Use this search box to search our site

Not what you're looking for? CLICK HERE INSTEAD

The response to the question below was authored by Marc Mitnick DPM

Not happy with the TightRope fixation procedure

by Michele
(McGuire AFB, NJ)

Hello Doctor, my name is Michele and I am a healthy, active 29 year old female. I began having pain in my foot a little over a year ago. I went to a few specialists and none had any answers. I believed my pain was caused from recently taking up tennis. But when walking became extremely painful, I was concerned and more proactive with finding out the cause. I finally met with a doctor who told me within the first five minutes of my consultation that I had a bunion. I did not want to take medication to alleviate the pain and was desperate to "fix" this problem. This doctor told me about this new procedure, the TightRope fixation, and after discussing this option with my husband, I decided to go ahead with it. I had the procedure done on Halloween of last year (2007). The first few weeks I believed that the surgery would be a success. The pain I was in was due to the surgery and I believed I was healing properly. But after about 3 months, I felt I was in more pain than before the surgery and discussed this with my doctor, who believed that I shouldn't be in as much pain. I felt cornered because I believed my doctor either didn't believe me or felt I was being deceptive. So, I stopped making appointments and have been living every day in pain. Occasionally I will take an over the counter anti-inflammatory. But, it's been almost a year since the surgery and every day the pain gets worse. I have limited movement in my big toe and wearing shoes causes me an enormous amount of pain. I had clicking in my big toe every time I bent it/walked previous to surgery and was told that

the surgery would correct that. It has not.

My question to you is how do I go about having the hardware removed from my foot? I feel as though I was better off before the surgery with occasional pain rather than now with constant pain. I am no longer in contact with the doctor who performed the procedure because of personal reasons.
I appreciate your time and am grateful that I found your site. As you know, with my particular surgery being quite "new", it is hard to find any information about it.
Thanks again,
Michele (New Jersey)

Hi Michele,
I am sorry your surgery was not successful and as mentioned in my bunion article the tight rope procedure is a new procedure and for that reason none of know the ultimate success rate.
I am not clear on one point; is your present pain the same as your pain prior to surgery or is this a new type of pain in slightly different area of the foot?
If this is a new pain then obviously the procedure does not agree with you; if this is the old pain, perhaps it was not your bunion that actually hurt. What bothers me is that the first couple of doctors you went to did not discuss the bunion as the source of your foot pain.
In any event the hardware should be removable, but of course it will take another surgery.
Find yourself a good doctor down where you live and between you and your new doctor decide if your present pain is actually the result of the procedure performed or if it the original problem. If it is from the procedure, then have the hardware removed, if not, then let your new doctor find the source of your pain.
Marc Mitnick DPM

Comments for Not happy with the TightRope fixation procedure

Average Rating starstarstarstarstar

Click here to add your own comments

Sep 28, 2018
Anthrax tightrope worked for me
by: Jag


I injured my foot in Jan 2015, went with Arthrex rope fixation for Lisfranc injury and its been very good so far. Its been more than three years and I can do 99% of the daily things without any issue. I dont for running or jumping but daily life no issues.

Wish you all the best!
Thank you,

Aug 17, 2015
avoid tightrope
by: Julie

Avoid this surgery. I had it four years ago for bunion and hammertoe. Foot now quite deformed. Big toe leans left. Hammer toe shrunk to half its length, turned sideways and sticks up. Have to tape it down or I can't walk. Nerve damage, numbness and scar tissue. I, too, was promised the sun and the moon by a very reputable doctor.

Sep 05, 2014
same thing
by: Anonymous

Foot worse one year after the mini tightrope. I am in my 40s and was perfect in regard to waiting and wearing boot.
Burning under all small toes, swelling above them, paralyzed second toe stuck to the first. New bunion that is the bigger than the first.
DONT LET YOUR DOC do this surgery.

Jan 07, 2014
Mini tightrope nightmare
by: Jodie Martin

Dec 2009 I went to a foot Doctor for a second digit hammer toe issue. In the 5 mins I was in there she pointed out I had a bunion, same foot. Then stated "while I'm in there"... Why don't I fix your bunion with this New wonderful Mini Tightrope. Then stated I wish I had a piece to show you I could literary hang off of it. My bunion did not hurt yet but made sense to do it all in one surgery. A bit after the surgery I'm complaining of awful pain still not out of the walking boot yet. Come to find out the tightrope broke and gave me a nonunion of the big toe metarsil and shattered my second toe metarsil and my bone died. 6 surgerys, 7th attempting to replace with cadaver bone. That also didn't work.. And let's not leave out RSD.. I need a lawyer. Something so simple changed my life and my family's.

