Why bunions become painful
Bunions tend to run in families, and narrow or pointed shoes make them more uncomfortable. Pain usually comes from pressure on the bump, stiffness or arthritis in the big toe joint, or overload under the ball of the foot as the toe stops doing its share of the work.
Just as with other big toe problems, a stiff ankle or the way you walk can push extra load through the front of the foot. Easing that load can make a real difference to comfort, even though it won't straighten the toe.
What we can do
- Assessment of the big toe joint, ankle and how you walk, so we know what is actually causing the pain.
- Gentle joint mobilisation to improve movement in the foot and ankle.
- Footwear advice: width, depth and materials that reduce pressure on the bump.
- Padding and offloading for tender areas.
- Custom orthotics where they will help the foot work more efficiently.
Will I need surgery?
Many people manage well without it. Surgery is usually considered when pain stops you doing everyday things despite good conservative care. We don't operate, but we will tell you honestly if a surgical opinion is worth discussing with your GP.
Common questions
Can orthotics correct a bunion?
No insole will straighten a bunion. Orthotics can reduce strain on the joint and the ball of the foot, which often helps with pain.
What shoes are best?
Shoes with a wide, deep toe box and soft uppers over the bump. Bring the shoes you wear most and we will look at them with you.