A bunion is a lump that develops at the base of your big toe, where the joint meets the ball of your foot. The problem begins when the metatarsal bone behind the joint comes under pressure, forcing it to project out to the side and form a bony lump.
Bunions are more likely to affect you if you wear high-heeled shoes that add extra stress to the joint. Other factors that increase your risk of developing bunions include:
In their earlier stages, bunions are more unsightly than anything else, but they become increasingly painful as they develop. Wearing shoes can be particularly uncomfortable as the bunions press into the side of the shoe, which worsens the inflammation.
The skin over your bunion gets tighter, redder, and shinier, and can be tender to touch, too. Left untreated, bunions can become so painful that it’s difficult to walk.
A hammertoe is a deformity where one of the smaller toes (usually the second, third, or fourth) bends downward at the middle joint, making the toe look like a hammer. Over time, hammertoes can stiffen and become rigid, leading to corns, discomfort, and balance issues.
Both conditions are progressive — meaning they get worse without treatment — but they’re manageable with the right care.
Common causes include:
Genetics — inherited foot structure or instability
Poor footwear, such as tight shoes or high heels
Foot injuries or trauma
Arthritis or joint conditions
Imbalance in foot muscles or tendons
Flat feet or abnormal gait mechanics
Bunions and hammertoes often appear together and may worsen with age, especially if untreated.
Pain and tenderness at the base of the big toe
A visible bump on the inside of the foot
Redness and swelling around the joint
Restricted toe movement
Calluses or corns from overlapping toes
Toe bends downward at the middle joint
Pain or irritation, especially when wearing shoes
Corns or calluses on the top of the toe
Inflammation and redness
In later stages, the toe may become rigid and unmovable
At Toetal Podiatry, we perform a physical exam and gait analysis, followed by in-office imaging (X-rays and ultrasound) to assess bone alignment, joint damage, and the severity of deformity.
These tools help us tailor the most effective treatment plan for your specific case.
If conservative treatments fail, or the deformity limits your mobility, surgery may be recommended.
Bunionectomy — removal and realignment of the bony bump
Minimally invasive techniques are available for quicker recovery
Tendon release or transfer
Joint resection or fusion in severe cases
The Toetal Podiatry team performs customized surgical correction based on your anatomy, lifestyle, and recovery goals.
Q: Are bunions and hammertoes reversible?
A: They are progressive and not reversible without surgery, but early treatment can slow progression and reduce symptoms.
Q: Is bunion or hammertoe surgery painful?
A: Surgery is done under anesthesia. Pain is manageable post-op, and modern techniques minimize downtime.
Q: How long is the recovery?
A: Most patients return to regular shoes within 6–8 weeks, with full recovery in a few months depending on procedure type.
Q: Can I prevent bunions or hammertoes?
A: Proper footwear, foot exercises, and early intervention can help prevent or slow development.
EXCELLENT Based on 105 reviews Posted on Anu BunnyTrustindex verifies that the original source of the review is Google. I highly recommend Dr. Sharaara Rahman! I found her to be confident and determined to help heal my ankles. I have a double sprained left ankle and a single sprained right ankle, and decided to do shockwave therapy, which got me to the point of being able to walk longer than 15 minutes without pain (note that the shockwave therapy machine is better in the midtown office than downtown). She has gone above and beyond providing every option available to me. She is also very funny and easy to talk to, making each appointment a comfortable environment!Posted on Jeniece SchroeterTrustindex verifies that the original source of the review is Google. 5/5 Stars – Toetal Podiatry (274 Madison Ave location) I stumbled upon Toetal Podiatry on Madison by pure chance, and wow, what a lucky find! Even though I now live in Florida, I will NEVER let anyone else touch my feet again unless it’s Dr. Anna Wu. She’s everything you could want in a doctor: pleasant, genuinely kind, incredibly knowledgeable, calm, and confident. She puts you completely at ease. But let’s talk about the whole team first, the staff is exceptional. Nana at the front desk is one of the sweetest, most attentive people I’ve encountered in ages; she makes you feel truly cared for. Beatriz, who handled my X-rays and everything else, was just as wonderful. The vibe here isn’t clinical at all—it feels like catching up with smart, caring friends rather than a typical doctor’s visit. As a serious runner, my feet were in rough shape: I run with this awkward T-Rex toe-up form 😂, and both big toes had severe blood blisters, hematomas, and painful ingrown nails on both sides. I could barely walk. Dr. Wu didn’t bat an eye, she stayed completely unfazed, explained my options clearly, and I trusted her expert judgment completely. Best decision ever! She ended up removing both big toenails entirely, and honestly? It was easy-breezy. Zero drama, minimal discomfort, and the recovery has been smooth. I could go on and on about how amazing this place is, far beyond what I’d expect after such a procedure. When it comes to feet, Toetal Podiatry on Madison has a customer for life. I’m officially a lifer! If you’re dealing with any foot issues, do yourself a favor and book here, you won’t regret it. 🌟🏃♀️Posted on SANDRA MOLONEYTrustindex verifies that the original source of the review is Google. Amazing doctors, amazing staff. I had awful foot pain.(Neuroma). Had the surgery. NO MORE PAIN. Come see Dr.Rahman. You’ll be glad you did!Posted on Dorit Kleiner EilonTrustindex verifies that the original source of the review is Google. I have been struggling with chronic foot issues for many years due to active life style and sports. Dr. Rahman is a dedicated professional who pays attention to details and involves her patients with their own treatment. She not only helped me get better but also worked with me on how to best take care of my feet. I am back at hiking! :) A true doctor from the heart.Posted on Christine DingTrustindex verifies that the original source of the review is Google. I saw Dr. Aminian for a foot problem and she was amazing. She is very kind and sweet and I highly recommend her!Posted on AnnakTrustindex verifies that the original source of the review is Google. Dr. Rahman has been meticulous, clear, and effective. She's seen me through my medical care, always with good treatment plans. I appreciate the front desk assistance too!Posted on Hal DoueckTrustindex verifies that the original source of the review is Google. Dr Erfanian was awesome. Super patient, great bedside manner, and was able to diagnose issues and resolve them more than other doctors were! 10/10!Posted on Ryan WarshavskyTrustindex verifies that the original source of the review is Google. Dr. Rahman was amazing. She really explained everything clearly, she worked hard with the pharmacy and my insurance company to make sure I received the best care. Would definitely recommend.