Bunion
Condition
(Hallux Valgus)
Definition
A bunion is a painful lump at the base of the big toe. Over time, it causes the tip of the big toe to turn toward the other toes. The big toe may also overlap the second or third toe.
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Causes
The exact cause of bunions is not known. Genes may play a role.
Risk Factors
Bunions are more common in women and older adults. They are also more common in people who have family members with bunions. Other things that may raise the risk are:
- A personal or family history of foot deformities
- Flat feet that put too much weight on the big toe joint
- Inflammatory joint problems, such as psoriatic arthritis and gout
Symptoms
Bunions may cause:
- Pain in the big toe and second toe
- Problems moving the big toe
- Redness and swelling
- A firm lump on the inside edge of the foot at the base of the big toe
Diagnosis
The doctor will ask about symptoms and past health. A foot exam will be done. It is diagnosed based on the exam.
Treatment
The goal of treatment is to ease pain and improve movement. Options are:
Prevention
There are no methods to lower the risk of getting a bunion.
Supportive Care
It is important to ease pressure on the bunion. This may be done with:
- Padding
- Shoes that are wide and deep
- Shoe inserts
American Podiatric Medical Association
OrthoInfo—American Academy of Orthopaedic Surgeons
CANADIAN RESOURCES:
Ontario Podiatric Medical Association
Health Canada
American Podiatric Medical Association
OrthoInfo—American Academy of Orthopaedic Surgeons
CANADIAN RESOURCES:
Ontario Podiatric Medical Association
Health Canada
References
- Bunion surgery. Ortho Info—American Academy of Orthopaedic Surgery website. Available at: https://orthoinfo.aaos.org/en/treatment/bunion-surgery.
- Bunions. Ortho Info—American Academy of Orthopaedic Surgery website. Available at: https://orthoinfo.aaos.org/en/diseases--conditions/bunions.
- Hallux valgus and bunion. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/hallux-valgus-and-bunion.
Contributors
- Teresa Briedwell, PT, DPT, OCS
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