Bunions

Bunions: Understanding and Managing Foot Deformities

A bunion, or hallux valgus, is a bony bump that forms at the base of the big toe, causing the joint to shift out of alignment. Over time, bunions can lead to discomfort, difficulty wearing shoes, and changes in walking patterns.

At Rehab8, our chiropody team provides expert assessment and conservative management for bunions. We focus on reducing pain, improving foot function, and preventing further progression.

1. What is a bunion?

A bunion is a deformity of the big toe joint where the first metatarsal bone deviates outward while the big toe angles inward. This misalignment causes a prominent bump on the side of the foot, which may become red, swollen, or painful over time.

Bunions can affect one or both feet and may develop gradually. Early identification and management are important to prevent worsening pain or mobility issues.

2. Common causes and risk factors

Several factors contribute to the development of bunions:

Genetics

Foot structure and inherited traits, such as flat feet or abnormal joint flexibility, can increase the likelihood of developing bunions.‍

Footwear

Narrow, tight, or high-heeled shoes place pressure on the toes and can exacerbate bunion formation.

Biomechanical Imbalances

Abnormal walking patterns or uneven weight distribution can contribute to joint misalignment.

Medical Conditions

Arthritis, particularly osteoarthritis or rheumatoid arthritis, can increase the risk of bunion development.

Age and Gender

Bunions are more common in adults, especially women, due to both footwear choices and structural predispositions.

Symptoms may include:

  • Pain or tenderness at the big toe joint
  • Swelling or redness around the bump
  • Calluses or corns where the toes rub against footwear
  • Restricted movement or stiffness in the big toe

3. How chiropody can help

Chiropody focuses on conservative care and strategies to manage bunions, reduce discomfort, and support foot function.

Assessment and Gait Analysis

Our team evaluates your foot structure, walking pattern, and shoe wear to identify contributing factors.

Custom Orthotics

Orthotics can redistribute pressure, correct foot mechanics, and reduce stress on the bunion joint.

Padding and Protection

We provide cushioning and protective devices to relieve friction and pressure from shoes.

Footwear Advice

Guidance on proper footwear can reduce pain and slow bunion progression. Shoes with a wide toe box and proper support are recommended.

Stretching and Strengthening Exercises

Targeted exercises for the toes, foot muscles, and lower legs can improve mobility, stability, and alignment.

Ongoing Monitoring

Regular follow-ups ensure your bunion management plan remains effective, and adjustments are made as needed.

Takeaway

Bunions are a common foot condition that can cause pain, discomfort, and mobility challenges. At Rehab8, our chiropody team provides assessment, conservative care, and education to help you manage bunions effectively, reduce discomfort, and maintain healthy foot function.

FAQs

Can bunions be corrected without surgery?

While orthotics, footwear modifications, and exercises cannot reverse a bunion, they can reduce pain, improve function, and slow progression.

When should I consider surgery for a bunion?

Surgery may be recommended if conservative measures do not relieve pain or if the bunion significantly affects mobility. A chiropodist or orthopedic specialist can guide this decision.

Can bunions cause other foot problems?

Yes. Bunions can lead to calluses, corns, hammertoes, or changes in walking patterns that affect the knees, hips, or lower back. Early management can help prevent these issues.