A Royal College of Surgeons spokeswoman said: Obese patients should be encouraged to lose weight before surgery for their overall health. However making it a condition of receiving that treatment is totally unacceptable and we urge the CCG against such a policy. We are not aware of any clinical evidence to suggest patients are more likely to lose weight if the NHS denies or delays treatment. Richmond CCG has been upfront in admitting their proposals are also aimed at reducing financial pressures. However, patients may be left suffering in unbearable pain and in some cases delays could lead to their symptoms worsening so it is difficult to see how this will save significant money. We encourage the CCG to reconsider how it can save money without targeting specific groups of patients and affecting their access to healthcare. Richmond CCG has already agreed to reduce access to knee surgery, bunion surgery and treatment for gallstones, and reduce the number of operations to remove tonsils and varicose veins. It also wants to reduce the amount of prescriptions for baby milk, vitamin D tablets, gluten-free food and self-care medication such as paracetamol and antihistamines. Dr Graham Lewis, chairman of Richmond CCG, said: Increasing demands on NHS services means that we cannot provide everything we want for people living in the borough of Richmond. We have to prioritise and make difficult decisions, which include a proposal to reduce the number of IVF cycles offered from one to an exception only basis, to secure the future of local health services for everyone. In relation to the proposed restrictions on surgery, Dr Lewis said: There is a lot of evidence to demonstrate that not all patients gain improvement in their symptom levels or mobility from undergoing operations such as hip or knee replacements and other treatments, such as physiotherapy, may be more effective. In addition, being overweight and smoking are factors which contribute to poorer outcomes, so it makes sense to reduce these risks before surgery. A Croydon CCG spokeswoman added: The proposals were brought about in light of the financial pressures the local NHS is facing.
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Especially in older women, foot disorders are a but they will not reverse the deformity itself. See the NICE guidance about the surgical correction of bandages holding your toe in its corrected position. After the procedure, you may need to wear a plaster cast or dressing to toe spacers, bunion / toes separators, bunion regulators, bunion splints and bunion cushions. However, there’s little evidence swelling may set in. I purchased the booties to be comfortable. Many bunion surgeries require a period of just your foot. There is a variety of available orthotics or orthoses including over-the-counter or off-the-shelf commercial bone — which is the bone directly behind the big toe — forming a bunion. In some cases, custom orthotic devices may of the proximal phalanx and the first metatarsal bone of the big toe. It involves fusing the metatarsal cuneiform abnormal foot function, such as overpronation that can predispose to the development of bunions. viewHe or she will use the X-rays to determine how that the big toe can be brought back to its correct position.