Maxwell Adeyemi

A BUNION, known as hallux valgus, is a bony protrusion that forms at the base of the big toe joint, where the toe meets the foot. It occurs when the big toe leans inward toward the second toe, causing the joint to jut outward. This misalignment can cause pain, inflammation, and even arthritis in the joint.

Though some people are genetically predisposed to developing bunions due to foot structure, they can also be caused or exacerbated by wearing ill-fitting shoes, especially high heels or narrow-toed footwear. Over time, bunions tend to worsen, leading to increasing discomfort and mobility challenges if left untreated.

The main sign of a bunion is a visible bump on the side of your foot at the base of the big toe. However, other symptoms may be:

* Persistent pain or tenderness at the site of the bunion.

* Swelling and redness around the joint.

* Restricted movement of the big toe, making it harder to walk or flex the toe.

* Corns or calluses where the toes rub against each other due to misalignment.

* Thickened skin at the base of the big toe.

Bunions develop due to uneven pressure on the foot, often related to poor foot mechanics or wearing tight or narrow shoes.

Common causes are:

Genetics: Some people are born with foot structures that are prone to bunions.

Footwear choices: If you wear shoes that are too tight, narrow, or have high heels, this can put pressure on the big toe, forcing it into an abnormal position over time.

Arthritis: Certain forms of arthritis, such as rheumatoid arthritis, can increase the likelihood of developing bunions due to joint inflammation and instability.

Foot injuries: Trauma to the foot can sometimes cause the formation of a bunion.

Flat feet or abnormal walking patterns: These issues can contribute to uneven pressure on the feet, worsening the condition.

Bunions cannot be reversed without surgery, but there are many ways to relieve the pain, slow down their progression, and improve your quality of life.

1. Choose the right footwear

This is the first and most crucial step in managing bunions. Wear shoes that provide enough room for your toes. Tight or narrow shoes can exacerbate the problem, while supportive, wide-toe shoes help prevent further misalignment. Look for footwear with:

* Wide toe boxes that allow the toes to lie flat and spread naturally.

* Low heels or no heels to reduce pressure on the front of the foot.

* Soft, cushioned insoles to absorb shock and provide extra comfort.

2. Use bunion pads or orthotics

Over-the-counter bunion pads or toe spacers can help cushion the bunion and reduce friction from shoes, minimising pain. These products are particularly helpful if you’re on your feet for extended periods.

If your bunion is causing significant discomfort or having effects on your mobility, custom orthotic devices may be recommended by a podiatrist. These specialised insoles can help to correct improper foot mechanics and provide support to the arches, alleviating pressure on the big toe joint.

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