Bunions Specialist

Bunions can be a cause of debilitating pain. If left untreated, bunions can progress to cause further damage, potentially leading to surgery. This article explains how bunions are formed and progress. We will also talk about measures to manage bunions and prevent their progression.

If you are looking for a bunion specialist in Austin, Texas, or the surrounding area, feel free to contact Bluebonnet Foot and Ankle Institute. Our podiatrists offer a range of effective non-surgical and surgical treatments aimed at reversing the pain and deformity associated with bunions.

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What Are Bunions?

Bunions (medically known as hallux valgus) are bony bumps that form at the base of the big toe, specifically at the metatarsophalangeal (MTP) joint. While the most common type of bunions affect the big toe due to extra pressure, they can also develop on other toes for various reasons.

Types of Bunions

Bunions caused by extra pressure are usually the most common type. However, other types of bunions include the following:

  • Congenital Bunions: Some individuals are born with bunions, known as congenital hallux valgus.
  • Juvenile or Adolescent Hallux Valgus: These bunions occur in individuals younger than 18.
  • Tailor’s Bunion (Bunionettes): Forming at the base of the little toe, these bunions are often caused by ill-fitting shoes or specific activities.

What Causes Bunions?

A bunion is caused by a misalignment of the bones that make up the MTP joint. As the long metatarsal bone shifts toward the inside of the foot, the phalanx bones of the big toe angle toward the second toe. A bulge or bunion protrudes from the joint.

As mentioned before, prolonged pressure on the big toe joint is usually the cause of misalignment. However, bunions develop due to a combination of factors, including genetics, abnormal bone structure, increased foot motion, and shoe choice.

Risk Factors

While anyone can develop bunions, certain groups are at higher risk. Individuals assigned female at birth, those with a family history of bunions, and individuals with a history of foot injuries, including athletes, are more likely to get bunions.

Signs and Symptoms of Bunions

The most visible sign of a bunion is the bony bump at the base of the big toe. Other symptoms may include the following:

Diagnosing Bunions

A healthcare provider can diagnose a bunion through a physical examination and discussion of symptoms. Our podiatrists specialize in foot care and can provide an accurate diagnosis of bunions. In some cases, we will use an X-ray to determine the alignment of the MTP joint.

Bunion Treatment

Non-surgical treatments are usually sufficient to relieve bunion pain. Severe bunions may require surgery to realign the toe joint. Treatments for bunions include the following:

  1. Footwear Changes: Wearing comfortable shoes with wide and deep toe boxes can alleviate pressure on the toes.
  2. Bunion Pads and Taping: Over-the-counter pads cushion the bunion area, while medical tape can help hold the toes in the correct alignment.
  3. Orthotic Devices: Wearing shoes with inserts or spacers can provide support and alignment for the foot.
  4. Pain Relievers: Non-steroidal anti-inflammatory drugs (NSAIDs) and topical treatments can reduce pain and swelling.
  5. Icing: Applying ice or cold packs to the affected area can help relieve pain.
  6. Corticosteroids: Prescription medications can reduce inflammation.
  7. Physical Therapy: Exercises and stretches may improve foot strength and flexibility.
  8. Surgery: Bunion correction surgery may be necessary if other treatments are ineffective or if walking is severely impacted.

Recovering from a Bunion

If you have a mild bunion, then non-surgical options will likely be sufficient to manage your symptoms. You should be able to continue doing daily activities without too much discomfort. At Bluebonnet Foot and Ankle Institute, our doctors can determine the best approach to managing your symptoms and, at the same time, maintain the health and strength of your feet and toes.

Early intervention can sometimes prevent the need for surgery. However, in cases of severe symptoms with a bunion, surgery may be necessary.

Successful recovery from bunion surgery depends on following postoperative instructions carefully. Patients will need to keep their feet elevated, apply ice to reduce swelling and avoid weight-bearing as directed. Dressings, braces, or casts may be required to maintain proper bone alignment during healing. Physical therapy exercises will help restore foot strength and mobility.

Recovery from surgery usually takes 2 – 3 months.

How Can I Prevent a Bunion?

Preventing bunions can be challenging due to the various factors involved. However, wearing properly fitting shoes can help slow down their progression. Consider the following tips to ensure you find comfortable shoes that adequately fit your feet:

  • Avoid shoes with a narrow toe box, especially if they feel tight on your toes.
  • Even if you know your shoe size, try on multiple pairs to ensure the best fit. Sizes can vary between brands and styles.
  • Walk around in new shoes before purchasing them. Ensure there’s no discomfort, pinching, or pressure on your toes.
  • Trying shoes on later in the day, when your feet are slightly swollen, can provide a more accurate fit compared to trying them on in the morning when your feet are less swollen.

Schedule an Appointment

If you’re experiencing bunion symptoms or considering treatment options, schedule an appointment with one of our podiatrists at Bluebonnet Foot and Ankle Institute in Austin, Texas. Our team of specialists will provide effective non-surgical and surgical treatments aimed at reversing the pain and deformity associated with bunions. Contact us today!

Medically reviewed by Liza Chabokrow, DPM