Bunions

Bunions (Hallux Valgus)

A bunion or bunions (Hallux Valgus) are a common foot deformity which affects the joint at the base of the big toe. A bony growth develops  on the inside of the foot as the joint changes shape, the deformity often causes pain, and footwear problems are common due to the increased width of the foot.

The big toe leans towards the 2nd toe causing the bone structure to become out of line. This appears as a bump on the side of the big toe in later stages. Bunions are progressive –  they often get worse over time with the bump becoming more and more visible and pronounced.

What are the symptoms of Bunions?

• Some bunions do not cause symptoms or noticeable problems but in the later stages they usually become painful due to pressure or rubbing.
• Pain and/ or soreness at the base of the big toe normally within the joint.
• Inflammation, redness, burning sensation  at the base of big toe
• Sometimes numbness in the area
• Callus is very likely to form under the 1st and 2nd toes

What are the common causes of Bunions?

• Bunions are usually hereditary – the faulty foot type is inherited making the formation of a bunion more likely
• Tight or pointed shoes
• High heels (which place pressure the big toe by throwing it forwards) make the situation worse

What other complaints can look similar and have symptoms similar to Bunions?

• Rheumatoid Arthritis
• Osteoarthritis
• Gout

What home treatments can you try before attending a podiatry consultation?

• Avoid tight shoes and high heels
• Softer leather shoes may be more comfortable
• Prolonged standing (especially in poor footwear) should be avoided
• Cold compress can be helpful in relieving pain.
• Elevate the feet when resting
• Padding the area with soft fleecy dressings available from pharmacies
• Non steroidal anti inflammatory medications such as ibuprofen to reduce pain and inflammation

What treatment can our podiatrists provide for Bunions?

• Treatment should be sought through a podiatrist for long term prevention and relief of pain and stiffness
• Firstly our podiatrists will perform a physical examination and give you an accurate diagnosis. It is essential to form an accurate diagnosis so the correct treatment can be recommended
• Padding and dressings
• Exercises may be given to strengthen the foot
• Further pain relief advice: our podiatrist can also offer acupuncture and cortisone injections (steroid)
• Activity modification advice
• Footwear advice
•  Recommendation to attend for a biomechanical assessment
• Orthotic devices to correct the foot function and to rest the painful area
• X rays and/ or surgery may be needed in extreme cases by an orthopaedic surgeon. (Our podiatrists can refer patients if needed)

What treatment should I book if I have problems with Bunions?

If you are suffering from bunions or have symptoms that sound similar to those described above you are recommended to book in for a podiatry consultation or a biomechanical assessment