Aug 30, 2011
Initial post-op X Rays negative,but I KNOW something is wrong with my TightRope
by: Joseph

Had my TightRope 2 weeks ago,and was healing very well,or so I thought. Walking slowly, while wearing a walking boot, I heard something snap (like when your knees or ankles snap after prolonged sitting). For 10 minutes pain was unreal, and within the next 24 hours, my foot began swelling more than it had ever swollen post-op, and I absolutely could not walk. Also, the lower half of my foot became red and somewhat warm. My Dr got XRays and said nothing obvious had changed. I'm going back to see him tomorrow. Any thoughts? Is this a broken toe, broken wire or rejection of hardware ? How does Avascular Necrosis presnt ?

Dec 21, 2010
Anyone with a success story of mini-tight-rope bunion procedure?
by: shelley

Okay, so it is a new procedure, so was the laparascopic gall bladder removal and so many other new surgical methods. My experience in the operating room showed me without doubt that the level and interest of surgeons of many years practice is "do I have to change?" Often the surgical techs or the equipment representatives on site"train" the surgeons to use and manipulate the equipement. Therefore with such loosy goosy "learning" techhiques the surgeon begins to practice what the patients are demanding without any overseeing organization to clinically determine if the surgeon is adequately trained to perform the surgeon and has appropriate patient outcomes. The only feedback is the lawsuit.

Okay. So, is it possible that a similar story line can be drawn in the cases that did not work well and patient outcome was miserable?

That leads me to my dilema. I need corrective foot surgery too. THis new method is appealing as I am active and would like to remain so. Long rehabilitation is not desirable on many levels.

How do I get info on who is trained from the original performers of this surgery? I need a list of providers, their city locations, practice identity, and hopefully their formal training in this specific procedure. Then, how do I get info on the patient outcomes of any one receiving the surgery?
Okay too much to ask. What can you tell me?

Feb 15, 2009
by: Anonymous

I also had tightrope and it ruined my life! My second toe broke ... something i have now heard is a common problem with this surgery which my doctor never told me about. In fact I had a second opinion and was told by a doctor that she would never recommend this surgery for anyone under the age of 70 due to the stress it puts on the bones. I've been to a pain specialist for the past year and now have to have a more traditional bunion surgery ... and go through the pain all over again!

Click here to add your own comments

Return to Ask the doctor.


Mayo Clinic

Johns Hopkins Medicine


Arthritis Foundation

University of Rochester Medical Center

Harvard Health

American Academy of Pediatrics

Penn State Medical Center

National Institutes of Health

Columbia University Department of Rehabilitation


Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician


University of Maryland Medical Center

(items I prescribe in the office)

Orthotics for multiple types of foot pain
best buy in a pre-made orthotic
click link below


Orthotics for heel and arch pain for those who must wear dress shoes
click link below


HONESTe Online Member Seal
Click to verify - Before you buy!

I've been doing some aggressive research lately (it's how I found your incredible website) and realize now that my symptoms are not consistant with the diagnosis.


Hunterville, NC
….after reviewing your amazing site (great for the avg. jill). So thank you very much!!!


I am really, really impressed with your plain-speak explanations for the various conditions.


This was an extremely helpful site. I have an appointment on the 18th and your info. Was right on target…..


A well organized site containing much information written in a manner that the average reader can comprehend.


Ontario, Canada
I found your website and articles most interesting.


Thank you for a quick response. I think your site is the best information site on foot pain and I have viewed many.


(location unknown)
I came to your website, via www.foot-pain explained .com which I think is also your website? I thought explanations for different types of problems were well addressed and thoughtfully stated for the patient in mind.


New York
You have an amazing and extremely informative site. I enjoyed looking through all of the data and stats.


Memphis, TN
Thanks again so much for the information in the article. Very interesting.


Great article. I have had plantar fasciitis since I was in high school……..

