A bunion is a change in foot shape that develops when the big toe slowly shifts toward the smaller toes. As the toe moves, the joint at its base becomes more prominent, and forms a bump along the side of the foot. Doctors call this condition hallux valgus, but bunion is the name most people recognize. Some bunions cause very little discomfort, while others lead to pain that makes standing and walking difficult. The enlarged joint can become swollen, tender, and irritated from pressure inside shoes. The big toe can also crowd nearby toes, causing them to rub together or change position. As the deformity progresses, the joint can become stiff, making it harder to move the toe comfortably.
Several factors increase the chance of developing a bunion. Family history is one of the most important, because inherited foot structure can place extra stress on the big toe joint. Flat feet and joint diseases like rheumatoid arthritis also increase the risk. Shoes that lack proper support, especially narrow styles or high heels, do not usually cause bunions by themselves. They can make an existing bunion more painful and allow the deformity to progress. A podiatrist can diagnose the bunion by examining the foot, checking toe movement, and watching how the patient stands and walks. Standing X-rays show bone alignment and help determine the severity of the bunion.
Treatment depends on the amount of pain, the severity of the bunion, and its effect on daily activities. A podiatrist can recommend properly fitted shoes, custom orthotics, and protective padding to reduce pressure on the joint. These treatments improve comfort and help patients stay active. When the deformity becomes severe and continues to interfere with walking, surgery can straighten the big toe and improve foot alignment. If you have pain from a bunion, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.
If you are suffering from bunion pain, contact Dr. Robert Marcus of Foot & Ankle Center of Teaneck. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
- Genetics – some people inherit feet that are more prone to bunion development
- Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development
Symptoms
- Redness and inflammation
- Pain and tenderness
- Callus or corns on the bump
- Restricted motion in the big toe
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
If you have any questions, please feel free to contact our office located in Teaneck, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
