Bunions
What are Bunions?
A bunion or hallux valgus is a bony lump that appears at the bottom of the big toe, causing the toe to bend inwards. This lump is created by the effect of the metatarsal bone, the protruding bone, rubbing against the shoe.
Its Latin name, hallux valgus, derives from ‘hallux’ for ‘big toe’ and ‘valgus’ which translates as ‘pointing outwards’. Another variant, affecting the small toe, is known as the Tailor’s bunion.
What causes bunions?
Bunions are more liable to occur if:
- Your shoes don’t fit properly
- Your joints are more flexible than average
- A history of the issue in your family exists
- Your feet are flat
- You suffer from gout or rheumatoid arthritis
- Other health conditions exist, notably cerebral palsy or polio
Bunions FAQ's
What are the symptoms of a bunion?
- On the outer edge of your foot, a bony lump will form, which may rub against your shoe, creating swelling and pain
- At the point where the big toe and second toe overlap, there will be inflamed, hard skin
- The metatarsal bones (bones in the ball of foot) may start to protrude
- Hammer toes – deformation in the small toe joints
- Left untreated, the symptoms can deteriorate and cause greater deformation of the foot. On occasion, the big toe will force itself beneath the second toe, which may lead to big toe arthritis
How are bunions diagnosed?
When you meet your consultant, you will discuss your symptoms. Diagnostic testing will then take place including X-rays to assess the level of impairment to your joints.
How is a bunion treated?
Surgery is not always a necessity for those suffering with bunions and your consultant will steer you towards the best treatment for you.
Using toe-spacers or realignment splints to promote repositioning of the toes are among the non-surgical treatments available. Specially-designed shoes and padded insoles are other useful aids, together with anti-inflammatory painkillers, to be taken under your doctor’s direction.
In some cases, bunion surgery will be required to correct the deformation and realign the foot so normal shoes can be worn and everyday activities resumed. Realignment surgery may not be possible, if you suffer from big toe arthritis, and your consultant may advise you to have big toe fusion surgery.
Meet the
Bunions Providers
Prof. Nima Heidari
Consultant Foot, Ankle and Limb Reconstruction Surgeon
Dr. Thomas Crompton
Consultant Paediatric Orthopaedic Surgeon
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