A: A bunion is a deformity of the metatarsophalangeal (MTP) joint at the base of your big toe. Bunions may be small at first but grow without treatment. Your big toe can push your other toes out of alignment, too.

A: Pressure on the MTP joint causes most bunions. The pressure is usually caused by shoes that are too tight or otherwise don’t fit. Pressure on your big toes destabilizes the bones, forcing them toward your other toes. The pressure also irritates the MTP joint, so that it enlarges over time. However, not all bunions are caused by tight shoes. Conditions that destabilize or irritate your big toe, such as arthritis, can cause MTP joint deformity. You may also have a congenital foot abnormality that causes or contributes to your bunions.

A: Large bunions usually cause pain or discomfort when you walk. Because the bunion rubs against your shoe, your skin in that area may become red, swollen, and painful. You may also have difficulty moving your big toe, especially if you have arthritis. Eventually, your big toe may overlap or underlap your other toes, compressing and crowding them. The pressure from the bunion might create corns between your compressed toes. In some instances, untreated bunions cause a condition called hammertoe, in which the top of your toes curves downward. You could also develop bursitis -- inflammation of fluid-filled pads that cushion tissues near your joints -- or metatarsalgia (inflamed, painful ball of the foot).

A: Most bunions resolve with the gentle, minimally invasive therapies that our podiatrists favor. If your bunions are related to your footwear, he first recommends switching to shoes that have ample toe room, low heels, and arch support. He may also recommend:

-Over-the-counter bunion and corn pads to increase comfort
-Non-steroidal anti-inflammatory drugs (NSAIDs) to alleviate pain
-Applying heat or ice to control swelling
-Custom-designed orthotics to reposition and support your toes

Don’t soldier through the pain of a bunion. Contact PRINE Podiatry today for bunion treatment by contacting his friendly team or booking an appointment online.