Hallux Valgus/Bunions

Bunions are a progressive deformity. They may begin with deviation of the big toe towards the second toe. This results in a positional and angular change of the bones, which over months and years results in the characteristic bunion ‘bump’. The first toe joint is very important in how we function when walking and running. If this joint is in an incorrect position it can then lead to further disturbance of the foot and leg, causing pain, discomfort and even instability.

Poor footwear was once thought to be the main cause of bunions, however we currently understand that bunions are caused by many factors, of which foot type and function play an important role. Treatment for bunions involves both non-surgical and surgical approaches, depending on the individual and the stage of the deformity.

Non-surgical techniques include addressing the functional aspect of bunions using orthotics to improve foot position and function. Appropriate footwear advice and pain relief with suitable medication and supplements are often effective non-surgical options. Surgical correction of your bunion, using techniques that are supported by high level research, provides you with further options. Surgery may be required when the pain interferes with normal daily activity.