People with flexible joints seem to tolerate their bunions more. But others with stiff joints or arthritis usually have more trouble with their bunions and might develop pain earlier, she says.
If you develop a bunion, talk to your family doctor. He or she may refer you to a podiatrist who diagnoses and treats conditions of the foot, ankle and related structures of the leg.
Bunions are permanent unless surgically corrected. Some people are interested in treating their bunions by stretching the feet to realign the toes, or using devices such as toe spacers or bunion splints, Dr.
Botek says. Often though, the device is like a pair of eyeglasses — when you take it off, the benefit is gone. If your bunion is very painful, your podiatrist may recommend surgery. Botek states. Your doctor also may recommend surgery because bunions can result in other painful foot problems, such as hammertoes, bursitis, a bunion below the little toe, or pain in the balls of your feet, Dr. Bunions might be associated with certain types of arthritis, particularly inflammatory types, such as rheumatoid arthritis.
To help prevent bunions, choose shoes carefully. They should have a wide toe box — no pointy toes — and there should be space between the tip of your longest toe and the end of the shoe. Your shoes should conform to the shape of your feet without squeezing or pressing any part of your foot. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version.
Overview Bunion Open pop-up dialog box Close. Bunion When you have a bunion, the tip of your big toe shifts towards the smaller toes, crowding them. Bunionette Open pop-up dialog box Close. Bunionette Smaller bunions bunionettes can develop on the joint at the base of your little toe.
Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Bunions. Recovery takes 6—12 weeks. If the joint is beyond repair, it may be replaced with an artificial joint. Variations among toe-joint deformities and surgical techniques make it difficult to evaluate the results of bunion surgery.
The problem may be unrealistic expectations. Some patients mistakenly believe that after surgery, the big toe will be completely straight and the foot will fit into narrower shoes. James P. Ioli, chief of podiatry at Brigham and Women's Hospital in Boston. Patients may also expect faster relief from pain and swelling than the procedure allows.
This can happen when only the bony prominence is shaved off and the underlying deformity is not corrected. Sometimes the cut bone reunites too slowly or, rarely, doesn't come together at all. This condition, called nonunion, usually requires another surgery. Other possible complications are irritation from the pins or screws used to hold the bone together and excessive scarring or stiffness.
Swelling after surgery usually eases within two months but may last six months or longer. The joint may be stiff for several months. Nerve damage and continued pain are rare, but when they occur, they can lengthen recovery time and create a need for further surgery. The decision to undergo surgery isn't easy. You'll need to weigh the potential benefits against the risks. The good news is that bunion surgery isn't a medical crisis. You have time to investigate, weigh your options, and, if you wish, secure a second opinion.
Ioli, chief of podiatry at Boston's Brigham and Women's Hospital and assistant professor of orthopaedic surgery at Harvard Medical School, helped prepare this article. As a service to our readers, Harvard Health Publishing provides access to our library of archived content.
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