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Description:
The common bunion is a localized area of enlargement of the inner portion of the joint at the base of the big toe. The enlargement actually represents additional bone formation, often in combination with a misalignment of the big toe. The normal position of the big toe (straight forward) becomes outward-directed toward the smaller toes (Hullux Valgus.) The enlarged joint at the base of the big toe (the first metatarsophalangeal joint) can become inflamed with redness, tenderness, and pain. A small fluid-filled sac (bursa) adjacent to the joint can also become inflamed (bursitis) leading to additional swelling, redness, and pain.
A less common bunion is located at the joint at the base of the smallest (fifth) toe. This bunion is sometimes referred to as a tailor's bunion.
Problems it causes:
Pain located on the base of the 1st or 5th metatarsal. Pronation is related to most bunion cases. This inward walking motion will increase the deformity of the bunion and the big toe. Bunions are also aggravated when wearing tight fitting shoes. Narrow fitting shoes will usual cause pain and callouses in bunion areas.
How to help the pain:
Wear shoes that have extra depth toe box room. The foot will never regain its natural shape again without surgery. Not wearing the proper shoes will just accelerate the process of more deformity and pain. Propers shoes will decrease the pain and slow down further deformity and can even eliminate the callous formation.
It is important to keep the foot in a neutral position while walking. Reducing the pronation of the foot, achieved by an arch support, combined with a proper fitting shoe is the best solution for bunions. Together they can maximize foot comfort and minimize further deformity. |