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A bunion is an enlargement of bone or tissue around the joint at the base of the big toe. The big toe may turn toward the second toe. The tissues around the joint may be swollen and tender.
A bony bump at the base of the little toe is called a bunionette or tailor's bunion. The little toe also bends inward, and the joint swells or enlarges.
You may get bunions if:
All of these may put pressure on the big toe joint. Over time, the pressure forces the big toe out of alignment, bending it toward the other toes.
Your bunion may not cause any symptoms. Or you may have pain in your big toe, red or irritated skin over the bunion, and swelling at the base of the big toe. The big toe may point toward the other toes and cause problems in other toes.
Your doctor will ask questions such as: When did the bunions start? What activities or shoes make your bunions worse? Do any other joints hurt? The doctor will examine your toe and joint and check their range of motion. X-rays, blood tests, and other tests are also sometimes used.
Bunions are treated to help with pain and walking. Treatment starts with wearing shoes that are wide enough. It may include pads or splints to take pressure off the toe. Applying ice and taking some over-the-counter medicines can also help. Surgery is an option only if home treatment doesn't help.
Proper footwear may prevent bunions. Wear roomy shoes that have wide and deep toe boxes (the area around the toes). The shoes should have low or flat heels and good arch supports. Avoid tight, narrow, or high-heeled shoes that put pressure on the big toe joint. Medicine won't prevent bunions.
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Your bunion may not cause any symptoms. If you do have symptoms, they may include:
A bunionette can cause similar symptoms at the base of the little toe.
Bunions and their symptoms develop slowly over time.
Call your doctor or nurse advice line now or seek immediate medical care if:
Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if:
Bunions are treated to ease pain and help with walking and other daily activities. Most bunions can be treated at home.
Home treatment includes wearing shoes that have wide and deep toe boxes (the area that surrounds the toes). The shoes should have low or flat heels and good arch supports. You can wear pads or splints to cushion the bunion and take pressure off the toe.
Applying ice and taking over-the-counter medicine can help relieve toe pain.
Avoid activities that put pressure on your big toe and foot. Try activities that don't put a lot of pressure on your foot, such as swimming or biking.
If you have a bunion but don't have pain or discomfort, treatment may not be needed.
Surgery is an option only if other treatments don't help. Bunion surgery is done to help restore normal alignment to the toe joint.
Home treatment can help relieve toe pain and may prevent a bunion from getting worse. Try the following ways to relieve toe pain.
Examples include acetaminophen (such as Tylenol) and non-steroidal anti-inflammatory drugs (NSAIDs) (such as ibuprofen or aspirin). Talk to your doctor about which pain reliever is best for you.
Apply ice to the joint for 10 to 20 minutes at a time. Put a thin cloth between the ice and your skin. Elevate your foot so that your toe is higher than your heart.
Place these just behind the big toe joint on the bottom of your foot. This redistributes your weight while you are walking and takes pressure off your big toe. Ask your doctor to help you choose the right kind of pads.
These help protect the bunion from being rubbed by your shoes.
Look for a shoe repair shop or cobbler that stretches shoes, or ask your doctor to recommend one.
You may need to search for a shoe manufacturer who makes these shoes.
Bunion surgery involves making a cut (incision) in the top or side of the big toe joint area. Then soft tissue and bone are removed or realigned. You may consider surgery if your bunion causes lasting, severe pain that limits your daily activities. You may also consider it if you have a severe foot deformity.
The goals of surgery are to:
Surgery isn't recommended if you:
Bunions may come back after surgery. This is more likely if you keep wearing narrow or high-heeled shoes.
Current as of: November 15, 2021
Author: Healthwise StaffMedical Review: William H. Blahd Jr. MD, FACEP - Emergency MedicineE. Gregory Thompson MD - Internal MedicineAdam Husney MD - Family MedicineKathleen Romito MD - Family MedicineGavin W.G. Chalmers DPM - Podiatry and Podiatric Surgery
Current as of: November 15, 2021
Author: Healthwise Staff
Medical Review:William H. Blahd Jr. MD, FACEP - Emergency Medicine & E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Gavin W.G. Chalmers DPM - Podiatry and Podiatric Surgery
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