What is a bunion?
A bunion (hallux valgus) is a bony lump on the side of the foot at the base of the big toe. It forms when the big toe gradually leans towards the smaller toes, pushing the joint outwards.
Bunions often run in families and are more common in women. Tight or pointed shoes don't usually cause a bunion on their own, but they can make it more painful.
Signs and symptoms
- A swollen, sometimes red, lump on the side of the big toe joint
- Pain or stiffness in the joint, especially in shoes
- The big toe pointing towards, or overlapping, the second toe
- Corns or callus where the toes rub or under the ball of the foot
How Achilles Podiatry can help
Podiatry can't reverse a bunion, but it can make a big difference to how it feels. Ian will assess the joint and how your foot is working, then advise on the most suitable approach. This may include:
- Footwear advice — shoes with a wide, deep toe box and a lower heel
- Padding and protection to take pressure off the joint
- Treating the corns and callus that often form alongside a bunion
- Custom Foot Levelers orthotic insoles to improve how weight is spread across the foot
If the pain is severe or the bunion is affecting your daily life, Ian can advise you about seeing your GP, who can refer you to a specialist to discuss surgery.
Common questions
Can a bunion be cured without surgery?
Non-surgical treatment can't straighten the toe, but footwear changes, padding and orthotic insoles can ease pain and pressure significantly. Surgery is the only way to correct the shape of the joint.
What shoes are best for bunions?
Look for shoes with a wide, deep toe box, soft uppers, a low heel and laces or straps that hold the foot securely without squeezing the joint.
When should I consider bunion surgery?
Surgery is usually only considered when pain persists despite non-surgical care, or the bunion is seriously affecting daily life. Your GP can refer you to discuss it.