J. Simmons

(location unknown)
Dear Dr. Mitnick, The orthotics arrived four days ago and I slipped them into my shoes immediately. I was skeptical as to the usefulness of the item, they really didn't look very exotic. I have to say though, after using them for just four days, I have experienced grand relief from my foot pain. Even the very first day, I was able to do a lot of work while on my feet with at least a 75% reduction of pain. It has only gotten better every day, and I go nowhere without my shoes with the orthotics. I had been experiencing extreme heel and sole pain for about six months and had to take extended breaks off my feet many times a day as well as regular doses of Ibuprofen. Since getting the orthotics, my life has returned to normal and I feel good again. Just wanted to say thanks for the recommendation for a very effective item, I had no idea what a change this item could affect.

Yours truly,

J.C. Forbes

Thanks for the Response, you hit it on the head.


Redondo Beach, CA
Thank you for your time and expertise in answering my question…..


(location unknown)
First, thanks for putting together this website. Its the most informative site I have found dealing with foot problems. Last June I started having pain and swelling at …….


(location unknown)
First of all, thank you for having all this useful information available in one place. I've been through most of your website and based on my research, pain and evaluations I think I've narrowed things down quite a bit.

Pete M.

(location unknown)
Thank you for the best site I have found when researching foot pain.

Glenda B.

Madison, Alabama
Thanks for replying so quickly. I was a bit concerned. I think your website is great, and chock full of info.....


Denison, TX
Dr. Marc, Thank you so much for your reply which seemed to be right on. I have researched many sites but you put me on the right path to the possible answer. My foot pain may not rule the rest of my life after all! I believe I'll make a sign that reads, "THE END IS NEAR!" Thanks Very Much,


West lafayette, IN
Dear doubt you get positive comments re your site...May I please be added to the list of your admirers. In all of my years of web surfing I would say your site is right there with the very best. Thank you for taking the time to write the terrific info you provide and for putting things into laymen terms for us mere mortals. I pray you have much on going success and thank you again for a deed well done. As for me I did not find much help for my symptoms and will continue on my quest. Were you anywhere in the South I would make and appointment...Thanks again dear sir...m.e.

Michael E.

Tampa, Florida 33624
Hi. This is a great site! I'm a healthy middle aged woman who is in good health, but.....


Just a wee word of thanks for your wonderful website...It is a terrific service...Thank you for providing your knowledge and help...With highest regards, m ebeling

Michael D. Ebeling

Tampa, Florida 33624

Thanks for a most interesting website, which has helped a lot.



Dear Dr.Mitnick

I usually do my research on the Mayo clinic website. I think your website is the most informative site I have found when researching foot pain.

I thank you for putting together this incredible website.


Dragica W.


....I have been told that it is not hard enough to be cut off. Please help, I am not sure what to do now! THANKS FOR A WONDERFUL AND VERY HELPFUL SITE!


South Africa

You have an unusually clear, informative and well-written website for laypersons. Thank you for that.

Matthew W.

Mansfield Ctr, CT

First, I'd like to thank you for all the information that you provide on your website and the opportunity to write to you.


Placentia, California

First, I want to let you know that you have the best web site I've found related to foot issues. (The only thing I had difficulty finding was the "ask a question" page.)


Unknown location

I received the orthotics Monday afternoon and began wearing them Tuesday. After two days I would say that I have noticed a huge improvement in the discomfort I have been experiencing. My foot feels better than it has in months.

Ric J.

Unknown location

I greatly admire someone like you who would donate and dedicate so much time and effort to helping strangers with no compensation. Truly, it is uncommonly kind. And your site is so intelligently arranged.

Ron R.

Pacific Grove, CA

I used to work for a podiatrist (front desk) back during summers in college years ago, so I know the benefits of good care. Again, I want to thank you for an EXCELLENT website. It was so great to get to your site (top of google search) and actually find all the answers I needed EASILY and QUICKLY! Clearly you put a ton of work into it and I really appreciate it.

All the best,


Alameda, California

By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!


Thank you for your very interesting and informative site!


Hi. I come to your site often looking for information. It is really informative and I appreciate it very much. I have RA and have been having considerable amount of foot pain...... Dee RN

Thanks very much for the wonderful informative site.


New Zealand

Thank You for my answer! I have been schedule for a bone density scan, allingment, and I am in the process of getting orthotics made, and checking out the natural remedies. Thank again! What a great web site!



Yes I want both pair of orthotics. You don't have an option of ordering 2 at one time so I had to place the order twice. Thanks. My husband likes these and wants to put them in all of his shoes. (referring to Superstep orthotics)

Cindy H.

