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That painful bump on the outside base of your big toe? That’s likely a bunion, or hallux valgus.

Bunions develop most often at the base of the big toe where the joint is located. This joint (known as the Metatarsophalangeal joint) is where the first long bone of the foot meets the first bone of the big toe. Due to its location, bunions can often reduce the flexibility of the toe and cause continuous pain.

Bunions often develop slowly overtime. If left untreated, the normal structure of the bones will change, creating the bump you see on the foot. The deformity will gradually increase causing further deformities like the toes pushing against each other and overlapping. In time, it may become increasingly difficult to wear shoes or walk due to pain.

Bunions start out small, but usually get worse over time. Because the big toe joint flexes with each step, the bigger the bunion gets, the more painful and stiff it will become.

Often, people with bunions may also suffer with painful hammertoes. Hammertoes can be flexible or rigid and the type of surgery to correct a hammertoe depends on the severity and the deformity.

At the time of your consultation to discuss bunion surgery your surgeon will discuss with you your desires for correction of hammertoes if they are present. Sometimes, in the case of severely deformed hammertoes the surgery may require a longer post operative non weightbearing period. However, often it is a simple procedure with a very small incision that is closed with glue.