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Problems and Advice Bunions
A big, bony bump that forms on the side of the big toe or on the outside of the foot behind the 5th toe (known as a Tailor's bunion), bunions usually result from functional or structural problems. Shoes do not cause bunions, but they can certainly exacerbate the problem -- causing an increase in the progression or degree of deformity. Bunions at the great toe joint force the big toe to turn toward the second toe, causing the bone that sticks out to rub against the inside of the shoe. Pain, inflammation, rough skin and even ulcerations can result.
You can help prevent bunions or keep them from getting worse by wearing properly fitting shoes with plenty of toe room. There are many different ways to treat bunion pain, and the treatment of choice depends on how severe the deformity is and how much pain it is causing. Wider shoes and simple pads may offer adequate relief. Prescription foot orthotics can accommodate functional problems that are contributing to the bunion formation. If the deformity is severe enough to cause significant pain, jeopardize the integrity of the foot or interfere with normal day to day activity, then surgical intervention is warranted. There are as many different bunion procedures as there are causative agents and your doctor will recommend the procedure he thinks is best for you.