This condition is the result of a malalignment of the first toe. Bunions can be hereditary or secondary to wearing high-heeled or narrow toe-box shoes.

Symptoms often include pain, swelling, and abnormal positioning of the first toe. The technical term for bunions is “hallux valgus” (HV). This refers to the first toe (hallux) moving away from the middle of the foot and twisting so that the inside edge touches the ground while the outside edge turns upward.

If left untreated, bunions can worsen over time, leading to considerable difficulty in walking, discomfort, and skin problems such as corns. In some cases, a small bursa (fluid-filled sac) near the joint becomes inflamed, a condition known as bursitis, which can cause additional redness, swelling, and pain.

Less frequently, bunions occur at the base of the fifth toe. When this occurs, it is called a bunionette.

Unless the underlying causes of bunions are eliminated, they will only worsen over time. In cases of severe discomfort, a surgical procedure known as a bunionectomy may be performed. The amount of the deformity will determine the surgical technique prescribed.

Non-Surgical Options:

• Wearing properly fitting shoes with a wide toe box
• Using custom orthotics or shoe inserts
• Applying ice packs to reduce swelling and pain
• Taking anti-inflammatory medications for pain relief

Surgical Options:

In the case of small bunions, the bothersome bump may only require shaving to repair the soft tissue in the big toe joint. However, bunions that cause severe pain or discomfort usually require more correction than shaving provides.

For more severe cases, the most commonly recommended procedure involves breaking and realigning the metatarsal bone to decrease the toe’s angle of deviation. In both procedures, the bones are correctly repositioned and stabilized with screws, pins, plates, or wires.

We offer the best, least invasive, and least aggressive options to relieve your pain and symptoms so you can get back to the life you love. Barrington Orthopedic Specialists Foot & Ankle Care Center has convenient locations in Bartlett, Buffalo Grove, Elk Grove Village, and Schaumburg.