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.
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