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Bunions

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What is a bunion?

A bunion is a bony lump that forms on the side of the big toe where it meets the foot. This is a very common condition that occurs in people that have an inward-bending big toe, which forms a protrusion on the side of the foot that can attract persistent pressure and inflammation. The scientific name for a bunion is hallux valgus.

Causes

Bunions are caused by a common and minor foot condition called 'hallux valgus'. Hallux translates to 'big toe' and valgus means 'bent'. Hallux valgus can occur naturally in some people as their toes develop, can be caused by arthritis in the big toe, or caused by shoes that do not fit correctly. As the bones and joint are angled outward from the foot, they are more prone to ongoing pressure and rubbing. Continuous rubbing on the outer edge of the joint can also cause the skin to become rough and form a callus.

A bunion forms on the side of the foot near the big toe. 

Risk factors

Risk factors associated with developing bunions include:

  • Having a family history of developing bunions;
  • Having arthritis, particularly rheumatoid arthritis, which involves inflammation of the joints;
  • Wearing shoes that do not fit correctly, particularly high heels that are tight, narrow or pointed, which bunch toes together;
  • Having certain foot injuries, and;
  • Gender - bunions occur more frequently in women.

Signs and symptoms

The presence of a bunion can be indicated by:

Methods for diagnosis

Bunions can easily be identified by a doctor during a foot examination. To determine if movement is limited in the big toe, the doctor may watch as the patient moves their toe back and forth or walks barefoot. An X-ray may also be taken of the foot. The patient may also be referred to a podiatrist or orthopedic foot specialist that works specifically in the diagnosis and treatment of foot conditions.

Types of treatment

Depending on the severity of the bunion, various treatment options are available. These are categorized generally into simple self-management techniques or surgical operations.

Self care

Self care techniques can include:

Surgical operations

If self-care treatments are not successful in treating the bunion, surgery is possible. Operations are generally only required if there is persistent pain or ongoing problems with the feet or toes. A foot surgeon will be required and, depending on the patient's condition, may perform various operations. These can include fusing or joining of joints, the removal of a joint and replacement with an implant, the realigning of bones or reconstruction of soft tissue.

Potential complications

If pressure is consistently applied to a bunion, a bursa around the big toe can become inflamed, causing a condition called bursitis. The bursa can also become infected and in some cases, the skin can deteriorate to form an ulcer.

A condition called hammertoe can also develop in the second toe, due to persistent sideways pressure from the big toe. Hammertoe is the formation of an abnormal joint that causes a bump and hammer-shaped appearance of the toe.

Osteoarthritis can also occur due to wear and tear of the abnormal joints.

Prognosis

Bunions are a common and usually harmless foot abnormality. At times, inflammation can occur, causing pain and discomfort. Self-care techniques can be used to manage bunions and if required, surgery is possible.

Prevention

In some cases, bunions can be prevented by not wearing tight shoes that bunch the toes together. In other cases, prevention of bunions is not possible, such as when there is a history of bunions in the family.

9 Most frequently asked questions (FAQs)

What is a bunion?
A bunion is a bony lump that forms on the side of the big toe where it meets the foot. This is a very common condition that occurs in people that have an inward-bending big toe, which forms a protrusion on the side of the foot that can attract persistent pressure and inflammation.
What are the symptoms of a bunion?
The presence of a bunion can be indicated by: a sore, red or swollen bump on the outside base of the big toe; thickened skin on the outside base of the big toe; ongoing or intermittent pain; limited movement of the big toe, and; widening of the foot.
What causes a bunion?
Bunions can occur naturally in some people as their toes develop, can be caused by arthritis in the big toe, or caused by shoes that do not fit correctly.
Who can get bunions?
Bunions can occur in anyone, but are more common in women and in people who have a family history of the condition.
How is a bunion diagnosed?
Bunions can be easily identified by your doctor during an examination. Your doctor will look for a V-shaped protrusion from the side of your foot at the base of your big toe.
How is a bunion treated?
Depending on the severity of your bunion, various treatment options are available. These are categorized generally into simple self-care techniques including wearing shoes that fit correctly with plenty of room for your toes, or surgical operations.
What surgical operations can be performed on bunions?
Operations for bunions are generally only required if there is persistent pain or ongoing problems with your feet or toes. A foot surgeon will be required and, depending on your condition, may perform various operations. These can include fusing or joining of joints, removal of a joint and replacement with an implant, the realigning of bones, or reconstruction of soft tissue.
Can a bunion be prevented?
Bunions can be prevented in some people by not wearing tight or pointy shoes that bunch the toes.
How common is a bunion?
Bunions are a common and relatively minor foot condition.

Related topics

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Achilles tendonitis is inflammation of the Achilles tendon, which connects the calf muscle to the heel bone. It can cause swelling and pain at the back of the heel and make walking difficult.

Athlete's foot

Athlete's foot (Tinea) is a fungal infection that causes itchy blisters which usually occur between the toes. Treatment options, such as antifungal creams, can improve symptoms within a few weeks.

Heel pain

Heel pain is a very common complaint that can develop suddenly or gradually. Although many people will only experience mild and short-lived pain, for some this pain can become debilitating. Heel pain can affect anyone, but is more common in people who are aged over 40, obese, who stand up for work a lot, or who often do strenuous activity.

Plantar fasciitis

Plantar fasciitis is a common foot condition which causes pain in the underside of the heel. It occurs when the plantar fascia, the connective tissue running between the heel and the ball of the foot, becomes irritated, particularly at the point where it attaches to the heel.

About this article

Title: Bunions

Author: Dr Bow Tauro PhD, BSc (Hons)

First Published: 10 Jul 2015

Last reviewed: 17 Jan 2022

Category: Information on Bunions

Average rating: 4.5 out of 5 (1556 votes)

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