This Little Piggy Has A Bunion

Ira M. Fox, M.D.

Bunions are those big ugly bumps on the inside of your foot. Sometimes bunions are accompanied by big toes that turn outward toward the small toe.

Most people believe bunions are the result of ill-fitting shoes, but in fact they are hereditary. If you have bunions, look at the feet of your mother, father or grandparents; it is highly likely one of them also has bunions.

The discomfort of bunions can be worsened by shoes, but shoes cannot cause bunions. Treatment consists of accommodation – a change in footwear to fit the bunion – or surgical correction. Accommodation includes wearing more sensible shoes with a more rectangular toe box, or front of the shoe. For those unconcerned with style, orthopedic shoes are available with a toe box specially made for bunions. Padding of the bump also works.  Continue reading

Keeping It Real: The Truth About Bunions

Dr. Fox
Ira M. Fox, D.P.M.

A bunion is the bump on the inside of the big toe.  The complete picture is more complex.  The 1st metatarsal drifts inwards causing the big toe to drift towards the small toe.  There is an increasing space between the 1st and 2nd metatarsal (metatarsus primus varus).  The big toe can rotate (hallux valgus) .

A bunion deformity is a progressive problem.  The longer it exists, the more the great toe moves toward the second toe and the larger the bump becomes.  The earlier the onset, the worse the ultimate deformity. Continue reading