Bunions

exam dr baczewski

A bunion is a bone deformity caused by an enlargement of the joint at the base and side of the big toe (metatarsophalangeal joint). Bunions form when the toe moves out of place. The enlargement and its protuberance cause friction and pressure as they rub against footwear. Over time, the movement of the big toe angles in toward the other toes, sometimes overlapping a third toe (known as Hallux Valgus). The growing enlargement or protuberance then causes more irritation or inflammation. In some cases, the big toe moves toward the second toe and rotates or twists, which is known as Hallux Abducto Valgus. Bunions can also lead to other toe deformities, such as hammertoe.

Many people with bunions suffer from discomfort and pain from the constant irritation, rubbing, and friction of the enlargement against shoes. The skin over the toe becomes red and tender. Because this joint flexes with every step, the bigger the bunion gets, the more it hurts to walk. Over time, bursitis or arthritis may set in, the skin on the bottom of the foot may become thicker, and everyday walking may become difficult—all contributing to chronic pain.

Bunions can be hereditary and they do tend to run in families, usually because of a faulty foot structure. Foot injuries, neuromuscular problems, flat feet, and pronated feet can contribute to their formation. It is estimated that bunions occur in 33 percent of the population in Western countries.

Treatment for Bunions

Because they are bone deformities, bunions do not resolve by themselves. The goal for bunion treatment is twofold: first, to relieve the pressure and pain caused by irritations, and second to stop any progressive growth of the enlargement. Commonly used methods for reducing pressure and pain caused by bunions include:

  • Protective padding, often made from felt material, to eliminate the friction against shoes and help alleviate inflammation and skin problems.
  • Removal of corns and calluses on the foot.
  • Changing to carefully fitted footwear designed to accommodate the bunion.
  • Orthotic devices—both over-the-counter and custom made—to help stabilize the joint and place the foot in the correct position for walking and standing.
  • Exercises to maintain joint mobility and prevent stiffness or arthritis.

Surgical Treatment

Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy, may be advised to remove the bunion and realign the toe.


At Portsmouth Foot and Ankle we treat bunions with great success. If you are experiencing bunion pain we encourage you to request an appointment with one of our podiatrists now. You can Contact Us right through the website and one of our receptionists will be in contact with you shortly. Or you can call our office (603) 431-6070 during business hours and speak with someone.
 
We have two podiatrists, Dr. Sartori and Dr. Baczewski (
Meet Our Doctors), at our practice who see patients five days a week. We are able to accommodate new patients quickly and begin treatment to alleviate your pain as soon as possible. Both of our doctors are specially trained Podiatric Surgeons who perform their bunion surgeries at nearby hospitals and surgery facilities. 
 
If you are coming to Portsmouth Foot and Ankle as a new patient click here:
New Patients . If you are not ready to book an appointment yet but would like to receive more information please fill out our Book Request form and we will mail (or e-mail) you a FREE copy of our book.