If you begin to feel pain in the middle joint of your big toe, it is quite possible that you may have a bunion. This deformity is caused by prolonged pressure that compresses the big toe and pushes it toward the smaller toes. This in turn causes the middle joint to push outward, resulting in a bony bump on the side of the foot. Besides a genetic disposition to bunions, wearing shoes that are too tight or too small is a major factor in their development. Side effects from bunions include pain in the joint of the big toe, corns, calluses, and difficulty wearing shoes. In some cases, the movement of the tip of the big toe toward the other toes causes it to overlap onto the second toe. This causes problems finding appropriate footwear and can have a negative effect on posture and gait. Wearing shoes with a wider and roomier toe box is one way to reduce the effects of a bunion. Also, avoiding high-heeled shoes can help. Foot pads are available to relieve some of the pressure, as well as wearing shoes made with mesh or more flexible materials. If you have a bunion, it is suggested that you make an appointment with a podiatrist for an evaluation and recommendations for treatment.

If you are suffering from bunions, contact John Horlebein, DPM of Northern Cascades Foot & Ankle, LLC. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Doctors often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your doctor.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

If you have any questions, please feel free to contact our office located in Chelan, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.