Bunions
Definition
Bunions, referred to in the medical community as Hallux Valgus, are one of the most common forefoot problems. A bunion is a prominent bump on the inside of the foot around the big toe joint. This bump is actually a bone protruding towards the inside of the foot. With the continued movement of the big toe toward the smaller toes, it is common to find the big toe resting under or over the second toe. This can cause a common forefoot condition called overlapping toes. Some of the symptoms of bunions include inflammation, swelling, and soreness on the side surface of the big toe. The discomfort commonly causes a patient to walk improperly. Another type of bunion which some individuals experience is called a Tailor’s Bunion, also known as a Bunionette. This forms on the outside of the foot toward the joint at the 5th toe. It is a smaller bump that forms due to the 5th toe moving inward, toward the big toe.
Cause
Bunions are a common problem experienced mostly by women. The deformity can develop from an abnormality in foot function or from arthritis, but is more commonly caused by wearing improper fitting footwear. Tight, narrow dress shoes with a constrictive toe box (toe area) can cause the foot to begin to take the shape of the shoe, leading to the formation of a bunion. Women who have bunions normally wear dress shoes that are shaped improperly for their feet. Their toes are squeezed together in their shoes causing the first metatarsal bone to protrude on the side of the foot.
Treatment and Prevention
Conservative treatment to alleviate the pain associated with bunions is to wear shoes that accommodate the deformity. Shoes designed with a wide toe box are recommended. Orthotics are also recommended for this condition to support the arch in the case of flat feet. Orthotics can limit the progression of the bunion formation and help provide relief.
If the problem persists, consult your foot doctor.
