Overview

A bunion is a bony bump that forms on the joint at the base of your big toe. It forms when your big toe pushes against your next toe, forcing the joint of your big toe to get bigger and stick out. The skin over the bunion might be red and sore.

Wearing tight, narrow shoes might cause bunions or make them worse. Bunions also can develop as a result of an inherited structural defect, stress on your foot or a medical condition, such as arthritis.

Smaller bunions (bunionettes) can develop on the joint of your little toe.

Symptoms

The signs and symptoms of a bunion include:

  • A bulging bump on the outside of the base of your big toe
  • Swelling, redness, or soreness around your big toe joint
  • Corns or calluses—these often develop where the first and second toes overlap
  • Persistent or intermittent pain
  • Restricted movement of your big toe if arthritis affects the toe

When to see a Podiatrist

  • Persistent big toe or foot pain
  • A visible bump on your big toe joint
  • Decreased movement of your big toe or foot
  • Difficulty finding shoes that fit properly because of a bunion

Causes

There are many theories about how bunions develop, but the exact cause is unknown. Factors likely include:

  • Inherited foot type
  • Foot injuries
  • Deformities present at birth (congenital)

Experts disagree on whether tight, high-heeled, or too-narrow shoes cause bunions or whether footwear simply contributes to bunion development.

Bunions might be associated with certain types of arthritis, particularly inflammatory types, such as rheumatoid arthritis.

Risk factors

These factors might increase your risk of bunions:

  • High heels.Wearing high heels forces your toes into the front of your shoes, often crowding your toes.
  • Ill-fitting shoes.People who wear shoes that are too tight, too narrow, or too pointed are more susceptible to bunions.
  • Rheumatoid arthritis.Having this inflammatory condition can make you more susceptible to bunions.
  • The tendency to develop bunions might be because of an inherited structural foot defect.

Complications

Although they don’t always cause problems, bunions are permanent unless surgically corrected. Possible complications include:

  • This painful condition occurs when the small fluid-filled pads (bursae) that cushion bones, tendons, and muscles near your joints become inflamed.
  • An abnormal bend that occurs in the middle joint of a toe, usually the toe next to your big toe, can cause pain and pressure.
  • This condition causes pain and inflammation in the ball of your foot.

Diagnosis

A Resonance Podiatrist can identify a bunion by examining your foot. After the physical exam, an X-ray of your foot can help identify the cause of the bunion and rate its severity.

Treatment

Treatment options vary depending on the severity of your bunion and the amount of pain it causes.

Conservative treatment

Nonsurgical treatments that may relieve the pain and pressure of a bunion include:

  • Changing shoes.Wear roomy, comfortable shoes that provide plenty of space for your toes.
  • Padding and taping or splinting.Use over-the-counter, nonmedicated bunion pads. Also, your doctor can help you tape your foot in a normal position. This can reduce stress on the bunion and alleviate your pain.
  • Acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others), or naproxen sodium (Aleve) can help you control the pain of a bunion. Cortisone injections also might help.
  • Shoe inserts.Padded shoe inserts can help distribute pressure evenly when you move your feet, reducing your symptoms and preventing your bunion from getting worse. Over-the-counter arch supports can provide relief for some people; others require prescription orthotic devices.
  • Applying ice.Icing your bunion after you’ve been on your feet too long or if it becomes inflamed can help relieve soreness and inflammation.

Prevention

To help prevent bunions:

  • Choose shoes carefully. They should have a wide toe box—no pointy toes—and there should be space between the tip of your longest toe and the end of the shoe.
  • Your shoes should conform to the shape of your feet without squeezing or pressing any part of your foot.

For all your foot problems, call us today.

www.respod.co.nz

0800 473 776