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Dealing With Bunions

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Understanding Bunions: Causes, Symptoms, Treatments, and When to Seek Help

If you’ve ever experienced a painful bump on the side of your big toe, you may be dealing with a bunion. Imagine struggling to find comfortable shoes, wincing with every step, or feeling embarrassed by the noticeable protrusion on your foot. Bunions can affect your daily life, making even simple activities like walking or standing uncomfortable. If you’ve been wondering what bunions are, what causes them, and how to manage or treat them, read on for all the information you need to understand this common foot condition and explore your options for relief.

What are Bunions?

A bunion is a bony bump that forms at the base of the big toe on the side of the foot. It develops when the bones in the front part of your foot shift out of place, causing the tip of your big toe to pull toward the smaller toes. Over time, this misalignment pushes the joint at the base of the big toe outward, creating the characteristic bump.

In some cases, the area becomes swollen, red, and painful, making everyday activities like walking or wearing shoes uncomfortable. Bunions can vary in size, and while some may remain small and manageable, others can grow large enough to cause significant discomfort and impair mobility.

What Causes Bunions?

Bunions develop for various reasons, but they typically result from a combination of inherited structural foot problems, lifestyle factors, and wearing tight or poorly fitting shoes.

Some common causes include:

man with swollen deformed inflammed toe joint with painful gout on wooden floor

Genetics: You can be more likely to have bunions if your parents or grandparents had them. This is due to inherited foot shapes, like flat feet or overly flexible joints.

Footwear: Wearing narrow, tight, or high-heeled shoes that crowd your toes forces the bones of your feet into unnatural positions. Over time, this pressure contributes to bunion formation.

Foot Injuries: Previous trauma or injuries to the foot can alter its structure and increase the risk of bunion development.

Arthritis: Inflammatory conditions such as rheumatoid arthritis can cause joint damage which increase the likelihood of bunions forming.

Flat Feet or Overpronation: These conditions put extra pressure on the front part of the foot, leading to structural changes.

How Do Bunions Form?

Bunions form slowly over time as pressure on the foot causes the bones to shift out of alignment. This pressure may come from years of wearing shoes that pinch the toes together or from other structural issues like flat feet. The misalignment leads to the joint at the base of the big toe protruding outward, resulting in a visible bump.

The bump may worsen as the big toe continues to angle toward the smaller toes. This misalignment can also affect how you walk, putting even more strain on the foot, which exacerbates the problem.

Why Do Bunions Hurt?

Bunions hurt for a few reasons. The surrounding tissues become irritated as the joint becomes misaligned and the bump forms. The constant friction against shoes can cause inflammation, redness, and swelling. Over time, the joint itself may develop arthritis, causing even more pain.

Because bunions are located on a critical weight-bearing joint, they can cause discomfort with every step. The misalignment also places extra pressure on other parts of the foot which can lead to pain in the ball of the foot, arches, or even the ankle.

Home Treatments for Bunions

If you have a bunion that isn’t severe, there are several ways to manage the symptoms at home and prevent further progression:

  • Change Your Shoes: Wear comfortable, wide-toed shoes with a low heel and plenty of space for your toes to move. Avoid narrow or high-heeled shoes, which put pressure on the bunion.
  • Use Padding: Over-the-counter bunion pads can cushion the area and reduce friction from shoes.
  • Ice the Area: Applying ice to a painful bunion can help reduce swelling and numb the area, providing temporary relief.
  • Foot Exercises: Simple exercises, like toe stretches and strengthening exercises for the muscles around the big toe, can help keep the foot flexible and improve alignment.
  • Anti-inflammatory Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and swelling from your bunions.

Medical Treatments for Bunions

When home treatments aren’t enough to manage bunion pain, medical treatments may be necessary:

  • Physical Therapy: For some, physical therapy can help alleviate symptoms by improving the strength and flexibility of your foot.
  • Steroid Injections: Corticosteroid injections can temporarily reduce inflammation and relieve pain, though they do not correct the underlying issue.
  • Custom Orthotics: A podiatrist may recommend prescription orthotics that are specifically designed to relieve pressure on the bunion and improve foot alignment.
Podiatrist examines patient's foot for bunions.

When to See a Podiatrist for Bunions

It’s essential to see a podiatrist if your bunion becomes too painful to manage with home remedies or if it starts to interfere with your daily activities. You should also seek medical advice if the bunion is getting more significant or if you’re experiencing symptoms like numbness, tingling, or difficulty moving the toe. A podiatrist can assess your situation and recommend appropriate treatment options. If you are having concerns with your bunions or having any of these symptoms please contact us to schedule with one of our podiatrists.

Bunion Surgery

If non-surgical treatments fail to bring you relief, bunion surgery may be needed to correct the deformity and alleviate your pain. Bunion surgery, also known as a bunionectomy, removes the bony bump and realigns the bones in the foot to restore normal structure. There are several types of bunion surgeries, depending on the severity of the condition:

  1. Osteotomy: The surgeon cuts and realigns the bones in the foot to correct the bunion.
  2. Arthrodesis: This procedure involves fusing the affected joints to relieve pain and correct deformity.
  3. Exostectomy: This involves removing the bunion without realigning the joint, typically reserved for less severe cases.

Recovery Time for Bunion Surgery

Recovery from bunion surgery varies depending on the type of surgery you have and the severity of your bunion. Generally, the bones take about six to eight weeks to heal. During this time, you may need to wear a special shoe or boot to protect your foot and avoid putting weight on it.

It can take three to six months for you to reach full recovery, which includes returning to regular activities and wearing normal shoes. Physical therapy is sometimes necessary to help you regain strength and flexibility in the foot. Each situation is different, and it is important to speak with your doctor about your specific situation so you can receive a tailored treatment plan.

Is Bunion Surgery Worth It?

For many people, bunion surgery is worth it because it relieves pain, corrects the deformity, and improves mobility. However, it’s always important to weigh the benefits and risks. Surgery can help prevent the bunion from worsening and eliminate chronic pain, but there’s a risk of complications such as an infection, nerve damage, or the bunion returning.

Discussing your options with a podiatrist can help you decide whether bunion surgery is the right choice for you.

At OIBO, we have a team of specialists dedicated to helping you with your pain. Contact us to schedule an appointment; we can't wait to help you.

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Can You Fix or Get Rid of Bunions?

Unfortunately, bunions won’t go away on their own, and non-surgical methods can’t make them disappear. However, you can manage and prevent symptoms from worsening with proper footwear, orthotics, and lifestyle adjustments. Surgery is the only way to permanently remove a bunion and correct the underlying structural problem. While home treatments can alleviate pain and slow progression, they won’t reverse the bunion. If your quality of life is being severely affected, surgery may be the best option to provide long-term relief.

Although bunions are common, this painful foot condition can interfere with your daily activities. While home treatments can help manage symptoms, more severe cases may require medical intervention or surgery. If you’re dealing with bunion pain, it’s essential to seek advice from a podiatrist to determine the best course of action for you. Whether you opt for conservative treatments or surgery, there are many ways to relieve pain and restore function to your foot.

Disclaimer: This blog is intended for information purposes only and is not medical advice or diagnosis. Please contact us with questions or to schedule with one of our orthopaedic specialists.

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We listen. We collaborate. We Serve.

Compassionate Orthopaedic Care In New Jersey

Patients deserve personalized, outcome-driven care provided by physicians who genuinely care about them. As medicine has become more corporate and transactional, OrthoNJ prioritizes exceptional doctor/patient relationships. This is why we say we have The Power to Put Patients First.

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