Have I got a bunion?

A bunion (hallux abductovalgus) is a structural bony misalignment that forms at the base of the big toe where it meets the foot. Bunions can be painful and can make it difficult to walk or wear shoes comfortably. They are exacerbated by wearing tight, narrow shoes or generally unsupportive footwear, or having certain foot conditions; though there is also a strong genetic link. In some cases, bunions might require medical attention, such as footwear adjustments, using orthoses (insoles), or in more severe cases, surgery to correct the issue. Secondary conditions such as hallux rigidus (loss of movement in the big toe joint) and hammer (curled) toes are common.

Wear Supportive Footwear

Footwear is KEY in the effective management and prevention of complications in bunions.

Choose shoes that have a wide, deep toe box that provide enough room for your toes. Avoid high heels and narrow or tight-fitting shoes. A thick sole that cannot be easily bent at the big toe joint, or a rocker sole, are ideal. Paul the Podiatrist is good on recommendations - or speak to an HCPC-registered podiatrist!

Pads and Inserts

Gel bunion pads, Compeed dressings or felt/foam cushions can help to reduce friction and pressure on the bunion joint. Orthoses (insoles) will help distribute pressure more evenly across the soles of the feet (rather than predominantly through the poorly functioning first toe joint) when you walk.

Ice Packs

Applying ice to the bunion can help reduce inflammation and pain. Use an ice pack or bag of frozen peas wrapped in a tea towel and apply it for 15-20 minutes when symptomatic.

Pain Relief Medication

Over-the-counter pain relievers like ibuprofen (topical or oral) can help alleviate pain and reduce inflammation - but should not be used in isolation; seek a professional opinion from a podiatrist.

Toe Spacers/Exercisers

These devices can help to straighten the toes, improving alignment and reducing discomfort. They also help in 'motor programming'; reminding your brain where your toes are meant to be. Bunion splints can be helpful for pain relief, but they will not correct the bunion.

Kinesiology Taping

Kinesiology taping can be applied to improve alignment short-term, and to ease discomfort. Requires replacing every 1-3 days. Here is a quick and simple example.

Physical Therapy To Treat Bunions

Exercises to improve strength and flexibility of the small muscles in the feet can provide relief. Gentle mobilisation of the joint is important. Consult a physiotherapist or podiatrist for specific advice. These are a good place to start.

Orthoses for Bunions

Custom or over-the-counter shoe inserts can help redistribute pressure to help offload the bunion, which may help to prevent further progression of the deviation of the joint.

Surgery for Bunions

There are over a 100 different procedures that can be performed to treat bunions. This is performed by an orthopaedic (foot & ankle) surgeon or a podiatric surgeon. A procedure is typically reserved for advanced cases where non-surgical treatments don't offer relief, or if the bunion is causing severe pain and affecting a person's daily life.

It's essential to consult with a podiatrist or orthopaedic specialist for guidance and an effective management plan. They can advise on the best approach tailored to your specific condition and its severity. Early intervention will help to manage the discomfort and potentially prevent the condition from worsening. Concerned you have a bunion? Make an appointment with Oxfordshire Chiropody & Podiatry for expert assessment and advice. Book securely online here. #bunions #halluxvalgus #halluxabductovalgus #insoles #footpain #hammertoe