Bothersome Bump to Your Big Toe?????

A bunion (also referred to as hallux valgus or hallux abducto valgus) is often described as a bump on the side of the big toe. But a bunion is more than that. The visible bump actually reflects changes in the bony framework of the front part of the foot. The big toe leans toward the second toe, rather than pointing straight ahead. This throws the bones out of alignment, producing the bunion’s “bump.”

Bunions are most often caused by an inherited faulty mechanical structure of the foot. It is not the bunion itself that is inherited, but certain foot types that make a person prone to developing a bunion.


Most common symptoms, which may occur at the site of a bunion, include pain or soreness, inflammation and/or redness, burning sensation or possible numbness. Symptoms most often occur when wearing shoes that crowd the toes, such as shoes with a tight toe box or high heels. This may explain why women are more likely to have symptoms than men.

Early treatment for bunion treatment is aimed at easing the pain, not reversing the deformity itself. These treatment options include a change in shoe gear: Wearing shoes that have a wider toe box and forgoing those with pointed toes or high heels, which may only aggravate the condition. Padding over the area of the bunion can help minimize the pain associated with bunions. Medications, such as oral non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and icing several times a day can help to reduce pain and inflammation associated with the deformity. In some cases, custom orthotic devices may be provided to help reduce pain, control the abnormal biomechanics of your foot and prevent further progression of the deformity.If non-surgical treatments fail to relieve bunion pain and the pain of a bunion interferes with daily activities, it’s time to discuss surgical options to determine if surgery is best for you.

A variety of surgical procedures are available to treat bunions. These procedures are designed to remove the “bump,” correct the changes in the bony structure of the foot and correct soft tissue changes that may also have occurred. The goal of surgery is to reduce and/or eliminate pain.

If you are suffering from a “bump” to your big toe, please do not hesitate giving our office a call for additional information or to schedule a consultation, 440-946-5858.