I searched the internet everywhere for a clear description and illustration of my symptoms/problem. was where I ended my search with answers. If I lived in Jersey (left 30 years ago) and didn't live in Florida I would definetly make an appointment with Dr. Mitnick.

Thanks, Kathy

1st of all THANKS A LOT for your great site......


Thank you so much for your response. I will let you know how I am doing if you would like. Your website is awesome!


South Carolina
Hello! I want to thank you for such an informative website! I found you based on my ankle pain search and am happy to realize that there may be a relatively simple cause and solution....


unknown location

...Thanks for your fantastic service.


Arlington, VA

Thank you so very much, that would be much appreciated. I love those insoles, by the way. (referring to Superstep orthotics)

Kelly W.

San Clemente, CA

Dr Marc is fantastic...He seems to know exactly what you are feeling with the problems you are having. I wish he was in my home town so I could go to him with my problems!!!!!!!!!!!!!


location unknown

Great insights! Thanks Doc, you're the best.


location unknown

I have been experiencing foot pain of various sorts and am working to figure out what it is. I found this site and can only say BRAVO!! What an excellent site! The time it must have taken to put all this together must've been a daunting task! I am sure it has helped so many people. Thank you so very much for doing this.


location unknown

Dr. Mitnick, Thank you so much for your reply. I did let my physician know and they took an x-ray - all is well! Also, thank you for providing this wonderful site, it is very helpful with lots of useful information! I appreciate your gift of time! God bless.


Dr. Mitnick, Thank you, you were 100% correct. The pain finally brought me to the ER. I spent 8 days in the hospital. The Doppler you spoke of was able to show that there was no pulse in that foot. This was an arterial clot that split and traveled throughout my leg. My leg was almost amputated. I am in rough shape but have all my parts intact!! You certainly know what you are talking about. Thank you for taking the time to answer. Yours Truly!


Staying at home after hallux surgery I spend quite a lot of time seaching info useful for avoiding problems which might come back. Today I found your site and I am .... delighted it happened. It's one of the best site I found last days.



Thanks for taking time to read and answer so many questions. It is truly a public service!


Seattle, WA

I just wanted to say that I am very greatful for this website!!


location unknown

Also, and importantly, just want to praise this web site. Thorough and thoughtfully presented, it certainly must be of considerable assistance to anyone with a foot problem. Terrific -- and very interesting.I trust the address comes up easily for those seeking information.


New Jersey

Thanks so much for answering my question. You've been more help to me than my own Dr. has been lately. Thanks again....I hope to be able to walk without pain someday.


location unknown

Wow, that is exactly the information needed!!! thank you thank you thank you!!! I appreciate this help so very much from Marc Mitnick DPM. Excellent information and help to improve One's life.


location unknown

Thanks so much for this website Dr. Marc! It is so nice that you have this ask the doctor feature..I'm sure I'ts been helpful for alot of people. I will try what you suggested and see if it helps...thanks again!


Evansville, IA

Dear Marc

I just want to say thank you for the quick response and the good info. I find it amazing and a super nice thing that you do here by answering medical questions at no charge.

Russ W.

location unknown

Your website is full of a lot of helpful information, and I am very impressed with the time in which you responded to my post. Thank you again for your time and consideration in your response.


location unknown

Thank you very much for the information, I will consider it. Excellent web site.


San Diego, CA

Dr. Mitnick, Just want to say thank you so very much for your quick response and very informative reply! After reading what you had to say, I called the doctor's office and was able to get in and see him the same day as my injury. Toe was x-rayed and luckily, it is not broken or fractured. Very badly bruised and will probably lose the toe nail. And although my toe and toe nail are still very black and blue and very sore, they ARE both starting to feel a little better. So again, thank you! I am so very happy that I came across your website. The service you provide is outstanding and immeasurable!


Albany, NY

Thank you so much for all of your advice. In searching the web for people dealing with this same issue i can tell you that you are a Knight In shining Armor! If I lived in Jersey I would gladly be your Spokesperson. Hopefully next time you hear from me it will be good news. God Bless,

Jill S.

location unknown



Whichita, KS

thanks again, this site is very helpful.


Boston, MA

Like others have stated...This site is amazing and I am so thankful that it was created.

....Keep up what your doing. Your a life saver.



Thanks again for the information provided on your site. It's easy for non-medical folk to understand your writing, and helps provide better communication between patient and doctor.



Wonderful advice

by: Anonymous

This is the best site for foot problem info.

