Bunion&hammertoes

Bunion&Hammertoes

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bunion pain
Bunion

What are Bunions and Hammertoes?

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:

  • Big toe that angles inward
  • Family history of bunions
  • Poor foot structure
  • Arthritis in your feet
  • Different length legs

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.

What causes Bunions and Hammertoes?

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.

What are the symptoms?

Bunion Symptoms:

  • 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

Hammertoe Symptoms:

  • 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

How are Bunions and Hammertoes diagnosed?

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.

When is surgery necessary?

If conservative treatments fail, or the deformity limits your mobility, surgery may be recommended.

For Bunions:

  • Bunionectomy — removal and realignment of the bony bump

  • Minimally invasive techniques are available for quicker recovery

For Hammertoes:

  • 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.

FAQs about Bunions and Hammertoes

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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