A Bunion is a bulge of bone or tissue around the joint of the foot. The swelling occurs either at the base of the great toe, or on the outside of the foot at the base of the little toe—commonly called a bunionette or tailor’s bunion. Bunions are often described as a bump, or prominent bony protrusion towards the inside of the foot that is progressive over time. With this deformity, the great toe is deviated towards the second toe rather than pointing straight ahead.
Bunions are one of the most common forefoot problems .This deformity may be seen during adolescence, although it is more prevalent in women older than 25 years of age. Misconceptions about this common foot deformity have contributed to unnecessary pain and suffering for years before seeking podiatric treatment.
The cause of a bunion is most often due to an inherited faulty mechanical structure of the foot. Certain foot types (i.e. pronated flat foot) can make an individual more prone to develop this deformity. The development of a bunion often occurs by wearing improper fitting shoes that have a tight narrow toe box that crowd the toes. This can often cause the foot to take on the shape of the shoe leading to worsening of the existing bunion.
Early treatments are aimed at easing the pain of bunions, but they won’t reverse the deformity itself. Treatment options include:
A thorough and proper evaluation is required to determine if you are a candidate for bunion surgery. Every bunion deformity is unique and standard procedures need to be customized for each individual patient’s specific bunion condition.
When the pain of a bunion interferes with daily activities and conservative treatments have been unsuccessful, it is time to consider surgical options with your podiatric surgeon. A variety of surgical procedures are performed to treat bunions which are designed to remove the “Bump” of the bone, correct the changes in the bony structure of the foot, narrow the foot as well as correct soft tissue changes that may also have occurred. The ultimate goal is to eliminate pain. Recent advances in surgical techniques have led to a very high success rate in treating bunions.