedure can be performed as an adjunct to an Austin Bunionectomy.
First, an Austin procedure is completed. After that, to further increase the shift of the 1st metatarsal bone, your UFAI surgeon performs a Tightrope procedure. A thin fiber-wire is strung between the first and second metatarsal and tightened – forcing the big to toe properly realign.
Typical recovery is crutches and a boot with partial weight bearing for six weeks.
The McBride bunionectomy is not commonly performed as it involves removing the bony bump without cutting the bone and shifting it. That being said, it is used when there is a mild bunion or if the patient is a poor surgical candidate that may not heal well from an osteotomy (bone cut). While the McBride bunionectomy is an acceptable procedure, it does not provide the same type of correction, as do procedures involving an osteotomy.
With the Scarf osteotomy, surgeons make a long "z" shaped cut on the first metatarsal allowing for the realigning the bones. Two screws hold the bones in their newly corrected position until the bone heals.
When a bunion develops in the little toe (rather than at the base of the big toe) it is known as a tailor's bunion.
Depending on severity of the bunion, surgery can be straight forward, such as shaving the bone in order to lessen pressure on your bunion from footwear. In some cases, cutting or separating the 5th metatarsal (small toe) so it can be properly realigned into normal position is the best way to improve your overall foot mechanics.
About 25% of our patients come to us after a failed bunion surgery elsewhere.
If the bunion returns most often the underlying problem wasn't address in the initial surgical procedure and the deformity was never really corrected. This may in part be due to the surgeon choosing the wrong procedure that was inadequate to correct the cause of the bunion.
Any bunion surgery that involves bone cutting or fusion will result in a shortening of the big toe, but the big toe should not shrink so much as to cause you pain or impact your foot's ability to function.
Hallux Varus occurs when the big toe is pulled in the wrong direction. It's caused by a muscular imbalance resulting from a failed bunion surgery.
After bunion correction surgery, it's common and perfectly normal to experience some joint stiffness. You can loosen the joint up by wiggling it – this is why at UFAI, we've developed procedures that keep patients out of a cast.
However, if you've received bunion surgery and spent your recovery time in a cast and crutches, you might experience more stiffness than usual caused by the formation of scar tissue (adhesions) in the big toe joint.
Arthritis occurs when the cartilage that cushions and lubricates the joint degenerates. Arthritis is characterized by pain, swelling, clicking or grinding in the joint, and the formation of bone spurs.
Surgical hardware is often a part of bunion surgery. The hardware (plates, screws and clips) is used to fuse and stabilize the bone after surgery.
The physicians at UFAI commonly perform the lapidus bunionectomy using the DynaForce Active Stabilization System they developed in conjunction with CrossRoads Extremity Systems.
The DynaForce System combines the high compression of a clip and the stabilization of a plate with no need for screws.
Because there are no screws taking up "space", the entire surface of the bone is open to fuse. The DynaForce clips are delivered flush to the bone and are significantly stronger than a fusion using plate and screws.
They are also much lower profile so there is less need to go back and remove it. And unlike screws, the clips can't get loose.
The following five star Yelp review was posted by University Foot and Ankle Bunion patient, Shabnam.
...From start to finish, before and after my bunion surgery, [my Dr.] and his staff took great care of me.
The surgery was fast and precise, with clean incisions and nearly painless recovery. I did not need to take any of my pain medication.
Everyone in his office is warm, friendly and knowledgeable, which makes the entire experience very smooth and pleasant.
Click here to see Shabnam's full review on Yelp.com.
UFAI's surgeons are nationally recognized leaders in permanent bunion correction. Decades of experience and tens of thousands of successful outcomes assure the very best possible outcome.
Our methodologies not only eliminates pain but leave virtually no scars. Surgeries are performed on an out-patient basis in our state of the art surgery centers. Additionally, bunion correction technology and pain management have become much more advanced over the years and we've been able to make our bunion surgeries virtually painless.
Our modern foot and ankle physical therapy services allow you to get moving faster and safer. Since foot and ankle therapy is specialized, we work with our therapists to make sure they understand each patient's specific needs and how to make a rapid recovery.
All this means a safer, shorter, happier and less painful recovery for our patients with the advantage of world-class bunion educators and specialists.
Q: Is surgery the only way to fix a bunion?
Technically, you can only "fix a bunion" with surgery, but that does not mean that everyone needs surgery to get symptom relief. Conservative treatment can be very beneficial for some patients and, as a rule, our Los Angeles bunion specialists pride themselves on creating an individualized treatment plan for each of our patients, based on their physical condition and personal lifestyle.
Q: Am I a candidate for bunion removal surgery?
Not everyone is a good candidate for a bunionectomy, and if a bunion is in its early stages, which we hope it is, we will want to consider less-invasive treatments. We want to avoid surgery whenever possible. Since bunions tend to worsen with time, early treatment is the best medicine.
Q: Will I be able to walk right after a bunionectomy?
You should be able to bear weight with the aid of a protective boot immediately after your bunionectomy. Some patients require crutches to aid them in walking for the first few days. Only the most severe bunion cases that require more comprehensive surgery require time off the foot. Even in those cases, our doctors have shortened the typical time off the foot to only 2-3 weeks rather than 6-8 weeks. We will let you know when you can resume walking and other normal activities because we will be seeing you during your entire recovery.
Q: Will my bunion come back after surgery?
Bunionectomy is a very effective treatment in that it removes the bunion, relieving the pain and discomfort it can cause when walking and performing other activities. However, proper foot-care after surgery is essential to prevent bunions from coming back. After we correct your bunion issue it is important to avoid the same things that helped cause the problem in the first place. We know it can be difficult for some patients to avoid wearing high heels and other improper footwear, but it is more important for you to never suffer from bunions again. As you recover we may suggest the use of corrective orthotics.
Q: Will I be under anesthesia during surgery?
Usually not general anesthesia, but a mild sedation helps you stay calm and immobile. Bunion specialists at University Foot and Ankle Institute perform most surgeries with IV sedation.
Q: How painful will it be after my bunionectomy?
While patients do experience some pain after a bunionectomy, over the counter pain relievers and anti-inflammatories are often all you need for effective relief. University Foot and Ankle Institute is at the forefront of research on pain control following bunion surgery. From long acting local anesthetics to creams that control swelling and pain, our emphasis is on "no pain" after surgery.
Minimum stay is 5 days, however we prefer 10 days if possible. We often need additional info to make sure your bunion type fits with the right procedure. This is best done through a virtual consultation.
We use a new staple and plate system from Crossroads that is stronger and better than the regular screw and plate system. We place 2 staples and a plate with 2 screws during a Lapidus.
Unfortunately not because you are not realigning the bone, so you are not correcting the core problem. The end result is the bunion will most likely return and then need to have surgery again. We know this first-hand since about 20% of our bunion surgeries are correcting others work and we have repaired our fair of these of these procedures as have many of our colleagues.
Fortunately permanent bunion correction surgery with minimal or no scarring is done by us all the time with immediate weight-bearing with an essentially painless recovery.
Yes we can perform surgery on both feet at the same time but prefer to do the feet two weeks apart. This allows the first to foot to heal for a couple weeks and make sure all is well prior to doing the second foot.
We recommend silicone gel sheets, vitamin E cream and Mederma. All of these products can improve the cosmetic outcome of surgical incisions.


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