Bunion Deformity

Marg‘ilon Definition: A bunion is a complex deformity of the great toe joint resulting in a progressive dislocation. There is a progressive deformity of the foot with the metatarsal bone protruding and the large toe moving in the opposite direction.

Cause:

• Hereditary factors
• Women are more prone than men
• Flat footedness
• Tight fitting shoes

Symptoms:

• Persistent pain, irritation, redness and blister formation over the prominent toe.
• Difficulty finding comfortable shoes
• Often associated with other deformities including hammertoes

Treatment:

• Wider shoes to accommodate for the deformity
• Softer upper on the shoes to avoid irritation
• Arch supports when indicated (flat feet)
• Padding of the bunion to avoid irritation in shoe
• Surgery if deformity is significant and unresponsive to conservative care

Prevention:

• Careful shoe fit
• Arch supports when indicated

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