Bunion

Watch the bunions video

Did you know? Bunions are more common in women 1 out of 50 people with bunions have never worn shoes Twice as many people over 60 have bunions compared with those aged 30-60 1 in 50 children aged 9-10 have big toe problems which can lead to bunions

Causes of bunions

The exact cause of bunions is unclear however family history and badly fitting footwear are known risk factors.

If there's a family history of bunions then there is an increased risk of developing the problem yourself.

In many cases, bunions develop as a result of wearing badly fitting footwear. Women are more likely to develop the problem because of wearing tight, pointed and high-heeled shoes. Heels push the body's weight forward onto the front of the foot which places a strain on the toe joints. Tight fitting shoes rub against the joint of the big toe and continually wearing badly fitting footwear will worsen the problem.

Arthritis is also a common cause of bunions or it can make the condition worse. As the protective cartilage that covers the toe joints becomes damaged or diseased, the joints become stiff and trying to straighten them to prevent rubbing against the shoe is difficult.

Symptoms of bunions

The main symptom of bunions is a bony lump at the base of the big toe joint. Bunions can appear red and swollen and feel painful although some bunions have no pain whatsoever. The big toe is pushed inwards toward the other toes and may cross over or under the second toe. Other toes may also bend inwards due to less room inside a shoe.

The width of the foot can also increase due to the bony lump at the side. This can make wearing shoes uncomfortable and difficult.

Other symptoms of a bunions include:

•    Tough skin over the lump which can become ulcerous
•    Pain and difficulty walking when in shoes (especially heels or tight pointed footwear)
•    Swelling and tenderness over the big toe joint (a condition known as bursitis)
•    Altered foot shape

Diagnosis of bunions

Bunions can take years to develop with symptoms worsening over time until they become unbearable. If you suspect you're developing a bunion then visit your GP as soon as possible.

The GP will perform a physical examination of the foot and ask questions about pain or any difficulty wearing and walking in shoes. It's important to let your GP know about any medications or padding you may use to ease the symptoms.