Thank you for this information. This description fits my pain and inflammation behind my 2nd toe perfectly.

by: Max

location unknown
Again, I really appreciate that you responded to my inquiry, and that your mention of Parkinson's helped me to find my way to a diagnosis of this difficult to diagnose disease. Most patients see on average 16 doctors before they are diagnosed. I hope that you can help other people that ask for your expertise in the future.

Barb D.

I just wanted to say that I am very greatful for this website!! I have had a fusion in my rt foot and am finally getting a little bit better......


location unknown
Again, Thank you from the bottom of my heart for taking the time to answer my question....your an angel!


Thank you for your response. You have provided some great insight (to my question)....


location unknown
Thank-you so very much for responding so quickly and in such detail to my question!! I will give my surgeon a call today!! This website is terrific!!!! Thank-you again!


North Carolina
Many Thanks Dr Marc!
Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...


location unknown

Thanks again doc for having this website and we STILL need qualified Podiatrists in beautiful sunny Tampa Bay (Bradenton) Florida.

Bessie Mae

Dear Dr. Mitnick, Thank you so very much for taking your time to answer my question. You have greatly relieved my anxiety related to the continual tingly I feel in my feet. I will share your response with my podiatrist next week. God bless you for having this question and answer page on your website! Most gratefully,

Lynne T.

location unknown
Your webpage is excellent, I commend you on sharing your knowledge to the public.


New Jersey

Thank you. you were more detailed than what others have told me they finally called from the last xrays and my son is now in a cast for 2 weeks he did have a fracture that was not noticeable.

a mom

location unknown

I have read your website and I have to admit that I am amazed at all the information that is on here. I have learned more than the three years I have been going to several doctors that I have seen!!


Lenoir, NC

Thank you so much Doc for a quick and thorough response!


Bellevue, WA

I cannot thank you enough for your response, opinion, and suggestions! I want you to know how much it means to me, and I'm sure everyone else who has ever asked you a question! I feel like you're a lifesaver and have empowered me to take a stronger role and stand up for myself and my feet!


location unknown

Recent Articles

  1. Vitamin D impact on health

    Feb 06, 23 07:17 PM

    Researchers are suggesting that the effectiveness of Vitamin D in fighting and preventing disease is predicated on a persons body mass index (BMI). The thinner the person the greater the positive impa…

    Read More

  2. Foods to speed up healing

    Feb 01, 23 02:41 PM

    One of the best ways to help yourself heal faster after surgery is to eat well. Getting the proper nutrition will provide your body with the essentials it needs to promote healing. Here is a suggestio…

    Read More

  3. Cancer and Type 2 Diabetes

    Jan 25, 23 04:52 PM

    An article revealing that older type 2 diabetics have a higher incidence of cancer then non-diabetics. It is suggested that cancer may surpass CVD as the number one cause of death in older diabetics.

    Read More

  4. Does glucosamine or MSM reduce arthritis pain?

    Jan 22, 23 01:41 PM

    A good review of the possible benefits to taking glucosamine, chondroitin or MSM for arthritis. Always beware of the possible side effects of over the counter supplements.

    Read More

  5. shin splints

    Jan 18, 23 05:12 PM

    A great review on the various causes of shin splints, along with treatment options.

    Read More

  6. Whats new in skin cancer?

    Jan 15, 23 08:32 PM

    A presentation of newer skin protection combinations in an effort to better protect the skin from the hazards of sun exposure.

    Read More

  7. Causes and risk factors of warts

    Jan 14, 23 05:02 PM

    A good review of the causes of warts and protective measures you can take to prevent developing them.

    Read More

  8. Do chronic wounds need to be dressed daily?

    Jan 11, 23 02:18 PM

    Because of supply chain shortages as well as staffing shortages particularly during the pandemic, many institutions extended the time between dressing changes for chronic wounds. Is this really the be…

    Read More

  9. Food choices that raise your risk of type 2 diabetes

    Jan 08, 23 10:07 AM

    A good review of how blood sugars can become elevated and the harm that can do. Certain food groups have a tendency to raise your blood sugars and should be avoided.

    Read More

  10. Outcome stats from Scarf bunionectomy

    Jan 03, 23 03:04 PM

    The Journal of Foot and Ankle Surgery recently reported a meta analysis of outcomes in 1583 Scarf bunionectomies that met their inclusion criteria. Adverse events did not seem to be any better or wors…

    Read More