Bunions

A bunion (Hallux valgus) is a bony bump that forms at the big toe joint due to the toe being out of alignment. Over time, bunions can become painful due to rubbing against the inside of shoes and the other toes crowding together. Our podiatrists can offer solutions to treat your bunion!
Bunion Specialists

Bunions

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Table of Contents

Overview

A bunion is a painful bony bump that is located at the base of the big toe. Bunions are caused when extra pressure is put on the big toe consistently or over several years. No matter whether your bunion is big or small, it’s important to see a board-certified podiatrist to ensure it doesn’t get worse with time. Walking will become more painful the bigger the bunion becomes, and your foot’s structure will physically change. Severe bunions angle over the second toe, causing the other toes to crowd each other and also become misaligned.

Bunions are very common. Our podiatrists have ample experience treating them both surgically and non-surgically. The sooner we see you, the sooner we can help!

Symptoms of Bunions

Besides noticing a bump at the base of your big toe, you may also experience one or more of the following symptoms:

  • Pain and stiffness in the big toe
  • Redness
  • Unable to move or bend your big toe
  • Corns or calluses
  • Numbness around the big toe
  • Swelling
  • Pain when wearing tight shoes

Causes of Bunions

There are several different reasons why bunions form. Many people develop bunions simply because they can be hereditary. Arthritis in the foot, neuromuscular conditions, or genetic disorders can also cause bunions, along with a foot injury or trauma. Those with flat feet are more prone to get bunions due to the fact that they are likely to overpronate while walking. With the feet rolling inward with each step, the big toe is pushed toward its neighboring toes. Women who wear high heels are also more susceptible to bunions, as the narrow toe box pushes the toes together.

Conditions Caused by Bunions

Without medical attention, a bunion can cause other foot problems:

  • Hammertoe: Since bunions force the big toe towards the second toe, the smaller toes can easily be pushed out of alignment. When a smaller toe is misaligned, it can become a hammertoe. This occurs when the toe has an abnormal bend in the middle joint.
  • Calluses: With the toes crowding into each other due to the bunion, calluses can develop on any of the toes that are rubbing against each other.
  • Bursitis: With severe bunions, a patient may experience bursitis where the fluid-filled sac near the joint becomes inflamed and causes pain.

Treatment Options

Unfortunately, bunions don’t just go away on their own. Our podiatry team has several treatment options, depending on the severity of your bunion.

Nonsurgical Options

The quickest solution to relieving the pain from bunions is to buy supportive shoes with a wide toe box. Other options include:

  • Padding for the inside of shoes
  • Custom orthotics to relieve the pressure on your toes
  • Toe spacers to prevent crowding and calluses
  • Pain relieving medicine to reduce pain or swelling
  • Physical therapy exercises to strengthen the toes and keep them aligned
  • Icing for pain relief

Your podiatrist will likely order an x-ray to evaluate the severity of your bunion and to see the alignment of your toes. An x-ray can also help the doctor see if there is any arthritis.

Surgical Options

Surgery is always considered a last option. However, if it is becoming difficult or painful to walk – and if none of the conservative treatment options have helped – it may be time to discuss surgery. There are a variety of different surgical treatment options; it’s not one-procedure-fits-all.

One of our board-certified podiatrists and surgeons will evaluate your individual bunion and propose the best surgical option for you.

Tips for Preventing Bunions

Looking to avoid a bunion? Your best bet is going to be quality footwear. Avoid high heels or narrow shoes with pointed toe boxes. Talk to your provider about which shoes they recommend and/or visit a local specialty shoe store.

Call our office today if you have a bunion or if you notice a bump on your big toe!

FAQs

Any pressure on the big toe joint can cause a bunion. This can be from wearing high heels or narrow shoes or having flat feet. Certain conditions – such as arthritis or neuromuscular conditions – can also cause bunions. They are also a hereditary trait.
Proper-fitting shoes can help provide pain relief from a bunion, but bunions don’t go away on their own. In addition to wearing wider shoes, you can also wear orthotics to try and keep your toes in proper alignment. For pain, you can also ice the bunion and take medications.
A bunion is a bony bump at the base of the big toe joint. A bunionette is a bony bump that is located on the outside of the little/pinky toe.